Advanced search
Publication Cover
Expert Review of Cardiovascular Therapy Volume 14, 2016 - Issue 1
Submit an article Journal homepage
802
Views
36
CrossRef citations to date
0
Altmetric
Perspective

Who will deliver comprehensive healthy lifestyle interventions to combat non-communicable disease? Introducing the healthy lifestyle practitioner discipline

Ross ArenaDepartment of Physical Therapy, Department of Kinesiology and Nutrition, and Integrative Physiology Laboratory, College of Applied Science, University of Illinois, Chicago, IL, USACorrespondence[email protected]
,
Carl J LavieDepartment of Cardiovascular Diseases, John Ochsner Heart and Vascular Institute, Ochsner Clinical School, The University of Queensland School of Medicine, New Orleans, LA, USA
,
Marie-France HivertDepartment of Population Medicine, Harvard Medical School/Harvard Pilgrim Health Care Institute, Boston, MA, USA;Diabetes Unit, Massachusetts General Hospital, Boston, MA, USA
,
Mark A WilliamsDivision of Cardiology, Department of Medicine, Creighton University School of Medicine, Omaha, NE, USA
,
Paige D BriggsOffice of Institutional Analytics, University of New Mexico, Albuquerque, NM, USA
&
Marco GuazziHeart Failure Unit and Cardiopulmonary Laboratory, Cardiology, I.R.C.C.S., Policlinico San Donato University Hospital, Milan, Italy
Pages 15-22 | Published online: 02 Nov 2015

References

  • Papers of special note have been highlighted as:* of interest
  • ** of considerable interest
  • Jaspers L, Colpani V, Chaker L, et al. The global impact of non-communicable diseases on households and impoverishment: a systematic review. Eur J Epidemiol. 2015;30:163–188.
  • Mortality GBD and Causes of Death C. Global, regional, and national age-sex specific all-cause and cause-specific mortality for 240 causes of death, 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2015;385:117–171.
  • Hunter DJ, Reddy KS. Noncommunicable diseases. N Engl J Med. 2013;369:1336–1343.
  • Roura LC, Arulkumaran SS. Facing the noncommunicable disease (NCD) global epidemic–the battle of prevention starts in utero–the FIGO challenge. Best Pract Res Clin Obstet Gynaecol. 2015;29:5–14.
  • Mozaffarian D, Benjamin EJ, Go AS, et al. Heart disease and stroke statistics—2015 update: A report from the American Heart Association. Circulation. 2015;131:e29–e322.
  • 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. Circulation. 2010;121:586–613.

** Defines poor, intermediate and ideal healthy lifestyle characteristics that are applicable to the global population.

  • Lim SS, Vos T, Flaxman AD, et al. A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012;380:2224–2260.
  • Armstrong MJ, Sigal RJ, Arena R, et al. Cardiac rehabilitation completion is associated with reduced mortality in patients with diabetes and coronary artery disease. Diabetologia. 2015;58:691–698.
  • Anderson L, Taylor RS. Cardiac rehabilitation for people with heart disease: an overview of Cochrane systematic reviews. Cochrane Database Systematic Rev 2014;12:CD011273.
  • Swift DL, Lavie CJ, Johannsen NM, et al. Physical activity, cardiorespiratory fitness, and exercise training in primary and secondary coronary prevention. Circ J. 2013;77:281–292.
  • Probst-Hensch N, Tanner M, Kessler C, et al. Prevention–a cost-effective way to fight the non-communicable disease epidemic: an academic perspective of the United Nations High-level NCD Meeting. Swiss Med Wkly. 2011;141:w13266.
  • Plotnikoff RC, Costigan SA, Williams RL, et al. Effectiveness of interventions targeting physical activity, nutrition and healthy weight for university and college students: a systematic review and meta-analysis. Int J Behav Nutr Phys Act. 2015;12:45.
  • Levy MD, Loy L, Zatz LY. Policy approach to nutrition and physical activity education in health care professional training. Am J Clin Nutr. 2014;99:1194S–1201S.
  • Chrysant SG, Chrysant GS. A healthy lifestyle could reduce the onset of first heart attack by 80. J Clin Hypertens (Greenwich). 2015;17:168–171.
  • Arena R, Lavie CJ. The healthy lifestyle team is central to the success of accountable care organizations. Mayo Clin Proc. 2015;90:572–576.

Describes a practice model that aligns with the healthy lifestyle practitioner concept proposed.

  • Arena R, Guazzi M, Briggs PD, et al. Promoting health and wellness in the workplace: a unique opportunity to establish primary and extended secondary cardiovascular risk reduction programs. Mayo Clin Proc. 2013;88:605–617.
  • Gillman MW. Primordial prevention of cardiovascular disease. Circulation. 2015;131:599–601.
  • Ng M, Fleming T, Robinson M, et al. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980–2013: a systematic analysis for the Global Burden of Disease Study. The Lancet. 2013;384:766–781.
  • Oldridge NB. Economic burden of physical inactivity: healthcare costs associated with cardiovascular disease. Eur J Cardiovasc Prev Rehabil Off J Eur Soc Cardiol Work Groups Epidemiol Prev Card Rehabil Exerc Physiol. 2008;15:130–139.
  • Lee IM, Shiroma EJ, Lobelo F, et al. Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy. Lancet. 2012;380:219–229.
  • Anand SS, Yusuf S. Stemming the global tsunami of cardiovascular disease. Lancet. 2011;377:529–532.
  • Akesson A, Larsson SC, Discacciati A, et al. Low-risk diet and lifestyle habits in the primary prevention of myocardial infarction in men: a population-based prospective cohort study. J Am Coll Cardiol. 2014;64:1299–1306.
  • Yusuf S, Hawken S, Ounpuu S, et al. Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the INTERHEART study): case-control study. Lancet. 2004;364:937–952.
  • Kones R, Rumana U. Cardiovascular prevention: components, levels, early origins, and metrics. Hosp Pract (1995). 2014;42:84–95.
  • Yusuf S, Rangarajan S, Teo K, et al. Cardiovascular risk and events in 17 low-, middle-, and high-income countries. N Engl J Med. 2014;371:818–827.
  • Castellano JM, Narula J, Castillo J, et al. Promoting cardiovascular health worldwide: strategies, challenges, and opportunities. Rev Esp Cardiol (Engl Ed). 2014;67:724–730.
  • Eisenberg DM, Burgess JD. Nutrition education in an Era of global obesity and diabetes: thinking outside the box. Acad Med. 2015;90(7):854–860.
  • Elliott L, Cifu AS. Healthy lifestyle counseling in persons with cardiovascular risk factors. Jama. 2015;314:398–399.

Highlights the importance of integrating healthy lifestyle counseling into the healthcare model moving forward.

  • Pronk NP, Remington PL. Combined diet and physical activity promotion programs for prevention of diabetes: Community preventive services task force recommendation statementtask force statement on diabetes prevention with diet and physical activity. Ann Intern Med. 2015;163:465–468.
  • Eckel RH, Jakicic JM, Ard JD, et al. 2013 AHA/ACC guideline on lifestyle management to reduce cardiovascular risk: a report of the American college of cardiology/American Heart Association task force on practice guidelines. Circulation. 2014;129:S76–S99.
  • Khang YH. Burden of noncommunicable diseases and national strategies to control them in Korea. J Prev Med Public Health. 2013;46:155–164.
  • Fox JB, Shaw FE. Receipt of selected clinical preventive services by adults - United States, 2011-2012. MMWR Morb Mortal Wkly Rep. 2015;64:738–742.
  • Lavizzo-Mourey R. Why we need to build a culture of health in the United States. Acad Med. 2015;90:846–848.
  • Beaglehole R, Bonita R, Horton R, et al. Priority actions for the non-communicable disease crisis. Lancet. 2011;377:1438–1447.
  • American College of Preventive Medicine. Core competencies and performance indicators for preventive medicine residents [Internet]. [cited 2015 Jul 18]. Available from: http://www.acpm.org/?GME_CoreCompetencies.
  • Loma Linda University. Preventive medicine residency program [Internet]. [cited 2015 Jul 18]. Available from: http://lluprevmed.com/.
  • NHS leeds: leeds community healthcare. Leeds let’s change [Internet]. [cited 2015 Sep 10]. Available from: www.leedsletschange.co.uk.
  • Spahn JM, Reeves RS, Keim KS, et al. State of the evidence regarding behavior change theories and strategies in nutrition counseling to facilitate health and food behavior change. J Am Diet Assoc. 2010;110:879–891.
  • LeFevre ML, U.S. Preventive Services Task Force. Behavioral counseling to promote a healthful diet and physical activity for cardiovascular disease prevention in adults with cardiovascular risk factors: U.S. Preventive Services Task Force Recommendation Statement. Ann Intern Med. 2014;161(8):587–593.
  • Faruqi N, Spooner C, Joshi C, et al. Primary health care-level interventions targeting health literacy and their effect on weight loss: a systematic review. BMC Obesity. 2015;2:6.
  • Stanton R, Scott D, Happell B. Low knowledge of physical health behaviours is associated with poor diet and chronic illness in adults. Aust J Prim Health. 2015 Feb 24. doi:10.1071/PY14132. [Epub ahead of print].

Highlights the importance of health literacy in leading a healthy lifestyle.

  • Subramaniam M, St Jean B, Taylor NG, et al. Bit by bit: using design-based research to improve the health literacy of adolescents. JMIR Res Protoc. 2015;4:e62.
  • Zoellner J, You W, Almeida F, et al. The influence of health literacy on reach, retention, and success in a worksite weight loss program. Am J Health Promot. 2015 May 14. [Epub ahead of print].
  • Franklin NC, Lavie CJ, Arena RA. Personal health technology: a new era in cardiovascular disease prevention. Postgrad Med. 2015;127:150–158.
  • Pratt M, Sarmiento OL, Montes F, et al. The implications of megatrends in information and communication technology and transportation for changes in global physical activity. Lancet. 2012;380:282–293.
  • Milani RV, Lavie CJ. Health care 2020: reengineering health care delivery to combat chronic disease. Am J Med. 2015;128:337–343.
  • Burke LE, Ma J, Azar KM, et al. Current science on consumer use of mobile health for cardiovascular disease prevention: a scientific statement from the American Heart Association. Circulation. 2015;132:1157–1213.
  • Arena R, Whitsel LP, Berra K, et al. Healthy lifestyle interventions to combat non-communicable disease: a novel non-hierarchical connectivity model for key stakeholders: a policy statement from the AHA, ESC, EACPR and ACPM. Eur Heart J. 2015;36:2097–2109.
  • Arena R, Whitsel LP, Berra K, et al. Healthy lifestyle interventions to combat non-communicable disease: a novel non-hierarchical connectivity model for key stakeholders: a policy statement from the AHA, ESC, EACPR and ACPM. Mayo Clin Proc. 2015;90:1082–1103.

This policy statement provides a road map for how key lifestyle stakeholders should work collaboratively to improve population health.

  • Li R, Qu S, Zhang P, et al. Economic evaluation of combined diet and physical activity promotion programs to prevent type 2 diabetes among persons at increased risk: a systematic review for the community preventive services task force. Ann Intern Med. 2015;163:452–460.
  • Ackermann RT, Finch EA, Brizendine E, et al. Translating the diabetes prevention program into the community. The DEPLOY pilot study. Am J Prev Med. 2008;35:357–363.

Highlights the importance of healthy lifestyle interventions delivered in the community setting.

  • Alaimo K, Carlson JJ, Pfeiffer KA, et al. Project FIT: a school, community and social marketing intervention improves healthy eating among low-income elementary school children. J Community Health. 2015;40:815–826.
  • Fonarow GC, Calitz C, Arena R, et al. Workplace wellness recognition for optimizing workplace health: a presidential advisory from the american heart association. Circulation. 2015;131:e480–e497.

Proposes a process for defining high-quality worksite wellness programs.

  • Arena R, Arnett DK, Terry PE, et al. The role of worksite health screening: a policy statement from the American Heart Association. Circulation. 2014;130:719–734.
  • Musich S, McCalister T, Wang S, et al. An evaluation of the well at dell health management program: health risk change and financial return on investment. Am J Health Promot. 2015;29:147–157.
  • Pinkstaff SO, Arena R, Myers J, et al. The affordable care act: new opportunities for cardiac rehabilitation in the workplace? J Occup Environ Med. 2014;56:809–813.
  • Herman PM. Evaluating the economics of complementary and integrative medicine. Glob Adv Health Med. 2013;2:56–63.
  • Haussler J, Breyer F. Does diabetes prevention pay for itself? Evaluation of the M.O.B.I.L.I.S. program for obese persons. Eur J Health Econ. 2015 Mar 31. [Epub ahead of print].
  • Zusman EE, Carr SJ, Robinson J, et al. Moving toward implementation: the potential for accountable care organizations and private-public partnerships to advance active neighborhood design. Prev Med. 2014;69(Suppl 1):S98–S101.
  • McLellan RK, Sherman B, Loeppke RR, et al. Optimizing health care delivery by integrating workplaces, homes, and communities: how occupational and environmental medicine can serve as a vital connecting link between accountable care organizations and the patient-centered medical home. J Occup Environ Med. 2012;54:504–512.

Highlights the integrated healthcare model that is needed moving forward to optimize healthy lifestyle behaviors.

  • Nicholson SK. The evolution of physical therapy. In: Cella D, editor. The physical therapist’s buisness practice and legal guide. Sudbury (MA): Jones and Bartlett Publishers; 2008. p. 1–35.
  • Commission on Accreditation in Physical Therapy Education [webpage]. Alexandria: American Physical Therapy Association [Internet]. [cited 2015 Mar 17]. Available from: http://www.capteonline.org/home.aspx.

Reprints and Corporate Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

To request a reprint or corporate permissions for this article, please click on the relevant link below:

Order Reprints Request Corporate Permissions

Academic Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

Obtain permissions instantly via Rightslink by clicking on the button below:

Request Academic Permissions

If you are unable to obtain permissions via Rightslink, please complete and submit this Permissions form. For more information, please visit our Permissions help page.

Related research

People also read lists articles that other readers of this article have read.

Recommended articles lists articles that we recommend and is powered by our AI driven recommendation engine.

Cited by lists all citing articles based on Crossref citations.
Articles with the Crossref icon will open in a new tab.