Transcript Principles of Lifestyle Medicine Lecture Series

Principles of Lifestyle Medicine
Lecture Series
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Introduction to Lifestyle Medicine
The Epidemic of Lifestyle Diseases
The Effectiveness of Lifestyle Medicine
Approaches to Lifestyle Medicine
History of Lifestyle Medicine @ LLU
The Future of Lifestyle Medicine @ LLU
The Physiologic Basis for Lifestyle Medicine
Understanding the Appropriate Role of Medications
Getting Trained in Lifestyle Medicine
Health Ministry
Principles of Lifestyle Medicine
Topic #1: Introduction to Lifestyle Medicine
• Definition of Lifestyle Medicine
• Comparison of Lifestyle Medicine to:
– Preventive Medicine
– Alternative, Integrative & Complementary Medicine
– Conventional Medicine
• Multi-disciplinary Nature of Lifestyle Medicine
• The Wholeness Aspect of Lifestyle Medicine
– Not just conventional medicine + spiritual care
– NEWSTART, WHOLENESS
Principles of Lifestyle Medicine
Topic #2: The Epidemic of Lifestyle Diseases
• What are the Lifestyle Diseases?
• The Prevalence of Lifestyle Diseases
– As cause of death
– As % of medical practice
• Medical Specialties Impacted by Lifestyle Diseases
• The Future of Lifestyle Diseases
– Aging populations
– Genetic implications
Principles of Lifestyle Medicine
Topic #3: The Effectiveness of Lifestyle Medicine
• The Ineffectiveness of Wimpy Interventions
• The Effectiveness of Intensive Interventions
– Short-term
– Long-term
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Reversal of Coronary Artery Disease – Dean Ornish
Diabetes Type 2
Weight, b/p, Cholesterol, Homocysteine, Neuropathy
Compliance
– Fully informing patients
– Lifestyle hypocrisy
• Lifestyle As a Way of Life
Principles of Lifestyle Medicine
Topic #4: Approaches to Lifestyle Medicine
• Inpatient Lifestyle Centers
– Secular
– Religious
• Outpatient Lifestyle Centers
– Battle Creek Lifestyle Center
– Loma Linda Lifestyle Program
• Large Community-based Programs
– CHIP
• Outpatient Medical Clinics
– E.g. Family Medicine clinic
• Small Community-based Programs
– Smoking cessation programs
– Vegetarian cooking classes
Principles of Lifestyle Medicine
Topic #5: History of Lifestyle Medicine @ LLU
• Grass-roots initiative by students & residents
• Lifestyle Medicine Interest Group (LMIG)
– Community health talks
– “Lifestyle Focus” newsletter
– GoVege Week
• Lifestyle Medicine Fund
• “Lifestyle Update” News Magazine
• The Loma Linda Lifestyle Program (LLLP)
Principles of Lifestyle Medicine
Topic #6: The Future of Lifestyle Medicine @ LLU
• Loma Linda Lifestyle Program (LLLP)
• Lifestyle Medicine Research Consortium
• Office for Lifestyle Medicine
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LMIG
“Lifestyle Update” News Magazine
Lifestyle Medicine Research Consortium (LMRC)
Christian Association for Lifestyle Medicine (CALM)
lifestylemedicine.org
• Center for Lifestyle Medicine
Principles of Lifestyle Medicine
Topic #7: Physiologic Basis for Lifestyle Medicine
• God’s Role:
– Creation of natural processes
– Working through natural processes
• Physiology Works Towards a State of Health
• Reasoning from Cause to Effect
– First identify and remove any offending cause
– Establish a lifestyle consistent with health
• Disease Reversal vs Disease Management
– Example of hypertension
Principles of Lifestyle Medicine
Topic #8: Understanding the Role of Medications
• Overuse of Medications:
– Antibiotic resistance
– Popping pills vs conscientious action of the will
– The patient – doctor “conspiracy”
• Appropriate Place for Medications:
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Emergencies
Surgeries
True deficiencies
As back-up to lifestyle changes
• Goal of Lifestyle Medicine:
– Minimize the need for medications
Principles of Lifestyle Medicine
Topic #9: Getting Trained in Lifestyle Medicine
• Status of Lifestyle Medicine Training Availability:
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Smoking cessation
Practical dietetics
Exercise physiology
Natural remedies
Community health outreach
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Practice a healthy lifestyle yourself
Express your interest now (e.g. LMIG)
Seek Lifestyle Medicine electives (e.g lifestyle centers & LLLP)
Consider additional training (e.g. MPH, fellowship)
• Work to Pave the Way for Those Who Follow You
Principles of Lifestyle Medicine
Topic #10: Health Ministry
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Christ as Our Great Physician
Medicine: Career vs Calling
The Conscientious Practice of Medicine
Partnering with the Ministry
– Clergy
– Local Church
– Health Evangelism