{"id":32440,"date":"2025-10-15T19:43:39","date_gmt":"2025-10-15T19:43:39","guid":{"rendered":"https:\/\/lifestylemedicine.org\/?p=32440"},"modified":"2025-11-06T19:48:53","modified_gmt":"2025-11-06T19:48:53","slug":"lifestyle-medicine-core-competencies-updated-addressing-todays-global-health-priorities","status":"publish","type":"post","link":"https:\/\/lifestylemedicine.org\/lifestyle-medicine-core-competencies-updated-addressing-todays-global-health-priorities\/","title":{"rendered":"Lifestyle medicine core competencies updated: Addressing today\u2019s global health priorities"},"content":{"rendered":"\n<h1 class=\"wp-block-heading\" id=\"h-lifestyle-medicine-core-competencies-updated-addressing-today-s-global-health-priorities-nbsp-nbsp-nbsp\"><strong><\/strong><strong><\/strong><strong><\/strong><strong>Lifestyle medicine core competencies updated: Addressing today\u2019s global health priorities&nbsp;<\/strong>&nbsp;&nbsp;<\/h1>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>The 2025 update adds one new competency and refines two others, bringing the total to 89. Together, these updates enhance lifestyle medicine\u2019s capacity to tackle today\u2019s most urgent issues, including health equity, planetary health, and nutrition in a complex food environment, as well as outline a structure and timing for future global updates.&nbsp;&nbsp;<\/p>\n<\/blockquote>\n\n\n\n<p><strong><\/strong><strong>By&nbsp;Brenda Rea, DrPH, RD, PT, DipABLM, FACLM, LM Intensivist&nbsp;<\/strong>&nbsp;| <strong>ACLM Medical Director of Education&nbsp;<\/strong><\/p>\n\n\n\n<p>November 6, 2025<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"450\" src=\"https:\/\/lifestylemedicine.org\/wp-content\/uploads\/post\/2025\/10\/Lifestyle-medicine-core-competencies-updated-Addressing-todays-global-health-priorities-_1_.webp\" alt=\"\" class=\"wp-image-32442\" srcset=\"https:\/\/lifestylemedicine.org\/wp-content\/uploads\/post\/2025\/10\/Lifestyle-medicine-core-competencies-updated-Addressing-todays-global-health-priorities-_1_.webp 800w, https:\/\/lifestylemedicine.org\/wp-content\/uploads\/post\/2025\/10\/Lifestyle-medicine-core-competencies-updated-Addressing-todays-global-health-priorities-_1_-300x169.webp 300w, https:\/\/lifestylemedicine.org\/wp-content\/uploads\/post\/2025\/10\/Lifestyle-medicine-core-competencies-updated-Addressing-todays-global-health-priorities-_1_-768x432.webp 768w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<p>Lifestyle medicine (LM) competencies define the knowledge and skills required to practice evidence-based LM across medical and healthcare disciplines. Since their first publication in 2010, the competencies have evolved to reflect the field\u2019s expanding scope\u2014first with an update&nbsp;in 2022, and now in 2025.&nbsp;<\/p>\n\n\n\n<p>As the field continues to grow and organize globally, the Lifestyle Medicine Global Alliance (LMGA) recognized the need for a structured, predictable process for competency review and revision. The new lifestyle medicine competency update schedule establishes <strong>major updates every six years starting in 2027 <\/strong>complemented by <strong>minor updates occurring between the major updates beginning in 2030.<\/strong>&nbsp;<\/p>\n\n\n\n<p>This framework is designed to shape professional knowledge and skills while informing curricular development and revisions of both the <a href=\"https:\/\/learning.lifestylemedicine.org\/content\/foundations-lifestyle-medicine-board-review-course-30-cmece\" target=\"_blank\" rel=\"noreferrer noopener\">Lifestyle Medicine Board Review<\/a><strong> (LMBR)<\/strong> and <a href=\"https:\/\/lifestylemedicine.org\/academic-integration\/residency-curriculum\/\" target=\"_blank\" rel=\"noreferrer noopener\">Lifestyle Medicine Residency Curriculum<\/a><strong> (LMRC)<\/strong>. However, these curricular changes will not be implemented immediately. Because of the scope and workload required, it will take <strong>two to three years<\/strong> after each competency update for full curricular integration. From there, an additional year will be needed before the changes are realized in the <strong>English American Board of Lifestyle Medicine certification exam in North America<\/strong>, and another year beyond that for <strong>translations into other languages<\/strong> for the International Board of Lifestyle Medicine certification exam.&nbsp;<\/p>\n\n\n\n<p>Due to the cost and workload associated with translations, the LMBR will only be translated following <strong>major LM Competency updates every six years<\/strong>, meaning only <strong>even-numbered editions<\/strong> (e.g., 4th, 6th) will undergo translation. This systematic process ensures that LM competencies are consistently aligned with emerging science and global health priorities while balancing the operational realities of curricular and certification development.&nbsp;<\/p>\n\n\n\n<p>The 2025 update introduces one new competency and refines two existing ones, bringing the total number of LM competencies to <strong>89<\/strong>. These changes strengthen LM\u2019s ability to address today\u2019s most pressing challenges, from health equity to planetary health to nutrition in the modern food environment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-a-new-competency-social-determinants-of-health-a9-nbsp-nbsp-nbsp-nbsp\"><strong><\/strong><strong>A new competency: social determinants of health (A9)&nbsp;<\/strong>&nbsp;&nbsp;&nbsp;<\/h2>\n\n\n\n<p>The most significant addition in this update is <strong>Competency A9: Apply LM interventions in the context of social determinants of health (SDOH) to improve health outcomes and health equity.<\/strong>&nbsp;<\/p>\n\n\n\n<p>SDOH are estimated to influence up to <strong>50% of health outcomes<\/strong>, yet traditional medical education has not adequately equipped practitioners to address them. By explicitly including SDOH, LM emphasizes that interventions must be designed with an awareness of patients\u2019 social, cultural, and economic contexts.&nbsp;<\/p>\n\n\n\n<p>This competency prepares practitioners to:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Assess a patient\u2019s social and economic environment.&nbsp;<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Tailor interventions to be culturally relevant and realistic.&nbsp;<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Collaborate across disciplines and with communities to address systemic barriers.&nbsp;<\/li>\n<\/ul>\n\n\n\n<p>By integrating SDOH into LM training, healthcare professionals can more effectively promote health equity and resilience, ensuring that interventions are not only clinically sound but also socially sustainable.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-strengthening-the-link-between-human-and-planetary-health-updated-a8-nbsp\"><strong>Strengthening the link between human and planetary health (updated A8)&nbsp;<\/strong><\/h2>\n\n\n\n<p>The second update redefines the planetary health competency:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>2022 Competency A8:<\/strong> Explain the impact of lifestyle choices on planetary health and sustainable living.&nbsp;<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>2025 Updated Competency A8:<\/strong> Examine the relationship between LM, planetary health, and sustainable living.&nbsp;<\/li>\n<\/ul>\n\n\n\n<p>This shift emphasizes the <strong>bidirectional relationship<\/strong> between human and planetary health. Not only do lifestyle choices impact the environment, but climate change, pollution, and ecosystem disruption directly affect human health outcomes\u2014from respiratory illness and cardiovascular risk to food insecurity and allergy prevalence.&nbsp;<\/p>\n\n\n\n<p>LM practitioners are now guided to frame planetary health as inseparable from patient health, recognizing the scientific evidence linking sustainable living with improved outcomes for both individuals and communities.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-a-clearer-view-on-food-processing-and-health-updated-c5-nbsp\"><strong>A clearer view on food processing and health (updated C5)&nbsp;<\/strong><\/h2>\n\n\n\n<p>The third update revises the nutrition-related food processing competency:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>2022 Competency C5:<\/strong> Describe how the level of processing in a food affects health and discuss the evidence base for these effects.&nbsp;<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>2025 Updated Competency C5:<\/strong> Appraise the evidence base related to how the level and type of food processing affect health outcomes.&nbsp;<\/li>\n<\/ul>\n\n\n\n<p>This change reflects the need for practitioners to engage with the growing body of research on <strong>ultra-processed foods (UPFs)<\/strong> and their associations with obesity, type 2 diabetes, cardiovascular disease, cancer, and other chronic conditions. The update highlights that not all processing is harmful\u2014techniques such as flash freezing or grain milling can preserve or even enhance nutritional value\u2014while UPFs, with their high levels of additives and low nutrient density, carry clear health risks.&nbsp;<\/p>\n\n\n\n<p>By deepening practitioners\u2019 understanding of food processing classifications and their implications, LM provides a stronger evidence-based foundation for guiding patients toward healthier dietary patterns.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-looking-ahead-nbsp\"><strong>Looking ahead&nbsp;<\/strong><\/h2>\n\n\n\n<p>The 2025 LM Competency updates mark a critical step in aligning LM education and practice with global priorities: <strong>equity, sustainability, and nutrition quality.<\/strong> With a structured schedule for future updates, healthcare professionals can trust that competencies will remain timely, evidence-based, and globally relevant.&nbsp;<\/p>\n\n\n\n<p>By incorporating SDOH, strengthening the recognition of planetary health, and refining the approach to food processing, LM continues to provide a comprehensive framework for transforming health at the individual, community, and global level.&nbsp;<\/p>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column has-background is-layout-flow wp-block-column-is-layout-flow\" style=\"border-radius:10px;background:linear-gradient(135deg,rgb(247,244,237) 0%,rgb(247,244,237) 100%)\">\n<h2 class=\"wp-block-heading\" id=\"h-read-the-2025-lifestyle-medicine-competency-update-paper\"><strong><\/strong><strong>Read the 2025 Lifestyle Medicine Competency Update Paper<\/strong><\/h2>\n\n\n\n<p>Get the official summary of all LM competency changes, including the new social determinants of health competency, updates on planetary health and food processing, and the framework for future update<\/p>\n\n\n\n<div id=\"block_7b2b576a0257dd3f870a10309d4c4995\" class=\"wrapper__buttons flex flex-mob-col flex-ai-c flex-mob-jc-c none\">\n                        <a href=\"https:\/\/journals.sagepub.com\/doi\/10.1177\/15598276251379821\" target=\"_blank\" class=\"button\"><span>Read the Paper<\/span><\/a>            <\/div>\n\n<\/div>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-about-the-author\">About the author<\/h2>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:33.33%\">\n<figure class=\"wp-block-image aligncenter size-full is-resized has-custom-border\"><img loading=\"lazy\" decoding=\"async\" width=\"500\" height=\"700\" src=\"https:\/\/lifestylemedicine.org\/wp-content\/uploads\/2023\/02\/Brenda-Rea-500-x-700.jpeg\" alt=\"Dr. Brenda Rea\" class=\"wp-image-6806\" style=\"border-radius:10px;aspect-ratio:1;object-fit:cover;width:200px\" srcset=\"https:\/\/lifestylemedicine.org\/wp-content\/uploads\/2023\/02\/Brenda-Rea-500-x-700.jpeg 500w, https:\/\/lifestylemedicine.org\/wp-content\/uploads\/2023\/02\/Brenda-Rea-500-x-700-214x300.jpeg 214w\" sizes=\"(max-width: 500px) 100vw, 500px\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:66.66%\">\n<p><strong>Brenda Rea<\/strong> serves as the Medical Director of Education for the American College of Lifestyle Medicine and has over 20 years of knowledge and experience mentoring health professional students, medical students, residents and fellows in nutrition, lifestyle medicine and whole person care.&nbsp; Brenda completed her education at Loma Linda University Health, including family, preventive and lifestyle medicine specialties and has remained affiliated as faculty. She is passionate about training a new generation of physicians and health professionals to use nutrition and lifestyle medicine to treat and reverse chronic disease and strives to model these principles personally.&nbsp;<\/p>\n<\/div>\n<\/div>\n\n\n\n\n","protected":false},"excerpt":{"rendered":"<p>Lifestyle medicine core competencies updated: Addressing today\u2019s global health priorities&nbsp;&nbsp;&nbsp; The 2025 update adds one new competency and refines two others, bringing the total to 89. Together, these updates enhance lifestyle medicine\u2019s capacity to tackle today\u2019s most urgent issues, including health equity, planetary health, and nutrition in a complex food environment, as well as outline [&hellip;]<\/p>\n","protected":false},"author":6,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[87,30],"tags":[],"class_list":["post-32440","post","type-post","status-publish","format-standard","hentry","category-blog","category-clinical-community-integration"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v26.4 (Yoast SEO v26.4) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Lifestyle medicine core competencies updated: Addressing today\u2019s global health priorities - American College of Lifestyle Medicine<\/title>\n<meta name=\"description\" content=\"Discover how clinicians and health leaders in Texas are driving lifestyle medicine innovations to prevent and treat chronic disease at scale.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/lifestylemedicine.org\/lifestyle-medicine-core-competencies-updated-addressing-todays-global-health-priorities\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Lifestyle medicine core competencies updated: Addressing today\u2019s global health priorities\" \/>\n<meta property=\"og:description\" content=\"Discover how clinicians and health leaders in Texas are driving lifestyle medicine innovations to prevent and treat chronic disease at scale.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/lifestylemedicine.org\/lifestyle-medicine-core-competencies-updated-addressing-todays-global-health-priorities\/\" \/>\n<meta property=\"og:site_name\" content=\"American College of Lifestyle Medicine\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/facebook.com\/lifestylemed\" \/>\n<meta property=\"article:published_time\" content=\"2025-10-15T19:43:39+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-11-06T19:48:53+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/lifestylemedicine.org\/wp-content\/uploads\/post\/2025\/10\/Lifestyle-medicine-core-competencies-updated-Addressing-todays-global-health-priorities-_1_.webp\" \/>\n\t<meta property=\"og:image:width\" content=\"800\" \/>\n\t<meta property=\"og:image:height\" content=\"450\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/webp\" \/>\n<meta name=\"author\" content=\"ayeshatyagi\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/lifestylemedicine.org\/lifestyle-medicine-core-competencies-updated-addressing-todays-global-health-priorities\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/lifestylemedicine.org\/lifestyle-medicine-core-competencies-updated-addressing-todays-global-health-priorities\/\"},\"author\":{\"name\":\"ayeshatyagi\",\"@id\":\"https:\/\/lifestylemedicine.org\/#\/schema\/person\/ecf90626125248792d822b50948a8a73\"},\"headline\":\"Lifestyle medicine core competencies updated: Addressing today\u2019s global health priorities\",\"datePublished\":\"2025-10-15T19:43:39+00:00\",\"dateModified\":\"2025-11-06T19:48:53+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/lifestylemedicine.org\/lifestyle-medicine-core-competencies-updated-addressing-todays-global-health-priorities\/\"},\"wordCount\":1067,\"publisher\":{\"@id\":\"https:\/\/lifestylemedicine.org\/#organization\"},\"image\":{\"@id\":\"https:\/\/lifestylemedicine.org\/lifestyle-medicine-core-competencies-updated-addressing-todays-global-health-priorities\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/lifestylemedicine.org\/wp-content\/uploads\/post\/2025\/10\/Lifestyle-medicine-core-competencies-updated-Addressing-todays-global-health-priorities-_1_.webp\",\"articleSection\":[\"Blog\",\"Clinical &amp; 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