ABSTRACT
Lifestyle medicine is a nascent field encumbered by many obstacles. Specifically, successful reduction in cardiometabolic risks with lifestyle medicine, measured by clinical outcomes and a healthier population, is challenged by socioeconomic and infrastructural factors. Context for this problem is provided in terms of a new driver-based chronic disease model that exposes early cardiometabolic targets for sustainable preventive care. Important socioeconomic hurdles for implementation are discussed: social determinants of health, transcultural factors, and healthcare system economics. Infrastructural topics are also discussed: the built environment, defragmentation of healthcare, and creation of lifestyle medicine center. Implementation science is a necessary tool and explained in terms of gaps (research, knowledge, and practice) for relevance, logistics (champions, teams, and resources), technology, and sustainability.
