Chronic Disease Prevention

The human body has natural healing abilities. A recent survey found that a high proportion of patients attending primary care with unhealthy lifestyles do not perceive the need to change their habits, and about half the patients reported not having had any discussion on healthy lifestyles with their family doctors 26 There is an unexplained and no longer bearable time lag between the overwhelming evidence for the harmful health consequences of an unhealthy lifestyle and taking meaningful action at the individual, social and societal level to modify these behaviours and morbidogenic environments.
Whereas infectious diseases were the primary cause of death in the early 20th century, CVD and cancer have now assumed dominance in mortality (Figure 1). 9 Additionally, obesity and diabetes are inflammatory conditions that not only contribute to CVD and cancer but also serve as profound comorbidities; their shared etiologies promote one another.



29,30 The major barriers for the implementation of vegan diet are factors derived from the disease itself and from its treatment, such as lack of motivation, low self-esteem and confidence; or side effects such as sedation or weight increase associated with pharmacological treatment.

The four required activities include: 1) participation in three in person overview, review and summary discussion sessions, 2) completion of three on line didactic sessions, 3) participation in an intensive therapeutic lifestyle change intervention (ITLC) lab, and 4) completion of a personal lifestyle medicine application.
The competence and confidence to diagnose and change unhealthy behaviour is lacking 29 We must improve education and training in the treatment and prevention of lifestyle‐related diseases 30 There needs to be changes in attitudes and perspectives such that practitioners understand therapeutic lifestyle changes to be the most scientifically valid, clinically effective and achievable treatment possible for most common conditions (LRDs) 31 Practitioners need to be taught how to base even 5 to 10 min on lifestyle medicine principles 30 , while we work collectively to establish better delivery mechanisms that reflect the evidence demonstrating more contact time is more effective at producing meaningful lifestyle changes.

We are faced with a challenge: on one side, preventive approaches (lifestyle modifications) are generally not recommended or adopted due to multiple etiologies: lack of time, knowledge and skills by primarily medical giver, lack of economic benefits to commercial companies and the biggest challenge of mankind to make a change in oneself behavior, even an unhealthy one.
Because stress reactions are so closely related to sleep patterns, lifestyle prescriptions for increased meditation and relaxation techniques are the initial treatment of choice for insomnia.58 Incorporation of rest and renewal into a patient's daily life frequently requires an understanding of a patient's spiritual resources and perspective on life.

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