Lifestyle Medicine Questions with correct answers.

Lifestyle Medicine Questions with correct answers
Lifestyle Medicine Definition Correct Answer--the use of lifestyle
interventions in the treatment and management of dz
-aim: replace medication with lifestyle changes
-elements: whole food, plant-based, physical activity, adequate sleep,
stress mgmt, avoidance of risky substances
-collaborative model with patient
-evidenced based
-applies to every patient, every practice


Complementary and Alternative Medicine (CAM) Correct Answer--used
in addition or instead of standard trx
-practices are not currently considered part of conventional medicine
(not evidenced-based)
-may use supplements, spiritual healing
-typically not strong in science


Integrative Medicine Correct Answer--COMBINES alternative medicine
with conventional medicine
-patient centered
-addresses all aspects of health (very comprehensive)
-includes meds and supplements in addition to lifestyle medicine
techniques

,Functional Medicine Correct Answer--looking to balance core functional
processes (metabolism, hormones, etc)
-fixes physiological and biochemical functions
-may use supplements and meds


Mind-Body Medicine Correct Answer--focuses on interactions bw mind
and body
-treats dz with methods targeted to the mind (relaxation, hypnosis,
imagery, etc)
-major focus on emotional, spiritual, etc
-ex: hypnosis, visual imagery, yoga, etc


Preventive Medicine Correct Answer--traditional medical approach to
prevent health conditions
-immunizations, mammography, etc
-focus in pubic health and population health


6 primary components of LM trx Correct Answer--healthful eating:
whole, plant based diet
-increase physical activity
-manage stress
-form and maintain relationships
-improve sleep
-tobacco cessation
-

,Conventional Medicine Correct Answer--allopathic medicine
-dz=secondary to exposure to pathogens or environmental fxs or genetic
predisposition
-trx: acute and target pathogens or long-term to target risk fx's
-dz-focused approach
-patients are passive recipients of care, not participants
-physician centric
-symptom-targeted treatment
-pt not required to make major changes


Lifestyle medicine approach Correct Answer--addresses lifestyle related
causes of morbidity and mortality
-trx=lifestyle changes; other adjuvants as needed
-requires effort and commitment from patients
-long term treatment
-patient is active partner in trx
-evidence-based; avoid fads


Dr. Ludwig Johns Hopkins 2005 NEJM study Correct Answer-
2000=first generation to have decreased life expectancy than prior
generation


National Prevention Strategy Correct Answer--part of ACA passed in
2011

, -strategy to change healthcare from sick care to wellness and dz
prevention
-coverage for providers to do lifestyle modification: physical activity
assessments/counseling; obesity screening and nutrition; screening and
counseling for alcohol use; tobacco cessation


ITLC: Intensive Therapeutic Lifestyle Change Correct Answer--most
intense lifestyle changes (max dose for induction phase)
-normally used in immersion programs or residential programs
-needed in reversal of advanced/severe conditions (prevention only
requires TLC)
-strongest LM evidence come from ITLC studies; efficacy of TLC
presumed from these studies
-multi-factorial (not just focused on one aspect of LM)


LM trx intensity Correct Answer-2 components:
1. intensity of contact hours
2. extent of lifestyle changes made


ITLC maximizes both of these


Ornish Lifestyle Heart Trial Correct Answer--1990 with 5 yr results in
1998
-blinded RCT; n=48 adults with CAD
-control; usual care with info about healthy eating and exercise