95 Participants Needed

Lifestyle Interventions for Chronic Disease

CL
Overseen ByChristopher L Pankey, Ph.D.
Age: 18 - 65
Sex: Any
Trial Phase: Academic
Sponsor: West Virginia School of Osteopathic Medicine
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

Trial Summary

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications. It focuses on lifestyle changes like exercise and healthy body composition.

What data supports the effectiveness of the treatment Lifestyle Medicine for chronic disease?

Research shows that lifestyle medicine, which includes changes like better diet, more exercise, and quitting smoking, can significantly reduce the risk of chronic diseases like type 2 diabetes and improve outcomes for those already diagnosed. These lifestyle changes have been shown to lead to remission in some patients and are supported by numerous studies and guidelines for managing chronic diseases.12345

Is lifestyle medicine safe for humans?

Lifestyle medicine, which includes healthy eating, physical activity, and avoiding risky substances, is generally safe and can improve overall health. Studies show it can lead to better nutrition, increased physical activity, and improved sleep without reported safety concerns.16789

How is the treatment 'Lifestyle Medicine' different from other treatments for chronic disease?

Lifestyle Medicine is unique because it focuses on changing unhealthy lifestyle habits, such as diet and physical activity, to prevent, treat, and often reverse chronic diseases, rather than relying solely on medications. It emphasizes a holistic approach, incorporating behavioral and motivational skills, and is often delivered by specially trained clinicians.2351011

What is the purpose of this trial?

Developed nations worldwide are currently enduring a health crisis, as chronic diseases continue to decrease quality of life and promote additional disease states or even death for much of the population. Rural populations are at a particular disadvantage, as they lack access to health clubs, wellness programs and similar resources that are more available in urban areas. Although pharmaceutical therapies have continued to show therapeutic advancements, the rates of disease onset and death from chronic disease has not seen similar improvements, and in fact continue to worsen. Excitingly, significant evidence has been published demonstrating an affordable, effective treatment to directly treat and prevent these chronic diseases, but few have demonstrated successful implementation of this therapy, which is improved lifestyle. Specifically, physical activity and healthy body composition are powerful therapeutics that have been demonstrated to effectively combat and prevent chronic diseases. Additionally, improving these lifestyle factors are often more effective than pharmaceutical interventions without the wide range of side effects. Unfortunately, barriers exist on multiple tiers in the practice of family medicine that demote the implementation of lifestyle medicine. To better serve patients at risk of, or suffering from chronic disease, the investigators are seeking to establish a lifestyle medicine prescription program for rural West Virginia. This program will provide patient education on the benefits of physical activity, body composition, and help patients identify strategies to implement healthy lifestyle choices that can be sustainable for the long-term. Patients will be advised on local opportunities to increase physical activity (yoga studio, martial arts, fitness facilities, aquatic center, etc.) and provided access to the facilities they are most likely to adhere to regularly. They will also be provided training on exercise techniques, equipment, and facilities to increase familiarity and comfort in these settings.

Research Team

CL

Christopher L Pankey, Ph.D.

Principal Investigator

West Virginia School of Osteopathic Medicine

Eligibility Criteria

This trial is for rural patients with at least two diagnosed chronic diseases (like obesity, high cholesterol, diabetes) where exercise therapy can help. They need a doctor's referral and must be willing to participate in lifestyle changes.

Inclusion Criteria

I have been diagnosed with at least two conditions that can improve with exercise.
Physician referral required

Exclusion Criteria

Lack of physician referral
I do not have any long-term illnesses.
I am willing to participate in the trial.

Timeline

Screening

Participants are screened for eligibility to participate in the trial

1 month
1 visit (in-person)

Intake Meeting

Intake meeting to collect patient information, understand goals, and develop personalized exercise plans

1 visit
1 visit (in-person)

Intervention

Participants receive access to wellness facilities and personalized exercise therapy for 3 months

3 months
Regular visits for exercise sessions

Follow-up

Participants are monitored for adherence and effectiveness of the lifestyle intervention

4 months

Treatment Details

Interventions

  • Lifestyle Medicine
Trial Overview The study tests a program that educates these patients on the benefits of physical activity and healthy body composition. It includes advice on local fitness opportunities and training to use exercise equipment comfortably.
Participant Groups
1Treatment groups
Experimental Treatment
Group I: ActiveExperimental Treatment1 Intervention
participants that have received a referral, and opt-in for the adjunctive treatment plan

Find a Clinic Near You

Who Is Running the Clinical Trial?

West Virginia School of Osteopathic Medicine

Lead Sponsor

Trials
6
Recruited
520+

Findings from Research

Unhealthy lifestyle behaviors contribute to approximately 63% of all deaths globally, highlighting the urgent need for lifestyle medicine to address chronic diseases.
Adhering to 'low-risk lifestyle' behaviors and ideal cardiovascular health metrics has been shown to improve mortality rates, yet the prevalence of healthy living in the population remains low, indicating significant challenges in implementing lifestyle medicine programs.
Lifestyle medicine: the future of chronic disease management.Kushner, RF., Sorensen, KW.[2013]
A pilot plant-based lifestyle medicine program in a safety-net healthcare system led to significant improvements in patient-reported outcomes, including a 7.2% increase in nutrition knowledge and a 12.2% increase in participants reporting good or very good sleep quality after 6 months.
Participants also experienced a reduction in barriers to adopting a plant-based diet and increased physical activity, highlighting the effectiveness of lifestyle medicine interventions in promoting healthier behaviors among low-income populations.
Patient-Reported Outcomes from a Pilot Plant-Based Lifestyle Medicine Program in a Safety-Net Setting.Massar, RE., McMacken, M., Kwok, L., et al.[2023]

References

[Lifestyle medicine: the importance of considering all the causes of disease]. [2012]
The emergence of "lifestyle medicine" as a structured approach for management of chronic disease. [2020]
[Lifestyle medicine: effective cure or just snake oil?] [2020]
Lifestyle Medicine: The Health Promoting Power of Daily Habits and Practices. [2023]
Lifestyle medicine: the future of chronic disease management. [2013]
Patient-Reported Outcomes from a Pilot Plant-Based Lifestyle Medicine Program in a Safety-Net Setting. [2023]
Lifestyle Medicine: Prevention, Treatment, and Reversal of Disease. [2023]
Tool guide for lifestyle behavior change in a cardiovascular risk reduction program. [2022]
Case Series in Lifestyle Medicine: A Team Approach to Behavior Changes. [2020]
10.United Statespubmed.ncbi.nlm.nih.gov
Introducing lifestyle medicine into family medicine: Theory and applications. [2023]
11.United Statespubmed.ncbi.nlm.nih.gov
Defining a Structure and Methodology for the Practice of Lifestyle Medicine. [2020]
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