The Elements Of Good Health Power Point

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Dr. Monte Ladner presentation at the 2009 IASA Spring Conference.

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  • The Elements Of Good Health Power Point

    1. 1. The Elements of Good Health Monte Ladner, M.D. www.fitnessrocks.org www.fitnessrocks.org www.fitnessrocks.org
    2. 3. Healthy Lifestyle Habits Arch Intern Med. 2005;165:854-857
    3. 4. Healthy Lifestyle Habits Don’t Smoke BMI 18.5 - 24.9 Five/day 30 minutes/day “ Magic Formula”
    4. 5. A Fifth Healthy Habit? AmJMed March 2008
    5. 6. Chronic Diseases <ul><li>Leading cause of death and disability </li></ul><ul><li>45 percent of the U.S. population (125 million Americans) </li></ul><ul><li>78 percent of all health care spending </li></ul>http://www.ahrq.gov/news/ulp/chronic/ulpchron1.htm
    6. 7. Causes of Death <ul><li>Tobacco 435,000/year </li></ul><ul><li>Poor diet/inactivity 365,000/year </li></ul><ul><li>Excessive alcohol 85,000/year </li></ul>JAMA. 2004;291:1238-1245 Heart Cancer All Other Stroke Lung Alzheimer’s Diabetes Influenza Injury http://www.cdc.gov/nccdphp/publications/aag/aging.htm
    7. 8. World Health Organization Estimates of Possible Prevention Estimates of Possible Prevention http://www.who.int/dietphysicalactivity/publications/facts/chronic/en/
    8. 9. Diabetes Prevention Program NEJM February 7, 2002 February 7, 2002
    9. 11. Type 2 Diabetes in Pima Indians Diabetes Care August 2006
    10. 12. Compression of Morbidity
    11. 13. DASH Diet <ul><li>Fruits, vegetables, low-fat dairy, and reduced total fat </li></ul><ul><li>BP lowered 11.4/5.5 mm Hg in people with hypertension </li></ul><ul><li>Lowering sodium to 1500 mg/day further reduced BP </li></ul>
    12. 14. Mediterranean Diet (Mostly Plants) High Consumption of: Fruits Vegetables Beans Nuts Whole grains Olive oil Fish - moderate Alcohol - moderate Low Consumption of: Saturated fat Dairy products Red meat and poultry NEJM June 26, 2003
    13. 15. Mediterranean Diet and Risk of Type 2 Diabetes BMJ 2008;336:1348-1351 <ul><li>83% reduced risk </li></ul>
    14. 16. Exercise Capacity and All-Cause Mortality NEJM March 14, 2002 <ul><li>Stronger Predictor Than: </li></ul><ul><li>Diabetes </li></ul><ul><li>High Cholesterol </li></ul><ul><li>High Blood Pressure </li></ul><ul><li>Smoking </li></ul>
    15. 18. Exercise Capacity and Cancer Risk Cancer Mortality Hazard Ratios Maximum Treadmill Duration Obesity December 2007
    16. 19. Diet, Lifestyle, and Mortality in Elderly Men and Women JAMA September 22/29, 2004 23% 22% 37% 35% 63% Reduction in 10-Year All-Cause Mortality in People Aged 70 - 90
    17. 20. Still “Magic” After Age 45 AMJMED July 2007 July 2007 <ul><li>5 fruits and vegetables/day </li></ul><ul><li>BMI between 18.5 - 29.9 </li></ul><ul><li>150 minutes/week of exercise </li></ul><ul><li>Not smoking </li></ul><ul><li>All-cause mortality down 40% </li></ul><ul><li>Cardiovascular disease down 35% </li></ul>
    18. 21. Genomic Medicine?
    19. 22. Obese Kids <ul><li>One third overweight/obese </li></ul><ul><li>Increased risk for adult heart disease </li></ul><ul><li>Kids developing: </li></ul><ul><ul><li>High blood pressure </li></ul></ul><ul><ul><li>High Cholesterol </li></ul></ul><ul><ul><li>Type 2 Diabetes </li></ul></ul><ul><ul><li>Fatty infiltration of the Liver </li></ul></ul><ul><ul><li>Ref: Fitness Rocks Podcast 137 </li></ul></ul>
    20. 23. Fitness & Academics <ul><li>Decline in school physical education participation </li></ul><ul><li>Fit kids score higher on standardized testing - 38% for math and 24% for english </li></ul><ul><li>Ref: Fitness Rocks Podcast 131 </li></ul>

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