Maintenance of behavior change in cardiorespiratory risk reduction: A clinical perspective from the Ornish Program for reversing coronary heart disease

This article is an edited version of extemporaneous remarks invited by the organizers of the National Heart, Lung, and Blood Institute-sponsored confe rence "Maintenance of Behavior Change in Cardiorespiratory Risk Reduction" (July 1998). The request for this author was an "outside-the-box" reaction from a clinical perspective to the working groups on the reports presented at the conference. The specific clinical perspective is one gained from 15 years of experience in the Ornish Heart Disease Reversal Program. The Ornis h Program was of interest to conference organizers because of its success i n reducing cardiac risk factors, altering the progression of coronary arter y disease, and maintaining long-term adherence to lifestyle change.