Lifestyle Medicine – affordable medicine that works

Lifestyle Medicine co-editors - Garry Egger, Stephan Rossner and Andrew Binns.

In 2008, after a lengthy involvement with managing obesity issues at the primary care level, Adjunct Professor of Lifestyle Medicine (Southern Cross University) Garry Egger and I decided it was time to focus more on the broader issue of lifestyle-related chronic disease.

This was partly in response to the 2006 report by the Australian Institute of Health and Welfare saying that up to 70 per cent of all GP visits were thought to have a predominantly lifestyle cause.

We coined the term Lifestyle Medicine (LM) and set up the Australian Lifestyle Medicine Association (ALMA). The inaugural meeting in May 2008 was held at the University Centre for Rural Health in Lismore. The 50 attendees comprised GPs and allied health professionals from many disciplines.

We coined the term Lifestyle Medicine (LM) and set up the Australian Lifestyle Medicine Association (ALMA)

The aim was to raise awareness of LM in the management and prevention of chronic disease, improve knowledge and skills in lifestyle behavioural change, and encourage more practitioners into this field. Indigenous health was to be given special attention, particularly addressing the social and cultural determinants of health. There was also to be significant emphasis on education and evidence based lifestyle medicine research.

Lifestyle Medicine – Lifestyle, the Environment and Preventive Medicine in Health and Disease

While we received strong support there were significant challenges, but later that year we held the first ALMA conference, opened by Dr Norman Swan from ABC RN’s Health Report. Under Garry Egger’s leadership and with co-editor Swedish Professor Emeritus Stephan Rossner (Karolinska Institute Stockholm) we seconded expert contributors in the field to publish the first edition of a Textbook on Lifestyle Medicine (McGraw Hill). The book has been well received.

In July 2015, ALMA was re-launched as the Australasian Society of Lifestyle Medicine (ASLM).  With links to similar organisations in many countries, including the American College of LM and the European Society of LM, the first World Conference was held in Melbourne in November 2016.

The third edition of the LM textbook has now been published by Elsevier. It will be translated into many different languages, as the interest in this field is understandably growing. As populations age and chronic disease increases, driven largely by lifestyle environmental factors, the need to focus on lifestyle medicine is increasingly urgent. From every perspective, the alternative is simply unsustainable.

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