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生活方式医学国内外发展现况及其中国化的挑战

来源:泰然健康网 时间:2025年05月30日 14:33

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

中图分类号: 

R 587.1

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