The field of lifestyle medicine, which is the study of how daily habits and actions impact on both short- and long-term health and quality of life, continues to expand globally. The scientific and medical literature that supports the success of these lifestyle habits and actions is now overwhelming. Thousands of studies provide evidence that regular physical activity, maintenance of a health body weight, following sound nutritional practices, stress reduction, and other good practices all profoundly impact both health and quality of life.
Following its predecessors, Lifestyle Medicine, Third Edition, is edited by lifestyle medicine pioneer, cardiologist Dr. James Rippe. This edition has been thoroughly updated and represents the expert opinions of 20 section editors as well as more than 150 expert chapter authors whose knowledge span all aspects of this emerging discipline. Topics cover lifestyle medicine practices including regular physical activity, proper nutrition, and weight management. These principles are applied to the prevention and or treatment of a wide variety of chronic conditions ranging from heart disease and diabetes to cancer, mental health, addiction, and injury prevention.
This book serves as evidence base for individuals who wish to practice lifestyle medicine or incorporate some of its principles into either general medicine or subspecialty practice. It provides valuable information to healthcare workers in the fields of nutrition, exercise physiology, psychology, behavioral medicine, health promotion, and public policy where lifestyle medicine principles play an ever-increasing role.
Part I Lifestyle Management and Prevention
of Cardiovascular Disease
Chapter 1: The Rationale for Intervention to Reduce
the Risk of Cardiovascular Disease
James M. Rippe and Theodore J. Angelopoulos
Chapter 2: Lifestyle Strategies for Risk Factor
Reduction, Prevention and Treatment of
Cardiovascular Disease
James M. Rippe and Theodore J. Angelopoulos
Chapter 3: Physical Activity and Fitness in the
Prevention of Cardiovascular Disease
Robert F. Zoeller Jr.
Chapter 4: Clinical Strategies for Managing
Dyslipidemias
Ulf G. Bronas, Mary Hannan, and Arthur S. Leon
Chapter 5: Lifestyle Management and Prevention of
Hypertension
Ulf G. Bronas, Mary Hannan, and Arthur S. Leon
Part II Nutritional Aspects of Lifestyle Medicineart II: Nutritional Aspects of Life
Chapter 6: The Concept of Nutritional Status and Its
Measurement
Johanna Dwyer and Regan L Bailey
Chapter 7: Dietary Guidelines for Americans,
2015–2020: National Nutrition Guidelines
Elizabeth B. Rahavi, Jean M. Altman, and Eve E. Stoody
Chapter 8: Nutrition and Cardiovascular Disease
James M. Rippe
Chapter 9: Optimal Nutrition Guidance for Older Adults
Alice H. Lichtenstein
Chapter 10: Effects of an Active Lifestyle on Water
Balance and Water Requirements
Gethin H Evans, Ronald J Maughan, and Susan M Shirreffs
Part III Physical Activity Part III: Physical Activity
Chapter 11: Implementation of the Exercise
Prescription
Rachele M Pojednic, Caroline R Loveland, and Sarah Jones
Chapter 12: What Physicians Need to Know, Do, and
Say to Promote Physical Activity
Mary Kennedy
Chapter 13: Physical Fitness Evaluation
Peter Kokkinos and Jonathan Myers
Chapter 14: Exercise Prescription for Apparently
Healthy Individuals and for Special Populations
Paul G. Davis
Part IV Behavioral Medicine Part IV: Behavioral Medicine
Chapter 15: Behavior Change
Elizabeth Pegg Frates and James E. Eubanks
Chapter 16: Applying Psychological Theories to
Promote Healthy Lifestyles
Maryam Gholami, Cassandra Herman, Cole
Ainsworth, Dori Pekmezi, and Sarah Linke
Chapter 17: Motivational Interviewing and Lifestyle
Change
Peter Fifield, Joji Suzuki, Samantha Minski, and
Jennifer Carty
Chapter 18: Transtheoretical Model
James O. Prochaska and Janice Prochaska
Chapter 19: The Impact of Positive Psychology on
Behavioral Change and Healthy Lifestyle Choices
Shelley Carson, Andrea Cook, Stephanie Peabody,
Sandra Scheinbaum, and Leslie Williamson
Chapter 20: The Intention–Behavior Gap
Mark D. Faries and Wesley C. Kephart
Chapter 21: Cognitive and Behavioral Approaches
to Enhancing Physical Activity Participation and
Decreasing Sedentary Behavior
Barbara A. Stetson and Patricia M. Dubbert
Chapter 22: Enhancing the Nutrition Prescription
Using Behavioral Approaches
Margaret Loeper Vasquez, Jenny Sunghyun Lee,
Daniel B. Clarke, and P. Michael Stone
Chapter 23: Behavioral Approaches to Manage Stress
Elise Loiselle, Darshan Mehta, and Jacqueline Proszynski
Chapter 24: Health Coaching and Behavior Change
Karen L. Lawson, Margaret Moore, Matthew M.
Clark, Sara Link, and Ruth Wolever
Chapter 25: Digital Health Technology for Behavior
Change
Jeffrey Krauss, Patricia Zheng, Courtenay Stewart,
and Mark Berman
Part V Women’s HealthPart V: Women’ s Health
Chapter 26: Breast Health: Lifestyle Modification for
Risk Reduction
Beth Baughman DuPree and Jodi Hutchinson PA-C
Chapter 27: Sports and Physical Activity for Women
and Girls
Elizabeth Joy
Part VI Endocrinology and Metabolism art VI: Endocrinology and Metabolism
Chapter 28: Impact of Lifestyle Medicine on
Dysglycemia-Based Chronic Disease
Michael A. Via and Jeffrey I. Mechanick
Chapter 29: Lifestyle Medicine and the Management
of Prediabetes
Karla I. Galaviz, Lisa Staimez, Lawrence S. Phillips,
and Mary Beth Weber
Chapter 30: Lifestyle Therapies for the Management
of Diabetes
Marion J. Franz
Chapter 31: Implementing Nutritional Lifestyle
Treatment Programs in Type 2 Diabetes
George Guthrie
Part VII Lifestyle Issues in the Prevention and Treatment of Cancerrt revention and
Chapter 32: Diet and Cancer Prevention
Cindy D. Davis and Sharon Ross
Chapter 33: Lifestyle Approaches Targeting Obesity
to Reduce Cancer Risk, Progression, and Recurrence
Debora S. Bruno and Nathan A. Berger
Chapter 34: Physical Activity and the Prevention and
Treatment of Cancer
Case H. Keltner and Heather R. Bowles
Chapter 35: Nutrition Therapy for the Cancer Patient
Sandeep (Anu) Kaur and Elaine Trujillo
Part VIII Obesity and Weight Management art VIII: Obesity and Weight Management
Chapter 36: Epidemiology of Adult Obesity
R. Sue Day, Nattinee Jitnarin, Michelle L. Vidoni,
Christopher Kaipust, and Austin L. Brown
Chapter 37: Exercise Management for the Obese
Patient
John M. Jakicic, Renee J. Rogers, and Katherine A. Collins
Chapter 38: Dietary Management of Overweight and
Obesity
Nina Crowley, Katherine R. Arlinghaus, and Eileen
Stellefson Myers
Chapter 39: Pharmacological Management of the
Patient with Obesity
Magdalena Pasarica and Nikhil V. Dhurandhar
Chapter 40: Surgery for Severe Obesity
Robert F. Kushner and Lisa M. Neff
Chapter 41: Adiposity-based Chronic Disease a New
Diagnostic Term
Michael A. Via and Jeffrey I. Mechanick
Chapter 42: Future Directions in Obesity and Weight
Management
Theodore K. Kyle
Part IX Immunology and Infection DiseasePart IX: Immunology and Infectious Disease
Chapter 43: Exercise, Inflammation, and Respiratory
Infection
Wesley D. Dudgeon, David C. Nieman, and
Elizabeth Kelley
Chapter 44: Chronic Exercise and Immunity
Melissa M. Markofski, Paul M. Coen, and Michael
G. Flynn
Chapter 45: HIV and Exercise
Jason R. Jaggers and Gregory A. Hand
Chapter 46: Exercise, Aging, and Immunity
Jeffrey A. Woods, Yi Sun, and Brandt D. PencePart X: Pulmonary Medicine
Part X Pulmonary Medicine
Chapter 47: Respiratory Symptoms
Jeremy B. Richards and Richard M. Schwartzstein
Chapter 48: Asthma
David E. Ciccolella and Gilbert E. D’Alonzo
Chapter 49: Occupational and Environmental Lung
Diseases
Sunkaru Touray, Emil Tigas, and Nicholas S. Smyrnios
Chapter 50: Venous Thromboembolic Disease
Joseph Gallant and Ryan Shipe
Chapter 51: Influenza
Gail Scully
Chapter 52: Indoor Air Quality
Anthony C. Campagna and Dhruv Desai
Part X Obstetrics and Gynecology
Chapter 53: Antenatal Care—Nutrition and Lifestyle
to Improve Conception and Pregnancy Outcomes
Amanda McKinney
Chapter 54: Exercise in Pregnancy
Kristin Bixel and Christie Beck
Chapter 55: Breast-FeedingJulia Head, Stephanie-Marie L. Jones, Marcie K.
Richardson, and Angela Grone
Chapter 56: Contraception
Karen Carlson and Sadia Haider
Chapter 57: Prevention, Screening, and Treatment of
Sexually Transmitted InfectionsKaren Carlson
Chapter 58: Menstrual Disorders and Menopause
Amanda McKinney
Chapter 59: Risk Reduction and Screening for
Women’s Cancers
Amanda McKinney and Jo Marie Tran Janco
Part XII Cardiovascular Rehabilitation and Secondary Prevention
Chapter 60: Medication Dosing and Adherence in
Secondary Prevention
Ozlem Bilen and Nanette K. Wenger
Chapter 61: Using Digital Health Technology to
Promote Cardiovascular Disease Risk Reduction in
Secondary Prevention
Neil F. Gordon, Richard D. Salmon, Mandy K.
Salmon, and Prabakar Ponnusamy
Joel W. Hughes and David Ede
Chapter 62: Psychosocial Risk Factors as
Modulators of Cardiovascular Outcomes in
Secondary Prevention
Joel W. Hughes and David Ede
Chapter 63: A Patient’s Perspective on the Keys
to Longevity 40 Years after Undergoing Coronary
Artery Bypass Surgery
Joseph C. Piscatella
Chapter 64: Lipid Management in Secondary
Prevention
Paul D. Thompson and Antonio B. Fernandez
Chapter 65: Complementary Effects of Lifestyle
Modification on Cardioprotective Medications in
Primary/Secondary Prevention
Xisui Shirley Chen and Philip Greenland
Chapter 66: Counseling Cardiac Patients to Facilitate
Behavior Change
Lola A. Coke, Nancy Houston Miller, and Kathy Berra
Chapter 67: Extreme Exercise and High Intensity
Interval Training in Cardiac Rehabilitation
Barry A. Franklin
Chapter 68: Counseling Coronary Patients About
Their Body Weight: Implications Regarding the
Obesity Paradox
Sergey Kachur, Carl J. Lavie, and Richard V. Milani
Chapter 69: Vitamins and Supplements: Evidence
in the Prevention and Treatment of Cardiovascular
Disease
Jenna M. Holzhausen and Aaron D. Berman
Chapter 70: Intensive Cardiac Rehabilitation:
Evolution, Preliminary Outcomes, Considerations,
and Future Directions
Jenna Brinks and Amy Fowler
Chapter 71: Alternative Models to Improve the
Delivery and Impact of Cardiac Rehabilitation
Randal J. Thomas, Robert Scales, and Regis Fernandes
Chapter 72: Primordial/Primary Prevention:
Implications and Challenges for Families and Children
Laura L. Hayman and James Muchira
ParPart XIII: Lifestyle Components of Pediatric Medicine
Part XIII Lifestyle Components of Pediatric Medicine
Chapter 73: Pediatric Lifestyle Medicine
Jonathan R. Miller, Richard Boles, and Stephen R. Daniels
Chapter 74: Life Course Approach to Prevention of
Chronic Disease
Katherine A. Sauder and Dana Dabelea
Chapter 75: Cardiovascular Risk and Physical
Activity in Children
Lars Bo Andersen and Robert G. Murray
Chapter 76: Cardiovascular Risk and Diet in Children
Jessica L. Hildebrandt and Sarah C. Couch
Chapter 77: Sleep and Obesity Prevention in
Children and Adolescents
Jill Landsbaugh Kaar and Stacey L. Simon
Chapter 78: Childhood Obesity
Jaime Moore and Matthew Allen Haemer
Chapter 79: Identification and Management of
Children with Dyslipidemia
Julie A. Brothers and Stephen R. Daniels
Chapter 80: Diagnosis, Management, and Treatment
of Systemic Hypertension in Youth, Updates from
the 2017 American Academy of Pediatrics Clinical
Practice Guideline
Carissa M. Baker-Smith and Samuel Gidding
Chapter 81: Prevention of Osteoporosis in Children
and Adolescents
Heidi J. Kalkwarf
Part XIV: The Practice of Lifestyle Medicine
Parrt XIV The Practice of Lifestyle Medicine
Chapter 82: Definition of Lifestyle Medicine
George Guthrie
Chapter 83: Health Provider Core Competencies in
Lifestyle Medicine
Liana Lianov
Chapter 84: Lifestyle Medicine Clinical Processes
Ingrid Edshteyn
Chapter 85: Sleep as Medicine and Lifestyle
Medicine for Optimal Sleep
Virginia F. Gurley
Chapter 86: Emotional Health and Stress
Management
Neil Nedley and Francisco E Ramirez
Chapter 87: High-intensity Therapeutic Lifestyle
Change
John Kelly
Chapter 88: Physician Health Practices and Lifestyle
Medicine
Erica Frank and Debora Holmesrt XV: Cardiovascular Rehabilitation
and Secondary Prevention
Part XV Substance Abuse and Addiction
Chapter 89: Introduction to Addiction Section
Joji Suzuki, Elizabeth Pegg Frates, and Irena Matanovic
Chapter 90: History of Alcohol and Opioid Use and
Treatment in the United States
Sanchit Maruti and Steven A. Adelman
Chapter 91: Behavioral Approaches to Enhancing
Smoking Cessation
Joseph T. Ciccolo, Nicholas J. SantaBarbara, and
Andrew M. Busch
Chapter 92: Alcohol Use Disorders: Diagnosis and
Treatment
Chwen-Yuen Angie Chen and Sara C. Slatkin
Chapter 93: Diagnosis and Treatment of Opioid Use
Disorders
Joseph R. Volpicelli
Chapter 94: Cannabis Use Disorder and Treatment
Christina Aivadyan and Deborah Hasin
Chapter 95: Smartphone-Based Technologies in
Addiction Treatment
Emily Wu and John Torous
Chapter 96: Psychosocial Interventions for
Treatment of Substance Use Disorders
Saria El Haddad Medicine in Geriatrics
Part XVI Lifestyle Medicine in Geriatrics
Chapter 97: Lifestyle Medicine and the Older
Population: Introductory Framework
Arthur S. Leon and Charlotte A. Tate
Chapter 98: Reducing Aging-associated Risk of
Sarcopenia
Arthur S. Leon
Chapter 99: Aging-Associated Cognitive Decline and
its Attenuation by Lifestyle
Arthur S. Leon
Chapter 100: Aging Successfully: Predictors and
Pathways
Debra J. Rose,
Chapter 101: Role of Physical Activity in the Health
and Wellbeing of Older Adults
Andiara Schwingel and Wojtek J. Chodzko-Zajko XVII: Health Promotion
Part XVII Health Promotion
Chapter 102: Health Promotion Introduction
By Dee Edington
Chapter 103: Health Promotion: History and
Emerging Trends
M. Parkinson
Chapter 104: The Employer’s Role in Lifestyle
Medicine
Dexter Shurney
Chapter 105: Why, How, and What in Leveraging the
Value of Health
Ron Loeppke
Chapter 106: International Health & Lifestyle
Wayne N. Burton
Chapter 107: The Community as a Catalyst for
Healthier Behaviors
Jane Ellery and Peter Ellery
Chapter 108: Motivation as Medicine
Jennifer S. Pitts
Chapter 109: Future Directions of Health Promotion:
Role of the Physician
Alyssa B. SchultzPart XVIII: Exercise Psychology
Part XVIII Exercise Psychology
Chapter 110: My, How Those Seedlings Have
Grown: An Update on Mind/Body Interactions in the
Exercise Domain
Steven J. Petruzzello, Allyson G. Box, and Dakota G.
Morales
Chapter 111: Genetic Influences on Regular Exercise
Behavior
Matthijs D. van der Zee, Nienke Schutte, and
Marleen H.M. de Moor
Chapter 112: The Influence of Physical Activity on
Brain Aging and Cognition: The Role of Cognitive
Reserve, Thresholds for Decline, Genetic Influence,
and the Investment Hypothesis
Maureen K. Kayes and Bradley D. Hatfield
Chapter 113: Physical Activity and Anxiety
Katharina Gaudlitz, Brigitt-Leila von Lindenberger,
and Andreas Ströhle
Part XIX Injury Prevention
Chapter 114: Physical Activity and Depression
Kayla N. Fair and Chad D. RethorstPartXIX: Injury Prevention
Chapter 115: Injuries and Lifestyle Medicine
David A. Sleet
Chapter 116: Traffic Injury Prevention: Strategies
That Work
Ann Dellinger, David A. Sleet, and Merissa A. Yellman
Chapter 117: Review and Implementation of the CDC
Guideline for Prescribing Opioids for Chronic Pain
LeShaundra Cordier and Helen Kingery
Chapter 118: Improving the Care of Young Patients
with Mild Traumatic Brain Injury: CDC’s Evidence-
Based Pediatric Mild TBI Guideline
Kelly Sarmiento, Angela Lumba-Brown, Matthew
Breiding, Wayne Gordon, David Paulk, Kenneth
Vitale, and David Sleet
Chapter 119: Older Adult Falls: Epidemiology and
Effective Injury Prevention Strategies
Ann Dellinger, David A. Sleet, and Jeanne Nichols
Chapter 120: Prevention of Suicidal Behavior
Alex E. Crosby, Deborah M. Stone, and Kristin Holland
Chapter 121: Unintentional Injuries to Disabled
Persons: An Unrecognized Yet Preventable Problem
Louis Hugo Francescutti, David Sleet, Linda Hill,
and Henry Xiang XX
Medicine
Part XX Public Policy and Environmental Supports for Lifestyle Medicine
Chapter 122: Lifestyle Medicine in an Era of
Healthcare Reform— Seven Years of Healthcare
Disruption: 2010– 2017
Aaron F. Hajart, Sandra Weisser, Gary B. Wilkerson,
and Gregory W. Heath
Chapter 123: Policy and Environmental Supports for
Physical Activity and Active Living
Elizabeth A. Dodson and Gregory W. Heath
Chapter 124: Policy and Environmental Supports for
Healthy Eating
Charlene Schmidt, Emily Maddux, and Elizabeth
Hathaway
Chapter 125: Building Strategic Alliances to Promote
Healthy Eating and Active Living
Risa Wilkerson, Elizabeth A. Baker, Matt M.
Longjohn, Kara Hamilton, Shewanee Howard-
Baptiste, and Hahn Kori
Chapter 126: Obesity and Health: For Lifestyle Medicine,
Third Edition
By James M. Rippe and Theodore J. Angelopoulos
Biography
James Rippe, MD, is a graduate of Harvard College and Harvard Medical School with post graduate training at Massachusetts General Hospital. He is currently the Founder and Director of the Rippe Lifestyle Institute and Professor of Biomedical Sciences at the University of Central Florida.
Over the past 25 years, Dr. Rippe has established and run the largest research organization in the world exploring how daily habits and actions impact short and long-term health and quality of life. This organization, Rippe Lifestyle Institute (RLI), has published hundreds of papers that form the scientific basis for the fields of lifestyle medicine and high performance health. RLI also conducts numerous studies every year on nutrition and healthy weight management. One recent research interest of the RLI team has been the metabolism and health effects of sugars.
A lifelong and avid athlete, Dr. Rippe maintains his personal fitness with a regular walking, jogging, swimming, and weight training program. He holds a black belt in karate and is an avid wind surfer, skier, and tennis player. He lives outside of Boston with his wife, television news anchor Stephanie Hart, and their four children, Hart, Jaelin, Devon, and Jamie.
