Section 1 Flashcards
Definition of lifestyle medicine
Lifestyle medicine is a medical specialty that uses therapeutic lifestyle interventions as a primary modality to treat chronic conditions
Lifestyle medicine certified clinicians are trained
evidence-based, whole-person, prescriptive lifestyle change to treat and, when used intensively, often reverse such conditions.
six pillars of lifestyle medicine
whole-food and plant-predominant eating pattern, physical activity, restorative sleep, stress management, avoidance of risky substances, and positive social connections
Lifestyle medicine is the application of
medical, behavioral, motivational, and environmental principles to the management of lifestyle-related health problems in a clinical setting.
ITLC programs
encourage drastic changes in one’s daily routine, including sleep habits, eating pattern, physical activity, and stress management.
Multi-modality teams may include
provider, pharmacist, registered dietitian, certified health coach, condition management nurse, or physical therapist, among others. Typically, ITLC
name 3 ITLC programs,
the Pritikin program, Ornish program, and the Diehl CHIP (Complete Health Improvement Project) program (now known as Pivio).
ITLC programs can produce
essential induction phase that is needed for people to make the dramatic lifestyle changes that are necessary for treating severe disease.
lifestyle medicine core competencies
leadership,knowledge,assessment skill,mangement,office and community support
lifestyle med compered to other fields
Lifestyle medicine requires patient engagement and responsibility for treatment outcomes. 2. Treatments are long-term. 3. The provider acts as both medical expert and coach. 4. Lifestyle medicine interventions are generally relatively inexpensive compared with traditional medical services.
Of all premature deaths, 40% are attributable to three factors:
Tobacco use (18.1%) 2. Poor diet and physical activity (16.6%) 3. Alcohol consumption (2.5%)
Only 3% had healthy levels of all four health behaviors:
Non-smoking 86% b. Healthy weight (BMI < 25) 27% c. Five fruits and vegetables per day 28% d. Regular physical activity
Determinants of health include:
adverse childhood events, Genetic and epigenetic predispositions,health literacy,local environmental ,socioleconomic status, health disparities
INTERHEART Study
standardized case-control study about acute myocardial infarction risk factors.
INTERHEART Nine risk factors accounted for
more than 90% attributable risk of acute myocardial infarction in men and 94% in women.
INTERSTROKE Study
prospective case-control study used to determine stroke risk factors
Chicago Heart Association Detection Project in Industry showed an association
between people who were lower risk in middle age (meaning they had fewer risk factors present at that life stage), with a better quality of life at older ages, and with lower Medicare costs.
Framingham Heart Study
lifetime risk for atherosclerotic cardiovascular disease in people who were free of cardiovascular disease at age 50
Framingham Heart Study found
Men and women with optimal risk status had a median life expectancy of about 10 years longer than people with two or more risk factors at age 50 (11+ years for men, 8+ years for women).
Multiple Risk Factor Intervention Trial (MRFIT) Study
People with low-risk factor status had: a. 73–85% lower risk for cardiovascular disease mortality b. 40–60% lower total mortality rate c. 6–10 years greater life expectancy
Nurses’ Health Study
risk for coronary heart disease womenover 14 years
Nurses’ Health Study
identified five health factors associated with a lower risk of coronary heart disease
a. Absence of smoking b. BMI < 25 c. Moderate to vigorous exercise ≥ 30 minutes per day d. Moderate alcohol consumption (5–30 grams, or 0.2–1 oz per day) e. A healthy diet score (1) For this study, diet scores were based on the
