Lifestyle Medicine,
Edition 3 Lifestyle, the Environment and Preventive Medicine in Health and Disease
Edited by Michael Sagner, Garry Egger, MPH PhD MAPS, Andrew Binns and Stephan Rossner

Publication Date: 06 Apr 2017

Lifestyle Medicine: Lifestyle, the Environment and Preventive Medicine in Health and Disease, Third Edition, is an adjunct approach to health practice that seeks to deal with the more complex modern determinants of chronic diseases—primarily lifestyle and the environments driving such lifestyles—in contrast to the microbial ‘causes’ of infectious disease.

Our lifestyle choices have a profound effect on our health. As we live longer, one thing is clear: many of us will spend time living with injury and chronic illness due to our own choices. Changes in health patterns typically follow shifts in living conditions. Disease patterns have changed worldwide, from infectious to chronic diseases such as obesity, diabetes, and heart disease. This change has been so emphatic—nearly 70% of all presentations to a doctor in modern western societies are now chronic disease related—that medical services are being forced to change to accommodate this.

New chapters in this third edition explain the link between energy intake and expenditure; consider how modern technology are determinants of chronic disease; show how environmental influences, such as endocrine disruptors, influence our health; and summarize recent research on early childhood experiences and chronic disease.

Key Features

  • Explores the relationship between lifestyle and environmental drivers and the major modern chronic diseases
  • Outlines the knowledge and skills bases required by health professionals to deal with lifestyle and environmental determinants of chronic disease, as well as the tools and procedures available for doing this
  • Develops pedagogy for Lifestyle Medicine that will enable it to become a practical adjunct to conventional health and medical practice
  • Features new chapters explaining the link between energy intake and expenditure, and more
About the author
Edited by Michael Sagner, President, European Society of Lifestyle Medicine, Paris, France; Garry Egger, MPH PhD MAPS, Director, Centre for Health Promotion and Research, Sydney, and Adjunct Professor, Lifestyle Medicine, Lismore campus, Southern Cross University, Australia; Andrew Binns, General practitioner, rural New South Wales, and Adjunct Professor, Division of Health and Applied Sciences , Lismore campus, Southern Cross University, Australia and Stephan Rossner, Professor, Health Behavior Research, Karolinska Institute, Stockholm, and Director, Obesity Unit, Karolinska University Hospital
Table of Contents

Section I. Background and Basis for the role of lifestyle factors In chronic disease Prevention and Treatment

Chapter 1. Introduction to the Role of Lifestyle Factors in Medicine

  • Introduction: What is Lifestyle Medicine?
  • The Scope of Lifestyle in Medicine
  • Historical Background
  • Lifestyle in the Context of Chronic and Acute Disease
  • Differences Between Traditional/Conventional and the Model of Lifestyle Medicine
  • The Links That Highlight Lifestyle Factors in Medicine
  • Who is Best Qualified to Practice Lifestyle Interventions?
  • The Evidence Base
  • Frameworks for Lifestyle Changes in Medicine
  • Summary

Chapter 2. The Epidemiology of Chronic Disease

  • Introduction: A (Very) Short History of Disease
  • Lifestyle-Related Causes of Disease
  • Assessing Risk Factors
  • Beyond Single Risk Factors
  • Beyond Risk Factors Altogether
  • Looking Beyond Immediate Causes of Disease
  • Proximal Determinants
  • Medial Determinants
  • Distal Determinants
  • Expanding the Concept of Disease and Intervention
  • The Clinician’s Role in Managing Lifestyle-Related Chronic Diseases

Chapter 3. A “Germ Theory¿ Equivalent Approach for Lifestyle Medicine

  • Introduction
  • Inflammation and Disease
  • Metaflammation and “Anthropogens¿
  • Chronic Disease and the Germ Theory
  • Relevance for Public Health and Lifestyle Medicine
  • Managing Anthropogens
  • Summary

Chapter 4. A Structure for Lifestyle Medicine

  • Introduction: the Field of Lifestyle Medicine
  • Developing the Knowledge Base: the Science of Lifestyle-Related Diseases and Conditions
  • Summary
  • Utilizing Skills: the Art of Lifestyle Medicine
  • Expanding the Range of Tools: the Materials for Lifestyle Medicine
  • Adopting Procedures: Developing the Actions for Lifestyle Medicine Management
  • Summary

Chapter 5. Everything You Wanted to Know About Motivation (But Weren’t Intrinsically Motivated Enough to Ask)

  • Introduction: The Requirements for Change
  • What Is Motivational Interviewing?
  • Why Use Motivational Interviewing Techniques?
  • Motivational Goals and Strategies
  • Barriers and Triggers to Change
  • Motivation at the Public Health Level
  • Some Motivational Tactics
  • Intrinsic Motivation: The End Game
  • Summary

Chapter 6. Self-Management in Lifestyle Medicine

  • Introduction: Self-care Versus Self-management
  • Components of Self-management
  • Self-care is a Necessary But Not Sufficient Component
  • Evidence of Effectiveness
  • Formats Supporting Self-management
  • Lifestyle Medicine and Self-management
  • Principles of Self-management
  • Being Motivation Focused
  • Being Health Literacy Oriented

Chapter 7. Overweight and Obesity: The Epidemic’s Underbelly

  • Introduction: Obesity and Ill Health
  • Fat Distribution: Not Only if You’re Fat but Where
  • Dealing With Obesity
  • Is a Calorie Really a Calorie?
  • Changing Energy Balance
  • Trends in Weight Control Management
  • Practical Implications of Physiological Adjustment
  • Current Strategies in Weight Loss
  • Strategies with good supporting evidence
  • Obesity: The “Canary in the Mineshaft¿
  • Summary

Section II. Lifestyle and Environmental Determinants of Chronic disease

Chapter 8. Nutrition for the Nondietitian

  • Introduction: The Confusion of Nutrition
  • The Science of Nutrition
  • The Concept of (Energy) Volume
  • An Alternative Approach
  • Recent Developments in Nutrient Understanding
  • Specific Dietary Requirements
  • Assessing Food Intake
  • Summary

Chapter 9. Fluids, Fitness, and Fatness

  • Introduction: Fluids as Energy
  • How Much Fluid is Required?
  • How Much Energy in Fluid is Recommended?
  • Recommended Fluid Intakes
  • Suggested Changes in Beverage Intakes
  • Alcohol
  • Summary

Chapter 10. Behavioral Aspects of Nutrition

  • Introduction: Eating as a Behavior
  • Hunger and Appetite: Are They the Same?
  • Determinants of Energy Intake
  • Habits
  • Rational Emotive Therapy
  • Summary

Chapter 11. Physical Activity: Generic Prescription for Health

  • Introduction: Exercise and Evolution
  • Defining Terms
  • Activity Levels, Mortality, Morbidity, and Well-being
  • Types of Fitness: The Five S’s
  • Exercises
  • Muscle Groups for Stretching
  • Progression of Exercise Training
  • Purpose, Meaning, and Physical Activity
  • The Clinician’s Role
  • Summary

Chapter 12. Physical Activity: Specific Prescription for Disease Management and Rehabilitation

  • Introduction: Specific Exercise Prescription
  • Exercise and Disease Management
  • Genetics and Response to Exercise
  • Exercise and Diabetes
  • Exercise and Heart Disease
  • Exercise and Arthritis
  • Exercise and Hypertension
  • Exercise and Dyslipidemia
  • Exercise, Stress Anxiety, and Depression
  • Other Conditions
  • Summary

Chapter 13. Stress: Its Role in the S-AD Phenomenon

  • Introduction: “Stress¿ versus “Strain¿
  • What is Stress?
  • Genetics, Resilience, and Hardiness
  • Stages of Stress/Strain
  • The Concepts of Control and Escape
  • An Approach to Dealing With Stress: ACE (Analyze, Change, Evaluate)
  • Change (Escape)
  • Summary

Chapter 14. Dealing With Worry and Anxiety

  • Introduction: Anxiety as “Feared Helplessness¿
  • Health Effects of Anxiety
  • Types of Anxiety Disorders
  • The Extent of the Problem
  • The Role of Lifestyle
  • Diagnosis
  • Worry as a Ubiquitous Characteristic of Anxiety
  • Management
  • Summary

Chapter 15. Depression

  • Introduction: Depression as a Way of Life
  • What is Depression?
  • Depression and Health
  • Depressive Disorders
  • Risk Factors
  • Diagnosis
  • Management
  • Summary

Chapter 16. Happiness and Mental Health: The Flip Side of S-AD

  • Introduction
  • Depression and Happiness
  • Lifestyle Medicine and Mental Health Promotion
  • What is (Good) Mental Health?
  • Approaches to Mental Health
  • Positive Psychology?
  • Lives Led
  • Is Positive Psychology the Way for Everybody?
  • Mental Health Promotion, Illness Prevention, and Early Intervention
  • Health Professional Goals in Applying Act-Belong-Commit in the Clinic
  • Summary

Chapter 17. Technology-Induced Pathology: Watch (This) Space

  • Introduction: the Good and the Bad of Technology
  • The Changing Nature of Health
  • Technology’s “Hormetic¿ Effect
  • The Future of Researching Technopathology
  • Summary

Chapter 18. To Sleep, Perchance to … Get Everything Else Right

  • Introduction: The Value of Sleep Research
  • The Reasons for Sleep
  • How Much Sleep Do We Need?
  • Sleep Cycles
  • The Concept of Sleep Debt
  • Fatigue and Excessive Daytime Sleepiness
  • Risk Factors Associated With Poor Sleep
  • Sleep and Lifestyle Interactions
  • What Is Insomnia?
  • The Value of Sleep Diaries in Determining Sleep Patterns
  • Snoring and Obstructive Sleep Apnea
  • Sleep Hygiene
  • Summary

Chapter 19. Health and the Environment: Clinical Implications for Lifestyle Medicine

  • Introduction: Environmental Influences on Health
  • Defining Environments

Chapter 20. Meaninglessness, Alienation, and Loss of Culture/Identity (MAL) as Determinants of Chronic Disease

  • Introduction: “MAL¿ in a Lifestyle Context
  • The Meaning of Meaninglessness
  • Alienation and Estrangement
  • Loss of Culture and Identity
  • Summary
  • The Clinician’s Role

Chapter 21. Preventing and Managing Injury at the Clinical Level

  • Introduction: Injury Prevention as Public Health
  • The Epidemic of Injury
  • Understanding Injury
  • Injuries From Falls
  • Transportation Injuries
  • Drowning
  • Poisonings
  • Sports Injuries
  • Suicide
  • Summary

Chapter 22. Rethinking Chronic Pain in a Lifestyle Medicine Context

  • Introduction: A Case Study
  • Types and Extent of Pain
  • Pain: Historical Context
  • Rethinking Chronic Pain: The Need for a New Paradigm
  • “Plasticity¿ and Chronic Pain
  • Plasticity and Person-Centered Care
  • Plasticity of Systems
  • Practical Therapeutics: Implementing the Principles of Plasticity
  • Summary

Chapter 23. Understanding Addictions: Tackling Smoking and Hazardous Drinking

  • Introduction: The Different Forms of Addiction
  • Why is Addressing Smoking and Drinking so Challenging?
  • Client Factors
  • Clinician Factors
  • Practice Setting
  • What Works?
  • An Acronym for Treatment: The 5 A’s
  • Raising the Issue
  • Assessment
  • Making Changes
  • Pharmacotherapy
  • What Stimulates Change?

Chapter 24. Medicines: The Good, The Not So Good, and The Sometimes Overused

  • Introduction: Drugs—Good and Bad
  • Common Side Effects
  • Iatrogenesis and Medicines
  • The Problem of Nonadherence
  • “Deprescription¿ and Polydrug Use
  • What Can the Clinician Do?
  • Summary

Chapter 25. Relationships, Social Inequity, and Distal Factors in Lifestyle Medicine: Tackling the Big Determinants

  • Introduction: Causality Revisited
  • Relationships
  • Social Inequality
  • Summary

Section III. Other issues for Lifestyle medicine

Chapter 26. Sex and Lifestyle: Not Being Able to Get Enough of a Good Thing Because of a Lifetime of Getting Too Much of a Good Thing

  • Introduction
  • Prevalence of Sexual Problems
  • Causes: General
  • Causes: Specific
  • Management
  • Summary

Chapter 27. Lifestyle and Oral Health

  • Introduction: Oral Health
  • Lifestyle, Dental Caries, and Tooth Erosion
  • Erosive Factors in the Diet
  • Protective Factors
  • Periodontal Disease and Diabetes
  • Sports and Dental Health
  • Summary

Chapter 28. Lifestyle and Environmental Influences on Skin

  • Introduction: The Skin as an Organ
  • Why Skin in Lifestyle Medicine?
  • Summary

Chapter 29. Lifestyle-Related Aspects of Gastrointestinal Health

  • Introduction: Exposing the Gut
  • The Top End: Reflux and Dyspepsia
  • The Middle Bit: Irritable Bowel
  • The Bottom End: Constipation and Diarrhea
  • Exercise: Good and Bad News
  • Summary

Section IV. The Future of Health

Chapter 30. The Next Chapter: The Future of Health Care and Lifestyle Interventions

  • Introduction
  • Health Care Systems and Society at Large Must Focus on Proactive Prevention
  • The Quality of Care Case
  • The Economic Case
  • Embracing Predictive Medicine
  • Personalizing Lifestyle Interventions
  • Medicine Will Become More Participatory
  • Conclusions
Book details
ISBN: 9780128104019
Page Count: 484
Retail Price : £70.99
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Clinical endocrinologists, public health practitioners, general practitioners