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Golden Age of Medicine 2.0: Lifestyle Medicine and Planetary Health Prioritized

The ‘golden age of medicine’ - the first half of the 20th century, reaching its zenith with Jonas Salk’s 1955 polio vaccine - was a time of profound advances in surgical techniques, immunization, drug discovery, and the control of infectious disease; however, when the burden of disease shifted to li...

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Detalles Bibliográficos
Autores principales: Logan, Alan C., Prescott, Susan L., Katz, David L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Yonsei University Wonju College of Medicine 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6894443/
https://www.ncbi.nlm.nih.gov/pubmed/31828026
http://dx.doi.org/10.15280/jlm.2019.9.2.75
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author Logan, Alan C.
Prescott, Susan L.
Katz, David L.
author_facet Logan, Alan C.
Prescott, Susan L.
Katz, David L.
author_sort Logan, Alan C.
collection PubMed
description The ‘golden age of medicine’ - the first half of the 20th century, reaching its zenith with Jonas Salk’s 1955 polio vaccine - was a time of profound advances in surgical techniques, immunization, drug discovery, and the control of infectious disease; however, when the burden of disease shifted to lifestyle-driven, chronic, non-communicable diseases, the golden era slipped away. Although modifiable lifestyle practices now account for some 80% of premature mortality, medicine remains loathe to embrace lifestyle interventions as medicine Here, we argue that a 21st century golden age of medicine can be realized; the path to this era requires a transformation of medical school recruitment and training in ways that prioritize a broad view of lifestyle medicine. Moving beyond the basic principles of modifiable lifestyle practices as therapeutic interventions, each person/community should be viewed as a biological manifestation of accumulated experiences (and choices) made within the dynamic social, political, economic and cultural ecosystems that comprise their total life history. This requires an understanding that powerful forces operate within these ecosystems; marketing and neoliberal forces push an exclusive ‘personal responsibility’ view of health - blaming the individual, and deflecting from the large-scale influences that maintain health inequalities and threaten planetary health. The latter term denotes the interconnections between the sustainable vitality of person and place at all scales. We emphasize that barriers to planetary health and the clinical application of lifestyle medicine - including authoritarianism and social dominance orientation - are maintaining an unhealthy status quo.
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spelling pubmed-68944432019-12-11 Golden Age of Medicine 2.0: Lifestyle Medicine and Planetary Health Prioritized Logan, Alan C. Prescott, Susan L. Katz, David L. J Lifestyle Med Review Article The ‘golden age of medicine’ - the first half of the 20th century, reaching its zenith with Jonas Salk’s 1955 polio vaccine - was a time of profound advances in surgical techniques, immunization, drug discovery, and the control of infectious disease; however, when the burden of disease shifted to lifestyle-driven, chronic, non-communicable diseases, the golden era slipped away. Although modifiable lifestyle practices now account for some 80% of premature mortality, medicine remains loathe to embrace lifestyle interventions as medicine Here, we argue that a 21st century golden age of medicine can be realized; the path to this era requires a transformation of medical school recruitment and training in ways that prioritize a broad view of lifestyle medicine. Moving beyond the basic principles of modifiable lifestyle practices as therapeutic interventions, each person/community should be viewed as a biological manifestation of accumulated experiences (and choices) made within the dynamic social, political, economic and cultural ecosystems that comprise their total life history. This requires an understanding that powerful forces operate within these ecosystems; marketing and neoliberal forces push an exclusive ‘personal responsibility’ view of health - blaming the individual, and deflecting from the large-scale influences that maintain health inequalities and threaten planetary health. The latter term denotes the interconnections between the sustainable vitality of person and place at all scales. We emphasize that barriers to planetary health and the clinical application of lifestyle medicine - including authoritarianism and social dominance orientation - are maintaining an unhealthy status quo. Yonsei University Wonju College of Medicine 2019-07 2019-07-31 /pmc/articles/PMC6894443/ /pubmed/31828026 http://dx.doi.org/10.15280/jlm.2019.9.2.75 Text en © 2019 Journal of Lifestyle Medicine This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Logan, Alan C.
Prescott, Susan L.
Katz, David L.
Golden Age of Medicine 2.0: Lifestyle Medicine and Planetary Health Prioritized
title Golden Age of Medicine 2.0: Lifestyle Medicine and Planetary Health Prioritized
title_full Golden Age of Medicine 2.0: Lifestyle Medicine and Planetary Health Prioritized
title_fullStr Golden Age of Medicine 2.0: Lifestyle Medicine and Planetary Health Prioritized
title_full_unstemmed Golden Age of Medicine 2.0: Lifestyle Medicine and Planetary Health Prioritized
title_short Golden Age of Medicine 2.0: Lifestyle Medicine and Planetary Health Prioritized
title_sort golden age of medicine 2.0: lifestyle medicine and planetary health prioritized
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6894443/
https://www.ncbi.nlm.nih.gov/pubmed/31828026
http://dx.doi.org/10.15280/jlm.2019.9.2.75
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