JAMES M. RIPPE, M.D.Dr. Rippe is a graduate of Harvard College and Harvard Medical School with postgraduate training at Massachusetts General Hospital. He is currently Founder and Director of the Rippe Lifestyle Institute and Professor of Medicine at the University of Massachusetts Medical School. Over the past 25 years, Dr. Rippe has established and run the largest research organization in the world exploring how daily habits and actions impact short- and long-term health and quality of life. This organization, Rippe Lifestyle Institute (RLI), has published hundreds of papers that form the scientific basis for the fields of lifestyle medicine and high-performance health. Rippe Lifestyle Institute also conducts numerous studies every year on physical activity, nutrition, and healthy weight management. Dr. Rippe has written over 500 academic papers and research abstracts and also written or edited 56 books, including 33 for health care professionals and 23 for the general public.A lifelong and avid athlete, Dr. Rippe maintains his personal fitness with a regular walk, jog, swimming, and weight training program. He holds a black belt in karate and is an avid wind surfer, skier, and tennis player. He lives outside of Boston with his wife, television news anchor Stephanie Hart, and their four children, Hart, Jaelin, Devon and Jamie.

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• ContentsPreface.......................................................................................................................ixAcknowledgments................................................................................................... xiiiAuthor Bio.................................................................................................................xvChapter 1 Lifestyle Challenges and Opportunities................................................1Chapter 2 Nutrition in Lifestyle Medicine........................................................... 11Chapter 3 Physical Activity and Health............................................................... 31Chapter 4 Behavioral Change.............................................................................. 47Chapter 5 Lifestyle Medicine and Cardiovascular Disease................................. 61Chapter 6 Diabetes, Prediabetes, and Metabolic Syndrome................................ 75Chapter 7 Cancer Prevention and Treatment.......................................................87Chapter 8 Obesity and Weight Management..................................................... 103Chapter 9 Pulmonary Medicine......................................................................... 121Chapter 10 Obstetrics and Gynecology............................................................... 139Chapter 11 Lifestyle Medicine and Brain Health................................................ 153Chapter 12 Women’s Heath.................................................................................. 163Chapter 13 Immunology and Infectious Disease................................................. 177Chapter 14 Pediatrics........................................................................................... 185Chapter 15 The Practice of Lifestyle Medicine...................................................203Chapter 16 Lifestyle Medicine for the Older Adult Population........................... 215Chapter 17 Heath Promotion...............................................................................223Chapter 18 Injury Prevention............................................................................... 231Chapter 19 Substance Abuse and Addiction........................................................ 243Chapter 20 Public Policy and Environmental Support for Lifestyle Habitsand Practices..................................................................................... 257Chapter 21 Lifestyle Medicine around the World................................................269Chapter 22 The Future of Lifestyle Medicine..................................................... 279Index....................................................................................................................... 291

JAMES M. RIPPE, M.D.Dr. Rippe is a graduate of Harvard College and Harvard Medical School with postgraduate training at Massachusetts General Hospital. He is currently Founder and Director of the Rippe Lifestyle Institute and Professor of Medicine at the University of Massachusetts Medical School. Over the past 25 years, Dr. Rippe has established and run the largest research organization in the world exploring how daily habits and actions impact short- and long-term health and quality of life. This organization, Rippe Lifestyle Institute (RLI), has published hundreds of papers that form the scientific basis for the fields of lifestyle medicine and high-performance health. Rippe Lifestyle Institute also conducts numerous studies every year on physical activity, nutrition, and healthy weight management. Dr. Rippe has written over 500 academic papers and research abstracts and also written or edited 56 books, including 33 for health care professionals and 23 for the general public.A lifelong and avid athlete, Dr. Rippe maintains his personal fitness with a regular walk, jog, swimming, and weight training program. He holds a black belt in karate and is an avid wind surfer, skier, and tennis player. He lives outside of Boston with his wife, television news anchor Stephanie Hart, and their four children, Hart, Jaelin, Devon and Jamie.

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• ContentsPreface.......................................................................................................................ixAcknowledgments................................................................................................... xiiiAuthor Bio.................................................................................................................xvChapter 1 Lifestyle Challenges and Opportunities................................................1Chapter 2 Nutrition in Lifestyle Medicine........................................................... 11Chapter 3 Physical Activity and Health............................................................... 31Chapter 4 Behavioral Change.............................................................................. 47Chapter 5 Lifestyle Medicine and Cardiovascular Disease................................. 61Chapter 6 Diabetes, Prediabetes, and Metabolic Syndrome................................ 75Chapter 7 Cancer Prevention and Treatment.......................................................87Chapter 8 Obesity and Weight Management..................................................... 103Chapter 9 Pulmonary Medicine......................................................................... 121Chapter 10 Obstetrics and Gynecology............................................................... 139Chapter 11 Lifestyle Medicine and Brain Health................................................ 153Chapter 12 Women’s Heath.................................................................................. 163Chapter 13 Immunology and Infectious Disease................................................. 177Chapter 14 Pediatrics........................................................................................... 185Chapter 15 The Practice of Lifestyle Medicine...................................................203Chapter 16 Lifestyle Medicine for the Older Adult Population........................... 215Chapter 17 Heath Promotion...............................................................................223Chapter 18 Injury Prevention............................................................................... 231Chapter 19 Substance Abuse and Addiction........................................................ 243Chapter 20 Public Policy and Environmental Support for Lifestyle Habitsand Practices..................................................................................... 257Chapter 21 Lifestyle Medicine around the World................................................269Chapter 22 The Future of Lifestyle Medicine..................................................... 279Index....................................................................................................................... 291

JAMES M. RIPPE, M.D.Dr. Rippe is a graduate of Harvard College and Harvard Medical School with postgraduate training at Massachusetts General Hospital. He is currently Founder and Director of the Rippe Lifestyle Institute and Professor of Medicine at the University of Massachusetts Medical School. Over the past 25 years, Dr. Rippe has established and run the largest research organization in the world exploring how daily habits and actions impact short- and long-term health and quality of life. This organization, Rippe Lifestyle Institute (RLI), has published hundreds of papers that form the scientific basis for the fields of lifestyle medicine and high-performance health. Rippe Lifestyle Institute also conducts numerous studies every year on physical activity, nutrition, and healthy weight management. Dr. Rippe has written over 500 academic papers and research abstracts and also written or edited 56 books, including 33 for health care professionals and 23 for the general public.A lifelong and avid athlete, Dr. Rippe maintains his personal fitness with a regular walk, jog, swimming, and weight training program. He holds a black belt in karate and is an avid wind surfer, skier, and tennis player. He lives outside of Boston with his wife, television news anchor Stephanie Hart, and their four children, Hart, Jaelin, Devon and Jamie.

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• ContentsPreface.......................................................................................................................ixAcknowledgments................................................................................................... xiiiAuthor Bio.................................................................................................................xvChapter 1 Lifestyle Challenges and Opportunities................................................1Chapter 2 Nutrition in Lifestyle Medicine........................................................... 11Chapter 3 Physical Activity and Health............................................................... 31Chapter 4 Behavioral Change.............................................................................. 47Chapter 5 Lifestyle Medicine and Cardiovascular Disease................................. 61Chapter 6 Diabetes, Prediabetes, and Metabolic Syndrome................................ 75Chapter 7 Cancer Prevention and Treatment.......................................................87Chapter 8 Obesity and Weight Management..................................................... 103Chapter 9 Pulmonary Medicine......................................................................... 121Chapter 10 Obstetrics and Gynecology............................................................... 139Chapter 11 Lifestyle Medicine and Brain Health................................................ 153Chapter 12 Women’s Heath.................................................................................. 163Chapter 13 Immunology and Infectious Disease................................................. 177Chapter 14 Pediatrics........................................................................................... 185Chapter 15 The Practice of Lifestyle Medicine...................................................203Chapter 16 Lifestyle Medicine for the Older Adult Population........................... 215Chapter 17 Heath Promotion...............................................................................223Chapter 18 Injury Prevention............................................................................... 231Chapter 19 Substance Abuse and Addiction........................................................ 243Chapter 20 Public Policy and Environmental Support for Lifestyle Habitsand Practices..................................................................................... 257Chapter 21 Lifestyle Medicine around the World................................................269Chapter 22 The Future of Lifestyle Medicine..................................................... 279Index....................................................................................................................... 291