Free From PainIt's the evidence-based medical specialty that uses lifestyle therapeutic approaches, such as a predominantly whole food, plant-based diet, regular physical activity, adequate sleep, stress management, avoidance of risky substance use, and other non-drug modalities, to prevent, treat, and, oftentimes, reverse non-communicable disease, sometimes referred to as degenerative chronic disease. This important meeting brought together physicians from the American Medical Association, the American College of Physicians, the American Academy of Family Physicians, the American Academy of Pediatrics, and several other specialty societies with the express purpose of developing a set of lifestyle medicine competencies that should be adopted by all primary care physicians.
While lifestyle medicine does require a certain knowledge base and skill set, it is much more than that it is really a philosophy and approach to care that is rooted in the science of conventional medicine but goes beyond traditional medical training.
According to Kushi et al. 8 , the American Cancer Society nutrition and physical activity guidelines are consistent with those defined by the American Heart Association and microbiome the 2010 Dietary Guidelines for Americans, in addition to those established by the American Diabetes Association and the 2008 Physical Activity Guidelines for Americans.
Egger et al. concluded that Lifestyle medicine forms a bridge with public health and health promotion, where the latter is defined as ‘the combination of educational and environmental supports for actions and conditions of living conducive to health'” 10 (The contents in single quotation mark is taken from Greene and Kreuter's material 13 ).
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.
As Street, James and Cutt comment 125 , evaluations by government departments in Australia and the US have found that people who participate in organised recreational activity enjoy better mental health, are more resilient against the stresses of modern living, with a reduction of depressed mood also evident; however the direction of the association remains speculative.
Science has proven that healthy weight loss, healthy eating and fitness routines make dramatic improvements in health, and help control common chronic illnesses like high cholesterol, high blood pressure, diabetes, stress, and general lack of stamina.