Lifestyle medicine is a nascent field encumbered by many obstacles. Specifically, successful reduction in cardiometabolic risks with lifestyle medicine, measured by clinical outcomes and a healthier population, is challenged by socioeconomic and infrastructural factors. Context for this problem is provided in terms of a new driver-based chronic disease model that exposes early cardiometabolic targets for sustainable preventive care. Important socioeconomic hurdles for implementation are discussed: social determinants of health, transcultural factors, and healthcare system economics. Infrastructural topics are also discussed: the built environment, defragmentation of healthcare, and creation of lifestyle medicine center. Implementation science is a necessary tool and explained in terms of gaps (research, knowledge, and practice) for relevance, logistics (champions, teams, and resources), technology, and sustainability.

Original languageEnglish
Title of host publicationIntegrating Lifestyle Medicine for Prediabetes, Type 2 Diabetes, and Cardiometabolic Disease
PublisherCRC Press
Number of pages21
ISBN (Electronic)9781000876079
ISBN (Print)9781032073828
StatePublished - 1 Jan 2023


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