Evidence map›Paper›PMID 38198361›Full record

ArticleArquivos brasileiros de cardiologia2024

The Six Pillars of Lifestyle Medicine in Managing Noncommunicable Diseases - The Gaps in Current Guidelines.

Rafaella Rogatto de Faria, Sergio Freitas de Siqueira, Francisco Aguerre Haddad, Gustavo Del Monte Silva, Caio Vitale Spaggiari, Martino Martinelli Filho

Abstract read
In one paragraph

Article in Arquivos brasileiros de cardiologia, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–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

10 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Rafaella Rogatto de FariaCultivare Prevenção e Promoção da Saúde - Pesquisa e Desenvolvimento, São Paulo, SP - Brasil.ORCID 0000-0003-2720-5316
Sergio Freitas de SiqueiraCultivare Prevenção e Promoção da Saúde - Pesquisa e Desenvolvimento, São Paulo, SP - Brasil.ORCID 0000-0001-9660-253X
Francisco Aguerre HaddadCultivare Prevenção e Promoção da Saúde - Pesquisa e Desenvolvimento, São Paulo, SP - Brasil.ORCID 0009-0004-7900-3534
Gustavo Del Monte SilvaCultivare Prevenção e Promoção da Saúde - Pesquisa e Desenvolvimento, São Paulo, SP - Brasil.ORCID 0009-0007-2229-1792
Caio Vitale SpaggiariInstituto do Coração (InCor), Hospital das Clínicas da FMUSP, São Paulo, SP - Brasil.ORCID 0000-0003-4492-1621
Martino Martinelli FilhoCultivare Prevenção e Promoção da Saúde - Pesquisa e Desenvolvimento, São Paulo, SP - Brasil.ORCID 0000-0003-4440-8078

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNoncommunicable diseases (NCDs), also known as chronic diseases that are long-lasting, are considered the major cause of death and disability worldwide, and the six pillars of lifestyle medicine (nutrition, exercise, toxic control, stress management, restorative sleep, and social connection) play an important role in a holistic management of their prevention and treatment. In addition, medical guidelines are the most accepted documents with recommendations to manage NCDs.

objectiveThe present study aims to analyze the lack of lifestyle pillars concerning the major Brazilian medical guidelines for NCDs and identify evidence in the literature that could justify their inclusion in the documents.

methodBrazilian guidelines were selected according to the most relevant causes of death in Brazil, given by the Mortality Information System, published by the Brazilian Ministry of Health in 2019. Journals were screened in the PUBMED library according to the disease and non-mentioned pillars of lifestyle.

resultsRelevant causes of deaths in Brazil are acute myocardial infarction (AMI), diabetes mellitus (DM), and chronic obstructive pulmonary diseases (COPD). Six guidelines related to these NCDs were identified, and all address aspects of lifestyle, but only one, regarding cardiovascular prevention, highlights all six pillars. Despite this, a literature search involving over 50 articles showed that there is evidence that all the pillars can help control each of these NCDs.

conclusionRarely are the six pillars of lifestyle contemplated in Brazilian guidelines for AMI, DM, and COPD. The literature review identified evidence of all lifestyle pillars to offer a holistic approach for the management and prevention of NCDs.

Indexed as

Myocardial InfarctionNoncommunicable DiseasesPulmonary Disease, Chronic ObstructiveBrazilHumansLife StyleNutritional Status

Identifiers

PMID38198361
PMCPMC10735241

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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.