Lifestyle Medicine in Action
A monthly publication of the American College of Lifestyle Medicine
January 2012     
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Welcome New Members


Ross Beymer

Student, Philadelphia College of Osteopathic Medicine

Philadelphia, Pennsylvania


Edsel Regin Cabaluna, MD

Head, Outpatient Department,

Adventist Medical Center and College

Iligan City, Philippines

Laura Heid, MD

OB/GYN Physician, Walter Reed National Military Medical Center  

Bethesda, Maryland  


Susan Larson, MD, MPH 

General Clinical Occupational Medicine, Preventive Medicine, Permanente Medical Group, Pleasanton, California    


Mark Sandoval, MD 

Director, Emergency Medicine & Family Practice,

Community Hospital of Seventh-Day Adventists  

Trinidad & Tobago, West Indies

Jane Yoon, MD 

Skin Specialist, Skin Cancer and Cosmetic Dermatology Center 

Dalton, Georgia          



  • 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".

Preventive Medicine 2012 Lifestyle Medicine Track

February 22-25, 2012
Orlando, FL


April 11-15, 2012
San Diego, CA 
April 16-17, 2012 
Athens, OH   


WELCOME to the January 2012 issue of  

Lifestyle Medicine in Action!  


In this issue, Wellcoaches founder, Margaret Moore, MBA, 

defines the vital role of coaching in Lifestyle Medicine.  


ACLM President, Dr. Wayne Dysinger reflects on the tremendous growth and progress of ACLM in recent years.   


Read highlights of ACLM President-elect Dr. Liana Lianov's experience presenting and visiting Chonbuk National University, the first institution in Korea to initiate a 

Lifestyle Medicine program. 


 To your health , happiness, and successful 

Lifestyle Medicine practice in this new year ahead! 


President's Desk: Looking Back
Wayne Dysinger


Although I will be writing one more newsletter column as ACLM President, I expect that column will be primarily announcing results of our upcoming elections, so I'm going to take this opportunity to look back at the last several years and reflect a bit on the ACLM journey during that time. 


Before I do that, however, I want to first give a big thanks to Jennifer Rooke, MD for her leadership in the new ACLM Practice Standards committee.  


Dr. Rooke is working with a distinguished group of ACLM members from around the world to develop a set of core scientific recommendations around the practice of Lifestyle Medicine. I'm most excited about the relationship she's forged with Dr. Garry Eggers from Australia. Dr. Eggers is the author of the text "Lifestyle Medicine", and is working with Dr. Rooke on a wiki approach to ensuring that the practice standards develop with ongoing international input. Dr. Rooke exemplifies hundreds of ACLM members who are working together to make us who we are.  


But that wasn't the case 4 years ago. I distinctly remember the election process that took place in March of 2008.  Although the organization had existed for 4 years, it had struggled with finances and logistics. That evening in March, a small but hopeful group of current ACLM officers and members sat in a room and elected a new President - Marc Braman, MD, MPH and a new President-Elect - myself. 


That fateful evening set ACLM on a track for success. During his 19 months as ACLM President, Marc did an amazing job of strengthening the ACLM foundation that was needed to move us into a functioning professional organization. His tireless efforts eventually led both Dr. Braman and the board to decide he was the right candidate to become our first Executive Director. In October of 2009 Marc relinquished his role as ACLM President and turned those responsibilities over to me - 5 months prior to the time I was scheduled to become President. Although there was a significant amount of foundation building to continue through 2010, as discussed in my last column, 2011 seems to have been a real break out year for Lifestyle Medicine - both as a concept as well as a professional organization.


Our upcoming election is so much more than a small group of passionate people making important decisions in a back room. It is a national and even international process of choosing between distinguished candidates who have spent careers developing reputations and connections that now lead them to recognizing Lifestyle Medicine as one of the predominant languages that needs to be spoken in our health care system of the future. ACLM has established traction. We are moving forward in amazing ways. I'm both curious and excited about where the road will lead next. What is clear, however, is that not only does our health care system need us, more importantly, our patients need us. And that is what gets me going every morning.



Wayne Dysinger, MD, MPH President


Practice Spotlight: Wellcoaches

Margaret Moore, MBA


Setting a Gold Standard  

in Health & Wellness Coaching                                                             

Wellcoaches is setting a gold standard in health and wellness coaching, with founder and CEO Margaret Moore at the forefront of this dynamic movement addressing our epidemic of lifestyle-related chronic disease.  


In her many roles, including founding adviser with the Institute of Lifestyle Medicine, her work bridges the fields of coaching and Lifestyle Medicine.


Moore views coaching as a key intervention within Lifestyle Medicine, and views the coaching model as a catalyst for transforming the current medical model into a partnership designed to help people establish healthier lifestyles. This model connects providers with experts skilled in facilitating lifestyle change.  In the way that providers now refer patients for supportive therapies following a stroke or an injury, providers within a coaching model prescribe Lifestyle Medicine and refer patients to a coach for implementation. 


Moore acknowledges the challenge and complexity inherent in lifestyle change.  "Behavior change is much more complicated than taking a pill.  Successfully implementing Lifestyle Medicine requires re-engineering life priorities and behaviors.  People have engaged in health-damaging habits over a lifetime, and health behaviors are notoriously difficult to sustain.  Little by little, most people revert to their old habits.  A coach, in partnership with the physician, supports people in re-engineering their lives so they can integrate self-care in a way that lasts." 


Dr. Michelle Tollefson, an OB/GYN and Lifestyle Medicine physician with certification through Wellcoaches offers her perspective, "Our recommendations to adopt healthy behaviors do not necessarily translate into lifelong behavior change. This is where health and wellness coaches play an integral role.  A skillful coach can empower the patient to implement the recommended lifestyle changes, and increase the patient's chances for lifelong behavior change success.  I see wellness coaches and physicians as working hand-in-hand, allowing patients to experience the full benefit of what Lifestyle Medicine offers."


Read the full article  


Lifestyle Medicine in South Korea


ACLM President-elect, Liana Lianov, MD, MPH, 

highlights Lifestyle Medicine initiative in South Korea 

Dr. Lianov was invited to visit and speak at Chonbuk National University, the first institution in Korea to start a Lifestyle Medicine program.  The university houses a 1000-bed hospital, medical/nursing/dental schools, and a cancer center.  Dr. Lianov spoke at their first Lifestyle Medicine Symposium. Dr. Lianov and others are exploring possibilities for collaborative projects.  She shares some of what she's learned in the course of her visit:

  • In general, South Koreans are physically active and eat a diet high in fruits and vegetables, seafood, and fiber, with lower rates of obesity than in the US.  But South Korean diets are changing due to the infiltration of foreign fast-food chains.
  • According to the World Health Organization, the top three causes of mortality in South Korea are cardiovascular disease, cerebrovascular disease and cancer of the lung/bronchus/trachea.
  • They have higher smoking rates. (Dr. Lianov was unable to obtain information on the population as a whole, but was told that over 20% of physicians smoke.)
  • South Koreans also have high rates of alcohol misuse.
  • The high rates of smoking and alcohol misuse are likely related to what may be their most pressing problem - stress. There is a lot of cultural pressure to achieve and both schools and workplaces are very competitive.
  • South Korea has the highest suicide rate among the group of 28 developed countries. 
  • In response to the concerns of stress, the hospital president and others are interested in mindfulness training and related stress-management work, as part of Lifestyle Medicine.
  • S. Korea has a national insurance system which pays physicians low rates per patient. That leads the doctors to see a high volume of patients, averaging 60-70 patients/day.  Physicians themselves are quite stressed and overworked
  • Both traditional/herbal and conventional medicine alternatives are offered to patients. Pharmacists can dispense herbal supplements and medications independently without a physician prescription.

We thank Dr. Lianov for sharing what she learned during her South Korean visit, and for her role in making connections with our colleagues internationally.


CME Opportunity: LM Practice Management Online Course  

American College of Lifestyle Medicine and     Doctor with Patient 

American College of Preventive Medicine present

Lifestyle Medicine 

Practice Management Workshop

Online CME Course 

 More information  


CME Opportunity:
Preventive Medicine 2012/Lifestyle Medicine Track

The American College of Lifestyle MedicinePreventive Medicine 2012
is pleased to co-sponsor the Lifestyle Medicine track 


Preventive Medicine 2012

Lifestyle Medicine Track

February 22-25, 2012
Orlando, Florida 


More information



CME Opportunity
The American Journal of Health Promotion 
The American College of Lifestyle MedicineAJHP 2012 Conference
is pleased to co-sponsor 
The Art & Science 
of Health Promotion Conference  





 Core Conference: April 11-13, 2012 

 Intensive Training Seminars: April 14-15, 2012

 San Diego, California


 More Information


Training Opportunity:
Become an accredited CHIP facilitator 
The Complete Health Improvement Program (CHIP)
is pleased to co-sponsor

CHIP Facilitator Training Workshops 

April 16-17, 2012 
Athens, Ohio 

 More Information


American College of Preventive Medicine

ACPM Headlines:
       Washington State Tobacco Prevention Program
saves 1.5 billion over ten years
Transitioning adolescents into adult healthcare
        CDC survey on sexual violence  

        More information

Lifestyle Medicine Career Listings    

 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.

Nutrition DVD series

Michael Greger, M.D. is pleased to announce the 
release of his new volume in the Latest in Nutrition DVD series, and is offering this DVD free of charge to ACLM members. 
To receive a free copy, send an e-mail with your mailing address to:


To view previous volumes, go to: http://www.NutritionFacts.org


Research Summaries  

The following presented by WebMD

Nicotine Replacement Treatments May Not Work Long-Term 

Nicotine replacement therapies such as gums or patches may not help smokers kick the habit long-term, a new study shows.  


Low Levels of Vitamin D May Be Linked to Depression

New findings in Mayo Clinic Proceedings add depression to the spectrum of medical illnesses associated with low vitamin D, and may warrant testing vitamin D levels to determine whether supplements may be needed. 

A person who is mourning the death of someone close is at greater risk of suffering a heart attack in the days immediately following the loss and for up to a month afterward, a new study shows. 
A new study shows that older women who practiced mindful restaurant eating lost an average of nearly 4 pounds in six weeks, even though they were only trying to maintain their weight. 

New study shows that walnuts have the highest levels of polyphenols, as well as the most potent polyphenols, compounds believed to reduce heart disease 

The following presented by American Medical News


Doctors Reluctant to Tell Parents Their Child is Overweight

Early intervention by physicians can reduce overweight children's risk of developing serious health conditions later in life, yet only 22% of parents were advised of their child's high body mass index, according to a study published in Archives of Pediatrics & Adolescent Medicine.


The following presented by MedlinePlus


Vitamins, Omega-3s May Keep Brain From Shrinking

Older adults with high levels of omega-3 fatty acids and vitamins B, C, D and E in their blood performed better on certain measures of thinking abilities, and also tended to have larger brain volume, a new study finds. 


B vitamins May Modestly Boost Memory

Older adults who took vitamin B12 and folic acid supplements for two years had greater improvements on short- and long-term memory tests than adults who did not take the vitamins, according to the results of a new study.


Poor Kids Miss Out on Playtime, Pediatricians Say

Children in poor urban neighborhoods need more chances for old-fashioned playtime in their daily lives, says a new report from the American Academy of Pediatrics.


Weight Loss Surgery May Help Diabetes

Weight loss surgery isn't likely to cure type 2 diabetes, but it can improve blood sugar control, a new study suggests.


The following presented by the Huffington Post

Trans Fats-Brain Damage Link Suggested By New Study On Nutrient Levels

Study finds correlation of high levels of trans fats with diminished cognitive performance and less total brain volume. In other words, the study indicated that eating foods high in trans fats -- mostly junk food, like processed pastries and fatty red meats -- may cause brain damage.  


The following presented by Medpage Today (May require log-in)  


Calories, Not Protein, Count in Fat Gain 

Eating too much guarantees that your body will pack on the fat, regardless of how much protein you consume, researchers found.


Diabetes in Pregnancy Raises ADHD Risk in Kids 

Children whose mothers developed gestational diabetes are at an increased risk for attention deficit hyperactivity disorder (ADHD) at age 6, especially if they are from families with low socioeconomic status. 


More Years Obese Equals More Diabetes Risk 

The longer one has an excessive body mass index, the greater the risk of developing type 2 diabetes.


No Mortality Benefit Seen from PSA Screening

Prostate cancer screening with prostate-specific antigen (PSA) afforded no obvious prostate cancer mortality benefit during 13 years of follow-up in a large randomized trial.


Heart, Lung Exercise Best for Cardiac Rehab

Exercise that focuses on building cardiorespiratory fitness, rather than resistance or strength training, provides the best shot at reducing mortality, researchers found. 


Red Wine Study Hints at Breast Cancer Benefit 

Chemicals in red grape skin and red grape seeds, not found in white grapes, may decrease breast cancer risk.


Sleep Woes Tied to Blood Sugar Levels in Diabetic Kids

Children with type 1 diabetes may be more likely to have sleep problems that not only worsen their blood sugar control but also their quality of life, researchers found. 

Pediatric Study: 'Healthy' Diet Best for ADHD Kids

According to researchers, a relatively simple diet low in fats and high in whole grains, fruits, and vegetables is one of the best alternatives to drug therapy for ADHD. Omega-3 and omega-6 fatty acid supplements have also been shown to help in some controlled studies, they noted.  


The following presented by the CDC, Preventing Chronic Disease


Objective Measurement of Physical Activity and Sedentary Behavior Among US Adults Aged 60 Years or Older

The average amount of time spent in sedentary behavior was 8.5 hours per day, with sedentary time was greatest among participants who were aged 80 or older. Women spent less time in sedentary behaviors compared to men, and Hispanics were least sedentary compared to other racial/ethnic groups.  


A Framework for Disseminating Evidence-Based Health Promotion Practices

Authors present framework outlining complementary roles for researchers, disseminators, and user organizations in disseminating evidence-based practices broadly.  


Strategies Proposed by Healthy Kids, Healthy Communities Partnerships to Prevent Childhood Obesity 

Analysis provides examples of how information from communities, obtained through grant-writing efforts, can be used to assess the status of the field, guide future research, and provide direction for future investments.


Links to Opinion Articles, Practice Advice and Patient Handouts

The following presented by WebMD

DASH Diet rated best overall; Weight Watchers best for weight loss.
The following presented by KevinMD
The answer is yes and they do it by building resilience. University of North Carolina professor Barbara Fredrickson has spent the past two decades looking into why we have positive emotions and what we do with them. She even has her own term for her work: positivity. 

The following presented by the CDC, Preventing Chronic Disease 

Promoting Active Communities in a Culture of Distracted Driving

Factors associated with safety present a contemporary challenge to efforts to promote physical activity. One example is the difficulty of encouraging pedestrian-based physical activity because of the growing prevalence of distracted driving.


Restricting Unhealthful Food Advertising to Children and the First Amendment

The Supreme Court has repeatedly ruled that to be protected under the First Amendment, commercial speech must not be misleading; however the advertising of unhealthful food to children is inherently misleading because children are unable to distinguish between purely informational and commercial or persuasive speech.

Preventing Chronic Illness in Young Veterans by Promoting Healthful Behaviors

Three modifiable behaviors - tobacco use, physical inactivity, and poor diet - caused one-third of all deaths in the United States in 2000 (2,3). Promoting tobacco-free lifestyles and healthful weight-related behaviors is important in the veteran population, which appears to be at increased risk for some of these behaviors  


The following presented by Medline Plus


The Mainstreaming of Vegan Diets

A growing number of people are giving vegan diets a second look, and nutritionists now believe that a well-thought-out vegan eating plan could be the most healthy way to live for most people.


Obesity, Diabetes Pose 1-2 Threat to Young Americans 

Doctors have long been concerned that increasing rates of childhood obesity could fuel a diabetes epidemic, and research confirms that the length of time a person carries excess weight directly contributes to an increased risk for type 2 diabetes.


Hitting It Hard 

Video highlights findings from a study suggesting that less than one minute of high-intensity workout and a total workout length of 10 minutes may offer a fast, effective way to control diabetes.


Fitness Often Not a Priority for College Students

The transition from late adolescence to early adulthood represents the most dramatic declines in physical activity across a person's life, according to research.


The following presented by Berkeley Wellness Alerts


Big Downsides to Super-Sized Meals

Large fatty meals can have a variety of immediate adverse effects, which are most risky if you already have heart disease or risk factors for it.


Salt Dangers-Beyond Hypertension

Most people are not  "salt-sensitive," but some research suggests that a high sodium intake may increase the risk of cardiovascular problems independent of its effect on blood pressure.



Contact us:

Lifestyle Medicine in Action  

Editor-in-Chief: Marc Braman, MD, MPH
Managing Editor: Kathleen Jones, MA
Contributing Writer: Wayne Dysinger, MD, MPH
Contributing Editor: Kathy Cater

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

612 Glatt Circle
Woodburn, OR 97071