The Rise of Lifestyle Medicine: Diane McIntosh and Bryn Hyndman talk about the growing trend of integrating lifestyle medicine into traditional medicine.

benefit of lifestyle medicine, dr. bryn hyndman on lifestyle medicine, dr. diane mcintosh and dr. bryn hyndman

Eating well, exercising, connecting with friends—these are the new doctor’s orders. Lifestyle medicine, which is essentially a prescription for the good habits, behaviours and choices we make as individuals, is a field of medicine that’s gaining traction, says Dr. Bryn Hyndman, a family doctor and former naturopathic in Vancouver, B.C. who recently chatted with Dr. Diane McIntosh about its increasing popularity.

“How we live has a tremendous impact on our day-to-day lives and how we feel,” Dr. Hyndman says. “There are all these factors in our life that really impact our risk of chronic disease.”

Alongside medications and surgical procedures, lifestyle medicine involves prescribing simple changes that people can make to their daily habits in order to prevent disease and optimize health. These interventions are meant to work alongside traditional medicine – patients are still prescribed medications when appropriate, but they are also counselled regarding lifestyle modifications that promote optimal wellness.

Lifestyle medicine isn’t a new-age concept unsupported by science, says Hyndman. There is actually scientific data, with many studies supporting such practices as forest bathing to support  mental health, the role of the Mediterranean diet in preventing depression, or the impact of social contact on preventing mental illness

And best of all, these interventions come with no side effects, can be easily adopted by patients and can have a powerful impact on mental health. “We need support for lifestyle medicine,” says Hyndman.

Pillars of lifestyle medicine: a simple prescription

Mental and physical health are tightly correlated, and tackling health with just a prescription pad or a surgical procedure is like practicing with one arm tied behind your back. 

Lifestyle medicine complements medications and procedures in addressing the “whole health” of the individual. Exercise, diet, social well-being and quality sleep are all key factors in whole health, and each is supported with ample research evidence underpinning its value.

  1. Exercise: Exercise has been shown to reduce stress, improve cardiovascular health and stave off cognitive decline, while  also helping people cope with pain and boosting mood with its antidepressant properties. Higher stress levels in adulthood are significantly associated with developing mild cognitive impairment and dementia later in life. Stress is also linked to the development of various chronic disorders, including depression. As a result, lifestyle medicine promotes the value of decreasing stress levels through activities such as meditation, mindfulness, and exercise.
  2. Diet: Lifestyle medicine promotes dietary choices that have scientific data supporting their value in reducing the risk of cardiovascular disease, lowering blood pressure, and improving mood disorders. Examples include eating more greens and a Mediterranean diet.  Additionally, evidence underscores the importance of avoiding or limiting substances such as alcohol, nicotine and THC in cannabis, as they can lead to significant mental and physical health issues.
  3. Social well-being: Having strong social connections, whether with one close friend or a larger social group, can be beneficial in staving off mental health issues, such as depression or anxiety. Recent studies have also shown that strong social networks can help prevent cognitive disorders such as dementia. (See another article we did on health impacts of loneliness).
  4. Quality sleep: Getting a good night’s sleep is critical in preventing chronic health problems, such as obesity, depression, high blood pressure and memory issues. Sleep can be a cure, but it can also be elusive. Getting to the bottom of sleep problems can be transformative for an individual’s quality of life – and health.

If there’s so much evidence, why is lifestyle medicine overlooked?

The challenge at the moment is with integrating lifestyle medicine into traditional medical care to optimize patient outcomes, says Hyndman.  She says that silos and time constraints within the healthcare system often prevent clinicians from looking at the whole picture – leading to an overreliance on other treatments without also considering lifestyle elements that could significantly impact health outcomes.  While medications often play a critical role in the recovery from a mental illness, healthy lifestyle interventions can go a long way to help an individual get better faster and to stay well. 

Hyndman says that in her practice she undertakes an assessment of a patient’s lifestyle to determine what conditions require drug treatment and which could be helped through diet and exercise. Then she develops a treatment plan that incorporates elements of traditional medicine and elements of lifestyle medicine. 

“These habits should be integrated into every medical interaction with your family doctor, nurse practitioner and with your psychiatrist,” she says, adding, “Lifestyle medicine isn’t the be-all and end-all, but let’s just become more aware of how we’re living.”

This blog post is part of a series looking at the state of our mental healthcare system and ways we can create sustainable change to improve quality and outcomes for anyone impacted by mental illness. 

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