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首页> 美国卫生研究院文献>Journal of Lifestyle Medicine >Golden Age of Medicine 2.0: Lifestyle Medicine and Planetary Health Prioritized
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Golden Age of Medicine 2.0: Lifestyle Medicine and Planetary Health Prioritized

机译：医学的黄金时代2.0：生活方式医学和行星健康被列为优先事项

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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.
机译：20世纪上半叶，乔纳斯·索克（Jonas Salk）的1955年脊髓灰质炎疫苗达到了“医学的黄金时代”，这是外科技术，免疫接种，药物发现和传染病控制领域取得长足进步的时期。但是，当疾病的负担转移到生活方式驱动的慢性非传染性疾病时，黄金时代就消失了。尽管现在可以改变生活方式的生活方式约占过早死亡的80％，但是医学仍然不愿接受生活方式干预作为医学。在这里，我们认为可以实现21世纪的医学黄金时代；通往这个时代的道路要求对医学院的招生和培训进行转变，从而优先考虑广泛的生活方式医学。除了超越可改变的生活方式的基本原则作为治疗干预之外，每个人/社区都应被视为在构成其整个生活史的动态社会，政治，经济和文化生态系统中积累的经验（和选择）的生物学表现。这需要了解强大的力量在这些生态系统中运作；营销和新自由主义力量推崇独特的“个人责任”健康观-指责个人，并偏离维持健康不平等并威胁地球健康的大规模影响。后一个术语表示人与地方的可持续生命力在各个尺度上的相互联系。我们强调，阻碍行星健康和生活方式医学的临床应用（包括专制主义和社会主导地位）的障碍正在维持不健康的现状。

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