中国全科医学 ›› 2025, Vol. 28 ›› Issue (07): 797-806.DOI: 10.12114/j.issn.1007-9572.2024.0232

所属专题: 生活方式干预相关研究最新文章合集

• 述评 • 上一篇    

生活方式医学国内外发展现况及其中国化的挑战

彭红叶1,2,3, 荆雅楠1,2, 王莹4, 鲁春丽1,2,*()   

  1. 1.510006 广东省广州市,广东药科大学 广东省代谢病中西医结合研究中心(中医药研究所)
    2.510006 广东省广州市,糖脂代谢病教育部重点实验室
    3.100029 北京市,北京中医药大学研究生院
    4.100082 北京市海淀区北下关社区卫生服务中心
  • 收稿日期:2024-07-12 修回日期:2024-07-23 出版日期:2025-03-05 发布日期:2025-01-23
  • 通讯作者: 鲁春丽

  • 作者贡献:

    彭红叶负责资料收集、图表绘制、论文撰写;鲁春丽负责论文构思与设计、论文修订和质量控制,对论文整体负责;荆雅楠负责资料收集,参与论文修订;王莹参与论文修订。

  • 基金资助:
    广州市科学技术局2024年度基础与应用基础研究专题项目(2024A04J4734)

The Current State of Development and the Challenges of Localization in Lifestyle Medicine both Domestically and Internationally

PENG Hongye1,2,3, JING Yanan1,2, WANG Ying4, LU Chunli1,2,*()   

  1. 1. Guangdong Pharmaceutical University/Guangdong Provincial Research Center of Integration of Traditional Chinese Medicine and Western Medicine in Metabolic Diseases (Institute of Chinese Medicine), Guangzhou 510006, China
    2. Key Laboratory of Glucolipid Metabolic Disorder, Ministry of Education of China, Guangzhou 510006, China
    3. Graduate School, Beijing University of Chinese Medicine, Beijing 100029, China
    4. Beixiaguan Community Health Service Center, Haidian District, Beijing 100082, China
  • Received:2024-07-12 Revised:2024-07-23 Published:2025-03-05 Online:2025-01-23
  • Contact: LU Chunli

摘要: 生活方式医学(Lifestyle Medicine)起源于20世纪80年代,是一门涉及医学、营养学、运动科学、流行病学、心理学等多个领域的新兴交叉学科,作为促进公共健康和临床治疗的关键纽带,是所有疾病预防、治疗、康复的重要健康策略。本文系统梳理生活方式医学的定义与内涵、起源与发展、疗效评价工具,发现生活方式医学与中医"治未病"理念高度契合,我国生活方式医学学科发展仍处于起步阶段,尽管在慢性病管理方面已取得一些研究成果,但目前仍缺乏具体化、定量化和规范化的生活方式实施细则、临床指南及评价体系。生活方式医学的中国化仍需结合本土国情,加大国家政策支持力度,建立全国数据监测系统和决策支持系统,注重健康公平性并优化不同地区的卫生资源配置,进一步整合中医药的特色疗法和"简便廉"优势,以推动生活方式医学在慢性病预防与管理领域的应用与推广,提升国民健康水平。

关键词: 生活方式医学, 治未病, 健康行为, 健康促进, 疾病管理, 综述

Abstract:

Lifestyle Medicine, which emerged in the 1980s, is an interdisciplinary discipline involving various fields such as medicine, nutrition, exercise science, epidemiology, psychology, etc. It serves as a crucial bridge between public health promotion and clinical treatment, and plays a significant role in preventing, treating, and rehabilitating various diseases. This paper presents a comprehensive review of the definition, connotation, origin, development, and evaluation tools for assessing the effectiveness of Lifestyle Medicine. The findings reveal that Lifestyle Medicine aligns remarkably well with the principle of traditional Chinese medicine (TCM) regarding disease prevention and treatment. Despite notable research advancements in chronic disease management in China, the field of lifestyle medicine is still at an early stage of development. However, there remains a lack of specific, quantified, and standardized guidelines for implementing lifestyle interventions as well as clinical protocols and evaluation systems. The localization of Lifestyle Medicine in China still needs to consider local conditions, while increasing national policy support to establish a national data monitoring system and decision support system. Emphasizing health equity and optimising resource allocation across different regions are also essential aspects to be considered. Furthermore, integrating the advantages of TCM, including of its characteristic therapies, simplicity and cost-effectiveness, will promote the application and dissemination of Lifestyle Medicine for preventing and managing chronic diseases, thereby enhancing overall population health.

Key words: Lifestyle Medicine, Preventive treatment of disease, Health behavior, Health promotion, Disease management, Review

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