Luke Lemke Columbus Medical Center Overview What is Lifestyle MedicineLM Why is it important What is the role of lifestyle change in preventing and the treatment of disease How can we implement lifestyle changes in our lives and the world around us ID: 631266
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Slide1
Lifestyle Medicine in the Workplace
Luke Lemke
Columbus Medical CenterSlide2
Overview
What is Lifestyle Medicine(LM)?
Why is it important?
What is the role of lifestyle change in preventing and the treatment of disease?
How can we implement lifestyle changes in our lives and the world around us?
The use
of our
"Fingers, Feet, Forks, Stress, Sleep and Love"
How can we create our own "Blue Zones"?Slide3
" Be the Change You wish to see in the World"
Mahatma Gandhi
Slide4
Definition of Lifestyle Medicine
Lifestyle Medicine is the therapeutic use of evidenced-based lifestyle interventions to treat and prevent lifestyle related diseases in a clinical setting. It empowers individulals with the knowledge and life skills to make effective changes that address the underlying cause of disease.
"American College of Lifestyle Medicine" 2009Slide5
“
If we give every individual the right amount of nourishment and exercise, not too little and not too much, we have found the safest way to health.”
HippocratesSlide6
Why is Lifestyle Medicine
So
Important?Slide7
Leading Causes of Death in the US 2013
Heart disease 611,105
Cancer 584,881
Chronic lower respiratory diseases 149,205
Accidents 130,557
Stroke(cerebrovascular diseases) 128,978
Alzheimer’s
disease 84,767
Diabetes 75,578
Influenza and Pneumonia 56,978
Suicide 41,149
*CDC Vital statistics
2013Slide8
Actual Causes of Death
Tobacco 435,000
Poor diet and physical inactivity 400,000
Alcohol consumption 85,000
Microbial agents 75,000
Toxic agents
55,000
Motor vehicle accidents 43,000
Firearms 29,000
*
Mokdad
,
Actual causes of Death in the U.S. 2000 and 200480% of All deaths are caused by our LIFESTYLESSlide9
Chronic Disease is not the CAUSE
Genetics are not always the
cause.
Our LIFESTYLES are the CAUSE
!
Diseases are many times the effects of our Lifestyle choices.Slide10
Behavioral Determinants
Virtually ALL of the top 10 leading causes of death in US adults are moderately to STRONGLY influenced by lifestyle patterns and behavioral factors
BEHAVIOR
DISEASE
Tobacco Use
Physical Activity
Diet
Preventive Services
Heart Disease
Stroke
Cancers
Diabetes
*adapted from LM Advocacy presentation: ACOLM website; www.lifestylemedicine.orgSlide11
UPSTREAMIST
We must start to look "Upstream" at the
behaviors
that are causing our disease.Slide12
What is the role of lifestyle change in preventing and treating disease?
Smoking
-only 44% of smokers were advised to quit in the last year
-only 25% were offered assistance
Diet and Nutrition
-only 25% of pre-diabetics reported receiving dietary advice
-only 1 in 12 diabetics were adhering to the ADA dietary recommendation
Exercise and Activity
-only 1 in 3 patients indicated they received advice to increase their activity.
Weight Loss
-only 2 of 5 obese patients were advised and counseled to lose weight, even when they
conditions made worse by their weight.Slide13
Important Lifestyle Questions to Ask
I am within 5 pounds of my ideal body weight
I exercise 30 minutes or more most days of the week
I eat a plant based, whole food diet with 5 fruits
/vegetables
most days
I don
’
t use tobacco products
I have 2 or fewer alcoholic drinks per
day
Do I get 7-8 hours of sleep most nights
Only
8% of ALL Americans can say yes to all of these.Slide14
How
can we
implement Lifestyle change in our lives and the world around us?
Feet
Forks
Fingers
Sleep
Stress
LoveSlide15
“I am not a product of
my circumstances. I am a product of my decisions”
Stephen CoveySlide16
How can we use our “feet”
The role of exercise in Lifestyle Medicine.Slide17
How we can use our “feet” in Lifestyle Medicine
Consensus recommendation for 150 minutes per week of moderately intense exercise(not just work activity)
The health benefits of exercise apply to all ages, social groups, and diseases.
Benefits of even small increases in exercise are seen in the prevention and treatment of nearly all chronic diseases.
Wellcoaches
. My certainty is greater, than your doubt.
Exercise
IS
Medicine!!!- ACSMSlide18
How can we use our “feet” in Lifestyle Medicine
ABC for fitness(Activity Bursts in the Classroom). Free program for school age kids to increase the exercise.
ABE for fitness in Adults(Activity Burst Everywhere). Free online video series that shows how to take 3-8 minute bursts of exercise that will help reach the 30 minutes a day.
“Exercise is Medicine” certified providers to design programs that are specific and obtainable.
Digital Technology. Help to motivate people to get to their daily goal.
Incentivize people to be active, not just on how much they weight.
Coaches using Motivational interviewing skills, not “fear” based ones.Slide19
How we can use our “forks”
The role of diet in Lifestyle Medicine.Slide20
How we can use our “forks” in Lifestyle Medicine
2015 USDA/HHS-US Dietary Guidelines. Final draft is due out in Fall.
Plant based, whole food
diet, less sugar, less refined carbs
Increased intake of fruits, vegetables, legumes, and whole grains and nuts.
Increased intake of dietary fiber. Men 45-55g/day, Women 55-65g/day.
Decreased intake of processed foods, refined sugars, saturated fats and cholesterol, (but loosening the restrictions)
Avoid the “bad food, good food” model.
“Eat what you Love and Love what you eat.” Michelle MaySlide21
How we can use our “forks (cont.)
Nuval
scoring system. Rates foods on their health benefits from 0(unhealthy) to 100(healthy).
Food dairies such as “My Fitness Pal”, “Lose it”. Very helpful for long term adherence.
Incentivize people to eat healthier food, by giving them more bang for their buck. Make healthier food less expensive.Slide22
How we can use our “fingers”, or not.
The role of smoking cessation in Lifestyle Medicine.Slide23
Smoking Cessation in Lifestyle Medicine
“don’t ask, don’t treat”. Ask even if they is no perceived readiness to quit
Tobacco use cessation counseling
Tobacco use medications ex. Chantix, bupropion,
About 46% of smokers reported that they Healthcare provider had advised them to quit, only 25% were offered assistanceSlide24
How we can use our “Pillows”
The role of sleep in Lifestyle Medicine.Slide25
The role of Sleep in Chronic Disease
Adult needs 7-8 hours of sleep per night. However, more than 40% of adults report getting less than 7 hours of sleep in 24 hours.
Adolescents need more than 9 hours per night. Again almost 70% reported less than that on average weeknight.
Insufficient sleep is associated with CVD, diabetes, HTN, obesity and depression.
Drowsy driving contributed to 100,000 MVA’s and 15,000 deaths in 2008.Slide26
The role of Sleep in Chronic Disease
Suggested strategies for improving sleep initiation and maintenance.
-consistency in bedtime and rising.
-maintaining an appropriate sleep environment.
-avoid the “screens”.
-avoid the large meal or intense exercise before bed.
Slide27
Role of Stress in Lifestyle Medicine
Take time to breatheSlide28
Role of Stress Reduction in Lifestyle
Yoga
Mindful Meditation
Eliciting the “Relaxation Response” Dr. Herbert Benson
Progressive muscle relaxation
Coaching-using certified
Wellcoaches
.
Estimated $200 billion annually is lost due to absenteeism, subpar performance, tardiness, and workers’ compensation claims due to stress.Slide29
What is the role of Love in Lifestyle Medicine.
How does our Social Interconnectivity affect our Health?Slide30
“The best and most beautiful things in the world cannot be seen or even touched – they are felt with the heart.”
Helen KellerSlide31
How can we use our Social connections to improve our health
Time spent with family and friends may be the greatest predictor of our longevity.
Our “support groups” help us avoid the loneliness and isolation that contributes to depression and anxiety.
The #1 class of drugs prescribed over the last 20 years are antidepressants.
We Treat our time with friends and family as a luxury after the “important” stuff, it is the “IMPORTANT” stuff.Slide32
Creating our “Blue Zone”
“Lifestyle is the Medicine, and culture is the spoon” Dr. David KatzSlide33
How we can create our own “Blue Zones” The 9 keys to
long healthy, happy
life.
Get moving.
Eat only until you are full. “Eat food, not too much, mostly plants”. Michael
Pollan
Plant based diet ( and beans and nuts!).
Drink red wine ( in moderation!!).
Develop a personal mission statement ( find your purpose).Slide34
Your “Blue Zones” (cont.)
Take time to de-stress.
Just Go! Belong. Be a part of a spiritual community.
Family First!
Surround yourself with likeminded(healthy) people.Slide35
Summary
Chronic diseases are not the cause of our healthcare crisis in our world. Our lifestyle choices are!
We can in fact nurture nature. Our genes are not our destiny.
This is a gradual process, any changes we make to be healthier will benefit us. Small incremental lifestyle changes will bring Big results if given time.Slide36
“That man is a success who has lived well, laughed often, and loved much.”
Robert Louis StevensonSlide37
Email: lemkeluke@gmail.comSlide38
References
American College of Lifestyle Medicine
Institute of Lifestyle Medicine
The Blue Zones by Dan
Buettner
Disease Proof by David Katz
Nutritionfacts.org
-
Dr. Michael
Greger
Lifestyle Medicine-Evidence Review: American College of Preventative Medicine. June 30, 2009Slide39
QUESTIONS?