Evidence map›Paper›PMID 29035175›Full record

ArticleThe Permanente journal2018

Lifestyle Medicine: A Brief Review of Its Dramatic Impact on Health and Survival.

Balazs I Bodai, Therese E Nakata, William T Wong, Dawn R Clark, Steven Lawenda, Christine Tsou, Raymond Liu, Linda Shiue, Neil Cooper, Michael Rehbein and 11 more

Abstract read
In one paragraph

Article in The Permanente journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 103 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
103citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

103 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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43 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

21 authors.

Balazs I BodaiDirector of The Breast Cancer Survivorship Institute in Sacramento, CA. balazs.bodai@kp.org.
Therese E NakataProgram Manager of The Breast Cancer Survivorship Institute in Sacramento, CA. therese.e.nakata@kp.org.
William T WongPsychiatrist at the Redwood City Medical Center in CA. william.t.wong@kp.org.
Dawn R ClarkChief Facilitator of the Physician Wellness Program and an Obstetrician/Gynecologist at the San Dimas-Baldwin Park Medical Center in San Dimas, CA. dawn.r.clark@kp.org.
Steven LawendaInternist at the Antelope Valley Medical Center in Lancaster, CA. steven.a.lawenda@kp.org.
Christine TsouInternist at the San Jose Medical Center in CA. christine.tsou@kp.org.
Raymond LiuChief of Hematology-Oncology at the San Francisco Medical Center in CA. raymond.liu@kp.org.
Linda ShiueInternist and the Director of Culinary Medicine at the San Francisco Medical Center in CA. linda.w.shiue@kp.org.
Neil CooperRadiologist at the Glenlake Medical Center in Atlanta, GA. neil.b.cooper@kp.org.
Michael RehbeinPediatrician and Assistant Physician-in-Charge for Outpatient Service at the Stockton Medical Office in CA. michael.rehbein@kp.org.
Benjamin P HaAssociate Area Medical Director for Family Medicine at the Bakersfield Medical Center in CA. benjamin.p.ha@kp.org.
Anne MckeirnanObstetrician/Gynecologist at the San Diego Medical Center in CA. anne.p.mckeirnan@kp.org.
Rajiv MisquittaPrimary Care Physician at the South Sacramento Medical Center in CA. He is also an Elected Representative on The Permanente Medical Group Board of Directors. rajiv.misquitta@kp.org.
Pankaj VijMedical Director of the Kaiser Permanente Weight Management Program in Pleasanton, CA. Pankaj.k.vij@kp.org.
Andrew KloneckeNuclear Medicine Specialist at the Sacramento Medical Center and at the Roseville Medical Center in CA. andrew.klonecke@kp.org.
Carmelo S MejiaInternist at the Skyline Medical Offices in Salem, OR. carmelo.mejia@kp.org.
Emil DionysianOrthopedic Surgeon at the Lakeview Medical Offices and at the Orange County Medical Center in Anaheim, CA. emil.dionysian@kp.org.
Sean HashmiInternist at the Woodland Hills Medical Center in CA. sean.x.hashmi@kp.org.
Michael GregerPhysician and Founder of NutritionFacts.org in Kensington, MD. mhg1@cornell.edu.
Scott StollCo-Founder and Chairman of the Plantrician Project in Rieglesville, PA. stollx7@gmail.com.
Thomas M CampbellInstructor of Clinical Family Medicine at the University of Rochester School of Medicine and Dentistry and the Co-Founder and Clinical Director of the University of Rochester Program for Nutrition in Medicine in NY. thomas_campbell@urmc.rochester.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

By ignoring the root causes of disease and neglecting to prioritize lifestyle measures for prevention, the medical community is placing people at harm. Advanced nations, influenced by a Western lifestyle, are in the midst of a health crisis, resulting largely from poor lifestyle choices. Epidemiologic, ecologic, and interventional studies have repeatedly indicated that most chronic illnesses, including cardiovascular disease, cancer, and type 2 diabetes, are the result of lifestyles fueled by poor nutrition and physical inactivity.In this article, we describe the practice of lifestyle medicine and its powerful effect on these modern instigators of premature disability and death. We address the economic benefits of prevention-based lifestyle medicine and its effect on our health care system: A system on the verge of bankruptcy. We recommend vital changes to a disastrous course. Many deaths and many causes of pain, suffering, and disability could be circumvented if the medical community could effectively implement and share the power of healthy lifestyle choices. We believe that lifestyle medicine should become the primary approach to the management of chronic conditions and, more importantly, their prevention. For future generations, for our own health, and for the Hippocratic Oath we swore to uphold ("First do no harm"), the medical community must take action. It is our hope that the information presented will inspire our colleagues to pursue lifestyle medicine research and incorporate such practices into their daily care of patients. The time to make this change is now.

Indexed as

Health BehaviorHealthy LifestylePreventive Health ServicesChronic DiseaseHumansPreventive MedicinePublic HealthRisk Reduction Behavior

Identifiers

PMID29035175
PMCPMC5638636

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.