Abstract
Background: Cardiovascular diseases (CVD) are a leading cause of morbidity and mortality in the United States. While conventional medical treatments dominate cardiovascular care, non-medical pathways, such as plant-based dietary patterns and lifestyle modifications, have gained recognition for their potential to complement traditional approaches.
Methods: A qualitative discourse analysis was conducted on peer-reviewed articles published between 2013 and 2023. A systematic search across databases identified 10 studies that met inclusion criteria, focusing on non-medical interventions for reducing CVD risk in U.S.-based populations. Data extraction and thematic synthesis highlighted key patterns related to dietary and lifestyle interventions, cost implications, physiological outcomes, and implementation barriers.
Results: Five key themes emerged from the analysis: (1) Plant-based dietary patterns, including vegetarian and vegan diets, consistently improved blood pressure and lipid profiles. (2) Lifestyle modifications, such as increased physical activity and stress management, enhanced cardiovascular health when integrated into primary care frameworks. (3) Non-medical interventions demonstrated significant improvements in physiological outcomes, including reductions in systolic and diastolic blood pressure. (4) These interventions were cost-effective and scalable, making them viable options for diverse populations. (5) Barriers to implementation included cultural and socioeconomic factors, as well as challenges in sustaining long-term adherence.
Conclusion: Non-medical pathways, particularly plant-based dietary patterns and lifestyle modifications, play a critical role in mitigating cardiovascular disease risks. These approaches not only address key physiological risk factors but also provide cost-effective, accessible, and scalable solutions for diverse populations. Overcoming barriers to implementation through tailored interventions and community-based strategies is essential to ensure their success. Integrating these non-medical pathways into healthcare frameworks could significantly reduce the burden of CVD and promote equitable health outcomes.
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References
- Rooke J. Advancing health equity with lifestyle medicine. Am J Lifestyle Med. 2018;12(6):472-475. doi:10.1177/1559827618780680.
- Adhikary D, Barman S, Ranjan R, Stone H. A systematic review of major cardiovascular risk factors: a growing global health concern. Cureus. 2022. doi:10.7759/cureus.30119.
- Khan A, Butt M, Khan S, et al. Exercise as an emerging factor effecting cardiovascular health (an experimental approach). J Pharm Res Int. 2021;33(57):193-205. doi:10.9734/jpri/2021/v33i57b34046.
- Huffel L, Tomson C, Ruige J, et al. Dietary restriction and exercise for diabetic patients with chronic kidney disease: a systematic review. PLoS One. 2014;9(11):e113667. doi:10.1371/journal.pone.0113667.
- Khouja J, Jasir B, Bargawi A, Kutbi M. Lifestyle intervention for cardiovascular disease risk factors in Jeddah, Saudi Arabia. Cureus. 2020. doi:10.7759/cureus.11791.
- Ylimäki E, Kanste O, Heikkinen H, et al. The effects of a counselling intervention on lifestyle change in people at risk of cardiovascular disease. Eur J Cardiovasc Nurs. 2014;14(2):153-161. doi:10.1177/1474515114521725.
- Grandhi G, Mszar R, Brandt E, et al. Association of cardiovascular risk factor profile and financial hardship from medical bills among non-elderly adults in the United States. Am J Prev Cardiol. 2020;2:100034. doi:10.1016/j.ajpc.2020.100034.
- Chirinos D, Vargas E, Kamsickas L, Carnethon M. The role of behavioral science in addressing cardiovascular health disparities: a narrative review of efforts, challenges, and future directions. Health Psychol. 2022;41(10):740-754. doi:10.1037/hea0001191.
- Debela D, Dhaba B, Shumi G, et al. Effect of an educational intervention on lifestyle modification of patients with hypertension at Bishoftu General Hospital, Ethiopia, 2021. Prev Chronic Dis. 2023;20. doi:10.5888/pcd20.220235.
- Lopez PD, Cativo EH, Atlas SA, Rosendorff C. The effect of vegan diets on blood pressure in adults: a meta-analysis of randomized controlled trials. Am J Med. 2019;132(7):875-883.e7. doi:10.1016/j.amjmed.2019.02.016.
- Wang F, Zheng J, Yang B, Jiang J, Fu Y. Effects of vegetarian diets on blood lipids: a systematic review and meta-analysis of randomized controlled trials. J Am Heart Assoc. 2015;4(10):e002408. doi:10.1161/JAHA.115.002408.
- Dhungana RR, Pedisic Z, de Courten M. Implementation of non-pharmacological interventions for the treatment of hypertension in primary care: a narrative review of effectiveness, cost-effectiveness, barriers, and facilitators. BMC Prim Care. 2022;23:298. doi:10.1186/s12875-022-01884-8.
- Yokoyama Y, Levin SM, Barnard ND. Association between plant-based diets and plasma lipids: a systematic review and meta-analysis. Nutr Rev. 2017;75(9):683-698. doi:10.1093/nutrit/nux030.
- Gibbs J, Gaskin E, Ji C, et al. The effect of plant-based dietary patterns on blood pressure: a systematic review and meta-analysis of controlled intervention trials. J Hypertens. 2021;39(1):23-37. doi:10.1097/HJH.0000000000002610.
