Lifestyle Medicine in Action
A monthly publication of the American College of Lifestyle Medicine
July 2011
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Research/Practice Spotlight
CME Opportunities
Career Opportunities
Research Summaries
Opinion Articles and Resources
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Welcome New Members

Anthony Annan, MD

Medical Director,  

Lifestyle Medicine Clinic 

London, United Kingdom 


László Babai, MD

Medical Director of  

Oxygen Centers, Hungary

Budapest, Hungary 


Jeffrey Gates, DrPH, MPH

Associate Professor,  

School of Nursing,  

Southern Adventist University

Ooltewah, Tennessee  


Patrick Goff, MA, EdD

Teacher of Behavioral Medicine, Ross University  

School of Medicine

Portsmouth, Commonwealth of Dominica 


Fiona Lewis, MS

DrPH Preventive Care student, Loma Linda University

Loma Linda, California  


Kari Lund, MD

Family Medicine,  

Douglas County Memorial Hospital/Prairie Health Clinic

Armour, SD 


Donna Mann, BSOT, MEd

Occupational Therapy student, Loma Linda University 

Spangle, Washington 


Jill McBride, MD

Family Practice, Exodus Healthcare Network, and  

Utah Partners for Health 

Magna, Utah 


Dirk Parvus, MD, MBA

Director of Emergency Department, Sebastian River Medical Center

Sebastian, Florida 


Kaneez Rizvi, MD

MPH in Lifestyle Medicine Student, Loma Linda University

Upland, California 


Lucy Sternburgh, MS  

Health Promotion student,  

Rocky Mountain University  

Rochester Hills, Michigan 



  • Discounts on conferences
  • Discounts on practice management support services
  • Subscription to The American Journal of Lifestyle Medicine (regular memberships) 
  • ACLM list serve for direct communication with all other members
  • 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".
CME Calendar

Lifestyle Medicine Practice Management Workshop

September 25-28, 2011
Columbia River Gorge, WA

Enhancing Health with Plant-Based Nutrition

September 16, 2011
Portland, OR

Lifestyle Medicine Conference

October 7-8
Salem, VA


Obesity 2011

October 1-5, 2011
Orlando, FL

Active Lives

November 11-12
Waltham, MA

WELCOME to the July 2011 issue of  

Lifestyle Medicine in Action!  


With summer in full swing, we at ACLM hope your calendar includes outdoor activities, garden fresh meals,

and time to enjoy family and friends!


In this issue, ACLM President, Dr.

Wayne Dysinger highlights the importance of research in Lifestyle Medicine, and Dr. Kerry Kuehl shares his research findings on life-changing interventions that may change  

the course of health care.   


We're pleased to offer a new group e-mail service, giving members an easy way to connect, ask questions, and share ideas on Lifestyle Medicine topics.  It's as simple as sending an email.


Learn from leading experts how to successfully implement components of Lifestyle Medicine practice in your practice and thrive through the sweeping changes happening in healthcare.  Attend the first ever Lifestyle Medicine Practice Management Workshop. Click here to learn more.  


To your good health and practice success!


President's Desk
Wayne Dysinger
For the field of Lifestyle Medicine to move forward, we must not only push for improved physician education and practice models, we must also nurture and encourage more research. The amount of research underway that incorporates Lifestyle Medicine is changing. In 1998, the year after Rippe's seminal text on Lifestyle Medicine was published, a Medline search for articles mentioning lifestyle medicine found 467 articles. By 2010 the number of articles mentioning lifestyle medicine had almost quadrupled to 1700 articles. To date, however, no organization has created an agenda for Lifestyle Medicine research.

Lifestyle Medicine research comes from many areas. Much of what we know about the benefits of healthy lifestyles, including the scientific foundation for key clinical recommendations, come from large epidemiologic cohort trials including Framingham, the Adventist Health Study, and the Diabetes Prevention Program. Findings from these studies clearly show the benefit of healthy nutrition, physical activity, social support systems, and other underpinnings that give us confidence in the value of Lifestyle Medicine. When these findings are applied to actual Lifestyle interventions, randomized controlled clinical trials are needed to determine efficacy. Multiple Lifestyle Medicine clinical trials have taken place, and continue to occur in multiple settings around the world. These trials give us information such as the value of very low fat diets for reversing atherosclerosis, or the place of nuts in prevention of heart disease. The weakness of this approach to research, however, lies in is its reductionist tendencies. Health comes from a multi-factorial approach to life, something a focused clinical trial has a hard time quantifying.

Another area of research now contributing more and more to Lifestyle Medicine is bench research. This has brought us information on the importance of free radicals in the development of heart disease and is opening up the whole field of epigenetics. A new finding coming from the world of bench science is the evidence of harm from advanced glycation end-products (AGEs)[i]. These food by-products are more common in processed and overcooked food and have the ability to produce micro-vascular damage throughout our systems. When epidemiology, clinical trials and bench research all line up, you know you have a powerful product...which is exactly the case with Lifestyle Medicine.

ACLM would love to see the development of a clearer Lifestyle Medicine research agenda. This would help us reach some of our goals, such as the scientific application of Lifestyle Medicine principles in practice.  It would also help create the funding mechanisms needed to take our field to the next level. Again, it's our membership that makes this kind of thing happen. Please let us know if you have resources or talents that can help ACLM facilitate research in Lifestyle Medicine.


Wayne Dysinger, MD, MPH

[i] Uribarri J, Woodruff S, Goodman S, et al. Advanced glycation end products in foods and a practical guide to their reduction in the diet. J Am Diet Assoc. 2010;110:911-916.

Research/Practice Spotlight:  

Kerry Kuehl, MD, DrPH, MS 

   Dr. Kerry Kuehl

Healthcare has the potential to transform lives. The work of Dr. Kerry Kuehl and his colleagues may very well transform healthcare.  


In their leading-edge research, Dr. Kuehl and his team at Oregon Health & Science University are not only demonstrating the powerful impact of lifestyle on health, but are now revealing answers to some of the most challenging questions in healthcare: how best to motivate and bring about positive lifestyle change. And their research demonstrates the substantial cost savings in doing so.

Associate Professor of Medicine and Co-Director of the Human Performance Laboratory at Oregon Health & Science University, Dr. Kuehl also maintains a clinical practice in primary care. Specializing in cardiovascular disease prevention and sports medicine, his scope of practice includes annual physicals, preventive services, women's health, care of the elderly and care for conditions, including hypertension, diabetes, osteoporosis, depression, obesity, and tobacco use. His emphasis within the Human Performance Lab involves exercise, nutrition, weight loss, and athletic performance.

Dr. Kuehl's earliest research - conducted while working as an exercise physiologist at OHSU - reveals a passion for Lifestyle Medicine: comparing exercise to medication in the treatment of hypertension, and comparing nutrition to medication in the treatment of high cholesterol. He went on to attend Loma Linda University School of Medicine, where he received an MD and a DrPH degree in nutritional epidemiology under the direction of Mervyn Hardinge, MD, DrPH, PhD investigating the effects of diet on bone density.

After returning to Oregon for residency training in Internal Medicine, he re-joined his mentors Linn Goldberg, MD and Diane Elliot, MD, in the Division of Health Promotion & Sports Medicine at OHSU. Recipient of a prestigious career development award from the National Institutes of Health, Dr. Kuehl adapted the Division's team-centered health promotion programs, developing the CHOICE Trial (Changing Health Outcomes in Clinical Environments) which examines behavior change strategies among overweight, sedentary primary care patients.

"We know what works...not smoking, exercising most days of the week, eating ten servings of fruits and vegetables each day, eating whole grains, maintaining optimal body weight, maintaining mental and emotional well-being. The question is how to get people to develop these healthy behaviors. My research now focuses on motivation." The CHOICE Trial assigned 120 patients to one of three lifestyle interventions:
1) physician advice, 2) health coaching, or 3) group-based approach; each meeting twelve times over the course of one year.

Dr. Kuehl and his team found that among patients receiving on-going physician advice, 7% made significant lifestyle changes at a cost of $2400 per patient. Among the patients assigned to health coaching, 14% made significant lifestyle changes at a cost of $1200 per patient - twice the effectiveness at half the cost. But the most impressive changes were seen among patients assigned to the group approach: 37% made significant changes at a cost of just $100 per patient.

"We saw the most improvement for the lowest cost in the group intervention. We call it a team-based approach to healthy living." Dr. Kuehl relates the success of the group to social theories, which suggest that we are strongly influenced by what other people do.

  To view the complete article on Dr. Kerry Kuehl, click here

CME Opportunity: Lifestyle Medicine Practice Management  

American College of Lifestyle Medicine and 

American College of Preventive Medicine present

Skamania Lodge


Realizing the Dream:

Lifestyle Medicine 

Practice Management Workshop


September 25-28, 2011  

Columbia River Gorge, WA   

More information  


CME Opportunity: Lifestyle Medicine Conference

Save the Date


Lifestyle Medicine Conference:

Focus on Integration and Collaboration


October 7-8, 2011

Roanoke College, Salem, Virginia

Keynote Speaker: Joel Fuhrman, MD 

More information 


CME Opportunity: Enhancing Health with Plant-Based Nutrition   

Neal Barnard, MD
Neal Barnard, MD

Adventist Health and Northwest Veg present:                           

Enhancing Health  

with Plant-Based Nutrition

A Professional Conference  

for Health Care Practitioners


September 16, 2011  

Adventist Medical Center, Portland, OR  

More information 



CME Opportunity: Obesity 2011

The Obesity Society presents



29th Annual Scientific Meeting


October 1-5, 2011 

Orlando, Florida   

More information   


CME Opportunity: Active Lives: Transforming Ourselves and Our Patients 

Man on treadmill (ILM)

Active Lives:

Transforming Ourselves and Our Patients


November 11-12, 2011 ˇ Friday-Saturday

The Conference Center at Waltham Woods, Waltham, MA

        More information


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.    

More information


Lifestyle Medicine Career Listings    

POSTED: July 7, 2011 Position Wanted

Seeking a behavioral health position in an integrated behavioral and medical health care setting in the Chicago land area. I am a trained Therapist/Psychologist who completed a behavioral health internship at a multispecialty clinic (The Everett Clinic) where I acted as a health coach focusing on the prevention and maintenance of the lifestyle illnesses; specializing in bariatric conditions, sleep medicine, and comorbid conditions. I have helped individuals to lose up to 150 pounds without drugs, diet enhancers or meal replacements. I am interested in finding a medical setting where I can contribute these skills to a medical practice. I can also contribute over 10 years of clinical experience, tools for measuring patient outcomes and satisfaction, and organizational experience collaborating with various parties to focus on mutual goals.
Resume is available by request
For further information, please click here.

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 Employment Opportunities Listings: To post an employment 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

Exercise Cuts Stroke Risk in Elderly CME

The risk of small brain infarcts was lower by about 40% in older people who reported high levels of physical activity, researchers said.

New Vitamin D Guidelines Stress Screening CME

All patients who may be at risk for vitamin D deficiency -- including the obese, African Americans, and pregnant women -- should be screened for the condition, according to a new guideline released here.

Vitamin D Ups Bisphosphonate Response CME
Vitamin D insufficiency may be one factor in the diminished response to bisphosphonates seen in clinical practice, researchers said here.

Olive Oil Protects Against Stroke CME
Consuming copious amounts of olive oil may dramatically reduce stroke risk for older adults, according to a population-based study.

ADA: Diabetics Lead Peers to Healthier Status CME
Training people with diabetes to teach other patients improves utilization of medications and results in lifestyle changes -- and also brings long-term benefits, researchers said here.

ADA: Type 2 Diabetics Can Alter Lifestyles CME
A short-term lifestyle modification program for overweight diabetic patients seen in clinical practice showed long-term benefits for many of the participants, researchers reported here.

ADA: Diet Counseling Aids Glycemic Control CME
Intensive dietary counseling in the year following a diagnosis of diabetes improved glycemic control, but adding exercise to the mix didn't add any extra benefits, researchers said here.

Lab Notes: Diets Sabotaged in the Brain
Concerted, but unsuccessful, efforts to lose weight might indicate that the brain has thrown up a neurochemical roadblock, according to a study involving obese mice.

Low-Fat Diet Affects Alzheimer's Biomarker CME
A low-fat diet led to improvements in a putative biomarker of Alzheimer's disease risk in patients with mild cognitive impairment, but it had the opposite effect in healthy older adults, a small, short-term trial found. 

Potato Chips a Top Culprit in Gradual Weight Gain CME
Potato chips may be the most dangerous food for your hips, according to a study that lays out weight-associated foods by the pound.

Six Million U.S. Kids Have Food Allergies CME
Food allergy in children is more common than previously thought, and often is associated with severe symptoms and multiple foods, a new survey found.

Early Pet Exposure May Help Kids Avoid Allergies CME
Children raised in homes with cats during their first year of life have about half the relative risk of developing allergies to these animals in adulthood, researchers found.

High-Dose Statins May Cause Diabetes CME
High-dose statin therapy raises the risk of diabetes onset in a dose-dependent manner compared with more modest use, a meta-analysis determined.

Smoking Tied to Worse Prostate Ca Survival CME  

More than 5.5 million fee-for-service Medicare beneficiaries have taken advantage of the program's free preventive benefits so far this year, but more work needs to be done, government officials said Monday.

Mom's Smoking Affects Child's HDL Levels CME
Eight-year-old children of women who smoked during pregnancy were found to have lower-than-normal levels of high-density lipoprotein cholesterol, independent of smoke exposure after birth.

Video Violence Keeps Kids Awake CME
Violent content on the TV or computer during the day disrupts sleep for preschool children, researchers have found.

Screen Time Driving Youth Obesity Epidemic CME
Too much time parked in front of the television or computer screen is driving the epidemic of childhood obesity in the U.S., according to a new policy statement from the American Academy of Pediatrics.

TV Time Risky for Adults, Too CME  

A couple hours of daily TV watching can add up to substantial risk of type 2 diabetes, heart disease, and death, according to a meta-analysis.

The following presented by the CDC

Effects of a Behavior-Based Weight Management Program Delivered Through a State Cooperative Extension and Local Public Health Department Network, North Carolina, 2008-2009 
Eat Smart, Move More, Weigh Less (ESMMWL) is an adult weight management program developed in response to North Carolina Obesity Plan recommendations to make weight management interventions accessible to underserved populations.    

The following presented by the National Institute of Mental Health

Stress-Defeating Effects of Exercise Traced to Emotional Brain Circuit
Evidence in both humans and animals points to emotional benefits from exercise, both physical and mental.

The following presented by Medline

Apples Help Keep Muscles Strong, Mouse Study Finds
A natural compound found in apples may help prevent muscle wasting that can result from aging and illness, according to the results of a study in mice.

Diet tied to lower risk of vision loss in old age
For people at a higher risk of losing central vision as they age, eating sufficient levels of certain dietary nutrients could help protect their eyes.

Caffeine May Interfere With Fertility in Women
Caffeine, a known stimulant, has been shown to cause rapid heart rate, nausea, anxiety and depression. Now, new research reveals that caffeine consumption may make it harder for a woman to get pregnant.

Weight Loss in Heavy, Obese Women Boosts Vitamin D Levels
Older women who are overweight or obese and lose more than 15 percent of their body weight could significantly boost their levels of vitamin D, new research suggests.

Simply Eating Less Fat May Cut Diabetes Risk
Losing weight may not be required to lower a person's risk for diabetes, a new study contends.

MSG linked to weight gain
The flavor enhancer monosodium glutamate (MSG), most often associated with Chinese food and after-dinner headaches, may also be enhancing waistlines, a new study finds.

Kids with stubborn asthma may have food allergy
Inner-city children with poorly controlled asthma or skin allergies may be more likely to have food allergies, a new study hints.

The following presented by Web MD


Yoga May Improve Balance of Stroke Patients
Practicing yoga after a stroke may help rebuild balance and prevent potentially disabling falls among the elderly, a study shows.

Stress-Reduction Technique May Ease Hot Flashes
Training in mindfulness-based stress reduction may help women cope with hot flashes and night sweats caused by menopause, a study shows.

Sleep Loss May Lower Testosterone
Cutting back on sleep, even for a little while, may have a dramatic effect on men's testosterone levels.

Hammocks May Improve Sleep
The gentle rocking motion of a hammock helps people fall asleep faster and encourages a deeper state of sleep than sleeping on a stationary bed, a new study shows.

New Guidelines Suggest Higher Doses of Vitamin D
Noting that vitamin D deficiency is "very common in all age groups," new treatment guidelines call for many Americans to take more vitamin D than is currently recommended.

Eating Nuts Daily Lowers Cholesterol
Eating nuts on a daily basis improves blood cholesterol levels and reduces the risk of coronary heart disease, a new study says.

'White Coat Effect' Linked to Hypertension Overtreatment
The so-called "white coat effect" is both real and common in the management of hypertension and it may be a significant cause of patient overtreatment, a new study finds.

Very Low-Calorie Diet May Reverse Diabetes
A very low-calorie diet of 600 calories a day may be able to reverse type 2 diabetes, preliminary research suggests.


The following presented by Medscape (login required)


Strong Evidence Links Meat to Higher Risk for Colon Cancer
A new report has confirmed that red and processed meat increases the risk for colorectal cancer, and the evidence that foods containing fiber offer protection against the disease has become stronger.

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.

Even Diet Soda Induces Weight Gain in the Elderly
The perception that diet soft drinks are a benign alternative to highly sweetened beverages might be dangerously wrong, according to the results of the San Antonio Longitudinal Study of Aging, which were reported here at the American Diabetes Association 71st Scientific Sessions.

Sleep Deprivation Increases Diabetes Risk
Chronic sleep deprivation in people susceptible to developing type 2 diabetes results in increased insulin resistance and compensatory hyperinsulinemia, a new study suggests.

Sleep Deprivation in Medical Caregivers Has Deadly Results
Sleep deprivation in physicians and nurses working extended-hour hospital shifts is compromising patient safety and increasing the risk for car crashes in both Canada and the United States, according to 2 studies presented here at SLEEP 2011: Associated Professional Sleep Societies 25th Annual Meeting .

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 reported online May 26 in the BMJ.

Adolescents Don't Outgrow Eating Disorders
Adolescents who develop disordered eating, including unhealthy and extreme weight control behaviors, as well as binge eating, are likely to continue the practices into young adulthood and possibly beyond, new research suggests.

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.

Higher Vitamin D Levels Linked to Lower Diabetes Risk
Higher levels of vitamin D in the blood appear to be associated with a reduced risk for incident diabetes among people at high risk for the disease, according to a new report.

Resistance Training Improves Generalized Anxiety Disorder
Resistance training reduces symptoms of generalized anxiety disorder (GAD), compared with aerobic exercise or no exercise at all, according to research presented here at the American College of Sports Medicine 58th Annual Meeting.

High Carb Intake in Pregnancy Linked to Gallbladder Disease
A high carbohydrate intake in pregnancy raises the risk of developing gallstones, according to investigators at the University of Washington, Seattle, who presented their findings here at Digestive Disease Week (DDW) 2011.

Texting Smokers Doubles Quit Rates
Sending motivational text messages vs "placebo" texts to smokers doubles quit rates, a large randomized trial shows.

Meditation Improves Mental Well-Being, Reduces Stress
Regular, long-term meditation significantly improves mental well-being, new research suggests.


Nutritional Supplement Boosts Cognition in Healthy Women 

Citicoline, a naturally occurring substance found in the brain and liver and marketed as a nutritional supplement, enhanced aspects of cognition in healthy women and may have a role in mitigating the cognitive decline associated with normal aging, new research suggests.


Recommendations on Cell Phone Use and Cancer Risk 

The evidence is limited when it comes to cell phones and cancer risk, but specialists say common-sense measures can come into play until the science catches up with technology.  


Feverfew-Ginger Combo Safe, Effective in Treating Migraines 

A sublingual preparation of feverfew and ginger is safe, well-tolerated, and effective first-line treatment for mild headaches to prevent a more serious attack, a new study has found.  

Links to Opinion Articles, Practice Advice and Patient Handouts

The following resources presented by AMA

The ABCs of Providing the Initial Preventive Physical Examination 

The goals of the Initial Preventive Physical Examination (IPPE), also known as the "Welcome to Medicare Visit," are health promotion and disease detection. This document explains the components included in the IPPE.

The ABCs of Providing the Annual Wellness Visit 
This document is divided into two sections: the first explains the elements included in the first AWV a beneficiary receives, and the second explains the elements included in all subsequent AWVs.

The Guide to Medicare Preventive Services   
Nearly 300 pages, official CMS information for Medicare Fee-For-Service Providers.

The following presented by Healthcare.gov


National Prevention Strategy

On June 16, 2011 the National Prevention, Health Promotion, and Public Health Council, announced the release of the National Prevention Strategy, a comprehensive plan that will help increase the number of Americans who are healthy at every stage of life.   


The following presented by Medpage Today


HHS Again Turns Focus to Prevention

Once again, the federal government is rolling out a plan to make the nation healthier -- this time it's a National Prevention Strategy.   


Medicare Pushes More Use of Prevention Freebies

More than 5.5 million fee-for-service Medicare beneficiaries have taken advantage of the program's free preventive benefits so far this year, but more work needs to be done, government officials said Monday.   


The following presented by KevinMD

Why cognitive doctors need to be paid more
Americans and third party payers are unwilling to pay more for what mere talk is worth.

 Balanced living for medical students
I spent much of my time advising my patients on how to take care of themselves, discussing in depth the best ways to care for our bodies and relationships. And yet, the schedule and intensity of my work often prevented me from following my own advice.

Themes explaining why people are obese
In my interactions with patients, I always ask them to tell me when their weight problems began and what they believe contributed to their weight gain.

Work should be about optimizing your productivity and health
About six months ago, I purchased a standing desk. It took a few weeks to get used to standing all day, but now, for the rest of my life, I will never sit and work at a computer again.


The following from Amednews


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.  


What editorial writers are saying about MyPlate, the new USDA nutritional guidelines  

Editorial writers are largely supportive of the new illustration, though not all are convinced it will work as intended to reduce America's obesity rate.  


The following presented by WebMD    
Exercising When You're Overweight
When you have a lot of weight to lose, it can be hard to work out. Not only is it physically uncomfortable, but there are often emotional challenges, too -- particularly if you feel too out of shape to go to a gym filled with buff bodies and wall-to-wall mirrors.


The following presented by Mayo Clinic

Positive thinking: Reduce stress by eliminating negative self-talk
Positive thinking helps with stress management and can even improve your health. Practice overcoming negative self-talk with examples provided.

Organic foods: Are they safer? More nutritious?
Discover the real difference between organic foods and their traditionally grown counterparts when it comes to nutrition, safety and price.

Personal health record: A tool for managing your health
An electronic personal health record makes it easy to gather and manage your medical information in one accessible and secure location.

Diabetes management: How lifestyle, daily routine affect blood sugar
Diabetes management requires awareness. Know what makes your blood sugar level rise and fall and how to control these day-to-day factors.

DASH diet: Guide to recommended servings
The Dietary Approaches to Stop Hypertension (DASH) diet can help you control your blood pressure.

The following presented by Berkeley Wellness Alerts

Hemp: Small Seeds, Big Claims
Hemp seeds, sold in health-food stores and at many websites, offer troves of healthful nutrients. But don't believe all the claims made for them.

Red Flags for Red Yeast Rice
People with high cholesterol sometimes take red yeast rice supplements as a "natural" alternative to statin drugs. But that may not be a wise move.

Meat Substitutes for a Healthy Heart
Cutting back on fatty meat is good for your heart. Fortunately, there are plenty of heart-healthy meat substitutes to choose from. Here's a look at the options.

Sing to Your Health
Perhaps you sing for pleasure in the shower, improvise duets with your favorite opera or rock star, or sing in a choir. But does singing have any health benefits?

What Arginine Can-and Can't-Do
Arginine is an amino acid (a building block of protein) produced in the body and found in many foods. Should you also take a supplement?

Mushrooms: A D-Lightful Way to Get the "Sunshine Vitamin"?
Few foods contain vitamin D, so it's difficult to consume enough of it without taking a supplement. Some mushrooms, however, are a surprising source.

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

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

612 Glatt Circle
Woodburn, OR 97071