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Lifestyle Medicine > Section 1: Into to LM > Flashcards

Section 1: Into to LM Flashcards

1
Q

What is ITLC

A
  • Intensive Therapeutic Lifestyle Change program
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2
Q

Examples of ITLC programs

A
  • Pritikin program, Ornish Program, Diehl CHIP
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3
Q

What are the core competencies of LM?

A

Leadership - promote healthy vehaviors, giving presentations, inform politicians about lifestyle changes

Knowledge - effects of lifestyle changes on body

Assessment skills - Assess social, psychological, and biological predispositions of patients’ behaviors resulting to health outcomes, family readiness, willingness and ability to make health behavior changes

Management skills- Use nationally recognized practice guidelines

Office and Community support - practice interdisciplinary team of health care providers and support a team approach

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4
Q

80% of premature death are attributed to 3 factors:

A
  • Tobacco use
  • Poor diet
  • lack of physical activity
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5
Q

Determinants of Health:

A
  • Adverse childhood events
  • Genetic and epigenetic predispositions
  • Health literacy
  • Local environmental conditions
  • Socioeconomic status
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6
Q

Interheart Study

A

Case control study about Acute Myocardial Infarction (AMI) RISK FACTORS (52 countries)

  • Smoking
  • Lipids
  • Hypertension
  • Diabetes
  • Obesity
  • Diet
  • Physical Inacivity
  • Alcohol Consumption
  • Psychosocial Factors
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7
Q

InterSTROKE Study

A
  • Prospective case control study (32 countries)
  • 10 Lifestyle risk associated with 90% risk of stroke in men and women of all ages
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8
Q

Chicago Heart Association Detetion Project

A
  • Risk of heart disease determined by number of cardiac risk factors a person has
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9
Q

Six changes to reduce heart disease risk by 90-95%:

A
  • 50% dec. total cholesterol > 50% risk reduction
  • 6mmHg dec. diastolic pressure > 42 reduction stroke risk
  • Smoking cessation >50% risk of sudden heart attack
  • Maintain ideal body and waist size > 35-55%
  • > 150 min. mod. exercise/week > 35-55%
  • > 5 servings of fruits and veggies/day > 2–25%
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10
Q

Framingham Heart Study

A
  • Risk of atherosclerotic cardiovascular disease in people who were free of CV disease at age of 50:
  • 5% vs 69% for men
  • 8% vs 50% for women
  • Both genders with optimal risk status lived 10 years longer than risk factors after age of 50
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11
Q

Nurse Health Study

A
  • Prospective study of 84k women
  • Risk of coronary heart disease:
    1. Absence of smoking
    2. MBI <25kg/m2
    3. 30 min/day physical activity
    4. Mod. alcohol consumption (5-30g/day)
    5. Healthy diet score (cereal fiber, marine omega 3, folate)
  • If all 5 factors present, 82% lower risk of heart disease
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12
Q

Adventist Health Study 2

A
  • Reduced risk of mortality in people in total vegetarian vs non vegetarian
  • Vegetarians = lower BMI
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13
Q

Lyon Diet Heart Study

A
  • Prevention of heart disease with Mediterranean diet vs American Heart Association Step 1 Diet
  • Mediterranean diet > protective effects for 4 years after first heart attack
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14
Q

Lifestyle Medicine requires:

A
  • Patient engagement and responsibility
  • Treatment are long term
  • Provider acts as medical expert and coach
  • It saves cost
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15
Q

Complementary and Alternative Medicine

A
  • Not port of conventional medicine
  • Use only evidence based, non-evidence based should be excluded
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16
Q

Integrative Medicine

A
  • Addresses whole person needs + conventional, complementary and alternative medicine
17
Q

Functional Medicine

A
  • Focuses on physiologic and biochemical functions of the body, investigates balance and processes of cellular metabolism
  • Emphasizes testing of various hormones and metabolites that are not well proven
18
Q

Mind Body Medicine

A
  • Relaxation, hypnosis, visual imagery, meditation, yoga, spirituality, etc.
  • Some are evidence based, some are not.
19
Q

Preventive Medicine

A
  • Includes all aspect of morbidity and mortality prevention for the general public. Oversees public health
  • Emphasizes population based interventions like immunizations, screening, and protection from bio-terrorism
20
Q

Conventional Medicine

A
  • Patients are recipient of care, not required to make significant changes
  • Provider are responsible for care and outcomes, patient is passive
21
Q

Increased scientific knowledge of the associations between lifestyle choices and chronic disease have not resulted in better lifestyle choices. Lifestyle-related disease has been increasing for decades, and life expectancy is in decline, with the present generation of children expected to live a shorter time than their parents. Life expectancy (expected total years of life) is declining and yet it does exceed health expectancy (expected total years of health).

A

Lifestyle Medicine (11 decks)

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