LMBR1: Importance of Lifestyle Flashcards
Understand role of Lifestyle Medicine & scope of the problem
What are the top causes of death in USA (2013)
1) Vascular - CAD & Cerebrovascular 2) Alzheimer’s 3) Cancer of lung, prostate, breast,, colon, 4) Lung - COPD, LRTI, 5) Metabolic - DM, CKD
What are the top risk factors for causes of death in USA (2013)
1) Diet - EtOH 2) Physical activity 3) Habits - smoking, EtOH, Drugs 4) Metabolic - BMI, blood [Glu], [Total chol], Renal func 5) Environmental - Air pollution 6) Misc - Occupational
Importance of Lifestyle
In a large Prospective Study of nurses and male health care professionals looking at the impact of lifestyle factors on US mortality & life expectancy:
1) Approx size & years followed
2) List the low risk lifestyle factors (scale/score)
3) Factors in the diet score
1) 79 K women x 34 yrs; 44 K men x27 yrs
2) Low risk LS factors (score 0 to 5):
a) Never smoking, b) BMI 18.5-25, c) >= 30 min/d mod/vigorous physical activity d) Moderate EtOH (5-15g/d F, 5-30 g/d M), e) High quality diet score
3) Diet score:
(+): veg, fruit, nuts, whole grains, PU fats, Omega 3 fatty acids
(-): Red meats, processed meats, sugar sweetend beverages.
In a large Prospective Study of nurses and male health care professionals looking at the impact of lifestyle factors on US mortality & life expectancy:
1) Effect of LS at 50 yrs of age for F & M
2) How define healthy diet score
3) What were changes in: a) All-cause MR, b) CA MR, c) CV MR
4) PAR for a) All-cause MR, b) CA MR, c) CV MR
1) F gained 14 yrs (79 => 93y), M gained 12 y (75.5 => 87.6)
2) Upper 40%
3) Dec in All-cause MR 74%, 65% CA MR, 82% CV MR
4) PAR All-cause MR 61%, 52% CA MR, 72% CV MR
