随着医学模式从以“疾病为中心”向以“健康为中心”的价值医疗体系转变,生活方式医学的兴起与发展成为历史的必然。通过对疾病风险干预和病因的个体化诊疗,生活方式医学有望成为慢性病防治的一线手段。美国James M. Rippe教授是生活方式医学的学科创始人,其主编的《生活方式医学》是美国第一部生活方式医学的教材,2019年修订的第3版全书分20篇,汇集了行为学、心理学、营养学等多个学科理论及临床最新研究成果,搭建了生活方式医学的理论框架,奠定了学科教育基础,影响深远。教材倡导将生活方式医学融入日常临床实践,坚持以患者为中心、以价值为基础、以结果为导向作为学科发展目标,促进人类健康。本文介绍了生活方式医学的学科定义、教育认证情况和专业要求,并对《生活方式医学》教材结构内容、研究主题等进行了介绍,以供同行参考。
With the change of medical model from “Disease-centered” to “Health-centered” value medical system, the rise and development of Lifestyle Medicine (LM) has become inevitable. With the intervention of disease risk and individualized diagnosis and treatment of etiology, LM is expected to be the first-line tools for chronic disease prevention and treatment. The textbook Lifestyle Medicine, edited by Professor James M. Rippe, who is the founder of LM, is the first one of LM textbook in the United States. The third edition, revised in 2019, consists of 20 Parts,collecting the theories of behavioral science, psychology, nutrition and other disciplines and the latest clinical research results. It has far-reaching influence by building the theoretical framework and the foundation of LM education.The textbook advocates the integration of lifestyle medicine into daily clinical practice and adheres to the goal of patient-centered,value-based and results-oriented discipline development,thus to promote the human health. This article introduces the subject definition, education certification and professional requirements of lifestyle medicine, and introduces the structure, content and research topics of the textbook as a reference for domestic peers.
[1] Rippe Lifestyle Institute[EB/OL]. [2022-03-10].https://rippehealth.com/rippelifestyle/.
[2] Phillips EM, Frates EP, Park DJ. Lifestyle Medicine[J]. Phys Med Rehabil Clin N Am, 2020 ,31(4):515-526. DOI: 10.1016/j.pmr.2020.07.006.
[3] Rippe JM. Lifestyle medicine[M].3 ed. Boca Raton, FL: CRC Press,Taylor & Francis Group, 2019: Preface XIV, 14-17.
[4] James M, Rippe MD. Lifestyle medicine: patient centered, value based, outcome driven[J]. Am J Lifestyle Med, 2022, 17(5):1-3. DOI.org/10.1177/15598276221093041.
[5] 马欣. 生活方式医学[J].山东大学学报(医学版),2020,58:1-5.
[6] 唐卫平,李翀,陈国栋. 国际医学教育认证体系的现状与启示[J]. 中华医学教育杂志,2021,41(8):758-762. DOI:10.3760/cma.j.cn115259-20201023-01509.
[7] Lianov L, Johnson M. Physician competencies for prescribing lifestyle medicine[J]. JAMA. 2010, 304(2):202-203. DOI: 10.1001/jama.2010.903.
[8] Collings C. On your mark, get set, go! It's time to elevate all six pillars of lifestyle medicine Starting with physical activity![J].Am J Lifestyle Med, 2020, 14(6):612-614. DOI: 10.1177/1559827620948009.
[9] Lloyd-Jones DM, Hong Y, Labarthe D, et al. Defining and setting national goals for cardiovascular health promotion and disease reduction: The American Heart Association's strategic impact goal through 2020 and beyond[J]. Circulation, 2010, 121(4):586-613. DOI: 10.1161/CIRCULATIONAHA.109.192703.
[10] Tun B, Ehrbar R, Short M, et al. Association of Exhaled Carbon Monoxide with ideal cardiovascular health, circulating biomarkers, and incidence of heart failure in the Framingham offspring study[J]. J Am Heart Assoc, 2020, 9(21): e016762. DOI: 10.1161/JAHA.120.016762.
[11] Bambs C, Kip KE, Dinga A, et al. Low prevalence of “ideal cardiovascular health” in a community-based population: the heart strategies concentrating on risk evaluation (Heart SCORE) study[J]. Circulation, 2011, 123(8):850-857. DOI: 10.1161/CIRCULATIONAHA.110.980151.
[12] Stefani L, Galanti G. Physical exercise prescription in metabolic chronic disease[J]. Adv Exp Med Biol, 2017, 1005:123-141. DOI: 10.1007/978-981-10-5717-5_6.
[13] 张鹏,孙慕义. 老年人生命教育发展研究[J]. 医学与哲学,2022,43(4):69-72,封3. DOI:10.12014/j.issn.1002-0772.2022.04.16.
[14] 国内首家健康生活方式医学中心成立[EB/OL].[2022-03-10]. http://www.xinhuanet.com/video/2020-09/14/c_1210799726.htm.
[15] 李刚,冯达,唐尚锋,等. 美国预防医学医师制度介绍与借鉴[J]. 中国公共卫生,2022,38(2):253-256. DOI:10.11847/zgggws1129364.