Lifestyle Medicine in Action
A monthly publication of the American College of Lifestyle Medicine
May 2011
Quick Links to Articles
President's Desk
Interview: Stuart Seale, MD
CME: Food as Medicine
CME: Tools for Healthy Change
Career Opportunities
Research Summaries
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ACLM Officers


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Welcome New Members

(In Alphabetical Order)

Erik Brand, MD, MSc
Sports Medicine Fellow, Spaulding Rehabilitation Hospital (incoming)
Bainbridge Island, WA

Jessica Colwell, MBBS
Medical Student,
University of Queensland
Minnetonka, MN

Kenneth Counts, PhD
Private Practice, Clinical and Neuropsychology
Little Rock, Arkansas

Larry Derbes, MD
Hawaii Cardiology, LLC
Honolulu, Hawaii

Soumya Ganapathy, MD
Attending Emergency Physician,
Beverly Hospital
Beverly, Massachusets

Benno Krachler, MD, PhD, MS
Internal Medicine, Kalix Hospital, Researcher
Kalix, Sweden

Johann Kim Manez, MD
Physician, Adventist University of the Philippines
Pasay, Philippines

Francesca Marcus, MSc(N), MBA
DrPH candidate,
Loma Linda University
San Marino, California

Derek Poteryko, MD
Family physician, Director of Central Island Smoking Intervention Clinic
Nanaimo, BC, Canada

CME Calendar

 Food as Medicine
June 9-12, 2011
Washington, DC

Tools for Promoting Healthy Change 

June 24, 2011
Boston, MA



Lifestyle Medicine Practice Management Workshop

Fall 2011
Columbia River Gorge, OR
more information


WELCOME to the May 2011 issue of  

Lifestyle Medicine in Action!  


In this issue, ACLM President Wayne Dysinger, MD, MPH shares an international perspective on Lifestyle Medicine with interest building worldwide.  Stuart Seale, MD, best-selling author and Chief Medical Officer for Lifestyle Center of America discusses his new lifestyle clinic.


ACLM welcomes its newest members from many regions of the US and beyond.  Members receive key benefits including:

  • Discounts on conferences
  • Discounts on practice management support services  
  • Subscription to The American Journal of Lifestyle Medicine  
  • ACLM list serve for direct communication with all other members (coming soon)
  • Free Lifestyle Medicine classifieds postings on website and in monthly newsletter
  • Listing on ACLM's website: www.lifestylemedicine.org
  • Identity as part of the new professional field of Lifestyle Medicine
  • Advocacy for you and your interests

Importantly, ACLM membership empowers the Lifestyle Medicine movement, advancing healthcare that "treats the cause".   


To your continued learning, successful practice, and good health!  



President's Desk

ACLM is rapidly becoming an international organization.  Over the last few months I've had ongoing email interactions with physicians passionate about Lifestyle Medicine from countries such as Australia, Mexico, the Philippines and India.  They are recognizing the need for better skills and tools in LM for themselves and their colleagues, and the real need for LM programs for their patients.  


Historically organizations like the World Health Organization have focused more on acute, infectious diseases issues such as small pox and malaria.  These were the greatest, most treatable health problems.  At latest count, however, chronic disease now accounts for over 60 percent of all deaths globally.  More than 35 million people die on an annual basis from heart disease, stroke, diabetes and other chronic diseases that are largely preventable with healthy lifestyles.  This is twice the death rate for infectious diseases, maternal and perinatal conditions, and nutritional deficiencies combined.  Worldwide the "Western" approaches to nutrition, as well as the decreased amounts of physical activity and increased levels of stress associated with a highly technological modern world are infiltrating traditional cultures built around healthier lifestyle principles. 


How should ACLM respond to these needs and opportunities?  I believe there are three practical steps.  The first is to consciously recognize the critical need for LM on a global basis.  This includes talking about it in our conversations, meetings, and publications.  That is the primary reason for this column. 


Second, although ACLM was formed as an "American" Lifestyle Medicine professional association, we recognize that many countries do not have similar organizations. We are happy and honored to be a resource and a home for health care providers from all countries.  At our next board meeting ACLM will be discussing the development of an international committee that can grow and support our increasing cadre of international members. 


Finally, ACLM can foster development of other LM professional organizations worldwide.  Over the last several years ACLM has had ongoing interactions with the Australian Lifestyle Medicine Association (ALMA), the only other national LM professional association of which I'm aware.  In November of this year I'll be meeting with them to discuss the possibility of developing an organization whose primary goal is to bring together LM health care professional activities globally.   Perhaps it's time for an International Lifestyle Medicine Professional Association Consortium.


As always, the opportunities for this young field are significant, and open for your involvement.  If this column piques your interest, please let us know.  We'd love to have your energy and passions connected to our next steps. 


Wayne Dysinger, MD, MPH
 Program Spotlight: Stuart Seale, MD
 Piloting New Lifestyle Medicine Program  
Stuart Seale, MD

Dr. Stuart Seale

Stuart Seale, MD, deeply understands Lifestyle Medicine and primary care, and recognizes the great challenge in joining the two. Co-author of The Full Plate Diet, The 30-day Diabetes Miracle, and nine-time recipient of the AMA Physician Recognition Award, Dr. Seale is also Chief Medical Officer for Lifestyle Center of America. After graduating from Loma Linda School of Medicine and training in family medicine at the University of Missouri, he practiced solo full-spectrum family medicine in Springfield, Missouri for twenty-one years.

His experience in primary care accentuated the need to treat root causes of disease, yet also made clear the challenges of doing so within a traditional primary care setting. "As physicians, we were trained to deal with acute crises, yet chronic disease is not an acute crisis and needs to be treated differently. I began to shift, philosophically and intellectually, toward greater understanding of the underlying causes of disease, seeing that standard practice does not address root causes, nor support lifestyle change. In part, this shift stemmed from my own personal practices-as I moved away from a typical diet toward a plant-based diet and became more active, I began introducing elements of lifestyle change to my patients." Finding it difficult to implement lifestyle interventions in the context of a busy primary care setting, he left his practice in 2005 to join the non-profit Lifestyle Center of America (LCA), and has since worked with them in multiple capacities, including his current role as Chief Medical Officer.

 For the complete article please click here  


CME Opportunity: Food as Medicine

The Center for Mind-Body Medicine presents



Food as Medicine


Professional Nutrition Training Program

June 9-12, 2011

Washington DC area  

More information  

CME Opportunity: Preventive Medicine 2011
The American College of Preventive Medicine is pleased to provide you with complimentary access to the recorded sessions and speaker slides from its most recent annual meeting,


Preventive Medicine 2011


This content is accessible through ACPM's e-Portal. To view the presentations, click on the  

2011 conference proceedings link located on the left side.    

More information

CME Opportunity: New Online Course
Harvard Medical School Department of Continuing Education

Lifestyle Medicine:  

Nutrition and the Metabolic Syndrome

Elizabeth Frates, MD and Tom Rifai, MD


Online CME course  

More information 



CME Opportunity: Tools for Promoting Healthy Change

The Harvard Institute of Lifestyle Medicine presents                                   

 Lifestyle Medicine:  

Tools for Promoting Healthy Change


June 24, 2011 Boston, Massachusetts

More information 


Career Opportunities: New Listings  

POSTED: May 9, 2011

Seeking Nurse Practitioner to participate in an exciting lifestyle behavior-change weight loss clinic start-up, located in Gilbert, Arizona.  NP will function independently, but will be salaried and work under direction of the Chief Medical Officer. Group medical visits and health-coach techniques will be heavily utilized. Desirable attributes and qualifications include: Arizona licensed; knowledge and experience with motivational interviewing and health coaching principles; ability and desire to work independently; interpersonal skills to market and grow the clinic; an understanding, and personal practice, of healthy lifestyle behaviors. Attractive compensation and benefits are being offered.

Submit resumes to: Stuart Seale, M.D., Chief Medical Officer, Lifestyle Center of America at saseale@gmail.com  

POSTED: March 24, 2011
I am excited to place the following offer to either a Nurse Practitioner or Physician versed in Integrative/Functional Medicine to join our growing practice. With the basis of teaching patients lifestyle medicine, we are growing an active and vibrant practice. Our practice houses a 2400 square foot functional movement center and a teaching kitchen. We have had a wellness-based course in place for 2 years with the group medical visit model in place; we have brought 200 graduates through our program and have been witness to wonderful life transforming stories.
For further information, please contact me by office phone (708-448-9450) or via email Wellness@wellbeingmd.com.
John R. Principe, MD

About Career Opportunities Listings: To post a career opportunity or for rate information, please contact admin@lifestylemedicine.org
ACLM members may post career opportunities or job seeking announcements at no charge.

Research Summaries  
The following presented by Medpage Today

Good Night's Sleep Builds Healthy Heart 

Less than seven hours sleep per night appeared to raise total cardiovascular disease risk, with greatest risk from short duration combined with poor sleep quality, study finds.  


Calcium Builds Bones But May Weaken Heart 

Re-examination of the Women's Health Initiative study revealed modest increase in risk of MI and stroke for those taking calcium supplements, with or without vitamin D.



The following presented by Web MD


Meditation May Reduce Pain

Brain imaging shows impact of brief mindfulness meditation training.


 Periodic Fasting May Cut Risk of Heart Disease, Diabetes

Despite health benefits, fasting may not be for everyone, doctors say.  

Best Diet Plan: 6 Mini Meals or 3 Squares a Day?

Study suggests six small meals per day won't help reduce hunger pangs.


Walnut May Be Top Nut for Heart Health 

Walnuts have more and better antioxidants than peanuts, pistachios, or other nuts, researcher says.

Overweight Teens Face Heart Risks as Adults

Study shows heart risk persists even if a person loses weight in adulthood.


Music and Laughter May Help Lower Blood Pressure

Both music and laughter sessions shown to reduce short-term blood pressure.

Added Sugar May Add to Weight Gain in U.S.

Study sees link between weight gain and eating foods with sugar added.  

Sleepy People Overeat

Sleep deprivation associated with higher fat intake, researchers find.



The following presented by Diabetes in Control   


New Guidelines for Exercise in Type 2 Diabetes 

New guidelines stress crucial role of physical activity in the management of type 2 diabetes; physicians urged to prescribe exercise for individuals with type 2 diabetes.


More Fiber Reduces Cardiovascular and All-Cause Death 

Researchers find that those with the highest dietary fiber intake had a 22% lower risk of dying from any cause over nine years of follow-up compared with those with the lowest fiber intake.


Green Leafy Vegetables Cuts The Risk of Diabetes by 14% 

Increasing daily intake of green leafy vegetables can reduce the risk of Type 2 diabetes according to British meta-analysis.


Less Refined, More Whole Grains Linked to Lower Body Fat 

Study shows association of eating whole grains and limiting refined grains with less visceral adipose tissue.


Nicotine Can Raise A1c by 34 Percent 

Strong evidence implicates nicotine in persistent elevated blood sugar levels and resulting increased risk of serious health complications in people who have diabetes and smoke.


Half of U.S. Adults Could Have Non-alcoholic Fatty Liver Disease by 2030 

Projection of researchers based on rising rates of diabetes and obesity in the U.S.


The following presented by Medscape (login required)  


Increased Metabolic Rate Linked to Accelerated Aging  

Higher metabolic rates predict early natural mortality, indicating that higher energy turnover may accelerate aging in humans.


New Data Show Couples Change Habits Together 

Couples who attended a preventive cardiology program together changed dietary and exercise habits in tandem.


Mono Infection, Low Sun Exposure Both Contribute to MS 

Exposure to the Epstein-Barr virus, together with low levels of sun exposure explain much of the variance in rates of multiple sclerosis across England, new study suggests.


Links to Opinion Articles, Practice Advice and Patient Handouts

The following presented by amednews.com

Stewardship of Health Care More Than Mere Juggling Act
AMA Leader Commentary on physician responsibility to wisely manage health care resources.

Cancer Prevention Efforts Target Tanning Salons
The AAP, AMA and others call for doctors to encourage patients to take precautions and support state laws banning minors from indoor tanning facilities.

Business: How to Avoid Being Burned by Staff Burnout
Risk and impact of burnout; self-care for physicians and staff urged.

Physician Talks Increase Likelihood of Patients Slimming Down
Discussing weight increases chances that overweight or obese patients will try to shed pounds, but many doctors avoid the issue, a new study says.

For Patients: How to Reverse Type 2 Diabetes
Learn lifestyle changes that target type 2 diabetes.  

The following presented by KevinMD

Treating Patients with Pre-Diabetes: Weight Loss and Carbohydrate Restriction
Internist shares personal experience, concluding that "we need to find ways to keep healthy people healthy."

Are Memory Loss and Mood Disorders Actually Diabetes of the Brain?
An excerpt from Feed Your Brain Lose Your Belly.



The following presented by McDougall Newsletter


Vitamin D: Values for Normal Are Exaggerated 

Supplementation too often prescribed; sunshine the optimal source for vitamin D.  

Hidden Vegetables Cause Weight Loss 

An effective strategy to reduce energy intake and increase vegetable intake in adults.


The following from the National Cancer Institute


Physical Activity and Cancer 

Brief summary of research on physical activity across the spectrum of cancer prevention and cancer survivorship.



Step-by-step guide, tools, and expert advice on quitting smoking.   



The following presented by WebMD

Fiber: How Much Do You Need?
Tips and ideas to get more fiber in your diet.

Reality Shows About the Obese: Empowering or Exploitative?
Pamela Peeke, MD, MPH, FACP studies reality shows and looks at patient responses.

Type 2 Diabetes and Exercise
Patient guidelines include exercise tips, benefits, and cautions for those with type 2 diabetes.


The following presented by Mayo Clinic

Nutrition and healthy eating
Education on a wide range of topics such as sodium, fiber, and the Mayo Healthy Weight Pyramid

The following presented by the American Institute for Cancer Research

Living Longer after Cancer
Recommendations include mostly plant-based diet, physical activity, and maintenance of healthy weight for cancer survivors. 

contact us: admin@lifestylemedicine.org
Contributing writers:
Marc Braman
Wayne Dysinger
Kathy Cater
Kathleen Jones

American College of Lifestyle Medicine
fax: 971-983-5384

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Woodburn, OR 97071