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Cardiometabolic medicine in culture, community, and society: a unified goal with diverse approaches

Hypertension Research volume 48, pages 1669–1670 (2025)Cite this article

We would like to begin by expressing our thanks to Yang for the letter to the editor [1]. This letter reminds us that it is extremely important to implement cardiometabolic health promotion and precision medicine rooted within individual cultures, communities, and societies. However, in daily clinical settings, we often verbally instruct patients to modify their lifestyle in a routine manner, such as body weight control and salt reduction. Unfortunately, we fail to implement fully individualized lifestyle interventions in accordance with their cultural orientation and beliefs. This may stem in part from the fact that the medical staff do not have enough information on such backgrounds of patients.

As drug therapy is currently practiced based on evidence from clinical trials and treatment guidelines, room for patients’ cultural and creedal aspects to enter into decision-making is relatively limited. On the other hand, although we understand the importance of non-drug therapies (life style modifications) especially in the cardiometabolic preventive strategies, patients are not sufficiently coached in their implementation. How can we bridge the gap between the medical staff, who tend to believe that they have done their job by providing only routine verbal guidance, and the patient, who may not know how to do something more specific than what is explained in the office? The key is to adopt a culturally tailored and belief-based approach. To implement more efficient preventive medicine, it is necessary for us to present strategies rooted in the culture, community, and society in which patients live.

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Acknowledgements

This work was supported in part by the Nakatomi Foundation.

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  1. Department of Cardiovascular Medicine, Saga University, Saga, Japan

    Atsushi Tanaka & Koichi Node

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  1. Atsushi Tanaka
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  2. Koichi Node
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Correspondence to Atsushi Tanaka.

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Tanaka, A., Node, K. Cardiometabolic medicine in culture, community, and society: a unified goal with diverse approaches. Hypertens Res 48, 1669–1670 (2025). https://doi.org/10.1038/s41440-025-02120-3

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