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Elintapalääketiede - NuoriLääkäriPäivät2015

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My presentation at NuoriLääkäriPäivät 2015

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  • I have tried numerous times over the last 10 years to try & beat bulimia on my own with no luck. Coming across ur program online was the best thing I have done, knowing that all my thoughts & actions were the same as what you & many other people with bulimia had gone through or are going through made me realize I'm not crazy & I wasn't alone in this. The thought of bingeing or purging rarely enters my mind anymore if it does its for a split second & I'm able to push it right back out again. I'm eating normally again everything in moderation, no dieting enjoying food which I hadn't for a long time being kind to my body & loving myself. I have now been in recovery with no relapses for over 6 months I never thought I would be able to overcome this but I'm so happy & proud to say I'm finally free ♣♣♣ http://ishbv.com/bulimiarec/pdf
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  • I discovered the 60-sec Habit that reversed my type 2 diabetes and melted away 56lbs of fat and discovered the real cause of diabetes... ➤➤ http://ishbv.com/bloodsug/pdf
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Elintapalääketiede - NuoriLääkäriPäivät2015

  1. 1. ELINTAPALÄÄKETIEDE NuoriLääkäriPäivät 2015 Vilho Ahola, LL
  2. 2. Lääketieteen Lisensiaatti, Helsingin Yliopisto Jatko-opintoja JFK University, California, USA (filosofia ja psykologia) Kliinisen hypnoterapian 1-vuotinen koulutus (Tieteellinen Hypnoosi RY) Psykofyysisen Psykoterapian perusteet (ARCADA 2012-2013 30 op) Kymmenet koulutukset ja kongressit kotimaassa ja ulkomailla Yksityisopetusta ja ohjausta kahdelta erikoislääkäriltä (endokrinologia ja seksuaalilääketiede) SEXPO-säätiön hallituksen jäsen Lääkäriliiton professiovaliokunnan jäsen Suomen fitnessmaajoukkueen lääkäri Vilho Ahola, LL
  3. 3. Sidonnaisuudet Luentopalkkioita Lapin urheiluopisto, Kilpirauhasliitto, Puolustusvoimat, MSD Luennoitsijana tai puheenjohtajana koulutustapahtumissa joissa sponsorit tukemassa: SEKS2015 koulutuspäivä (Lilly, Tenga), NuoriLääkäriPäivät (USEITA) Sexpo-säätiön hallituksen jäsen Sexpo-palvelut Oy:n hallituksen varajäsen Medical Advisor, osakas: Diske Oy Osakas: Attendo Terveyden Tuottajat Oy IFBB Finland RY: Fitnessmaajoukkueen lääkäri Tuotenäytteitä osana koulutusta ja esittelyä: Func Food Finland Oy, Nutricia Oy, New Organics Oy Lääkenäytteitä ja päivystyspakkauksia: lähes kaikki lääkeyritykset Lääketeollisuuden kustannuksella järjestettyihin lääketieteellisiin jatkokoulutustilaisuuksiin sekä lääke- esittelyihin osallistuminen (Lääkäriliiton ohjeiden mukaisesti): lähes kaikki lääkeyritykset Osallistuminen kansainväliseen kongressiin lääketehtaan tuella European Congress of Sexual Medicine (Lilly)
  4. 4. "Lifestyle as medicine has the potential to prevent up to 80% of chronic disease; no other medicine can match that. In addition, it is potentially inexpensive and even cost-saving; free of all but good side effects; safe and appropriate for children and octogenarians alike. It is, quite simply, the best medicine we've got." - ACLM President David Katz, MD, MPH
  5. 5. Sydän- ja verisuonitaudit II-tyypin Diabetes Dementia Ylipaino Masennus Tuki- ja liikuntaelinsairaudet syövät
  6. 6. Sairauksien ennaltaehkäisy Sairauksien hoito Terveyden ja Suorituskyvyn optimointi
  7. 7. Ravitsemus AKTIIVISUUS, Liikunta, kehonhuolto, biomekaniikka Uni Stressinhallinta Riskikäyttäytyminen
  8. 8. Turhuus? (Look AHEAD, STENO 2, DPS) vs. näyttö. Näytön lajit ja laatu. kokonaisnäyttö.
  9. 9. Vaikeus ja toivottomuus. Motivaation myytti. Taidot ja psykologinen tuki.
  10. 10. Ei ole lääkärin homma? Miksi lääkärit eivät seuraa näyttöä? Opetus ei tue. Lääkärit toivoisivat mahdollisuutta.
  11. 11. Lääkärin sana painaa. Tiimityötä toki. Lääkärin peruskoulutus Lääkärin osaamista tarvitaan erityisesti erityisryhmissä .
  12. 12. Reality Check 1/3 -Sääntö Ei pelkkää tiedonjakamista. Psykologia! Holistinen tieteellinen ihmiskuva.
  13. 13. Integratiivinen ajattelutapa (psykoneuroimmunologia, neuropsykiatria, psykosomatiikka, autonominen hermosto, , neuroplastisiteetti, neuroendokriininen järjestelmä), mielen ja ruumiin integraatio, subjektiivinen ja objektiivinen perspektiivi Integratiivinen malli Mistä tietoa, opetusta, koulutusta?
  14. 14. Erilaiset toimintamallit ja -ympäristöt terveydenhuoltojärjestelmä yhteiskunta
  15. 15. ‘Treating the cause’ is the only rational basis for quality, evidence-based, economically sustainable healthcare, and is what adds length and quality to our patients’ lives. It is time to change the paradigm. - Marc Braman, MD, MPH
  16. 16. KIITOS
  17. 17. Duodecim: Lihavuus, Liikuntalääketiede, ravitsemustiede, psykoterapiat Rippe: Lifestyle Medicine; CRC Press 2013 Egger, Binns & Rossner: Lifestyle Medicine: Managing Diseases of Lifestyle in the 21st Century; McGraw-Hill Medical Publishing 2010 Katz: Disease-Proof; Plume 2014 Lifestyle Medicine – Research, Prevention & Treatment of Noncommunicable Diseases American Journal of Preventive Medicine American Journal of Lifestyle Medicine http://www.lifestylemedicine.academy/ https://eu-lifestylemedicine.org/ http://www.lifestylemedicine.org/ (American College of Lifestyle Medicine) FISPEN (www.fispen.fi) ja ESPEN
  18. 18. Lihastohtori -blogi (Dosentti ja Akatemiatutkija Juha Hulmi) Pronutritionist -blogi (ravitsemusterapeutti Reijo Laatikainen) Pöperöproffa -blogi (Ravitsemusasiantuntija Patrik Borg) Allekirjoittaneen Facebook -seinä Harvard school of public health update (hsph.harvard.edu) Medscape.com uutiskirje (valittavissa aiheet) Anu Kangasniemi ja Kati Kauravaara KOHTI MUUTOSTA - Arvo- ja hyväksymispohjainen lähestymistapa liikunnan ja terveyden edistämiseen Tahdonvoiman Käyttöohje - Frank Martela Motivational Interviewing - Helping People Change William R. Miller and Stephen Rollnick
  19. 19. Lifestyle medicine potential for reversing a world of chronic disease epidemics: from cell to community Int J Clin Pract 2014 The art and science of chronic disease management come together in a lifestyle-focused approach to primary care Int J Clin Pract 2014 Lifestyle Is the Medicine, Culture Is the Spoon: The Covariance of Proposition and Preposition Katz; American Journal of Lifestyle Medicine 2014
  20. 20. Eight-year weight losses with an intensive lifestyle intervention: the look AHEAD study. Obesity 2014 Cardiovascular Effects of Intensive Lifestyle Intervention in Type 2 Diabetes N Engl J Med 2013 The Finnish Diabetes Prevention Study (DPS) Lifestyle intervention and 3-year results on diet and physical activity Diabetes Care 2003 Effect of a Multifactorial Intervention on Mortality in Type 2 Diabetes Gæde et al, N Engl J Med 2008 World Cancer Research Fund: Cancer Prevention and Survival 2015 http://www.slideshare.net/wcrf/cancer-prevention-and-survival-findings-from-continuous-update- project-cup http://www.wcrf.org/int/research-we-fund/continuous-update-project-findings-reports
  21. 21. Lifestyle interventions to reduce raised blood pressure: a systematic review of randomized controlled trials Dickinson et al, Journal of Hypertension 2006 Blood pressure reduction, persistence and costs in the evaluation of antihypertensive drug treatment – a review Bramlage et al, Cardiovascular Diabetology 2009 Can lifestyle changes reverse coronary heart disease? The Lifestyle Heart Trial. Ornish et al, Lancet 1990 Exercise-based cardiac rehabilitation for coronary heart disease. Heran et al, Cochrane Database Syst Rev 2011 Secondary prevention of new vascular events with lifestyle intervention in patients with noncardioembolic mild ischemic stroke Kono et al, Cerebrovasc disease 2013
  22. 22. Treatment of active Crohn's disease by exclusion diet: East Anglian multicentre controlled trial. Riordan et al, Lancet 1993 A diet low in FODMAPs reduces symptoms of irritable bowel syndrome. Halmos et al, Gastroenterology 2014 Nutritional management of Crohn's disease. Donnellan et al, Therap Adv Gastroenterology 2013 Impact of environmental and dietary factors on the course of inflammatory bowel disease. Cadré et al, World J Gastroenterol 2012 Rheumatoid arthritis treated with vegetarian diets Kjeldsen-Kragh, AJCN 1999 Controlled trial of fasting and one-year vegetarian diet in rheumatoid arthritis Kjeldsen-Kragh et al, Lancet 1991
  23. 23. Resistance Training and Type 2 Diabetes Considerations for implementation at the population level Eves et al, Diabetes Care 2006 Resistance exercise versus aerobic exercise for type 2 diabetes: a systematic review and meta-analysis. Yang et al, Sports Med 2014 Progressive resistance exercise improves glycaemic control in people with type 2 diabetes mellitus: a systematic review. Irvine et al, Aust J Physioter 2009 Exercise for type 2 diabetes mellitus. Thomas et al, Cochrane Database Syst Rev 2006 Changes in Insulin Resistance and HbA1c Are Related to Exercise- Mediated Changes in Body Composition in Older Adults With Type 2 Diabetes Mavros et al, Diabetes Care 2013 Community-based exercise programs as a strategy to optimize function in chronic disease: a systematic review. Desveaux et al, Med Care 2014
  24. 24. Exercise Treatment for Major Depression: Maintenance of Therapeutic Benefit at 10 Months Babyak et al, Psychosomatic Medicine 2000 Physical exercise intervention in depressive disorders: meta-analysis and systematic review. Josefsson et al, Scand J Med Sci Sports 2014 Exercise for depression. Rimer et al, Cochrane Database Syst Rev 2012 The antidepressive effects of exercise: a meta-analysis of randomized trials. Rethorst et al, Sports Med 2009 Effect of exercise on depression severity in older people: systematic review and meta- analysis of randomised controlled trials Bridle et al, Br J Psych 2012 Meta-analysis of modifiable risk factors for Alzheimer's disease Wei et al, J Neurol Neurosurg Psychiatry 2015
  25. 25. Critical review: vegetables and fruit in the prevention of chronic diseases Boeing et al, Eur J Nutr 2012 Diet, exercise or diet with exercise: comparing the effectiveness of treatment options for weight-loss and changes in fitness for adults (18–65 years old) who are overfat, or obese; systematic review and meta-analysis Clark, Journal Of Diabetes and Metabolic Disorders 2015 Medicare’s Search for Effective Obesity Treatments Diets Are Not the Answer Mann et al, American Psychologist 2007
  26. 26. Are brief interventions to increase physical activity cost-effective? A systematic review Vijay et al, Br J Sports Med 2015 Cost-Effectiveness of the New U.S. Preventive Services Task Force (USPSTF) Recommendations for Behavioral Counseling Interventions for Adults with Cardiovascular Disease Risk Factors Zhang et al, American Diabetes Association 2015 Scientific Sessions; June 7, 2015; Boston, MA. Economic Evaluation of Combined Diet and Physical Activity Promotion Programs to Prevent Type 2 Diabetes Among Persons at Increased Risk: A Systematic Review for the Community Preventive Services Task Force. Li et al, Ann Intern Med 2015 Long-term effects of lifestyle intervention or metformin on diabetes development and microvascular complications over 15-year follow-up: the Diabetes Prevention Program Outcomes Study Diabetes Prevention Program Research Group, Lancet 2015
  27. 27. Metabolic consequences of sleep and sleep loss Cauter et al, Sleep Medicine 2008 Prevalence of sleep disorders by sex and ethnicity among older adolescents and emerging adults: Relations to daytime functioning, working memory and mental health Petrov et al, J Adolesc 2014 A review of lifestyle factors that contribute to important pathways associated with major depression: Diet, sleep and exercise Lopresti et al, J Affect Disord 2013 Quantity and Quality of Sleep and Incidence of Type 2 Diabetes A systematic review and meta-analysis Cappuccio et al, Diabetes Care 2010 Sleep duration predicts cardiovascular outcomes: a systematic review and meta-analysis of prospective studies Cappuccio et al, European Heart Journal 2011 Sleep Duration and All-Cause Mortality: A Systematic Review and Meta-Analysis of Prospective Studies Cappuccio et al, Sleep 2010

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