Time To Re-Think and Rebuild: Need to Minimize the Pill and Re-Emphasize the Role of Risk Factors Modification in Life Style Disorders


  • Rahul Bogam Primary Health Care Corporation (PHCC), Doha, Qatar
  • Mariya P Jiandani PT School & Centre, Seth GSMC & KEMH, Parel, Mumbai, India
  • Mohamed Iheb Bougmiza Primary Health Care Corporation (PHCC), Doha, Qatar
  • Yousef Al-Hamaid King Faisal University, Alhasa, Saudi Arabia




Lifestyle Disorders, Diabetes, Hypertension, Workplace based Interventions


An increase of lifestyle diseases (LSDs) has been driven by predominantly four important risk factors viz. unhealthy diet, hazardous alcohol use, tobacco use and physical inactivity. The present paper is envisioned to emphasize personal viewpoints and elucidations about vital role of behavioral risk factors in the management of lifestyle diseases particularly regarding Obesity, Type 2 Diabetes (T2DM) and Hypertension as well as an associated risk of pharmacological measures in treating such illnesses. Type 2 Diabetes is considered as irreversible and incurable chronic disease based on traditional means of management. Though, the current research promotes complete reversal of diabetes with the help of simple lifestyle measures. Health care professionals are encouraged to converse with their patients regarding health benefits of exercise, healthy diet and other lifestyle measures. Patient centered behaviour involving reducing tobacco use, controlling alcohol consumption, improving sleep patterns, balanced diet and mental wellbeing should be targeted by health care professional. Early diagnosis, prompt initiation of healthy lifestyle measures and delayed drug treatment could be an effective strategy not only to combat LSDs but also to develop positive attitudes towards life.


World Health Organization. Non-Communicable Diseases. Available from https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases(Last accessed on September 8, 2021).

Mina Golestani, Homayoun Sadeghi-Bazargani, Mohammad Saadati, Mostafa Farahbakhsh, Koustuv Dalal. Lifestyle Risk Factor As-sessment Through WHO STEP Approach in Tabriz, Iran. Clinicoecon Outcomes Res 2021:13: 487-92. Doi: https://doi.org/10.2147/CEOR.S304189 PMid:34140788 PMCid:PMC8203186

Marlon E. Cer. Healthy lifestyles and noncommunicable diseases: Nutrition, the life-course, and health promotion. Life Style Medi-cine 2021;2 :112-14. Doi: https://doi.org/10.1002/lim2.31

Ridzuan AR Bin, Karim RA, Marmaya NH, Razak NA, Khalid NKN, Yusof KNM. Public Awareness towards Healthy Lifestyle. Int J Acad Res Bus Soc Sci 2018; 8: 927-36. Doi: https://doi.org/10.6007/IJARBSS/v8-i10/4790

Allam MF, Ortiz Arjona MA. Health promotion or pharmacological treatment for chronic diseases. J Prev Med Hyg. 2013; 54: 11-13.

Wadden TA, Berkowitz RI, Sarwer DB, Prus-Wisniewski R, Steinberg C. Benefits of Lifestyle Modification in the Pharmacologic Treatment of Obesity: A Randomized Trial. Arch Intern Med. 2001;161 :218-27. Doi: https://doi.org/10.1001/archinte.161.2.218 PMid:11176735

Karla I. Galaviz, KM Venkat Narayan, Felipe Lobelo, Mary Bet. Lifestyle and the Prevention of Type 2 Diabetes: A Status Report. Am J Lifestyle Med. 2018; 12: 4-20. Doi: https://doi.org/10.1177/1559827615619159 PMid:30202378 PMCid:PMC6125024

Michel Burnier and Brent M. Egan. Adherence in Hypertension. A Review of Prevalence, Risk Factors, Impact, and Management. Cir-culation Research 2019; 124: 1124-40. Doi: https://doi.org/10.1161/CIRCRESAHA.118.313220 PMid:30920917

Hartley M. Lifestyle modification as first line of treatment for chronic disease. J Diabetes Metab Disord Control. 2014; 1:35-39. Doi: https://doi.org/10.15406/jdmdc.2014.01.00009

McInnes G. Pre-hypertension: how low to go and do drugs have a role? Br J Clin Pharmacol. 2012;73:187-193. Doi: https://doi.org/10.1111/j.1365-2125.2011.04092.x PMid:21883385 PMCid:PMC3269577

Standards of medical care in diabetes. American Diabetes Association. Diabetes Care 2014; 37 :81-90.

Dixit JV. Eating frequency and weight loss: results of 6 months follow up of a public health campaign at Aurangabad. Int J Clin Trials 2014; 1:67-69. Doi: https://doi.org/10.5455/2349-3259.ijct20140806

Coulson JC, Mckenna J, Field M. Exercising at work and self-reported work performance. Int J Workplace Health Manag 2008; 1: 176 - 97. Doi: https://doi.org/10.1108/17538350810926534

Kevin D. Hall, Scott Kahan. Maintenance of lost weight and long-term management of obesity. Med Clin North Am 2018; 102: 183-97. Doi: https://doi.org/10.1016/j.mcna.2017.08.012 PMid:29156185 PMCid:PMC5764193

Anderson JW, Konz EC, Frederich RC, Wood CL. Long-term weight-loss maintenance: a metanalysis of US studies. Am J Clin Nutr. 2001; 74:579-84. Doi: https://doi.org/10.1093/ajcn/74.5.579 PMid:11684524

Milind Dhamankar, Ratna Ashtekar, Aditi Kelkar-Hate. Healthful Diet- Think wise, eat twice, drop size. Association for Diabetes and Obesity Reversal (ADORE) Trust, Pune, 2021.




How to Cite

Bogam R, Jiandani MP, Bougmiza MI, Al-Hamaid Y. Time To Re-Think and Rebuild: Need to Minimize the Pill and Re-Emphasize the Role of Risk Factors Modification in Life Style Disorders. Natl J Community Med [Internet]. 2022 Jun. 30 [cited 2024 May 29];13(06):411-4. Available from: https://njcmindia.com/index.php/file/article/view/1280



Short Communication