Part 1: p 13-15

Question 1

6 items

Name a mnemonic which summarizes the lifestyle medicine approach ?

Answer 1

Feet, fingers, forks, sleep stress love (Mnemonic)

Feet - REGULAR physical activity

Fingers - avoid risky substances (eg tobacco, drugs)

Forks - PREDOMINANTLY whole food plant-based diet

Sleep - ADEQUATE sleep

Stress - stress MANAGEMENT

Love - non-drug modalities to PROMOTE health & PREVENT disease

BR 13 (reference)

Extra: 3 min video here

Question 2

Define a Whole Food Plant-based (WFPB) diet

Answer 2

A WFPB diet:

1) Consists of mostly foods from plants (eg whole grains, vegetables, fruits, beans & legumes)
2) Little or no animal products (eg dairy, meat, eggs)

Reference - BR 13 (board review page 13)

Question 3

How does an Intensive Therapeutic Lifestyle Change program work ?

Answer 3

ITLCs:

I - produce the INDUCTION phase essential for pts to make the necessary lifestyle changes

T - TRANSFORMS the concept of what is possible with lifestyle change

L - has a LOW requirement for pt motivation or self-efficacy

C - CHANGE is experienced first-hand by pt

Question 4

3 phases

Ideally, what are the phases of an Intensive Therapeutic Lifestyle Change program (ITLC) ?

Answer 4

Ideally, a ITLC includes an INDUCTION phase which precedes the MAINTENANCE and SUPPORT phases in lifestyle change

• outpatient programs have visits ~ 60 minutes 1-3x/week for 8-18 weeks
• Residential programs are generally 7-21 days long
• Shorter ITLC immersions can last 3-10 days.

Ref: BR 13

Question 5

Name 3 Intensive Therapeutic Lifestyle Change (ITLC) programs

Answer 5

1) Pritkin program - longevity center in 1970s - residential, used nutrition, exercise & education to reverse & treat HEART disease
2) Ornish program - 1980s - based on Lifestyle Heart trial which showed regresssion of cardiac stenosis at 1 yr & continued improvement at 5 yrs. Used a low fat VEGETARIAN diet, stress managment, exercise & smoking cessation in a SMALL GROUP setting with positive psychology & connectedness
3) Diehl CHIP program - 1990s - outpatient, encourges a WFPB diet & EXERCISE to prevent/treat lifestyle related chronic diseaes (initially CORONARY program, later COMPLETE HEALTH IMPROVMENT program).

BR 13-14

Question 6

Who was James Rippe ?

BR 14

Answer 6

Cardiologist who wrote the first comprehensive medical text focused on lifestyle medicine

• founder of Rippe Lifestyle Institute

Amazon page here.

BR 14

Question 7

6 items

What does the lifestyle medicine approach include ?

Answer 7

Feet, fingers, forks, sleep stress love (Mnemonic)

Feet - REGULAR physical activity

Fingers - avoid risky substances (eg tobacco, drugs)

Forks - PREDOMINANTLY whole food plant-based diet

Sleep - ADEQUATE sleep

Stress - stress MANAGEMENT

Love - non-drug modalities to PROMOTE health & PREVENT disease

BR 13 (reference)