A Powerful Antidote to Physician Burnout: Intensive Healthy Lifestyle and Positive Psychology Approaches

2021 ◽  
pp. 155982762110066
Author(s):  
Liana Lianov
Keyword(s):  
Healthy Lifestyle ◽  
Meaningful Work ◽  
Well Being ◽  
Evidence Base ◽  
Lifestyle Changes ◽  
Lifestyle Interventions ◽  
Physical And Mental Health ◽  
Physician Burnout ◽  
Lifestyle Medicine ◽  
Persistent Symptoms

Burnout rates among physicians are rapidly rising. Leaders in the movement to address burnout have made the case that health care workplaces need to foster a culture of well-being, including trusting coworker interactions, collaborative and transparent leadership, work-life balance, flexibility, opportunities for meaningful work and for professional development, and effective 2-way communication. The rationale for focusing on organizational change to prevent burnout has pointed to persistent symptoms of burnout even when individual healthy lifestyle interventions are adopted. However, a case can be made that the lifestyle interventions were not implemented at the level of intensity recommended by the lifestyle medicine evidence-base to secure the desired improvement in physical and mental health when facing significant personal and environmental stressors. The lifestyle medicine community has the ethical mandate to advocate for intensive healthy lifestyle approaches to burnout prevention, in conjunction with organizational supports. By combining comprehensive and intensive lifestyle changes with organizational cultures of well-being, we can more effectively turn the tide of physician burnout.

scholarly journals Have Lifestyle Habits and Psychological Well-Being Changed among Adolescents and Medical Students Due to COVID-19 Lockdown in Croatia?

Nutrients ◽  
2020 ◽  
Vol 13 (1) ◽  
pp. 97
Author(s):  
Ružica Dragun ◽  
Nikolina Nika Veček ◽  
Mario Marendić ◽  
Ajka Pribisalić ◽  
Gabrijela Đivić ◽  
...  
Keyword(s):  
Medical Students ◽  
Perceived Stress ◽  
Dietary Habits ◽  
Healthy Lifestyle ◽  
Well Being ◽  
Lifestyle Medicine ◽  
Psychological Well Being ◽  
Mobile Phone Use ◽  
Beneficial Effects

Objective: To investigate dietary habits, sleep and psychological well-being of adolescents and medical students during COVID-19 lockdown in Split, Croatia. Methods: We surveyed 1326 students during 2018 and 2019, and compared their responses with 531 students enrolled in May 2020. Perceived stress, quality of life (QoL), happiness, anxiety, and optimism were assessed as proxies of psychological well-being, using general linear modelling. Results: We found no substantial differences in dietary pattern between pre-lockdown and lockdown periods, including the overall Mediterranean diet (MD) adherence. However, the MD pattern changed, showing increased adherence to the MD pyramid for fruit, legumes, fish, and sweets, while cereals, nuts, and dairy intake decreased during COVID-19 lockdown. A third of students reported weight loss during lockdown, 19% reported weight gain, while physical activity remained rather stable. The most prominent change was feeling refreshed after a night’s sleep, reported by 31.5% of students during lockdown vs. 8.5% before; median length of sleep duration increased by 1.5 h. Lockdown significantly affected QoL, happiness, optimism (all p < 0.001), and perceived stress in students (p = 0.005). MD adherence was positively correlated with QoL and study time, and negatively with TV and mobile phone use in pre-lockdown period (all p < 0.001). Interestingly, higher MD adherence was correlated with less perceived hardship and greater happiness and QoL during lockdown. Conclusion: These insights provide valuable information for tailored interventions aimed at maintaining healthy lifestyle in young population. Given the numerous beneficial effects associated with MD adherence, modification of lifestyle through application of lifestyle medicine deserves a priority approach.

scholarly journals Uncovering the Truth

2017 ◽  
Vol 12 (1) ◽  
pp. 49-50
Author(s):  
George E. Guthrie
Keyword(s):  
Randomized Controlled Trial ◽  
Basic Science ◽  
Healthy Lifestyle ◽  
Controlled Trial ◽  
Lifestyle Changes ◽  
Level Of Evidence ◽  
Lifestyle Medicine ◽  
Randomized Controlled ◽  
Standards Of Practice ◽  
Guidelines And Standards

Finding the truth is important. In the field of lifestyle medicine the randomized controlled trial has significant limitations. Physicians and patients need to know the truth about the healthy lifestyle changes and their ability to prevent and reverse disease. To meet this challenge, the American College of Lifestyle Medicine has established a committee of experts (HEaLM), under the leadership of David Katz to create a level of evidence construct for ranking lifestyle medicine evidence that includes evidence from basic science and epidemiologic trials. This tool will be used by the new Expert Lifestyle Medicine Panel to create guidelines and standards of practice.

Lifestyle Medicine

2021 ◽  
pp. 157-178
Author(s):  
Gia Merlo
Keyword(s):  
Healthy Lifestyle ◽  
Lifestyle Changes ◽  
Medical Community ◽  
Global Public Health ◽  
Lifestyle Medicine ◽  
Public Health Burden ◽  
Obesity And Diabetes ◽  
Managing Stress ◽  
Treatment Of Obesity ◽  
Lifestyle Diseases

This chapter addresses the rise of lifestyle medicine. The impact of chronic diseases on health and quality of life are well-known within the medical community. Preventive medicine has only been partially successful in addressing these problems. For physicians to advocate healthy lifestyle choices for their patients, they must first understand what a healthy lifestyle entails. The Six Pillars of Lifestyle Medicine outline the six main lifestyle changes—healthful eating, increasing physical activity, improving sleep, managing stress, avoiding risky substances, forming and maintaining relationships—that physicians should promote to their patients. The global public health burden of diabetes, obesity, and other lifestyle diseases is increasing at an astounding rate. However, very few training programs have robust educational offerings for physicians on nonpharmacological treatment of obesity and diabetes.

scholarly journals The Impact of Lifestyle Interventions in High-Risk Early Breast Cancer Patients: A Modeling Approach from a Single Institution Experience

Cancers ◽  
2021 ◽  
Vol 13 (21) ◽  
pp. 5539
Author(s):  
Mirco Pistelli ◽  
Valentina Natalucci ◽  
Laura Scortichini ◽  
Veronica Agostinelli ◽  
Edoardo Lenci ◽  
...  
Keyword(s):  
Risk Factors ◽  
Nutrition Education ◽  
Healthy Lifestyle ◽  
Serum Insulin ◽  
Depression Scale ◽  
Well Being ◽  
Lifestyle Interventions ◽  
Testosterone Levels ◽  
Significant Difference ◽  
The Impact

A healthy lifestyle plays a strategic role in the prevention of BC. The aim of our prospective study is to evaluate the effects of a lifestyle interventions program based on special exercise and nutrition education on weight, psycho-physical well-being, blood lipid and hormonal profile among BC patients who underwent primary surgery. From January 2014 to March 2017, a multidisciplinary group of oncologists, dieticians, physiatrists and an exercise specialist evaluated 98 adult BC female patients at baseline and at different time points. The patients had at least one of the following risk factors: BMI ≥ 25 kg/m2, high testosterone levels, high serum insulin levels or diagnosis of MS. Statistically significant differences are shown in terms of BMI variation with the lifestyle interventions program, as well as in waist circumference and blood glucose, insulin and testosterone levels. Moreover, a statistically significant difference was reported in variations of total Hospital Anxiety and Depression Scale (HADS) score, in the anxiety HADS score and improvement in joint pain. Our results suggested that promoting a healthy lifestyle in clinical practice reduces risk factors involved in BC recurrence and ensures psycho-physical well-being.

scholarly journals Lifestyle transitions and the developing world: Reflections on the implications for health, well-being and wealth

2013 ◽  
Vol 3 (2) ◽  
pp. 70
Author(s):  
Ufuoma John Ejughemre
Keyword(s):  
Economic Growth ◽  
Developing Countries ◽  
Low Income ◽  
Well Being ◽  
Evidence Base ◽  
Lifestyle Changes ◽  
Low Income Countries ◽  
Health Concern ◽  
Negative Consequences ◽  
Middle Income

Context: The past few decades witnessed significant economic growth in many developing countries of the world. These economic changes towards increasing gross domestic product (GDP) brought with it several other transitions in these countries: demographic, epidemiological, technological, and nutritional. These resulted in improving the living standards as well as life expectancy in many of these countries. However, of public health concern is the fact that these transitions paradoxically have their negative consequences on the health, well-being and wealth of the populace in these countries. Objectives: This review therefore assesses the evidence of the extent to which these changes have affected the living patterns in many developing countries and the epidemiological implications besides others issues on the populace in these countries. Methods: By using key words, the author involved a broad search of literatures on lifestyle changes, economic growth, nutrition, urbanization, smoking and alcohol, communicable and non-communicable diseases in countries termed low and middle income. Findings and conclusion: The review identified discernible evidence base about the implications of these changes on health, well-being and wealth of these nations. Accordingly, as lifestyle transitions now come to bear, it thus necessitates an all inclusive approach that will include proactive and pre-emptive interventions as well as consistent participation from governments, multilateral institutions, research-funding agencies, donors, and other players in health systems. This is because it will provide the global community with great opportunities in uniting high, middle, and low-income countries in a common purpose, given the shared interests of globalization and economic burdens worldwide.

Lifestyle Medicine – New Concept, Innovative Discipline

2019 ◽  
Vol 26 (3) ◽  
pp. 305-309
Author(s):  
Anca Hâncu
Keyword(s):  
Chronic Diseases ◽  
Healthy Lifestyle ◽  
Lifestyle Changes ◽  
Lifestyle Medicine ◽  
Physically Active ◽  
Healthy Behaviors ◽  
Premature Deaths ◽  
Nutritional Recommendations ◽  
Inflammatory State ◽  
Based Medicine

Abstract A large percentage 63% of premature deaths and chronic diseases could be prevented by adhering to healthy dietary patterns, being physically active and avoid smoking. The concept of lifestyle medicine introduced 20 years ago by Rippe is defined as the integration of modern lifestyle practices into evidence-based medicine, in order to lower risk factors or to be support for chronic therapies. A new taxonomy is proposed in lifestyle medicine, with determinants, as drivers for chronic diseases, anthropogens and metaflammation, the metabolic inflammatory state. Other possible determinants are proposed for lack os scope in life, estrangement and lost identity. Despite all health messages, healthy behaviors are exceptions, not the rule. It will be important in the future to change how practitioners will support individuals in their efforts to live healthier. More psychological and social factors should be analyzed. Many doctors are not self-confident with prescribing healthy lifestyle or nutritional recommendations. Creating a new discipline should foster development of preventive recommendations. General practitioners will need specific academic trainings to learn how to promote recommendations for lifestyle changes for health, for prevention and for diseases management, starting by adopting themselves healthy lifestyles.

scholarly journals Positive Psychology in Lifestyle Medicine and Health Care: Strategies for Implementation

2019 ◽  
Vol 13 (5) ◽  
pp. 480-486 ◽  
Author(s):  
Liana S. Lianov ◽  
Barbara L. Fredrickson ◽  
Carrie Barron ◽  
Janani Krishnaswami ◽  
Anne Wallace
Keyword(s):  
Health Care ◽  
Positive Psychology ◽  
Health Care Providers ◽  
Healthy Lifestyle ◽  
Clinical Care ◽  
Well Being ◽  
World Health ◽  
Practical Implementation ◽  
Care Providers ◽  
Lifestyle Medicine

Prevention and treatment of lifestyle-related diseases are realized through leading a healthy lifestyle. Activities supporting positive psychology can facilitate healthy behaviors and improve physiological health. Adding such activities to clinical care promotes attainment of the physical, social, and emotional elements of health, as defined by the World Health Organization—leading to (1) prolonged lifespan and quality of life, (2) lowered costs of care, and (3) reduced rates of provider burnout. A key challenge remains the translation of positive psychology–based practices into practical, implementable strategies by health care providers. An essential step is collaboration of positive psychology and health care researchers and practitioners to develop standards, terms, and measures and arrive at evidence-based clinical approaches addressing total well-being. The first Summit on Happiness Science in Healthcare enabled national experts and stakeholders in lifestyle medicine, medical education, health care administration, psychology, and community welfare to convene and identify best practices for practical implementation of positive psychology science into health care. This article draws on the summit discussions to address the gap between positive psychology theory and practical implementation in health care. We briefly summarize the positive psychology–health outcomes relationship and present key strategies needed to bridge this gap.

scholarly journals Individual differences in processes of lifestyle changes among people with obesity: an acceptance and commitment therapy (ACT) intervention in a primary health care setting

2020 ◽  
Vol 21 ◽  
Author(s):  
Kirsti Kasila ◽  
Suvi Vainio ◽  
Mari Punna ◽  
Päivi Lappalainen ◽  
Raimo Lappalainen ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Lifestyle Intervention ◽  
Acceptance And Commitment Therapy ◽  
Healthy Lifestyle ◽  
Lifestyle Changes ◽  
Learning Processes ◽  
Lifestyle Interventions ◽  
Primary Health ◽  
Acceptance And Commitment

Abstract Aim: To explore what thoughts, feelings, and learning processes were involved in obese participants’ lifestyle change during an acceptance and commitment therapy (ACT) lifestyle intervention delivered in primary health care. Background: Previous studies have revealed that lifestyle interventions are effective at promoting initial weight loss, but reduced weight is often difficult to sustain because of the failure to maintain healthy lifestyle changes. Achieving and maintaining lifestyle changes requires to learn self-regulation skills. ACT-based lifestyle interventions combine many self-regulatory skill factors, and the results from previous studies are promising. Research on the individual learning processes of lifestyle change is still needed. Methods: This study investigated a subset of data from a larger web-based lifestyle intervention. This subset consisted of online logbooks written by 17 obese participants (n = 17, body mass index mean 41.26 kg/m2) during the six-week online module. The logbooks were analyzed via data-driven content analysis. Findings: Four groups were identified based on the participants being at different phases in their lifestyle changes: stuck with barriers, slowly forward, reflective and hardworking, and convincingly forward with the help of concrete goals. Differences between the groups were manifested in personal barriers, goal setting, training of mindfulness and acceptance, and achieving healthy actions. The ACT-based lifestyle intervention offered participants an opportunity to reflect on how their thoughts and feelings may hinder healthy lifestyle changes and provided tools for learning psychological flexibility.

scholarly journals Physician Burnout: A Lifestyle Medicine Perspective

2020 ◽  
pp. 155982762098042
Author(s):  
Gia Merlo ◽  
James Rippe
Keyword(s):  
Risk Factor ◽  
Historical Context ◽  
Well Being ◽  
Evidence Based ◽  
Physician Burnout ◽  
Lifestyle Medicine ◽  
Work Related ◽  
Risk Factor Reduction ◽  
Prevention Model ◽  
Health And Well Being

Physician burnout, as described in North America, is a multidimensional work-related syndrome that includes emotional exhaustion, depersonalization, and a low sense of accomplishment from work. More than 50% of physicians were reporting symptoms of burnout prior to the COVID-19 pandemic. This silent epidemic of burnout is bound to become less silent as the pandemic continues. Lifestyle medicine is an evidence-based discipline that describes how daily habits and health practices can affect overall health and well-being of individuals. Lifestyle Medicine can potentially play a significant role in preventing and ameliorating physician burnout. This article explores the burnout process, including the historical context, international definitions, symptoms, and imprecision of the clinical diagnosis. The systemic etiological issues are discussed, and the psychological underpinnings are explored, including physicians’ personal vulnerabilities contributing to burnout. The stress response and lifestyle medicine’s role in healthy coping are described. A prevention model for risk factor reduction is proposed, focusing on primordial, primary, secondary, and tertiary prevention. Lifestyle medicine clinicians’ role in prevention, treatment, and advocacy to ameliorate the potential for burnout is discussed along with specific recommendations.

scholarly journals Behaviour change in overweight and obese pregnancy: a decision tree to support the development of antenatal lifestyle interventions

2017 ◽  
Vol 20 (14) ◽  
pp. 2642-2648 ◽  
Author(s):  
Kate M Ainscough ◽  
Karen L Lindsay ◽  
Elizabeth J O’Sullivan ◽  
Eileen R Gibney ◽  
Fionnuala M McAuliffe
Keyword(s):  
Decision Tree ◽  
Behaviour Change ◽  
Healthy Lifestyle ◽  
Evidence Base ◽  
Intervention Design ◽  
Clinical Settings ◽  
Lifestyle Interventions ◽  
Behaviour Change Interventions ◽  
Healthy Lifestyle Interventions ◽  
Study Development

Abstract Objective Antenatal healthy lifestyle interventions are frequently implemented in overweight and obese pregnancy, yet there is inconsistent reporting of the behaviour-change methods and behavioural outcomes. This limits our understanding of how and why such interventions were successful or not. Design The current paper discusses the application of behaviour-change theories and techniques within complex lifestyle interventions in overweight and obese pregnancy. The authors propose a decision tree to help guide researchers through intervention design, implementation and evaluation. The implications for adopting behaviour-change theories and techniques, and using appropriate guidance when constructing and evaluating interventions in research and clinical practice are also discussed. Conclusions To enhance the evidence base for successful behaviour-change interventions during pregnancy, adoption of behaviour-change theories and techniques, and use of published guidelines when designing lifestyle interventions are necessary. The proposed decision tree may be a useful guide for researchers working to develop effective behaviour-change interventions in clinical settings. This guide directs researchers towards key literature sources that will be important in each stage of study development.

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