Many of the most common chronic diseases in the Western world are now preventable and even reversible using comprehensive lifestyle changes; this has spawned a new field named lifestyle medicine. Lifestyle medicine is a subset of integrative preventive medicine that focuses on changing four or more core behaviors: nutrition, movement, relaxation, and social support. The reversible diseases include even severe coronary heart disease, type 2 diabetes, hypertension, obesity, hyperlipidemia, and early-stage prostate cancer. Many forces are converging that make this the right idea at the right time. This chapter focuses on reviewing randomized-controlled trials and demonstration projects illustrating both the medical effectiveness and cost-effectiveness of lifestyle medicine as a new paradigm of healthcare one that integrates the best of conventional treatments such as drugs and surgery with the power of comprehensive lifestyle changes.
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