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Personal Ecology as a Determinant of Lifestyle Choices

This graphic does a very good job outlining the relationship between behavior and the clinical risks and endpoints that are so prevalent in our disease care system. While I applaud the display of this connection in one of our leading clinical...

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Personal Ecology in Accountable Care Outcomes

Two days ago, the Institute of Medicine (IOM) published the first of two reports on the role of social and behavioral factors as determinants of health, and advocated for the inclusion of social and behavioral items in the electronic medical...

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Exercise as a Medicine?

Being a physician-physiologist and lifelong sports and recreation enthusiast, it's not surprising that I'm an advocate of exercise as the most important medicine. But if we're going to think of exercise as a medicine, then we must...

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Tear Down the Health Care Silos

A few weeks ago, I was with a group of my colleagues in Washington, D.C., representing the American College of Sports Medicine (ACSM) and seeking support for a bill to fund the U.S. Physical Activity Guidelines. For the last 2 years, ACSM has...

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