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


Mark Atkinson, MBBS   

Medical Doctor Specializing in Lifestyle Medicine
London, England

La'-Shaun Elliot, MD

Resident, Preventive Medicine & Public Health, Stony Brook Medical Center
Jamaica, New York

M Rebecca Gallego, MD

Physician, Internal Medicine and Preventive Care
El Paso, Texas

Nicole Gillespie, Pharm.D.   

Assistant Professor of Pharmacy Practice, Creighton University School of Pharmacy

Omaha, Nebraska 

Joseph Kretschmar, MD

Gastroenterology, Takoma Medical Associates   

Greeneville, Tennessee

C. Ann Mashchak, MD, MPH 

Obstetrics/Gynecology, Memorial Ooltewah Women's Center  

Ooltewah, Tennessee

Arlene Noodleman, MD, MPH  

CEO & Medical Director, Integrative Health, Age Defy Dermatology & Wellness 

Campbell, California 


Ralph Rogers, MD, PhD, MBA  

Consultant in Sports and Exercise Medicine, Specialist, Orthopaedic Medicine 

London, England


Andrew Sparkman, DO  

Internal Medicine Resident, Lewis-Gale Hospital at Montgomery

Blacksburg, Virginia 



  • 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, 2011

Salem, VA

Obesity 2011

October 1-5, 2011
Orlando, FL

Obesity in America

October 14-15, 2011

Stanford, CA


Active Lives

November 11-12
Waltham, MA

Nutrition as Core Medicine

November 16-19
Morristown, NJ

WELCOME to the September 2011 issue of  

Lifestyle Medicine in Action!   


Dr. David Katz offers perspective on moving the field of Lifestyle Medicine from knowledge to action,  

cultivating health at the source.


ACLM President Dr. Wayne Dysinger explores the meeting of Lifestyle Medicine and Functional Medicine.  


We're looking forward to the first Lifestyle Medicine Practice Management Workshop September 25th-28th, with plans underway to offer an online CME practice management workshop in the near future.  Stay tuned! 


We wish you an active and enjoyable month ahead!     

President's Desk
Wayne Dysinger

One of the more intriguing activities occurring during the ACLM Practice Management Workshop this month is a meeting between leadership of ACLM and leadership of the Institute for Functional Medicine (IFM). Many organizations operate in the non-traditional allopathic medicine space. A variety of names such as integrative, alternative, complementary and holistic medicine are used by these groups in their approach to illness. One organization that seems to be gaining traction is the IFM. Functional Medicine (FM) is built on a foundation that understands the biochemistry and physiology of each individual, and applies therapies based on these individualized assessments. Lifestyle Medicine is a huge component of FM, however FM goes beyond LM delving into supplements, toxicology and a variety of other sciences. The IFM has organized a variety of offerings including quality CME, publications, sponsorships and ongoing research to support the development of the FM field.

Why are we talking about this here? There are two reasons. The first is the recognition that for many, LM falls in the same grouping as FM. Both recognize the need to change the current health care paradigm. Both are taking us back to our more natural roots. Both are working with physicians and other health care providers to support a foundational shift in how we approach illness. We do have very much in common. I'll be delighted if we find ways to formally collaborate together.

The second reason I'm sharing this here is to be clear that there are also differences between LM and FM as well as the other integrative or alternative medicine movements. LM has always been fully evidence-based. What that means is there is nothing that ACLM promotes that is not completely backed by a strong preponderance of data. We do need more research on implementation and application of LM philosophies, but no one coming from a fully informed scientific foundation will seriously debate the value of LM interventions such as nutrition and physical activity in the prevention and treatment of a variety of chronic diseases. This foundation for the LM movement and for ACLM as an organization will not change.  

When ACLM chose to affiliate with the American College of Preventive Medicine, it consciously made a decision to work from within organized medicine. Our paths toward certification will go through the American Board of Medical Specialties, not outside of it. At the same time, ACLM recognizes the value of pushing our boundaries beyond "the house of medicine". Our goal is to continue to march forward, keeping a foot in both worlds. It's a fun challenge to have. We're grateful for all who are participating in this movement, including current and future partners.  


Wayne Dysinger, MD, MPH

Practice Spotlight:  

Dr. David Katz, MD, MPH, FACPM, FACP     


Dr. David Katz

Leading authority on lifestyle and health, Dr. David Katz has practiced Lifestyle Medicine from the beginning.  A prominent voice in medical media, Dr. Katz serves as an expert source for Health, Prevention, Men's Health, and O, The Oprah Magazine among other popular magazines and news sources.  He's published over 100 scientific papers, numerous textbook chapters, nearly a thousand newspaper columns, and twelve books to date. And these represent only a fraction of his many accomplishments. 


Board certified in Internal Medicine and Preventive Medicine/Public Health, Dr. Katz is the Founding Director of Yale University's Prevention Research Center; Director and Founder of the Integrative Medicine Center at Griffin Hospital; Founder and President of the non-profit Turn the Tide Foundation; Editor-in-chief of Childhood Obesity; Principal Inventor of the Overall Nutritional Quality Index; Medical Director of Weigh Forward; Associate Professor (adjunct) in Public Health Practice, and former Director of Medical Studies in Public Health at the Yale University School of Medicine.  Dr. Katz helped develop and found one of the nation's first combined residency training programs in Internal Medicine and Preventive Medicine, serving formerly as the program's director.  He's been nominated for the position of U.S. Surgeon General to the Obama Administration by the American College of Physicians, the American College of Preventive Medicine, and the Center for Science in the Public Interest, among other national and international health organizations.  Well-known for his work in nutrition, weight management, lifestyle and chronic disease, he's also a renowned authority on integrative medicine and patient-centered care.


His medical practice, designed to build patient engagement and foster healthy lifestyles, combines the best of internal medicine, evidence-based integrative medicine, and lifestyle medicine.  "This is really about building health at its origin."  He maintains that "lifestyle is the most potent medicine we have", and says, "I have abiding respect for the general power and occasional marvels of modern medicine.  But nothing we do with pills and procedures, syringes and scalpels is about the nurturing of health, however effective it may be at arresting the progression of disease. The path to vitality, does not begin and may not even run through the CCU, ICU, clinic, OR and ER where 'health care' is rendered.  True vitality is pretty good at avoiding just such places."


He asserts that health care would more accurately be referred to as disease care, and that prevention viewed through the lens of healthcare generally refers to clinical preventive services, such as cancer screenings. "As valuable as screening is, it does not prevent cancer outright- it finds it early.  Finding cancer early is better than finding it late - and underutilization of services such as mammography and colonoscopy comes at a tragic cost in lives.  But not getting cancer at all is far better than finding it early - and lifestyle change offers the power of that very outcome."


Recognizing lifestyle as a powerful tool for prevention, he offers his short list of behaviors that influence health: feet, forks, fingers, sleep, stress, and love, referring to the first three as the 'master levers' of medical destiny.  Decades of research implicate lack of exercise (feet), overeating and less than optimal food choices (forks), and tobacco use (fingers) as leading causes of premature death and chronic disease.  Dr. Katz maintains that were we to fully apply what we know about lifestyle, "we could reduce heart disease rates by up to 80%; diabetes by 90%; and cancer by between 30% and 60%, with similarly stunning advances across a range of other conditions".  But, he argues, we must first translate what we know into action. "We must move from our narrow vision of health care to a prevention-oriented system that is truly about the cultivation of health at its source." 


Ideally, he maintains, providers must be lifestyle advocates.  "Even in a more conventional practice, my mission would still be to keep people as healthy as possible."  He offers his own approach to dealing with the reality of multiple and complex co-morbidities, describing as an example, a socially isolated patient who is overweight and experiencing weight-related joint problems that cause pain and subsequently lead to poor sleep.  He argues that providers "cannot fix this cascade of problems in one fell swoop"  offering an image of the spiral staircase that must be climbed one step at a time. "The top may hold the promise of perfect health and vitality, but we must still begin at the first step."   


Read the full article     

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  


CNN: The Last Heart Attack  

Sanjay Gupta, MD interviews Bill Clinton


The Last Heart Attack


More information  

CME Opportunity: Lifestyle Medicine Conference

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 presentsapple



29th Annual Scientific Meeting


October 1-5, 2011 

Orlando, Florida   

More information   



CME Opportunity: Obesity in America

Stanford School of Medicine presentsStanford CME Conference


Obesity in America


October 14-15, 2011 

Stanford, California    

 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 Friday-Saturday

The Conference Center at Waltham Woods, Waltham, MA

        More information


CME Opportunity: The Emergence of Nutrition as Core Medicine  

Nutrition as Core Medicine ConferenceThe American College of Nutrition presents


The Emergence of Nutrition  

as Core Medicine 


November 16-19, 2011
Morristown, New Jersey

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: 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 JAMA Report

Cholesterol Lowering Foods and Dietary Advice Lowers LDL Cholesterol
A new study finds combining foods with cholesterol-lowering properties with a low-saturated fat diet in addition to dietary advice significantly lowers LDL levels.

The following presented by Medpage

Cholesterol-Lowering Foods Beat Low-Saturated Fat Diet CME

Eating a predominantly vegetarian diet focused on lowering cholesterol -- and getting advice on how to do so effectively -- can drop LDL levels more than a diet focused only on reducing saturated fat, researchers found.

More Exercise Means Better Heart Health CME 

Some exercise tops none but more exercise trumps both for preventing coronary heart disease, authors of a meta-analysis concluded. 

Evening Stroll Walks Off PAD Risk CME
A lifetime of even light exercise protects the heart but also the legs, according to a study showing reduced risk of peripheral arterial disease (PAD).

Even Short Workout Could Extend Life Expectancy CME
Working out for just 15 minutes per day may add about three years to your life, researchers said.

Healthy Living Really Does Postpone Mortality CME
A low-risk lifestyle, with an emphasis on healthy eating and being active, has a "powerful and beneficial" effect on mortality, CDC researchers found.

ESC: Anger Drives Heart Attacks But Laughter May Be Antidote CME
New research suggests that patients with cardiovascular disease who have unresolved anger problems may find themselves vulnerable for recurrent heart attacks.

Channel Surfing May Shorten Life CME
Not only are hours spent in front of the television hours you'll never get back, they may be hours actually taken off your lifespan, researchers found.

Cigarettes Hurt Women's Hearts More than Men's CME
Women who smoke have a greater risk of developing coronary artery disease than men who smoke, a large systematic review and meta-analysis showed.

BP Initiative Boosts State's CV Health CME
A practice network focused on improving cardiovascular disease in South Carolina may have contributed to lower rates of death from heart disease and stroke in that state, researchers said.

Sleep Apnea Tied to Worse Cognition CME
Older women with sleep-disordered breathing are more likely to develop cognitive impairment than those who don't have sleep problems, researchers found.

Compression Stockings Help Sleep Apnea CME
Compression stockings might be a simple - and low-tech - way to improve sleep apnea in patients who also have chronic venous insufficiency in the lower limbs, researchers reported.

Spicy Food May Boost Metabolism CME
Spicing up dinner may have metabolic benefits, particularly when it comes to insulin and triglyceride levels, a small study showed.

Increased Libido One Sexual Benefit of Weight Loss CME
Sexual function improved significantly and quickly in obese men with type 2 diabetes after weight loss with reduced-calorie diets, results of a small Australian clinical study showed.

Vitamin D Linked to Skin Cancer CME
Higher levels of vitamin D, still within the normal range, are associated with an increased risk of nonmelanoma skin cancer, researchers reported.

Too Few Sunny Days for U.S. Kids CME
Many children in the U.S. are not getting enough sun exposure to help meet their minimal daily vitamin D3 requirements, according to an analysis by FDA researchers.

Smoking, Bladder Cancer Link Strengthens CME
Smoking's contribution to bladder cancer risk increased over the past 25 years, and the attributable risk in women caught up with that of men, data from a large cohort study showed.

Music Calms Anxiety, Boosts Mood for Cancer Patients CME
Listening to music reduced anxiety and pain in cancer patients and helped improve their mood and quality of life, according to a systematic review.

More to Addiction than Substance Abuse, Group Says
Addiction is a chronic brain disorder that should be treated like any other chronic disease, according to a new definition from the American Society of Addiction Medicine.

The following presented by Diabetes in Control

More Muscle Mass Knocks Out Insulin Resistance and Prediabetes 

Having more muscle mass can protect against insulin resistance and prediabetes, no matter overall body size, researchers said.


The following presented by Medline Plus

Poor Sleep, High Blood Pressure?  

Study found older men who got less 'deep sleep' had higher risk of hypertension.

Colon Cleansing Has No Health Benefit, May Harm: Report

Despite the popularity of colon cleansing, there's no evidence that the procedure -- which can be done at home or in day spas -- offers any health benefits, a new study finds.

High-Fiber Diet Might Lower Risk for Colon Polyps

People who regularly eat legumes, brown rice, cooked green vegetables and dried fruit have a reduced risk of colon polyps, a precursor to colon cancer.

Your Lifestyle or Your Memory
In a new study, a professor at the University of California, San Francisco, and colleagues took a closer look at preventable factors linked to Alzheimer's disease. They found that in the United States, 21 percent of cases may be due to sedentary lifestyles, with another 11 percent due to smoking, 8 percent to high blood pressure in middle age, and 7 percent due to obesity in middle age.

Can chewing more help you eat less?

A new study finds that people who chew their food more take in fewer calories, which may help them control their weight.

Obesity Counseling Should Stress Brain, Not Willpower: Study

Obesity counseling should focus on neurobehavioral processes -- the ways the brain controls eating behavior in response to biological and environmental factors -- instead of personal choice and willpower, researchers suggest.

Smoking, Diabetes, Obesity May Shrink Your Brain

As if there weren't already enough good reasons to avoid smoking and keep your weight, blood sugar levels and blood pressure all under control, a new study suggests these risk factors in middle age may cause your brain to shrink, leading to mental declines up to a decade later.

Daily Hot Dog May Feed Diabetes Risk: Study   
Eating red meat -- especially processed products such as hot dogs -- increases your risk of type 2 diabetes, a new study warns.

Personal Feedback May Aid Fitness Progress  

Using personal digital assistants (PDAs) to give daily feedback to adults about their fitness progress helps them stick with an exercise program, a new study says.

Pumping Iron Helps Smokers Quit Without Weight Gain: Study

Would-be ex-smokers may want to try weight lifting to help them kick the habit for good, a new study suggests.

Getting Along With Coworkers May Add Years to Your Life

Good relationships with your co-workers and a convivial, supportive work environment may add years to your life, new Israeli research finds.

Celiac Disease on the Rise in U.S.

Complaints of celiac disease are on the rise in the United States, with more and more people growing ill from exposure to products containing gluten. 

The following presented by NIH Research Matters

Smoking and Bladder Cancer 

Current cigarette smokers have a higher risk of bladder cancer than previously reported, according to new research.

The following presented by Web MD


Resisting Temptation May Not Get Easier With Age

Issues With Self-Control and Delayed Gratification May Persist From Childhood to Adulthood

Improving Lifestyle Reduces Diabetes Risk
Making Several Healthy Changes Could Cut Diabetes Risk by About 80%, Study Finds

Drink a Day Keeps Disease Away?

Moderate Drinking May Help Women Avoid Disease as They Age


The following presented by Medscape (login required)


Omega-3 Fatty Acids May Reduce Inflammation and Anxiety in Healthy Young Adults 
A new study has provided the first evidence that omega-3 fatty acids of the types found in fish oils may reduce anxiety in healthy people who have not been diagnosed with an anxiety disorder.

The following presented by the American Academy of Dermatology

Managing stress can help people improve their skin conditions

As anyone with a chronic, inflammatory skin condition, such as psoriasis, rosacea or acne, knows, dealing with unpredictable flares can cause considerable stress and have a negative effect on a person's overall well-being.


Links to Opinion Articles, Practice Advice and Patient Handouts
The following presented by Medline

An Earful About Smoking

Young people who had been around secondhand smoke were 83 percent more likely to have low-frequency hearing loss. Almost 82 percent of the youths with the hearing loss didn't realize they were having trouble hearing.

A Conversation with Sanjay Gupta, M.D.
Sanjay Gupta spoke recently with NIH MedlinePlus Magazine Coordinator Christopher Klose about children's health and the environment, including the National Children's Study.


The following presented by the Institute of Medicine


Early Childhood Obesity Prevention Policies
IOM Consensus report reviews factors related to overweight and obesity from birth to age five and recommends actions that healthcare professionals, caregivers, and policymakers can take to prevent obesity in children.

The following presented by KevinMD 

10 ways to make a difference in the lives of your patients 

Tips to move your message out of the realm of knowledge transfer and into the exciting world of behavior change.


Why Patients Flock to Alternative Medicine Providers
Our current view of health as the absence of disease is not sustainable, and the fact that so many people are seeking alternative views and taking matters into their own hands is only further evidence that our fundamental understanding of what health is needs to change.

Why I Love Community Health Fairs  
Health fairs offer a unique opportunity to engage patients, to address common health concerns in a group setting, and get messages across that may very well push those in precontemplation stage squarely into action.


The following presented by WebMD 


Diet Plans for Men
Atkins vs. Ornish, South Beach Diet vs. the Zone: Does any weight loss plan really work?

Find Your Lost Libido

Top libido busters from medical conditions to stress can cause lowered sex drive.

Worst Foods in Your Fridge 

10 unhealthy foods that are probably lurking in your refrigerator or freezer right now.

A step-by-step guide to building a more active lifestyle.


What Every Parent Should Know About BMI

The CDC and the American Academy of Pediatrics recommend BMI screenings for children age 2 and older; article presents information on BMI measurements in children.    


Keys to Staying Young

One of the youngest 80-somethings around, Dr. Isadore Rosenfeld, offers fitness as the key to staying young.  


Antioxidants and Your Immune System: Super Foods for Optimal Health

Experts say a diet rich in fruits and vegetables improves immune function, and can help ward off infections like colds and flu.


The following presented by Mayo Clinic

Does grape juice offer the same heart benefits as red wine?
Some research studies suggest that red and purple grape juices may provide some of the same heart benefits of red wine

The following presented by Berkeley Wellness Alerts

Taking Stock of the Portfolio Diet

The Portfolio diet puts several cholesterol-lowering foods together in one meal plan. The results are impressive.


Can Interval Training Give Your Workouts a Boost?

There's no shortcut to getting fit. But there is a way to boost your cardiovascular workouts-interval training.


Turmeric: A Spicy Medicine?

Turmeric, a spice used in curry powder, is sold as a dietary supplement. Does it ease arthritis, protect against dementia or have other health benefits, as touted in traditional herbal medicine?


Raw Food Diet: Basics, Benefits, Drawbacks
Raw fruits, vegetables, nuts and seeds are certainly good for you, but there's no conclusive evidence that a pure raw food diet will prevent or cure any condition or disease.

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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