BEST Medicine Amanda M Grega Executive Chef Event Coordinator Kellyn Foundation a mandakellynorg Meagan L Grega MD FACLM CoFounder Chief Medical Officer Kellyn Foundation meagankellynorg ID: 919039
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Why Lifestyle is the BEST Medicine
Amanda M. GregaExecutive Chef, Event CoordinatorKellyn Foundationamanda@kellyn.org
Meagan L.
Grega
, MD, FACLM
Co-Founder, Chief Medical Officer
Kellyn
Foundation
meagan@kellyn.org
Slide2Slide3Adult Health Metrics - 2019Northampton CountyObesity – 32%Diabetes – 12%Food Insecurity – 9%Physical Inactivity – 27%Insufficient Sleep – 36%Excessive ETOH – 20%Lehigh County
Obesity – 30%Diabetes – 12%Food Insecurity – 10%Physical Inactivity – 23%Insufficient Sleep – 34%Excessive ETOH – 20%
https://www.countyhealthrankings.org/app/pennsylvania/2019/overview
Slide4Top Ten Causes of MortalityHeart DiseaseCancerAsthmaAccidentsStroke
Alzheimer’s Dx
DiabetesFlu/PneumoniaKidney DiseaseSuicide
Slide5Actual Causes of Death“Actual Causes of Death in the United States, 2000” – A. Mokhad, et al
Slide6Economic Implications$316 billion spent yearly treating cardiovascular disease$327 billion spent yearly for diabetes related costsCost of prescription medication for hypertension and hyperlipidemia increased at more than double the rate of total healthcare spendingFederal CBO predicts Medicare and Medicaid will account for 20% of GDP by 2050
http://jamanetwork.com/journals/jama/fullarticle/2594716?utm_campaign=articlePDF&utm_medium=articlePDFlink&utm_source=articlePDF&utm_content=jama.2016.16885
Slide7Health Care Spending as a Percentage of GDP, 1980–2013
Percent
Source: OECD Health Data 2015
Slide8Institute of Medicine and National Research Council. 2013. U.S. Health in International Perspective: Shorter Lives, Poorer Health. Washington, DC: The National Academies Press. https://doi.org/10.17226/13497.
Slide9Slide10Slide11Slide12Slide13Slide14Slide15Cardiovascular disease
Slide16Cardiovascular Disease
Esselstyn
CB, Gendy G, Doyle J, Golubic M, Roizen M. A Way to Reverse CAD. The Journal of Family Practice. 2014, July; 63(7):356-364b
Slide17Effect of Lifestyle HabitsFord, et. al studied over 23,000 participants aged 35-65, mean follow-up 7.8 yearsEvaluated lifestyle factors:BMI<30No tobacco use3.5 hr/week or more physical activityHigh intake fruits, vegetables, whole grains and low red meat consumptionFollowing all 4 healthy lifestyle factors resulted in a 78%
decreased risk of developing chronic disease compared to 0 healthy lifestyle factorsHealthy Living Is the Best Revenge: Findings From the European Prospective Investigation Into Cancer and Nutrition–Potsdam Study. Arch Intern Med. 2009;169(15):1355–1362. doi:10.1001/archinternmed.2009.237
Slide18Effect of Lifestyle HabitsLoprinzi, et. al reviewed 2003-2006 NHANES data to evaluate:Sufficient physical activity by accelerometerEating a healthy diet (24-hour recall Healthy Eating Index)Non-smokerHaving recommended body fat percentageOnly 2.7% of American adults demonstrated all 4 healthy lifestyle characteristics
Healthy Lifestyle Characteristics and Their Joint Association With Cardiovascular Disease Biomarkers in US Adults Loprinzi, Paul D. et al.Mayo Clinic Proceedings , Volume 91 , Issue 4 , 432 - 442
Slide19Slide20“Regarding healthy lifestyles; there is no lack of information, there is a lack of implementation.”-Dr. Meagan Grega
Slide21The Four Cornerstones of KellynKellyn HealthKellyn SchoolsKellyn KitchensKellyn Food Access
Slide22In-Classroom Presentations
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Slide23Garden as a Classroom
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Slide24Garden as a Classroom
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Slide25Eat Real Food Mobile Market
Slide26Lehigh Valley Corner Store Initiative
Slide27Kellyn Kitchens
Slide28Kellyn Kitchens
Slide29Kellyn Kitchens
Slide30Slide31Slide32Slide33Slide34Slide35Slide36Additional ResourcesBooks“How Not To Die” – Michael Greger, MD“Proteinaholic” – Garth Davis, MD“Blue Zones” – Dan Buettner“Salt, Sugar, Fat” – Michael MossVideos“Forks Over Knives”“The
GameChangers”“Code Blue: Redefining the Practice of Medicine”Websiteswww.nutritionfacts.org