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Lifestyle Medicine With 100% Accurate Questions And Answers GRADED A+
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JACKLINELifestyle Medicine With 100% Accurate Questions And Answers GRADED A+
Terms in this set (282)
-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
Lifestyle Medicine Definition risky substances
-collaborative model with patient
-evidenced based
-applies to every patient, every practice
-used in addition or instead of standard trx
-practices are not currently considered part of conventional medicine (not evidenced-based)
Complementary and Alternative Medicine (CAM)
-may use supplements, spiritual healing
-typically not strong in science
-COMBINES alternative medicine with conventional medicine
-patient centered
Integrative Medicine
-addresses all aspects of health (very comprehensive)
-includes meds and supplements in addition to lifestyle medicine techniques
Lifestyle Medicine
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,9/11/24, 11:35 AM
-looking to balance core functional processes (metabolism, hormones, etc)
Functional Medicine -fixes physiological and biochemical functions
-may use supplements and meds
-focuses on interactions bw mind and body
-treats dz with methods targeted to the mind (relaxation, hypnosis, imagery, etc)
Mind-Body Medicine
-major focus on emotional, spiritual, etc
-ex: hypnosis, visual imagery, yoga, etc
-traditional medical approach to prevent health conditions
Preventive Medicine -immunizations, mammography, etc
-focus in pubic health and population health
-healthful eating: whole, plant based diet
-increase physical activity
-manage stress
6 primary components of LM trx -form and maintain relationships
-improve sleep
-tobacco cessation
-
-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
Conventional Medicine
-patients are passive recipients of care, not participants
-physician centric
-symptom-targeted treatment
-pt not required to make major changes
-addresses lifestyle related causes of morbidity and mortality
-trx=lifestyle changes; other adjuvants as needed
-requires effort and commitment from patients
Lifestyle medicine approach
-long term treatment
-patient is active partner in trx
-evidence-based; avoid fads
Dr. Ludwig Johns Hopkins 2005 NEJM study 2000=first generation to have decreased life expectancy than prior generation
-part of ACA passed in 2011
-strategy to change healthcare from sick care to wellness and dz prevention
National Prevention Strategy
-coverage for providers to do lifestyle modification: physical activity assessments/counseling;
obesity screening and nutrition; screening and counseling for alcohol use; tobacco cessation
Lifestyle Medicine
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, 9/11/24, 11:35 AM
-most intense lifestyle changes (max dose for induction phase)
-normally used in immersion programs or residential programs
ITLC: Intensive Therapeutic Lifestyle Change -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)
2 components:
1. intensity of contact hours
LM trx intensity 2. extent of lifestyle changes made
ITLC maximizes both of these
-1990 with 5 yr results in 1998
-blinded RCT; n=48 adults with CAD
-control; usual care with info about healthy eating and exercise
-intervention: lifestyle program (low fat veg diet, aerobic exercise, smoking cessation, stress
mgmt, group support) with no lipid lowering meds
-f/u: 1 and 5 years
Ornish Lifestyle Heart Trial -outcome: CAD stenosis via angiography
-results: 7.9% reduction in stenosis (exp) vs 27.7% increase in stenosis (control); 47% increase in
stenosis in controls not taking lipid lowering meds; 25 cardiac events (exp) vs 45 (control)-RR:
2.47
-CAD regression lasted x 5 yrs in exp group but control had continued progression
-dose-response relationship for adherence and stenosis regression
-82% exp group had regression
Lifestyle Medicine
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