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Key points We surveyed 1177 community dwelling adults to explore the use of lifestyle medicine approaches to tackle ED. Univariable and multivariable logistic regression was used to explore the association of ED with health and lifestyle factors. We collected data on how ED was addressed in general practice and to identify the best rated strategy to tackle the condition. A key limitation was lack of follow-up using personal interview component to explore individual drivers and barriers for the routine adoption of lifestyle behaviour modification to tackle ED. Structured education about the impact of lifestyle behaviour modification and how this could influence the appearance or trajectory of ED could help improve personal choice.