LIFESTYLE MEDICINE FOR THE PREVENTION AND CONTROL OF NON-COMMUNICABLE DISEASES IN THAILAND: POLICY RECOMMENDATIONS
Keywords:
Lifestyle medicine, Non-communicable diseases, Health promotion, Health policy, Health systemsAbstract
Non-communicable diseases (NCDs) are the leading cause of mortality globally and in Thailand, accounting for more than 70% of all deaths. Their burden continues to rise due to population aging and unhealthy lifestyle behaviors. Lifestyle medicine is an evidence-based approach that targets six core pillars: nutrition, physical activity, sleep, stress management, social connection, and avoidance of risky substances. It has been shown to prevent, manage, and in some cases reverse chronic diseases.
This article aims to describe the concepts, principles, and mechanisms of lifestyle medicine, and to synthesize global evidence and practical experiences in Thailand. The ultimate goal is to propose policy recommendations for integrating lifestyle medicine into the Thai health system at scale.
The findings indicate that lifestyle medicine can significantly reduce disease burden, healthcare costs, and improve quality of life. However, implementation remains limited due to structural barriers, financing mechanisms, and workforce capacity.
The article proposes the development of a national policy framework to support the systematic integration of lifestyle medicine into healthcare delivery, workforce development, financing systems, and monitoring mechanisms to achieve sustainable health system transformation.
References
World Health Organization. Noncommunicable diseases [Internet]. Geneva: WHO; 2023 [cited 2026 Apr 22]. Available from: https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases
กระทรวงสาธารณสุข. รายงานสุขภาพประเทศไทย พ.ศ. 2563–2565. นนทบุรี: กระทรวงสาธารณสุข; 2566.
Bodenheimer T, Chen E, Bennett HD. Confronting the growing burden of chronic disease. Health Aff (Millwood). 2009;28(1):64–76.
American College of Lifestyle Medicine. Lifestyle medicine core competencies [Internet]. 2022 [cited 2026 Apr 22]. Available from: https://lifestylemedicine.org
Egger G, Binns A, Rossner S. Lifestyle medicine. 3rd ed. London: Academic Press; 2017.
World Health Organization. Global action plan for the prevention and control of NCDs 2013–2030. Geneva: WHO; 2013.
Huber M, Knottnerus JA, Green L, van der Horst H, Jadad AR, Kromhout D, et al. How should we define health? BMJ. 2011;343:d4163.
Lorig KR, Holman HR. Self-management education. Ann Behav Med. 2003;26(1):1–7.
Egger G, Swinburn B, Rossner S. Lifestyle medicine: managing diseases of lifestyle. Aust Fam Physician. 2009;38(1–2):20–2.
Furman D, Campisi J, Verdin E, Carrera-Bastos P, Targ S, Franceschi C, et al. Chronic inflammation in the etiology of disease. Nat Med. 2019;25(12):1822–32.
Satija A, Hu FB. Plant-based diets and cardiovascular health. J Am Coll Cardiol. 2018;72(8):914–26.
Warburton DER, Nicol CW, Bredin SSD. Health benefits of physical activity. CMAJ. 2006;174(6):801–9.
Spiegel K, Leproult R, Van Cauter E. Impact of sleep debt. Lancet. 1999;354(9188):1435–9.
Black DS, Slavich GM. Mindfulness meditation and the immune system. Ann N Y Acad Sci. 2016;1373(1):13–24.
Miller WR, Rollnick S. Motivational interviewing. 3rd ed. New York: Guilford Press; 2013.
Holt-Lunstad J, Smith TB, Layton JB. Social relationships and mortality risk. PLoS Med. 2010;7(7):e1000316.
Bodenheimer T, Ghorob A, Willard-Grace R, Grumbach K. Team-based care. Health Aff (Millwood). 2014;33(6):926–34.
World Health Organization. Global health risks. Geneva: WHO; 2009.
Diabetes Prevention Program Research Group. Reduction in diabetes incidence. N Engl J Med. 2002;346(6):393–403.
Wagner EH. Chronic care model. Milbank Q. 2001;79(4):579–612.
Edelman D, Gierisch JM, McDuffie JR, Oddone E, Williams JW. Shared medical appointments. Ann Intern Med. 2015;163(5):352–63.
World Health Organization. Health in all policies framework. Helsinki: WHO; 2014.
Knowler WC, Fowler SE, Hamman RF, Christophi CA, Hoffman HJ, Brenneman AT, et al. 10-year follow-up of DPP. Lancet. 2009;374(9702):1677–86.
Ornish D, Brown SE, Scherwitz LW, Billings JH, Armstrong WT, Ports TA, et al. Lifestyle changes and coronary heart disease. Lancet. 1990;336(8708):129–33.
Lean MEJ, Leslie WS, Barnes AC, Brosnahan N, Thom G, McCombie L, et al. DiRECT trial. Lancet. 2018;391(10120):541–51.
Goetzel RZ, Roemer EC, Holingue C, Fallin MD, McCleary K, Eaton W, et al. Workplace health promotion. Health Aff (Millwood). 2014;33(3):364–70.
Li G, Zhang P, Wang J, Gregg EW, Yang W, Gong Q, et al. Lifestyle intervention meta-analysis. Lancet Diabetes Endocrinol. 2014;2(6):474–80.
กระทรวงสาธารณสุข. แผนยุทธศาสตร์การป้องกันและควบคุมโรคไม่ติดต่อระดับชาติ พ.ศ. 2565. นนทบุรี: กระทรวงสาธารณสุข; 2565.
กรมอนามัย. รายงานการดำเนินงานส่งเสริมสุขภาพระดับชุมชน ประจำปี 2566. นนทบุรี: กรมอนามัย กระทรวงสาธารณสุข; 2566.
Marmot M, Friel S, Bell R, Houweling TAJ, Taylor S. Social determinants of health inequalities. Lancet. 2008;372(9650):1661–9.
World Health Organization. Global strategy on digital health 2020–2025. Geneva: WHO; 2021.
Porter ME. What is value in health care? N Engl J Med. 2010;363(26):2477–81.
Downloads
Published
How to Cite
Issue
Section
License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles in this journal are copyrighted by the x may be read and used for academic purposes, such as teaching, research, or citation, with proper credit given to the author and the journal.use or modification of the articles is prohibited without permission.
statements expressed in the articles are solely the opinions of the authors.
authors are fully responsible for the content and accuracy of their articles.
other reuse or republication requires permission from the journal."

