Lifestyle modifications are the first-line therapy for patients with overweight or obesity, with the most effective weight loss intervention being a moderately reduced-calorie diet, increased physical activity, and the use of behavior strategies to facilitate adherence. These changes are crucial in treating gastroesophageal reflux disease (GERD), type 2 diabetes, hypertension associated with type 2 diabetes in obesity, and arthritis.
The most effective weight loss intervention is one that includes a caloric restricted diet, reducing the use of metformin, a biguanide used as the first-line treatment for type 2 diabetes mellitus. First-line therapy for hypertension involves weight loss, dietary sodium reduction and potassium supplementation, healthy dietary pattern, physical activity, and limited alcohol consumption.
Arthritis is managed pharmacologically and non-pharmacologically, including common pharmacotherapies, surgery, and lifestyle changes. Depending on the risk category of CHD, a combination of diet and exercise may be suggested by a physician.
FirstLine Therapy is a professionally supervised, personalized lifestyle modification plan designed by healthcare professionals, which has been shown to be remarkably successful in helping individuals return to a path of extended health. It is recommended that we educate and treat with nutrition, diet, smoking cessation, increasing exercise, and stress reduction.
Lifestyle changes are now recommended as the “first line of therapy” for treating chronic illness or reducing the risk of other serious health conditions, such as hypertension, hypercholesterolemia, metabolic syndrome, and Type 2 Diabetes. However, many of the changes experienced through FirstLine Therapy are geared towards life-long sustainable self-awareness and behavior modification.
For patients with mildly or moderately elevated blood pressure and blood cholesterol, lifestyle-only approaches are the first line of therapy. Nutrition and other lifestyle interventions are considered first-line therapy for many health issues, but long-term lifestyle change can be challenging.
📹 Diet and lifestyle are the FIRST-LINE treatment for chronic diseases! (Official guidelines)
We must remember that some of the most widely accepted, well-established chronic disease clinical practice guidelines uniformly …
What is the lifestyle modification approach?
Lifestyle modification involves medical nutrition therapy, physical activity, exercise, and smoking cessation. This therapy should be individualized and tailored to the patient’s dietary habits, cultural and physical activity status, and should be provided by an experienced dietitian. Cookies are used on this site, and all rights are reserved for text and data mining, AI training, and similar technologies. Creative Commons licensing terms apply for open access content.
What is a therapeutic lifestyle change?
Therapeutic Lifestyle Change (TLC) is a mental health and wellbeing concept that involves incorporating healthy changes to one’s life, such as exercise, nutrition, relationships, self-care, relaxation, and stress management. Dr. Alexis Custard-Mobley, a licensed counselor at Nivati, defines TLC as a way of life that includes exercise, proper nutrition, effective relationships, self-care, relaxation, and stress management. In today’s climate, TLC is essential for coping with stress and demands.
The concept of a hierarchy of needs, introduced by psychologist Abraham Maslow in 1943, suggests that people are motivated to fulfill basic needs before moving on to more advanced needs. By adopting a proactive approach and striving for meaningful changes, we can better cope with the stresses and demands of our lives.
What is the first line of therapy?
First-line therapy represents the initial treatment administered for a given disease, frequently comprising a standard set of interventions such as surgical, chemotherapeutic, and radiotherapeutic modalities. When employed as a standalone intervention, it represents the optimal therapeutic strategy. The National Cancer Institute (NCI) offers a wealth of information on a range of topics related to cancer, including detailed descriptions of different cancer types, updates on the latest research, details on available grants, training opportunities, the latest news, upcoming events, and a comprehensive library of published materials.
What is the meaning of lifestyle therapy?
Lifestyle therapy is a method that focuses on nutrition, fitness, behavior, and support to help individuals make better lifestyle choices to prevent, manage, and improve chronic disease. According to the World Health Organization, 60% of health and wellness is attributed to lifestyle factors, while only 40% is attributed to genetics and medical care. By connecting patients with wellness experts who understand behavior change and how to achieve improved clinical outcomes, lifestyle therapy helps patients move forward in their health journey.
By providing guidance and support in lifestyle management and insight into the root causes of their health issues, lifestyle therapy can help individuals make better choices for their overall well-being.
What is firstline therapy?
The recommended initial treatment regimens for individuals with HIV who have not previously undergone antiretroviral (ARV) therapy comprise safe, efficacious, and convenient ARV medications.
What is a lifestyle change?
Lifestyle changes are behavior modifications or habits that promote positive changes in one’s life, such as sleeping patterns, eating habits, physical activity levels, stress management, and hydration habits. These changes can significantly impact personal well-being, including weight, hormone health, and pain levels. To make healthy lifestyle changes, practice and routine are necessary, and it takes approximately 21 days for a new behavior to feel natural, allowing for the formation of a healthy habit in just three weeks.
What is a lifestyle approach?
A lifestyle approach focuses on active participation in physical activity, reducing sedentary behavior. Studies have linked excessive sedentary behavior to cardiovascular problems, poor posture, muscle imbalances, and poor concentration. Sitting for extended periods can affect blood flow to the extremities, while poor posture can cause stress to the spine, intervertebral discs, and muscles, leading to postural imbalances and increased injury risk. Improving posture is crucial for maintaining good health and preventing the spread of diseases. Therefore, a balanced lifestyle is essential for overall well-being.
What are the 8 ways of therapeutic lifestyle changes?
Walsh delineates eight facets of Total Life Care (TLC), which include exercise, nutrition, relationships, nature, recreation, relaxation, stress management, religious involvement, and service to others.
What is first or second-line therapy?
Medical guidelines and practice distinguish first-line therapies from second-line therapies, and sometimes third- or more, for a given condition. First-line therapies are typically prescribed to untreated patients due to their high effectiveness and low risk. If ineffective, physicians move on to second-line therapies. Second- or third-line therapies can sometimes benefit patients when first-line therapies cannot, as they often employ different mechanisms, interact differently with other medications, and cause different side effects. This is why having multiple drugs for the same disease can be beneficial.
What is lifestyle counseling?
Lifestyle counselling is a therapeutic approach that focuses on addressing key aspects of an individual’s health, such as nutrition, fitness, behavior, and support. It uses clinical disciplines to help individuals make better lifestyle choices, preventing, managing, and improving chronic conditions. Online mental health counselling offers personalized care and support from the comfort of one’s home, empowering individuals to take control of their health, prevent chronic conditions, and enhance their physical, mental, and emotional wellness.
The process ensures a trustworthy relationship between the client and therapist, allowing open discussions about progress, obstacles, and disappointments. Lifestyle counselling helps individuals work holistically on combating unhealthy habits and adopting healthy alternatives for long-term success. It involves improving self-awareness, evaluating learning, and developing a long-term support system.
The ABCD framework is used by therapists in lifestyle counselling, which assesses readiness for change, recognizes potential barriers, encourages commitment through self-monitoring techniques, sets quantifiable goals, and assists in demonstrating progress. Ultimately, having a mentor can greatly benefit individuals in their journey towards a healthier, happier life.
📹 Weight Loss 5×5® for Therapeutic Lifestyle Changes (TLC)
Frederick T. Sutter, MD, LLC at www.CenterForWellnessMedicine.com.
REFERENCES: Lianov L, Johnson M. Physician competencies for prescribing lifestyle medicine. JAMA. 2010;304:202-3. Murad MH. Clinical Practice Guidelines: A Primer on Development and Dissemination. Mayo Clin Proc. 2017;92:423-433. Utah Valley University. Evidencelevels (Internet). 2018 (cited 2019 Mar 08). Available from: uvu.edu/library/images/tutorialimages/evidencelevels.jpg Williams B, Mancia G, Spiering W, et al. 2018 ESC/ESH Guidelines for the management of arterial hypertension. Eur Heart J. 2018;39:3021-3104. Piepoli MF, Hoes AW, Agewall S, et al. 2016 European Guidelines on cardiovascular disease prevention in clinical practice. Eur Heart J. 2016;37:2315-2381. Garber AJ, Abrahamson MJ, Barzilay JI, et al. CONSENSUS STATEMENT BY THE AMERICAN ASSOCIATION OF CLINICAL ENDOCRINOLOGISTS AND AMERICAN COLLEGE OF ENDOCRINOLOGY ON THE COMPREHENSIVE TYPE 2 DIABETES MANAGEMENT ALGORITHM–2016 EXECUTIVE SUMMARY. Endocr Pract. 2016;22:84-113. Zhu JZ, Hollis-Hansen K, Wan XY, Fei SJ, Pang XL, Meng FD, Yu CH, Li YM. Clinical guidelines of non-alcoholic fatty liver disease: A systematic review. World J Gastroenterol. 2016;22:8226-33. Vos MB, Abrams SH, Barlow SE, Caprio S, Daniels SR, Kohli R, Mouzaki M, Sathya P, Schwimmer JB, Sundaram SS, Xanthakos SA. NASPGHAN Clinical Practice Guideline for the Diagnosis and Treatment of Nonalcoholic Fatty Liver Disease in Children: Recommendations from the Expert Committee on NAFLD (ECON) and the North American Society of Pediatric Gastroenterology, Hepatology and Nutrition (NASPGHAN).
I love your approach. You bring something new to the table such as some of the early pioneers (not including Dr. McD, Esselstyn, Klaper and Barnard and etc) like Dr. Gregor and a purely science based approach, then VG and health and fitness and going over the terrible advice from fitness websites (which is what got my attention in the first place, I used to watch many bodybuilding and fitness youtubers and listen to their advice), then MTV (mic) with his down to earth and scientific approach covering a lot of topics, and now gojiman and gut health. And I feel like you are a mix of Dr. Gregor and Mic while covering many different and interesting topics and having your own approach. Thank you for your time and work sir.
People need to take responsibility for their own health, not assume that a clinician knows or cares about the causes of their disease. Doctors have nothing to gain by preventing the conditions from which they make their livelihood. Conversely, they have everything to gain from making disease processes seem intractable and complex and making patients dependent on drugs and procedures which only they can supply or authorize. Every tradesman in the world is like this: no plumber tells his client that he or she just needs to tighten a single screw or put in a washer to fix a leaking tap or to stick a newspaper down the loo to unblock it. Why would they? No, instead, they will complicate the task, charge many times what the victim earns in the same period of time and perform shoddy, unnecessary work just to mock the victim. Not only will they get away with this, the victim will actually be grateful. There are a few good souls out there, such as Dr Des Harrington, but they are in a tiny minority.