This lecture discusses how personal choices and lifestyle factors are powerful influences on health. It begins by exploring current health statistics in America, which show high rates of obesity, diabetes, heart disease and other chronic diseases. These poor health outcomes are linked to most Americans eating more calories, sugar, salt and meat compared to the past, while being less physically active. The lecture then reviews several scientific studies that demonstrate how lifestyle modifications like improved nutrition, increased exercise, weight management and avoiding tobacco can significantly reduce risks for chronic diseases and mortality. It emphasizes that lifestyle is a major determinant of health outcomes. The lecture concludes by encouraging participants to prioritize healthy living through personal goal setting and lifestyle changes.
Elson M.Haas M.D. -
Member, RiverMend Health Scientific Advisory Board for Addiction & Psychiatry. Integrated Medicine Physician Founder/Director, Preventive Medical Center of Marin.
Dr. Haas addresses the RiverMend Health Scientific Advisory Board on the diet and nutrition information needed during the detox process.
To watch lecture visit : http://vimeo.com/100322037
For more information visit: http://www.rivermendhealth.com/scientific-advisory-board-addiction.html
A recent presentation on health and healthy living. Learn how you personal choices just may be the most powerful predictors of your personal health. Be empowered and inspired to achieve your best health in 2018.
Lifestyle Medicine: The Power of Personal Choices, North American Vegetarian...EsserHealth
Learn about the leading chronic diseases in America and how Lifestyle Medicine can radically shift the burden of disease in your life and western society at large.
Living a Heart Healthy Life - Liliana Cohen - West Orange Public Library - 2....Summit Health
Learn how to make healthy choices that impact heart health, the typical mistakes to avoid, and how to recognize the signs and symptoms of a heart attack.
Elson M.Haas M.D. -
Member, RiverMend Health Scientific Advisory Board for Addiction & Psychiatry. Integrated Medicine Physician Founder/Director, Preventive Medical Center of Marin.
Dr. Haas addresses the RiverMend Health Scientific Advisory Board on the diet and nutrition information needed during the detox process.
To watch lecture visit : http://vimeo.com/100322037
For more information visit: http://www.rivermendhealth.com/scientific-advisory-board-addiction.html
A recent presentation on health and healthy living. Learn how you personal choices just may be the most powerful predictors of your personal health. Be empowered and inspired to achieve your best health in 2018.
Lifestyle Medicine: The Power of Personal Choices, North American Vegetarian...EsserHealth
Learn about the leading chronic diseases in America and how Lifestyle Medicine can radically shift the burden of disease in your life and western society at large.
Living a Heart Healthy Life - Liliana Cohen - West Orange Public Library - 2....Summit Health
Learn how to make healthy choices that impact heart health, the typical mistakes to avoid, and how to recognize the signs and symptoms of a heart attack.
By the Numbers: Women’s Perceptions About Heart HealthCVS Health
American Heart Month, celebrated every February, is an important reminder to understand and address risks for heart disease – the number one killer of women in the United States. We conducted a survey of more than 1,100 women with Morning Consult in partnership with the American Heart Association, to learn about their perceptions of the importance of heart health and experiences managing heart-related conditions.
Cardiorespiratory Fitness, Health Outcomes, and Health Care Costs: The Case f...Matti Salakka 🐠
Physical inactivity is becoming a world-wide epidemic – and the consequences can be both costly and deadly. This was outlined by Dr. Jonathan Myers who, citing a range of studies and recent research results, was able to show hard-hitting data related to the correlation between fitness (or lack thereof) and poor health. Myers argues fitness may well be a better marker than traditional risk factors for CVD and all-cause mortality. Amongst the eye-opening findings presented to the audience was that, for the first time, global deaths-per-year due to physical inactivity are higher than for smoking.
Your heart matters by Dr. Justina Trottsantaferotary
This was a presentation made to the Rotary Club of Santa Fe on June 27, 2013 by Dr. Justina Trott , Director Women's Health Policy Robert Wood Johnson Foundation Center for Health Policy University of New Mexico.
CORONARY ARTERY DISEASE is a modern epidemic in india. due to changes in living conditions and habits its prevalence is increasing day by day . in this presentation i have explained the various risk factors and innovations in diagnosis of CAD. IT is very useful for primary health care physicians and community medicine specialist
How to prevent heart disease and diabetesEsserHealth
Heart disease is the leading cause of death in men and women in America today. Learn how the food you eat can radically alter your risk of both heart disease and type two diabetes. You can achieve better health starting today.
By the Numbers: Women’s Perceptions About Heart HealthCVS Health
American Heart Month, celebrated every February, is an important reminder to understand and address risks for heart disease – the number one killer of women in the United States. We conducted a survey of more than 1,100 women with Morning Consult in partnership with the American Heart Association, to learn about their perceptions of the importance of heart health and experiences managing heart-related conditions.
Cardiorespiratory Fitness, Health Outcomes, and Health Care Costs: The Case f...Matti Salakka 🐠
Physical inactivity is becoming a world-wide epidemic – and the consequences can be both costly and deadly. This was outlined by Dr. Jonathan Myers who, citing a range of studies and recent research results, was able to show hard-hitting data related to the correlation between fitness (or lack thereof) and poor health. Myers argues fitness may well be a better marker than traditional risk factors for CVD and all-cause mortality. Amongst the eye-opening findings presented to the audience was that, for the first time, global deaths-per-year due to physical inactivity are higher than for smoking.
Your heart matters by Dr. Justina Trottsantaferotary
This was a presentation made to the Rotary Club of Santa Fe on June 27, 2013 by Dr. Justina Trott , Director Women's Health Policy Robert Wood Johnson Foundation Center for Health Policy University of New Mexico.
CORONARY ARTERY DISEASE is a modern epidemic in india. due to changes in living conditions and habits its prevalence is increasing day by day . in this presentation i have explained the various risk factors and innovations in diagnosis of CAD. IT is very useful for primary health care physicians and community medicine specialist
How to prevent heart disease and diabetesEsserHealth
Heart disease is the leading cause of death in men and women in America today. Learn how the food you eat can radically alter your risk of both heart disease and type two diabetes. You can achieve better health starting today.
Learn why heart disease is a major issue and what you can do to prevent and reverse the number one killer of American's today. Review extensive science and studies demonstrating the effect of nutrient dense foods, exercise and mental health on heart health. Establish your own personal heart health program today.
What does wellness mean to you? When it comes to your health do you know the numbers that can save your life? Sandy will use tools to assess your risk for disease and inspire you to make healthier choices to achieve wellness.
This presentation discusses why weight loss is not just about calories. Hormones, Environment, Stress are just a few reasons weight management is so challenging
this presentation will contains problem of old age, how can they affect the life of geriatric peoples, prevention and control of geriatric problems, national program for better health of old peoples, initiations done by private trusts to improve their health
All too often we hear nutrition myths. They confuse many people and result in personal choices that compromise health and increase the risk of disease. In this powerpoint, Dr Esser reviews some foundational and a few specific myths and presents compelling science to set the record straight. Enjoy and remember to keep on asking questions and learning how you can achieve your best health in 2018.
What do Heart Disease, Cancer, and Obesity have in common? They are all huge threats to women’s health and also all preventable.
We would be amiss if we gathered at this conference to talk about success, power, and vitality without including a candid
discussion about the most critical part of long term Success. HEA LTH!
Learning Objective: This workshop will explore top areas of health concerns and review small changes in daily lifestyle and be
a part of a collective movement to reduce risk and live a longer, healthier life.
Outcome-At the end for this workshop, participants will:
a. Explore new trends, issues, and health concerns specific to women
b. Examine specific health issues common among various age groups and ethnicities
c. Discuss solutions, lifestyle changes, and other health related solutions
d. Explore and assess several natural health remedies and other vitamin supplementation
e. Review and rate top weight loss and exercise plans for women
prevention of heart attacks is the theme on this world heart day.heart disease is increasing in india like an epidemic & affecting younger people with more mortality
CAD is spreading like an epidemic in south east Asia,esp india where its affecting younger ppl with grave prognosis. due to limited resourses, primary prevention becomes the most important tool to arrest this epidemic
The Intersection of Orthopedics and Lifestyle MedicineEsserHealth
What you eat, drink and how you move can radically influence the health and happiness of your joints! Learn how to make powerful science based decisions about your personal health and keep your joints healthy and pain free.
Autoimmune Disease: Understanding the Inflammation WithinEsserHealth
AutoImmune Disease can seem scary, overwhelming and complicated. In this powerpoint we break down the science into applicable nuggets for your life. Enjoy it live on facebooklive as well at esserhealth
The Intersection of Sports and Spine Medicine and Plant Based Nutrition EsserHealth
Whether it is pain, performance or recovery, plant based nutrition has a great deal to offer orthopedic patients. Enjoy reviewing this presentation and learning.
The mind is powerful. Emotions are perhaps the most powerful influence of our personal choices every day. As you transition to a more healthy tomorrow, be sure you evaluate your personal thoughts, emotions and feelings on a daily basis. These thoughts and feelings might just be the key to your long term success.
Learn the basics of Diabetes Prevention, reversal and Management. The Science is clear, follow the five key behavior changes to live a diabetes-free life.
Back to the Swing of Things: Golf InjuryEsserHealth
Golf Injury is a real risk of participation, Dr Esser teaches other medical providers about some common golf injuries and both management and prevention in this presentation.
Many of us know we should eat more of those healthy foods but find it hard to stick with our "healthy" goals. Why is that and what can you do to make maintaining healthy habits easier.
The Ties that Bind: Depression and DisabilityEsserHealth
The Disability status of an individual and their risk of concomitant mental health needs is linked. If you or a loved one are considering going out on " disability" be sure you have the tools to deal with depression and the like. Reach out, find support and be proactive.
Tennis Injuries can keep athletes off the court and unable to achieve their personal on court goals. Learn how to reduce the risk of these injuries and to enhance function.
Conservative Management of Knee osteoarthritisEsserHealth
Osteoarthritis is a major burden on personal health and international health care expenditures. Learn the basics of osteoarthritis and conservative management options for the physician.
What you eat is powerful "medicine." The foods, you choose to eat or to skip can radically influence your risk of disease. Learn what you can do and why it matters to your breast cancer risk in this presentation.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
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ASA GUIDELINE
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micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
8. “A global response to a
global problem: the epidemic
of overnutrition.” WHO
It is estimated that by 2020 2/3rds
of the global
burden of disease will be attributable to chronic
non-communicable diseases, most of them
strongly associated with diet. The nutrition
transition towards refined foods, foods of animal
origin, and increased fats plays a major role in
the current global epidemics of obesity, diabetes
and cardiovascular diseases, among other non-
communicable conditions. Sedentary lifestyles and the
use of tobacco are also significant risk factors. …….. A
concerted multi-sectoral approach, involving the use of
policy, education and trade mechanisms, is necessary
to address these matters.
12. “A global response to a
global problem: the epidemic
of overnutrition.” WHO
It is estimated that by 2020 2/3rds
of the global
burden of disease will be attributable to chronic
non-communicable diseases, most of them
strongly associated with diet. The nutrition
transition towards refined foods, foods of animal
origin, and increased fats plays a major role in
the current global epidemics of obesity, diabetes
and cardiovascular diseases, among other non-
communicable conditions. Sedentary lifestyles and the
use of tobacco are also significant risk factors. …….. A
concerted multi-sectoral approach, involving the use of
policy, education and trade mechanisms, is necessary
to address these matters.
DiabetesDiabetes
High Blood PressureHigh Blood Pressure
High CholesterolHigh Cholesterol
Heart DiseaseHeart Disease
ObesityObesity
30. Year Bee
f
Pork Total
Red
Meat
Total
Chicken
Turkey Total
Poultry
Total
Red
meat
and
Poultry
Commerci
al Fish and
Shellfish
1965 74.7 51.5 133.9 36.9 7.6 44.4 178.4 10.9
2000 67.5 50.8 120.2 77.4 17.3 94.7 214.8 15.2
2016
Prj.
55.0 49.2 105.3 91.4 16.2 107.6
213
NA
As of 9/6/15
32. 8% from Fruits
and Vegetables
8% from Fruits
and Vegetables
≈ 50% from Added
fat/oil and
processed flour
≈ 50% from Added
fat/oil and
processed flour
33. Perspective
• We eat more
– Sugar, Salt, Fat, Meat, Dairy
– 1970-2017:
• ↑ 24.5 % C/day ≈
504K/day
• We get less then ideal Physical Activity
– 18.8% of adults achieved CDC reccs on
Exercise
– 10% of adults >65 y/o
40. 1: Essential Hypertension
7: Diabetes Mellitus
15/17: Heart Disease
1: Essential Hypertension
7: Diabetes Mellitus
15/17: Heart Disease
Top 35 leading diagnosis groups at ambulatory care clinicsTop 35 leading diagnosis groups at ambulatory care clinics
41. Number and rate of discharges from short stay hospitals 2009Number and rate of discharges from short stay hospitals 2009
2: Heart Disease
8: Strokes
11: Diabetes Mellitus
17: Essential Hypertension
2: Heart Disease
8: Strokes
11: Diabetes Mellitus
17: Essential Hypertension
42. Admission Diagnosis to Nursing Homes 2009Admission Diagnosis to Nursing Homes 2009
1: Disease of Circulatory System1: Disease of Circulatory System
48. “A global response to a global
problem: the epidemic of
overnutrition.” WHO
It is estimated that by 2020 2/3rds
of the global burden
of disease will be attributable to chronic
noncommunicable diseases, most of them strongly
associated with diet. The nutrition transition towards
refined foods, foods of animal origin, and increased fats
plays a major role in the current global epidemics of
obesity, diabetes and cardiovascular diseases, among
other noncommunicable conditions. Sedentary
lifestyles and the use of tobacco are also significant
risk factors. …….. A concerted multi-sectoral approach,
involving the use of policy, education and trade
mechanisms, is necessary to address these matters.
……if…….Lifestyle is the
Problem
……if…….Lifestyle is the
Problem
What is the answer……..?What is the answer……..?
51. • What if……..
– You ate MOREfruits, vegetables,
unprocessed whole grains, nuts, seeds and beans?
– You ate LESS foods of animal origin (meat, dairy,
fish) and processed foods
– You reduced Toxic exposures
– You exercised daily
52.
53. 12 year Cohort Study
1507 men 832 Women
Ages 70-90 years
Outcomes: 10 yr all cause mortality
4 Factors: More plants, Moderate EtOH, physical exercise
and non-smoking were ass. w ↓ in ACM
50% ↓ in all-cause
and cause specific
mortality
54. “Not only do persons with better health habits
survive longer, but in such persons, disability is
postponed and compressed into fewer years
at the end of life.”
Vita, AJ et al. NEJM 1998; 338:1035-1041
55. Finnish Diabetes Prevention Trial
Total 522: 172M 350W
Av. age 55
Av. BMI 31
Randomized to standard of care or
individualized lifestyle counseling
Av. f/u 3.2 yrs
Risk of
Diabetes ↓ 58 %
(P<0.001)
N Engl J Med 2001;344:1343-50
“The reduction in the incidence of diabetes was
directly associated with changes in lifestyle”
56. Healthy living is the best revenge: findings from
the European Prospective Investigation Into
Cancer and Nutrition-Potsdam study 2009
• 23,153 participants (35 to 65yr) for about 8 years
• Rates of type 2 diabetes mellitus, myocardial
infarction, stroke, and cancer
• 4 Variables:
– Never smoking
– BMI<30
– 3.5 h/wk or more of physical activity
– healthy dietary principles (high intake of fruits,
vegetables, and whole-grain bread and low meat
consumption).
If you had all 4 factors at baseline you had
• 78% lower risk of developing a chronic disease
•
• 93% lower risk of diabetes
•81% lower risk of myocardial infarction
•50% lower risk of stroke, and
•36% lower risk of cancer
If you had all 4 factors at baseline you had
• 78% lower risk of developing a chronic disease
•
• 93% lower risk of diabetes
•81% lower risk of myocardial infarction
•50% lower risk of stroke, and
•36% lower risk of cancer
Sign Me Up!Sign Me Up!
57. What we Know
Health Comes from
Healthy Living
Health Comes from
Healthy Living
58. We know
• Health Comes from Healthy Living
–MORE Color
–MORE Movement
– Reduce/Eliminate Toxins
– Spiritual/Emotional Well-Being
70. Exercise and Physical Health
• Reduces risk of
– Heart Disease ≈ 40%
– Obesity: ≈ 30-100%
– Stroke ≈ 50%
– Type 2 Diabetes ≈ 50%
– Hypertension ≈ 50%
– Disability delayed ≈15 years
– Colon Cancer ≈ 25-40%
– Breast Cancer ≈ 20%-44%
– Osteoporosis ≈ 20+%
• As many as 250,000 deaths per year in the United States
areattributable to a lack of regular physical activity
71. Exercise and Mental Health
• Regular Exercise:
– Reduces risk/severity of:
• Depression
• Anxiety
• ADD/ADHD
• Alzheimers Dementia
– Improves:
• Mental Clarity, test scores, focus
72. Exercise and Emotional Health
• Regular Exercise:
– Increases Self Confidence
– Teaches skills to manage adversity
– Enhances Self Esteem
– Develops Discipline
– Encourages Goal setting and self awareness
73. Exercise means pink spandex, going to a
gym, sweating with a bunch of people I
don’t even know or like!
74.
75. Categories
• Leisure time Exercise: organized sports,
running, gym activities, rehabilitation etc.
• Lifestyle Exercise: activity incorporated into our
daily pattern of life
– eg: parking in the distant portion of the parking lot rather then the first
bumper, taking the stairs instead of the elevator etc.
76. Present Recommendations
• Cardiovascular:
– 150 minutes of moderate-intensity exercise per
week.
– 30-60 minutes of moderate-intensity exercise (five
days per week) or 20-60 minutes of vigorous-
intensity exercise (three days per week).
77. Present Recommendations
• Resistance Training:
– 2-3 days per week
– All major muscle groups
– 2-4 sets of each exercise
– 48 hours in between sessions
http://www.acsm.org/about-acsm/media-room/news-releases/2011/08/01/acsm-issues-new-
recommendations-on-quantity-and-quality-of-exercise
79. All Kinds
• People
• Programs
• Locations
• Products: Pedometers, Accelerometers etc
80. Intensity of Exercise
Maximal Heart Rate:
220-Age or 206.9-(0.67x age)
Heart Rate Reserve (HRR):
Max. HR- Resting HR = HRR
Target HR=HRR x % intensity + HR @ rest
Maximal Heart Rate:
220-Age or 206.9-(0.67x age)
Heart Rate Reserve (HRR):
Max. HR- Resting HR = HRR
Target HR=HRR x % intensity + HR @ rest
Talk Test:
-Easy: Can Talk and Sing
-Moderate: Can Talk but not sing
-Intense: Can’t talk or sing
Talk Test:
-Easy: Can Talk and Sing
-Moderate: Can Talk but not sing
-Intense: Can’t talk or sing
81. Nutrition
• Up to 50% of Americans are on a Diet
DIEtDIEt
LifestyleLifestyle
82. Nutrition
• Health Promoting Nutrition:
• Majority of Calories derived from Plant-Based
Sources
• Limited Calories from Refined Foods and
Foods of Animal Origins
86. Toxins
• Get em’ out
• Get help if you need it
• You can do it
• You deserve it
87. Basics
• Physical Activity:
– Achieve 150 min of aerobic exercise and 2
sessions of strength training per week
• Nutrition:
– Eat a high nutrient density program
– Limit/moderate lean meats, limit refined foods,
fat, sodium and cholesterol
• Eliminate Smoking and Limit Alcohol
Consumption
92. Break Out: 4 minutes
• Set YOURSELF a SMART Goal for 1 Lifestyle
Measure and share it with your neighbor!
• Specific
• Measureable
• Achievable
• Realistic
• Timely
Exercise
Nutrition
Toxins
Sleep
Emotional
Poise(Stress)
Exercise
Nutrition
Toxins
Sleep
Emotional
Poise(Stress)
93. Conclusion
• Personal Choices are powerful Medicine
• Assess YOUR Health Today
• Identify your health goals
• Develop a support team
• Take charge of your health today!
-- Bull World Health Organ. 2002;80(12):952-8. Epub 2003 Jan 23. Chopra M et al
Approx. 1,300,000 new cases per year
www.cdc.gov/.../mmwrhtml/ figures/m846qsf.gif
www.ncbi.nlm.nih.gov/ bookshelf/picrender.fcgi..
http://www.ctahr.hawaii.edu/CS/blogs/sustainable_agriculture/cdc_logo(2).jpg
Modifiable behavioral risk factors are leading causes of mortality in the United States. (JAMA, 2000 Mokdad et al. CDC)
www.cdc.gov/cancer/ breast/statistics/
http://www.cdc.gov/cancer/Prostate/publications/decisionguide/
Fox, Caroline. Et al. Trends in the Incidence of Type 2 Diabetes Mellitus: Circulation 2006:113;2914-2918.
http://health.ucsd.edu/news/images/DPP1.jpg
In 2005-2008 11% of adults 20 years of age or older had diabetes. In 2005-2008 the percentage of adults with dm increased with age from 4% of persons 20-44 to 27% of adults 65 years of age or older
http://meps.ahrq.gov/mepsweb/
Medical Expenditure Panel survey
http://www.heart.org/idc/groups/heart-public/@wcm/@sop/@smd/documents/downloadable/ucm_319587.pdf
The prevalence of hypertension (defined as high blood pressure or taking antihypertensive medication) increases with age. In 2005–2008, 33%–34% of men and women 45–54 years of age had hypertension, compared with 67% of men and 80% of women 75 years of age and over (Table 67).
http://sas-origin.onstreammedia.com/origin/gallupinc/GallupSpaces/Production/Cms/POLL/yxirhsg6pe-ttjvtlo_uuq.gif
These findings are based on 24 months of Gallup-Healthways Well-Being Index daily tracking data from 2009 through 2010, encompassing surveys with more than 650,000 U.S. adults, aged 18 and older. The resulting sample sizes for every age from 18 through 90 -- ranging from roughly 1,500 to 18,000 cases -- allow for age-specific analysis of the data.
--http://www.ers.usda.gov/briefing/consumption/Effects.htm
now 129.2
--IOM rec on Na: AI 1.5g/d UL 2.3g/d
--http://www.cspinet.org/
--http://www.ama-assn.org/ama/pub/category/16461.html
-- http://www.iom.edu/?id=18495&redirect=0
-- Dr. Heikki Karppanen of the University of Helsinki and Dr. Eero Mervaala of the University of Kuopio report that an average 30-35 % reduction in salt intake during 30 years in Finland was associated with a dramatic 75 % to 80 % decrease in both stroke and coronary heart disease mortality in the population under 65 years. During the same period the life expectancy of both male and female Finns increased by 6 to 7 years.The most powerful explaining factor for the favorable changes was the more than 10 mmHg (&quot;point&quot;) decrease in the average blood pressure of the population. A marked decrease in the average cholesterol levels of the population also remarkably contributed to the decrease of heart diseases. The extensive use of drugs contributed less than 10 % of the observed decreases in blood pressure, cholesterol, and cardiovascular diseases.
--http://www.iom.edu/Object.File/Master/20/004/0.pdf
http://fnic.nal.usda.gov/nal_display/index.php?info_center=4&tax_level=3&tax_subject=256&topic_id=1342&level3_id=5140
2012 Data total up to 603 lb of dairy per person per year
http://xe9.xanga.com/05df647715d32268783403/m214397325.jpg
http://www.ers.usda.gov/Publications/EIB33/EIB33_Reportsummary.pdf
Daily calories per capita per food group
2569:
Agouti = defect in alpha melanocyte stimulating hormone a secondary molecule increased by increasing leptin levels.
Early nutrition can influence DNA methylation because mammalian one-carbon metabolism, which ultimately provides the methyl groups for all biological methylation reactions, is highly dependent on dietary methyl donors and cofactors.[21] For example, dietary methionine and choline are major sources of one-carbon units, and folic acid, vitamin B12, and pyridoxal phosphate are critical cofactors in methyl metabolism. The genome of the preimplantation mammalian embryo undergoes extensive demethylation, and appropriate patterns of cytosine methylation are re-established after implantation.[4] These DNA methylation patterns must then be maintained over many rounds of rapid cellular proliferation during fetal and early postnatal development. Availability of dietary methyl donors and cofactors during critical ontogenic periods therefore might influence DNA methylation patterns. [10 and 16] Hence, early methyl donor malnutrition (i.e., overnutrition or undernutrition) could effectively lead to premature “epigenetic aging,” [22] thereby contributing to an enhanced susceptibility to chronic disease in later life.
Vitamin B12, choline, Vitamin B6
Gila Reservation Arizona
Maycoba, Mexico
Nauru
World’s smallest island country just 8.s sq miles
95% are overweight/obese and 50% have diabetes
Mediterranean diet, lifestyle factors, and 10-year mortality in elderly European men and women: the HALE project.
--compression-of-morbidity hypothesis predicts that the age at the time of initial disability will increase more than the gain in longevity, resulting in fewer years of disability and a lower level of cumulative lifetime disability.
--FDDP (N Engl J Med 2001;344:1343-50.)
150 min/wk of exercise, Low fat, low cholesterol plant based diet, high fiber foods
(Journal of the American Medical AssociationJAMA: 2000, Vol. 283. No. 22, pp. 2961-2967)
http://www.news.harvard.edu/gazette/1999/10.21/diabetes.html
http://www.reuters.com/article/healthNews/idUSTRE53E71N20090415?feedType=RSS&feedName=healthNews
http://www.nature.com/bjc/index.html
http://www.ncbi.nlm.nih.gov/pubmed/18599492?ordinalpos=18&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_DefaultReportPanel.Pubmed_RVDocSum
In fact in studies regular exercise has been proven as effective as antidepressants and anxiolytics in controlling mild-moderate depression
Must be high enough to actually see gains
Studies demonstrate must at least be at 40% of max to see increases in cardiovascular endurance…..
Moderate intensity is 64-76% of HR max
http://www.mehn.org.au/images/stories/mehn/Ex_RPE_Scale.jpg
http://lh4.ggpht.com/_hbZ_aIisSu8/Sj4dT9_2kPI/AAAAAAAAAbo/r-Hmqox_oJs/Table_thumb.jpg
http://www.cvtoolbox.com/cvtoolbox1/exercise/supports/Exercise_METS.gif
--http://www.cdc.gov/nccdphp/publications/factsheets/Prevention/obesity.htm
--http://www.nhlbi.nih.gov/health/prof/heart/hbp/salt_upd.pdf
--http://www.nhlbi.nih.gov/health/prof/heart/hbp/salt_upd.pdf
--http://www.usatoday.com/news/health/2008-02-10-salt-dangers_N.htm
--Intersalt Cooperative Research Group (1988). Intersalt: an international study of electrolyte excretion and blood pressure. Results for 24 hour urinary sodium and potassium excretion. BMJ. 297: 319–328.
--The contradictory nature of these findings accords with the unreliability of the methods used in NHANES III and IV (ie, 24-h dietary recall). Twenty-four-hour urinary sodium from complete urine samples is the only accurate way to estimate dietary salt intake, and this was not measured in NHANES III and IV. The large international study—INTERSALT,2 which had 24-h urinary sodium and BP measured, showed that salt intake is directly associated with BP and the increase in BP with age in more than 10,000 individuals including both hypertensives and normotensives.
--
--http://www.nhlbi.nih.gov/new/press/nov30a99.htm
--Healthy adults living in a temperate climate can maintain a normal sodium balance with as little as 115 mg of dietary sodium per day. In consideration of the wide variation in Americans’ physical activity and climatic exposure, a safe minimum of 500 mg of sodium per day has been recommended.
--http://www.cdc.gov/nccdphp/publications/factsheets/Prevention/obesity.htm
--http://www.nhlbi.nih.gov/health/prof/heart/hbp/salt_upd.pdf
--http://www.nhlbi.nih.gov/health/prof/heart/hbp/salt_upd.pdf
--http://www.usatoday.com/news/health/2008-02-10-salt-dangers_N.htm
--Intersalt Cooperative Research Group (1988). Intersalt: an international study of electrolyte excretion and blood pressure. Results for 24 hour urinary sodium and potassium excretion. BMJ. 297: 319–328.
--The contradictory nature of these findings accords with the unreliability of the methods used in NHANES III and IV (ie, 24-h dietary recall). Twenty-four-hour urinary sodium from complete urine samples is the only accurate way to estimate dietary salt intake, and this was not measured in NHANES III and IV. The large international study—INTERSALT,2 which had 24-h urinary sodium and BP measured, showed that salt intake is directly associated with BP and the increase in BP with age in more than 10,000 individuals including both hypertensives and normotensives.
--
--http://www.nhlbi.nih.gov/new/press/nov30a99.htm
--Healthy adults living in a temperate climate can maintain a normal sodium balance with as little as 115 mg of dietary sodium per day. In consideration of the wide variation in Americans’ physical activity and climatic exposure, a safe minimum of 500 mg of sodium per day has been recommended.
--http://www.cdc.gov/nccdphp/publications/factsheets/Prevention/obesity.htm
--http://www.nhlbi.nih.gov/health/prof/heart/hbp/salt_upd.pdf
--http://www.nhlbi.nih.gov/health/prof/heart/hbp/salt_upd.pdf
--http://www.usatoday.com/news/health/2008-02-10-salt-dangers_N.htm
--Intersalt Cooperative Research Group (1988). Intersalt: an international study of electrolyte excretion and blood pressure. Results for 24 hour urinary sodium and potassium excretion. BMJ. 297: 319–328.
--The contradictory nature of these findings accords with the unreliability of the methods used in NHANES III and IV (ie, 24-h dietary recall). Twenty-four-hour urinary sodium from complete urine samples is the only accurate way to estimate dietary salt intake, and this was not measured in NHANES III and IV. The large international study—INTERSALT,2 which had 24-h urinary sodium and BP measured, showed that salt intake is directly associated with BP and the increase in BP with age in more than 10,000 individuals including both hypertensives and normotensives.
--
--http://www.nhlbi.nih.gov/new/press/nov30a99.htm
--Healthy adults living in a temperate climate can maintain a normal sodium balance with as little as 115 mg of dietary sodium per day. In consideration of the wide variation in Americans’ physical activity and climatic exposure, a safe minimum of 500 mg of sodium per day has been recommended.
--http://www.cdc.gov/nccdphp/publications/factsheets/Prevention/obesity.htm
--http://www.nhlbi.nih.gov/health/prof/heart/hbp/salt_upd.pdf
--http://www.nhlbi.nih.gov/health/prof/heart/hbp/salt_upd.pdf
--http://www.usatoday.com/news/health/2008-02-10-salt-dangers_N.htm
--Intersalt Cooperative Research Group (1988). Intersalt: an international study of electrolyte excretion and blood pressure. Results for 24 hour urinary sodium and potassium excretion. BMJ. 297: 319–328.
--The contradictory nature of these findings accords with the unreliability of the methods used in NHANES III and IV (ie, 24-h dietary recall). Twenty-four-hour urinary sodium from complete urine samples is the only accurate way to estimate dietary salt intake, and this was not measured in NHANES III and IV. The large international study—INTERSALT,2 which had 24-h urinary sodium and BP measured, showed that salt intake is directly associated with BP and the increase in BP with age in more than 10,000 individuals including both hypertensives and normotensives.
--
--http://www.nhlbi.nih.gov/new/press/nov30a99.htm
--Healthy adults living in a temperate climate can maintain a normal sodium balance with as little as 115 mg of dietary sodium per day. In consideration of the wide variation in Americans’ physical activity and climatic exposure, a safe minimum of 500 mg of sodium per day has been recommended.
SpecificWell definedClear to anyone that has a basic knowledge of the project
MeasurableKnow if the goal is obtainable and how far away completion is
Know when it has been achievedAgreed UponAgreement with all the stakeholders what the goals should be
RealisticWithin the availability of resources, knowledge and time
Time BasedEnough time to achieve the goalNot too much time, which can affect project performance