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\Q\.Lifestyle medicine - ANSWER-✔(1) Evidence-based practice of helping individuals and
families adopt and sustain healthy behaviors that affect health and quality of life. (2) The use of
therapeutic lifestyle changes to treat, prevent and reverse disease - Lifestyle "in" medicine.
When the same lifestyle choices maximize health and prevent disease, this is lifestyle "is"
medicine.
\Q\.Pioneers of Lifestyle Medicine - ANSWER-✔Hippocrates; Thomas Edison; Nathan Pritikin;
John McDougall; Dean Ornish; Caldwell B Esselstyn Jr; Hans Diehl; WHO Diet, nutrition, and the
prevention of chronic diseases; James Rippe
\Q\.ACLM - ANSWER-✔Organized in early 2004 by Dr John Kelly; Physician Core LM
Competencies established in 2009, published in JAMA 2010
\Q\.ABLM - ANSWER-✔Established in 2015, first offering LM2017 conference
\Q\.Value of Lifestyle Medicine - ANSWER-✔A distinguishing feature is that it actually saves
more than it costs.
\Q\.Lifestyle Medicine Core competencies - ANSWER-✔Leadership: 1) Promote healthy
behaviors as foundational to medical care, disease prevention, and health promotion - 2) Seek
to practice healthy personal behaviors - 3) Create environments that support healthy behaviors
at school, work and home; Knowledge: 1) Demonstrate a knowledge of the evidence that
specific lifestyle changes can have a positive effect on patients' health outcomes - 2) Describe
, ways that physician engagement with patients and families can have a positive effect on
patients' health behaviors; Assessment Skills: 1) Assess the social, psychological and biological
predispositions of patients' behaviors and the resulting health outcomes - 2) Assess patient and
family readiness, willingness, and ability to make health behavior changes - 3) Perform history
and physical exam specific to lifestyle-related health status including lifestyle 'vital signs';
Management Skills: 1) Use nationally recognized practice guidelines to assist patients in self-
managing their health behaviors and lifestyle - 2) Establish effective relationships with patients
and families to effect and sustain behavioral change - 3) Collaborate with patients and their
families to develop action plans - 4) help patient manage and sustain health lifestyle practices;
Use of Office and Community: 1) Have the ability to practice in an interdisciplinary team of HCPs
- 2) Develop and apply office systems and practices to support lifestyle medical care - 3)
Measure processes and outcomes to improve the quality of lifestyle interventions - 4) Use
appropriate community referral resources that support the implementation of lifestyle medicine
\Q\.Lifestyle change impacts the "cause of the cause" of disease - ANSWER-✔1) beneficially
affecting gene expression (epigenetics); 2) Reducing insulin resistance; 3) reducing chronic
systemic inflammation; 4) providing anti-oxidants; 5) more...
\Q\.Health Risk Assessments - ANSWER-✔Described in Sep 2013 AHRQ document; CDC source
\Q\.Scientific evidence about unhealthy behaviors - ANSWER-✔1) Tobacco - Cochrane
Collaboration, AHA and USPSTF; 2) USPSTF; 3) Interheart Study; 4) interSTROKE study; 5)
Chicago heart Association Detection Project in Industry; 6) Framingham heart study; 7) Multiple
Risk Factor Intervention Trial Study; 8) Nurses' Health Study; 9) Lyon Diet Heart Study; 10)
Adventist Health Study 2; 11) Nurses Health Study, NHS2 and Health Professionals Follow Up
Study; 12) World Cancer Research Fund/American Institute for Cancer Research
\Q\.Tobacco evidence - ANSWER-✔Strong evidence that tobacco cessation, increased physical
activity and making dietary changes decrease mortality, morbidity, cancer (Cochrane, AHA,
USPSTF)
\Q\.USPSTF recommended screening - ANSWER-✔tobacco, alcohol and obesity