IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v18y2021i21p11364-d667600.html
   My bibliography  Save this article

Lifestyle Medicine and Economics: A Proposal for Research Priorities Informed by a Case Series of Disease Reversal

Author

Listed:
  • Kara A. Livingston

    (American College of Lifestyle Medicine, Chesterfield, MO 63006, USA)

  • Kelly J. Freeman

    (Department of Member Engagement & Administration, American College of Lifestyle Medicine, Chesterfield, MO 63006, USA
    School of Nursing, Indiana University, Indianapolis, IN 46202, USA)

  • Susan M. Friedman

    (School of Medicine and Dentistry, University of Rochester, Rochester, NY 14620, USA)

  • Ron W. Stout

    (Ardmore Institute of Health, Ardmore, OK 73401, USA)

  • Liana S. Lianov

    (American College of Lifestyle Medicine, Chesterfield, MO 63006, USA
    Global Positive Health Institute, Sacramento, CA 95825, USA)

  • David Drozek

    (American College of Lifestyle Medicine, Chesterfield, MO 63006, USA
    Department of Specialty Medicine, Heritage College of Osteopathic Medicine, Ohio University, Athens, OH 45701, USA)

  • Jamie Shallow

    (Bright Health Group, Minneapolis, MN 55437, USA)

  • Dexter Shurney

    (American College of Lifestyle Medicine, Chesterfield, MO 63006, USA
    BlueZones Well-Being Institute, Adventist Health, Roseville, CA 95661, USA)

  • Padmaja M. Patel

    (American College of Lifestyle Medicine, Chesterfield, MO 63006, USA
    Midland Health, Midland, TX 79703, USA)

  • Thomas M. Campbell

    (Medical Center, University of Rochester, Rochester, NY 14642, USA)

  • Kaitlyn R. Pauly

    (Department of Member Engagement & Administration, American College of Lifestyle Medicine, Chesterfield, MO 63006, USA)

  • Kathryn J. Pollard

    (Department of Research, American College of Lifestyle Medicine, Chesterfield, MO 63006, USA)

  • Micaela C. Karlsen

    (Department of Research, American College of Lifestyle Medicine, Chesterfield, MO 63006, USA)

Abstract

Chronic disease places an enormous economic burden on both individuals and the healthcare system, and existing fee-for-service models of healthcare prioritize symptom management, medications, and procedures over treating the root causes of disease through changing health behaviors. Value-based care is gaining traction, and there is a need for value-based care models that achieve the quadruple aim of (1) improved population health, (2) enhanced patient experience, (3) reduced healthcare costs, and (4) improved work life and decreased burnout of healthcare providers. Lifestyle medicine (LM) has the potential to achieve these four aims, including promoting health and wellness and reducing healthcare costs; however, the economic outcomes of LM approaches need to be better quantified in research. This paper demonstrates proof of concept by detailing four cases that utilized an intensive, therapeutic lifestyle intervention change (ITLC) to dramatically reverse disease and reduce healthcare costs. In addition, priorities for lifestyle medicine economic research related to the components of quadruple aim are proposed, including conducting rigorously designed research studies to adequately measure the effects of ITLC interventions, modeling the potential economic cost savings enabled by health improvements following lifestyle interventions as compared to usual disease progression and management, and examining the effects of lifestyle medicine implementation upon different payment models.

Suggested Citation

  • Kara A. Livingston & Kelly J. Freeman & Susan M. Friedman & Ron W. Stout & Liana S. Lianov & David Drozek & Jamie Shallow & Dexter Shurney & Padmaja M. Patel & Thomas M. Campbell & Kaitlyn R. Pauly & , 2021. "Lifestyle Medicine and Economics: A Proposal for Research Priorities Informed by a Case Series of Disease Reversal," IJERPH, MDPI, vol. 18(21), pages 1-13, October.
  • Handle: RePEc:gam:jijerp:v:18:y:2021:i:21:p:11364-:d:667600
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/18/21/11364/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/1660-4601/18/21/11364/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Vanesa Bellou & Lazaros Belbasis & Ioanna Tzoulaki & Evangelos Evangelou, 2018. "Risk factors for type 2 diabetes mellitus: An exposure-wide umbrella review of meta-analyses," PLOS ONE, Public Library of Science, vol. 13(3), pages 1-27, March.
    2. John Cawley & Chad Meyerhoefer & Adam Biener & Mette Hammer & Neil Wintfeld, 2015. "Savings in Medical Expenditures Associated with Reductions in Body Mass Index Among US Adults with Obesity, by Diabetes Status," PharmacoEconomics, Springer, vol. 33(7), pages 707-722, July.
    3. Thiago Veiga Jardim & Dariush Mozaffarian & Shafika Abrahams-Gessel & Stephen Sy & Yujin Lee & Junxiu Liu & Yue Huang & Colin Rehm & Parke Wilde & Renata Micha & Thomas A Gaziano, 2019. "Cardiometabolic disease costs associated with suboptimal diet in the United States: A cost analysis based on a microsimulation model," PLOS Medicine, Public Library of Science, vol. 16(12), pages 1-15, December.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Neuhofer, Zachary & McFadden, Brandon R. & Rihn, Alicia & Wei, Xuan & Khachatryan, Hayk & House, Lisa, 2020. "Can the updated nutrition facts label decrease sugar-sweetened beverage consumption?," Economics & Human Biology, Elsevier, vol. 37(C).
    2. Seunghan Kim & Byungyoon Yun & Seunghyun Lee & Changyoung Kim & Juho Sim & Ara Cho & Yeonsuh Oh & Jiho Lee & Jinha Yoon, 2021. "Occupational Noise Exposure and Incidence of High Fasting Blood Glucose: A 3-Year, Multicenter, Retrospective Study," IJERPH, MDPI, vol. 18(17), pages 1-12, September.
    3. Dixon, Padraig & Hollingworth, William & Harrison, Sean & Davies, Neil M. & Davey Smith, George, 2020. "Mendelian Randomization analysis of the causal effect of adiposity on hospital costs," Journal of Health Economics, Elsevier, vol. 70(C).
    4. Alyssa J. Moran & Yuxuan Gu & Sasha Clynes & Attia Goheer & Christina A. Roberto & Anne Palmer, 2020. "Associations between Governmental Policies to Improve the Nutritional Quality of Supermarket Purchases and Individual, Retailer, and Community Health Outcomes: An Integrative Review," IJERPH, MDPI, vol. 17(20), pages 1-23, October.
    5. Hunt Allcott & Rebecca Diamond & Jean-Pierre Dubé & Jessie Handbury & Ilya Rahkovsky & Molly Schnell, 2019. "Food Deserts and the Causes of Nutritional Inequality," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 134(4), pages 1793-1844.
    6. Chang, Hung-Hao & Meyerhoefer, Chad D., 2019. "Inter-brand competition in the convenience store industry, store density and healthcare utilization," Journal of Health Economics, Elsevier, vol. 65(C), pages 117-132.
    7. Julie A. Campbell & Douglas Ezzy & Amanda Neil & Martin Hensher & Alison Venn & Melanie J. Sharman & Andrew J. Palmer, 2018. "A qualitative investigation of the health economic impacts of bariatric surgery for obesity and implications for improved practice in health economics," Health Economics, John Wiley & Sons, Ltd., vol. 27(8), pages 1300-1318, August.
    8. Bailey Houghtaling & Matthew Greene & Kaustubh V. Parab & Chelsea R. Singleton, 2022. "Improving Fruit and Vegetable Accessibility, Purchasing, and Consumption to Advance Nutrition Security and Health Equity in the United States," IJERPH, MDPI, vol. 19(18), pages 1-12, September.
    9. Atella, Vincenzo & Belotti, Federico & Giaccherini, Matilde & Medea, Gerardo & Nicolucci, Antonio & Sbraccia, Paolo & Mortari, Andrea Piano, 2024. "Lifetime costs of overweight and obesity in Italy," Economics & Human Biology, Elsevier, vol. 53(C).
    10. Vicky Van Stappen & Julie Latomme & Greet Cardon & Ilse De Bourdeaudhuij & Mina Lateva & Nevena Chakarova & Jemina Kivelä & Jaana Lindström & Odysseas Androutsos & Esther González-Gil & Pilar De Migue, 2018. "Barriers from Multiple Perspectives Towards Physical Activity, Sedentary Behaviour, Physical Activity and Dietary Habits When Living in Low Socio-Economic Areas in Europe. The Feel4Diabetes Study," IJERPH, MDPI, vol. 15(12), pages 1-15, December.
    11. David Rojas-Rueda & Emily Morales-Zamora & Wael Abdullah Alsufyani & Christopher H. Herbst & Salem M. AlBalawi & Reem Alsukait & Mashael Alomran, 2021. "Environmental Risk Factors and Health: An Umbrella Review of Meta-Analyses," IJERPH, MDPI, vol. 18(2), pages 1-38, January.
    12. Cawley, John & Maclean, Johanna Catherine & Hammer, Mette & Wintfeld, Neil, 2015. "Reporting error in weight and its implications for bias in economic models," Economics & Human Biology, Elsevier, vol. 19(C), pages 27-44.
    13. Beverly W. X. Wong & Win Pa Pa Thu & Yiong Huak Chan & Michael S. Kramer & Susan Logan & Jane A. Cauley & Eu-Leong Yong, 2022. "The Associations between Upper and Lower Body Muscle Strength and Diabetes among Midlife Women," IJERPH, MDPI, vol. 19(20), pages 1-11, October.
    14. Adam I. Biener & Chad Meyerhoefer & John Cawley, 2024. "Non‐classical measurement error in instrumental variables estimation: An application to the medical care costs of obesity," Health Economics, John Wiley & Sons, Ltd., vol. 33(11), pages 2558-2574, November.
    15. Cullinan, John & Cawley, John, 2017. "Parental misclassification of child overweight/obese status: The role of parental education and parental weight status," Economics & Human Biology, Elsevier, vol. 24(C), pages 92-103.
    16. Jonas Minet Kinge, 2017. "Waist circumference, body mass index, and employment outcomes," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 18(6), pages 787-799, July.
    17. Julie A. Campbell & Martin Hensher & Amanda Neil & Alison Venn & Stephen Wilkinson & Andrew J. Palmer, 2018. "An Exploratory Study of Long-Term Publicly Waitlisted Bariatric Surgery Patients’ Quality of Life Before and 1 Year After Bariatric Surgery, and Considerations for Healthcare Planners," PharmacoEconomics - Open, Springer, vol. 2(1), pages 63-76, March.
    18. João Botelho & Paulo Mascarenhas & João Viana & Luís Proença & Marco Orlandi & Yago Leira & Leandro Chambrone & José João Mendes & Vanessa Machado, 2022. "An umbrella review of the evidence linking oral health and systemic noncommunicable diseases," Nature Communications, Nature, vol. 13(1), pages 1-11, December.
    19. Kinge, Jonas Minet, 2016. "Waist circumference, body mass index and employment outcomes," HERO Online Working Paper Series 2016:4, University of Oslo, Health Economics Research Programme.
    20. Nadine Budd Nugent & Carmen Byker Shanks & Hilary K. Seligman & Hollyanne Fricke & Courtney A. Parks & Sarah Stotz & Amy L. Yaroch, 2021. "Accelerating Evaluation of Financial Incentives for Fruits and Vegetables: A Case for Shared Measures," IJERPH, MDPI, vol. 18(22), pages 1-16, November.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:18:y:2021:i:21:p:11364-:d:667600. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.