|Lifestyle Medicine in Action|
A monthly publication of the American College of Lifestyle Medicine
Welcome New Members
Darren Clair, MD
Medical Director, Vibrance Health Services, LLC, & Santa Monica Sports Medicine
Santa Monica, California
Gabrielle Gaspar, MD, MPH,
Medical Director of
Sutter Physician Services
Edward James, MD, MBA
Healthy Lifestyle Author, Motivational Speaker, Consultant
Glenn Kotz, MD
Physician, Solo Practice, Midvalley Family Practice
Anne Nedrow, MD, MBA
Director, Integrative Health, Center for Women's Health, Oregon Health Sciences University
Tricia Penniecook, MD, MPH
Dean, School of Public Health, Director, Lifestyle Medicine Institute, Loma Linda University
Loma Linda, California
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".
WELCOME to the June 2011 issue of
Lifestyle Medicine in Action!
ACLM President Wayne Dysinger, MD, MPH offers perspective on the many contexts in which Lifestyle Medicine can be practiced, while still adhering to evidence-based recommendations for intensive lifestyle interventions.
John Principe, MD takes you inside the development of his innovative Lifestyle Medicine practice, WellBeing MD™. Dr. Principe will be speaking and available for advice and consultation at our upcoming intensive practice management training, working with you to build success and sustainability into your Lifestyle Medicine practice.
To your continued learning, practice success, and good health!
Lifestyle Medicine is practiced in many different settings, and in many different ways.
Just looking at the clinical practices of our Advisory Board gives us a variety of examples.
John McDougall, MD offers a variety of residential group programs in Lifestyle Medicine. In this model individuals with chronic disease come to a Lifestyle Medicine facility and practitioner for a period of time where they are immersed in a program that provides them with a dramatic healthy living change as well as education in sustaining this lifestyle into the future.
Caldwell Esselstyn, MD provides intensive lifestyle counseling to his patients in an outpatient individual program for reversing heart disease. This approach also focuses on education and sharing of behavioral interventions to acquire sustained lifestyle change.
Hans Diehl, DrPH uses an outpatient group program to facilitate lifestyle change in the patients in his Coronary Health Improvement Program. Again, an intense series of education and skill-building behavioral intervention activities are employed to build towards long term success.
A final example would be the inpatient/outpatient intensive cardiac rehab model which Dean Ornish, MD developed and for which he achieved reimbursement from the Center for Medicare and Medicaid Services (CMS). In this model patients begin their exposure to an intensive lifestyle change while they are hospitalized and continue it in an outpatient setting.
The similarities in all of these programs are that they are intense and centered around education and behavioral interventions. The United States Preventive Services Taskforce (USPSTF) has forty-five A or B recommendations.
Of these: 31 are for screening tests, 7 are for prophylactic medications, and 7 are for counseling.
The seven counseling recommendations include:
one on healthy diet
two on obesity
two on tobacco cessation
one on alcohol misuse, and
one on breastfeeding.
In the three recommendations that include nutrition and physical activity (as in the practice examples above) those same words pop up - intensive and behavioral interventions. As we try to bring evidence-based lifestyle change to our patients, it's important to remember these cornerstones can be applied in multiple settings and formats.
It is ACLM's goal to support health care providers in applying the best in Lifestyle Medicine to their patients. We're pleased to be offering our own intensive behavioral intervention for physicians - our very first Practice Management Workshop. This is an experience designed to help you create a financially viable practice for providing intensive behavioral interventions to your patients. We hope you can join us in September.
Wayne Dysinger, MD, MPH
| Program Spotlight: John Principe, MD |
John Principe, MD, brings vision and zeal to his Chicago Lifestyle Medicine practice, WellBeingMD™. Successfully merging lifestyle medicine and internal medicine, the practice offers up-to-date individualized care based on foundational principles for optimal health: eating healthier, moving more, and living mindfully.
After attending the Harvard Healthy Kitchens, Healthy Lives conference in 2008, Principe founded WellBeingMD™, and the WellBeingMD™ Center for Life, an integrated 2,400 square-foot space housing a teaching kitchen, educational center, and functional movement studio. Built upon the premise that community is the currency of wellness, WellBeingMD™ is now recognized as the most comprehensive internal medicine and wellness provider in the Chicago region.
Dr. Principe attributes much of the program's success to the WellBeingMD™ team, who live the core principles of active and healthy lifestyles. "We became the model of how we could transform ourselves. Patients can see that we're walking the walk and talking the talk - a key factor in motivating patients. Seeing our transformation inspires patients to take action in their own lives."
The team members' personal success transformed the practice as well, leading to the development of A Roadmap to Wellness™, a six-week course designed to promote wellness and reverse factors that contribute to the metabolic syndrome, diabetes, and other chronic diseases. David Eisenberg, MD, Director of Healthy Kitchens, Healthy Lives, identified the Roadmap to Wellness program as an "exemplary model of health care transformed; health care that is focused on wellness and self-care".
To view the complete article on Dr. Principe, click here
CME Opportunity: Tools for Promoting Healthy Change
The Harvard Institute of Lifestyle Medicine presents
Tools for Promoting Healthy Change
June 24, 2011 Boston, Massachusetts
CME Opportunity: Lifestyle Medicine Practice Management
American College of Lifestyle Medicine and
American College of Preventive Medicine present
Realizing the Dream:
Practice Management Workshop
September 25-28, 2011, Columbia River Gorge, WA
|CME Opportunity: Obesity 2011|
The Obesity Society presents
29th Annual Scientific Meeting
October 1-5, 2011
|CME Opportunity: |
Lifestyle Medicine/Preventive Medicine 2011
| The American College of Preventive Medicine offers online access to the recorded Lifestyle Medicine sessions and speaker slides from its most recent annual meeting,
Lifestyle Medicine/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.
|CME Opportunity: New Online Course|
|Harvard Medical School Department of Continuing Education |
Nutrition and the Metabolic Syndrome
Elizabeth Frates, MD and Tom Rifai, MD
Online CME course
Lifestyle Medicine Employment Opportunities
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 firstname.lastname@example.org
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 Employment Opportunities Listings: To post an employment opportunity or for rate information, please contact email@example.com
ACLM members may post career opportunities or job seeking announcements at no charge.
|Research Summaries |
The following presented by Medline Plus
Treat Depression to Boost Diabetes Self-Care: Study Telephone counseling led to lower blood pressure, more exercise, researchers say
Nature and Nurture Key in Bladder-Control Problems
Genes may play an important role in developing urinary incontinence, while lifestyle, including diet, may be the biggest factor in overactive bladder, new research suggests.
To Get Americans Healthier, U.S. Targets Heart Health
People urged to eat better, exercise more before risk factors develop. U.S. health officials and the AHA have put forth ambitious goals with greater emphasis on prevention and behavioral change, stating "The goal is to shift the population to a healthier lifestyle."
Heart-Healthy Omega-3s Not Healthy for Prostate: Study
High blood levels of the fatty acids linked to increased risk of aggressive prostate cancer
Scientists Discover How Peppermint Soothes Gastric Pain
Activation of specific anti-pain channel offers relief for patients with irritable bowel syndrome.
Pushing Healthy Lifestyle Cuts Risk of Chronic Disease in African American Couples
Lifestyle intervention led to healthier behaviors and reduced diabetes and heart disease in couples with one HIV-infected partner.
Tai Chi May Help Heart Failure Patients
Harvard researchers report that Tai Chi improves quality of life in patients with heart failure.
Experts Offer New Guidance for Blood Pressure Control in Elderly
Lifestyle changes, use of antihypertensive drugs urged to reduce health problems in those over 80.
Music Training May Help Keep Aging Brain Healthy
Older people with the most musical experience scored highest on cognitive tests, study shows.
Women Taking Calcium Supplements May Risk Heart Health, Researchers Say
Authors urge further studies, getting calcium from food instead of pills.
Frailty Prevalence May Rise Throughout Adulthood
Researchers found that frailty increases throughout the lifespan, and that at all ages, relatively fit people had a lower mortality and used fewer health care services.
Obesity with Hypertension and Diabetes Linked to Increased Surgical Risk
Researchers found that extremely obese patients with modified metabolic syndrome had double the risk of dying after undergoing noncardiac surgery than normal-weight patients.
The following presented by Medpage Today
Scary Images on Cigarette Packs Found Effective
Graphic health warnings on cigarettes packs caused one-quarter of smokers to consider quitting in 13 of the 14 countries surveyed for a report published by the CDC.
The following presented by Web MD
Do Tinted Glasses Provide Migraine Relief?
Study Suggests Wearing Precision Tinted Lenses Can Ease Migraines in Some Patients
The following presented by Medscape (login required)
Apnea Screening Recommended for Men With ED
Researchers advise that men with erectile dysfunction be tested for the presence of obstructive sleep apnea, a modifiable risk factor.
Low Vitamin D: A Contributor to Mental Disorders in Children?
Children with severe mental health disorders, including psychosis, have twice the rate of vitamin D insufficiency as mentally healthy children, new research suggests.
Omega-3 Fats Linked to Lower Diabetes Risk
People who get plenty of omega-3 fatty acids in their diets may have a lower risk for type 2 diabetes, two new reports suggest.
Vegans May Be at Risk for Low Iodine: Study
Some vegans may not be getting enough iodine in their diets, particularly relevant for women who are pregnant, researchers say.
Sedentary Behavior Associated With Higher Mortality
People with higher levels of sedentary behavior, such as prolonged watching television, have higher mortality rates than more active individuals - even when they participate in the recommended minimal levels of moderate physical activity, according to study.
Brisk Walking Reduces Risk for Prostate Cancer Progression
At least 3 hours per week of brisk walking after a diagnosis of clinically localized prostate cancer may inhibit or delay disease progression, according to new research findings.
AAP Guidelines Nix Energy Drinks for Children, Teens
Energy drinks pose potential health risks for children and adolescents primarily because of the stimulant content in the drinks, according to a new clinical report.
Children Who Sleep Less Are More Likely to Be Overweight
Young children who do not get enough sleep are at increased risk of becoming overweight, according to the results of a longitudinal study.
Acupuncture No Better Than Placebo for Major Depression
Both real and sham electro-acupuncture may significantly reduce depressive symptoms, hints a new study.
New Evidence Favors Folate Hypothesis for Autism
A new study provides further genetic evidence for a link between folate and autism.
Stress Does Not Increase Risk for Multiple Sclerosis
Stress does not appear to play a major role in the development of multiple sclerosis, the results of a new study suggest.
Smoking Could Kill 8 Million a Year by 2030: WHO
Tobacco will kill nearly six million people this year, including 600,000 non-smokers, and by 2030, the annual death toll could reach 8 million.
|Links to Opinion Articles, Practice Advice and Patient Handouts|
The following presented by amednews.com
Tips on getting paid for smoking cessation treatment
Recent legislative changes mean that medical practices can get paid for helping Medicare and privately insured patients quit smoking.
Independent Practice Associations see ACOs as a Second Chance
IPA's uniquely qualified to care for ACO populations.
The following presented by KevinMD
Can ACOs Reinvent the American Health Care System?
The promise of accountable care organizations in keeping healthy people healthy, treating acute illness quickly and effectively and managing chronic illness efficiently.
The Patient is a Partner in Illness Management and Health Maintenance
One physician's account of empowering patients through unrestricted access to the self-knowledge that leads to a better understanding of their health.
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
USDA Ditches Food Pyramid for a Healthy Plate
Fruits and Veggies Make Up Half of Plate, With Side of Dairy
WebMD Food & Fitness Planner
Tools for creating and tracking a customized nutrition & fitness plan.
Type 2 Diabetes and Exercise
Patient guidelines include exercise tips, benefits, and cautions for those with type 2 diabetes.
The following from Medline Plus
Health Tip: Curb Snoring With Lifestyle Changes
The American Association of Oral and Maxillofacial Surgeons lists lifestyle changes that can help reduce snoring.
Brief educational video advises reduced sugar intake, increased activity, and weight loss to control triglyceride levels.
Fruit for Life
Brief educational video describes one study on the health benefits of apples.
RESOURCE ARTICLES AND WEBSITES:
From the National Institutes of Health
National Center for Complementary and Alternative Medicine
Free online CME courses on Complementary and Alternative Medicine
CME courses on research in complementary medicine, aging and CAM, herbs and dietary supplements, and other topics.
Clinical Practice Guidelines
Diagnostic and treatment recommendations based on rigorous review and synthesis of published medical literature.
Health Topics A-Z
Concise, evidenced-based information on complementary and alternative medicine topics such as insomnia, omega 3 fatty acids, and menopause.
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: firstname.lastname@example.org|Contributing writers:
American College of Lifestyle Medicine
612 Glatt Circle
Woodburn, OR 97071