Agenda

SUMMARY

This presentation will explain why a whole foods plant-based diet, moderate exercise, stress management techniques, and love/social support are so beneficial in treating and preventing a wide variety of chronic diseases. They share common biological mechanisms which, in turn, are directly influenced to what we eat, how we respond to stress, how much exercise we have, and how much love and social support we experience. The health policy implications of this will also be explored.

LEARNING OBJECTIVES

- To be able to recognize and interpret the biological mechanisms common to many chronic diseases.

- To be able to recognize and interpret how diet and lifestyle choices affect each of these biological mechanisms-for better and for worse.

- To analyze the hypothesis of why these lifestyle changes may stop or reverse the progression of early-stage Alzheimer’s disease and the randomized, controlled clinical trial in progress to test this hypothesis.

REFERENCES

- Ornish D. A New Theory of Lifestyle Medicine. International Journal of Disease Prevention & Reversal. DOI: https://doi.org/10.22230/ijdrp.2022v4n2a335

- Dixon M, Ornish D. Love in the time of COVID-19: Social prescribing and the paradox of isolation. Future Healthc J. 2021 Mar;8(1):53-56. doi: 10.7861/fhj.2021-0009.

- Ornish D, Redberg R. PCI Guided by Fractional Flow Reserve at 5 Years. N Engl J Med. 2019 Jan 3;380(1):103-104. doi: 10.1056/NEJMc1813100.

- Aggarwal M, Ornish D, Josephson R, et al. Closing Gaps in Lifestyle Adherence for Secondary Prevention of Coronary Heart Disease. Am J Cardiol. 2021 Apr 15;145:1-11. doi: 10.1016/j.amjcard.2021.01.005.

- Freeman AM, Taub PR, Lo HC, Ornish D. Intensive Cardiac Rehabilitation: an Underutilized Resource. Curr Cardiol Rep. 2019 Mar 4;21(4):19. doi: 10.1007/s11886-019-1104-1.

SUMMARY

In this presentation, we will discuss what gluten is, how it affects pancreatic beta cells to lead to diabetes and how to repair them.

LEARNING OBJECTIVES

- Analyze and describe gluten and demonstrate how it can impact overall health, for those with and without celiac disease.

- Evaluate how gluten damages beta cells and complicates diabetes.

- Recognize how carefully planned plant-based diets can help repair damaged beta cells whether or not a patient is on medications.

REFERENCES

- Prof. Zhili Wang, Haiyan Xiong and TuYa Sa Ren. Repair of Damaged Pancreatic B cells: New Hope for a Type 2 Diabetes Reversal. Journal of Transl Int Med. 2021 Sept: 9(3): 150-151. Published online 2021 Sept 28. doi:10.2478/jtim-2021-0037 PMCID:PMC8629417/PMID:34900624

- Kang-Li Wang, Ming Tao, Tian-Jiao We, and Rui Wei. Pancreatic B cell regeneration induced by clinical and preclinical agents World J Stem Cells, 2021 Jan 26; 13(1): 64-77. Published online 2021 Jan26. doi:10.4252/wjsc.v13.i1.64 PMCIC:PMC7859987/PMID“33584980

- Martin Haupt-Jorgensen, Karste Burchard, Axe l Hansen, Knud Josefsen, Julie Christine Antvorskov/ Gluten-free diet increases beta-cell volume and improves glucose tolerance in an
animal model of tye 2 diabetes. Diabetes/Metabolism Research and Reviews/Volume 32, Issue
7/ p. 675-684

- Matteo-Rocco Pastore, Elena Bazzigalupi, Cristina Belloni, Claudia Arcovio, Ezio Bonfacia,
Emanuele Bosi. Six Months of Gluten-free Diet Do Not Influence Autoantibody titers, but Improve Insulin Secretion in Subjects at High Risk for Tye 1 Diabetes. The Journal of Clinical Endocrinology & Metabolism Volume 88, Issue 1, January 2003. Pages 162-165, https:>>doi.org/10.1210/jc/2002-021177.

SUMMARY

Effectively implementing behavior change can be challenging for both the healthcare provider and the patient. In this presentation, Dr. Toombs-Withers will share common evidence based approaches to help the healthcare provider lead the discussion with their patient to institute change towards a plant based diet. This presentation will highlight the importance of developing effective communication skills to start the conversation of a plant based way of eating and to help your patient achieve success with making this lifestyle change.

LEARNING OBJECTIVES

- Recognize the patient’s understanding of the need for dietary change utilizing Motivational Interviewing and the Stages of Change Model.

- Compose a plan for patients to address common objections and challenges to dietary change.

- Develop a process for helping patient to gain meaningful impact from their dietary change utilizing a mindfulness approach.

- Assemble a comprehensive set of resources to assist patients in achieving success with their dietary transition to a plant based way of eating.

REFERENCES

- Santana S, Brach C, Harris L, Ochiai E, Blakey C, Bevington F, Kleinman D, Pronk N. Updating Health Literacy for Healthy People 2030: Defining Its Importance for a New Decade in Public Health. J Public Health Manag Pract. 2021 Nov-Dec 01;27(Suppl 6):S258-S264. doi: 10.1097/PHH.0000000000001324. PMID: 33729194; PMCID: PMC8435055. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8435055/

- American Diabetes Association Professional Practice Committee; 5. Facilitating Behavior Change and Well-being to Improve Health Outcomes: Standards of Medical Care in Diabetes—2022. Diabetes Care 1 January 2022; 45 (Supplement_1): S60–S82. https://doi.org/10.2337/dc22-S005
https://diabetesjournals.org/care/article/45/Supplement_1/S60/138923/5-Facilitating-Behavior-Change-and-Well-being-to

- Shoma Berkemeyer, Johanna Wehrmann; Sustainable nutritional behavior change (SNBC) model: How personal nutritional decisions bring about sustainable change in nutritional behavior. Obesity Pillars, Volume 4, 2022. 100042. ISSN 2667-3681,https://doi.org/10.1016/j.obpill.2022.100042.
https://www.sciencedirect.com/science/article/pii/S266736812200033X

- Michelle Freshwater, Sandra Christensen, Lauren Oshman, Harold Edward Bays. Behavior, motivational interviewing, eating disorders, and obesity management technologies: An Obesity Medicine Association (OMA) Clinical Practice Statement (CPS) 2022. Obesity Pillars, Volume 2, 2022. 100014. ISSN 2667-3681. https://doi.org/10.1016/j.obpill.2022.100014.
https://www.sciencedirect.com/science/article/pii/S2667368122000055

- Zimmerman GL, Olsen CG, Bosworth, MF. A ‘Stages of Change’ Approach to Helping Patients Change Behavior. Am Fam Physician. 2000;61(5):1409-1416
https://www.aafp.org/pubs/afp/issues/2000/0301/p1409.html#abstract

- Hooker SA, Punjabi A, Justesen K, Boyle L, Sherman MD. Encouraging Health Behavior Change: Eight Evidence-Based Strategies. Fam Pract Manag. 2018;25(2):31-36
https://www.aafp.org/pubs/fpm/issues/2018/0300/p31.html

- Searight HR. Counseling Patients in Primary Care: Evidence-Based Strategies. Am Fam Physician. 2018 Dec 15;98(12):719-728. PMID: 30525356.
https://www.aafp.org/pubs/afp/issues/2018/1215/p719.html

- Tominaga, T., Matsushima, M., Nagata, T. et al. Psychological impact of lifestyle-related disease disclosure at general checkup: a prospective cohort study. BMC Fam Pract 16, 60 (2015). https://doi.org/10.1186/s12875-015-0272-3
https://bmcprimcare.biomedcentral.com/articles/10.1186/s12875-015-0272-3

- Campbell MK, DeVellis BM, Strecher VJ, Ammerman AS, DeVellis RF, Sandler RS. Improving dietary behavior: the effectiveness of tailored messages in primary care settings. Am J Public Health. 1994 May;84(5):783-7. doi: 10.2105/ajph.84.5.783. PMID: 8179049; PMCID: PMC1615043.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1615043/pdf/amjph00456-0081.pdf

SUMMARY

In this presentation, we will review all of the latest evidence behind the positive outcomes if plant-based living from a health and environmental perspective and review how lifestyle medicine should remain at the forefront of everyday practice.

LEARNING OBJECTIVES

- Interpret the latest statistics about cardiovascular disease

- Analyze the statistics for the burden of cardiovascular disease and poor eating patterns

- Demonstrate how plant-based diets reduces risk factors for cancer and cardiovascular diseases

REFERENCES

- Vaduganathan M, Mensah G, Turco J, et al. The Global Burden of Cardiovascular Diseases and Risk. J Am Coll Cardiol. 2022 Dec, 80 (25) 2361–2371.

- JAMA Network Open. 2022;5(3):e221880. doi:10.1001/jamanetworkopen.2022.1880

- Wang Y, Feng L, Zeng G, et al. Effects of cuisine-based Chinese heart-healthy diet in lowering blood pressure among adults in China: multicenter, single-blind, randomized, parallel controlled feeding trial. Circulation. 2022;146:1-13. doi:10.1161/CIRCULATIONAHA.122.059045

SUMMARY

Gastroenterologist Dr. Alan Desmond explains the effect that meat consumption has on the health of the human gut microbiome and reviews the evidence on the links between meat consumption and common digestive disorders including IBD, colorectal cancer, diverticular disease, non-alcoholic fatty liver disease and GERD.

LEARNING OBJECTIVES

- Attendees will be able to recognize and describe the structure and function of the gut microbiome.

- Attendees will analyze and recognize the main mechanisms by which the gut microbiome can help protect our gut health and overall health.

- Attendees will be examine and demonstrate the evidence linking meat consumption to poor digestive health.

REFERENCES

- O’Keefe SJ. The association between dietary fibre deficiency and high-income lifestyle-associated diseases: Burkitt’s hypothesis revisited. Lancet Gastroenterol Hepatol. 2019

- Papier K, et al. Meat consumption and risk of 25 common conditions: outcome-wide analyses in 475,000 men and women in the UK Biobank study. BMC Medicine. 2021

- Cao Y, et al. Meat intake and risk of diverticulitis among men. Gut. 2018

- Chapelle N, Martel M, Toes-Zoutendijk E, Barkun AN, Bardou M. Recent advances in clinical practice: colorectal cancer chemoprevention in the average-risk population. Gut. 2020 Dec;69(12):2244-2255.

- Foods and beverages and colorectal cancer risk: a systematic review and meta-analysis of cohort studies, an update of the evidence of the WCRF-AICR continuous update project. Ann Oncol 2017;28:1788–802

- Zhao Y, Zhan J, Wang Y, Wang D. The Relationship Between Plant-Based Diet and Risk of Digestive System Cancers: A Meta-Analysis Based on 3,059,009 Subjects. Front Public Health. 2022 Jun 3;10:892153.

SUMMARY

This session will explain how to motivate patients, with diverse socio-cultural backgrounds, to initiate dietary changes while juggling with work-life situations. Deepa will share some practical ideas and tools to establish both trust and connection with clients to further improve their long-term compliance with nutrition-focused lifestyle recommendations.

LEARNING OBJECTIVES

- Attendees will be able to determine approaches and strategies for effective nutrition-focused communication with patients from diverse cultures

- Attendees will be able to recognize cultural and social factors that play a role in determining adherence to and compliance with dietary recommendations

- Attendees will be able to plan and design an effective nutrition Rx to improve long-term health outcomes for patients dealing with one or more chronic conditions

REFERENCES

- Nemec K. Cultural Awareness of Eating Patterns in the Health Care Setting. Clin Liver Dis (Hoboken). 2020 Dec 10;16(5):204-207. doi: 10.1002/cld.1019. PMID: 33318789; PMCID: PMC7727853.

- Monterrosa EC, Frongillo EA, Drewnowski A, de Pee S, Vandevijvere S. Sociocultural Influences on Food Choices and Implications for Sustainable Healthy Diets. Food and Nutrition Bulletin. 2020;41(2_suppl):59S-73S. doi:10.1177/0379572120975874

- Empowerment-oriented strategies to identify behavior change in patients with chronic diseases: An integrative review of the literature,
Patient Education and Counseling, Volume 104, Issue 4, 2021, Pages 689-702, ISSN 0738-3991, https://doi.org/10.1016/j.pec.2021.01.011.
(https://www.sciencedirect.com/science/article/pii/S0738399121000380)

- Winham DM. Culturally tailored foods and CVD prevention. Am J Lifestyle Med. 2009;3(1):64S-68S. doi: 10.1177/1559827609335552. PMID: 20046905; PMCID: PMC2782861.

- Laura A. Brooks, Elizabeth Manias, Melissa J. Bloomer,
Culturally sensitive communication in healthcare: A concept analysis,Collegian
https://doi.org/10.1016/j.colegn.2018.09.007.
(https://www.sciencedirect.com/science/article/pii/S1322769617303153)

- Nemec K. Cultural Awareness of Eating Patterns in the Health Care Setting.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7727853/

SUMMARY

Regardless of our current dependence on modern agricultural, growing some of our own food is an ancient practice that many of our patients still avidly perform today. Gardening incorporates, either directly or indirectly, all of lifestyle medicine’s pillars of health. Therefore it should come as no surprise that the health benefits of food gardening are many, including boosted mood, improved sleep, and an increase in life satisfaction. Whether studying the gardening practices of the inhabitants of the Blue Zones, or evaluating the effect of community gardens in South Central Los Angeles, we find evidence of the many health benefits of getting our hands in the soil.

LEARNING OBJECTIVE

- Evaluate the health benefits of growing some of our own food.

- Determine which patients would most benefit from food gardening.

- Prescribe different aspects of food gardening as a health intervention to obtain specific patient outcomes.

REFERENCES

- Litt JS, et al. Effects of a community gardening intervention on diet, physical activity, and anthropometry outcomes in the USA (CAPS): an observer-blind, randomized controlled trial. Lancet Planet Health. 2023 Jan;7(1):e23-e32. doi: 10.1016/S2542-5196(22)00303-5. PMID: 36608945.

- Ambrose, et al, “Is gardening associated with greater happiness of urban residents? A multi-activity, dynamic assessment in the Twin-Cities region, USA,” Landscape and Urban Planning; June 2020

- Li Q. Effects of forest environment (Shinrin-yoku/Forest bathing) on health promotion and disease prevention -the Establishment of “Forest Medicine”. Environ Health Prev Med. 2022;27:43. doi: 10.1265/ehpm.22-00160. PMID: 36328581; PMCID: PMC9665958.

- Soga M, Gaston KJ, Yamaura Y. Gardening is beneficial for health: A meta-analysis. Prev Med Rep. 2016 Nov 14;5:92-99. doi: 10.1016/j.pmedr.2016.11.007. PMID: 27981022; PMCID: PMC5153451.

SUMMARY

The presentation aims to investigate how food insecurity, a sedentary lifestyle, and stress contribute to the growing health gap in low-income communities. A comprehensive approach that involves collaboration between healthcare providers, community organizations, and policymakers to address these disparities will be emphasized. The presentation will highlight the effectiveness of plant-based nutrition as part of a comprehensive lifestyle approach in promoting health equity in low-income communities. The goal of the presentation is to demonstrate that by implementing these strategies, the health divide in low-income communities can be improved.

LEARNING OBJECTIVES

- Enable participants to regognize the connection between stress and health disparities.

- Allow participants to confidently plan and prescribe a plant-based diet as an effective intervention to reduce health disparities.

- Participants will develop the knowledge and skills necessary to assemble partnerships within their community to address health disparities and promote health equity.

REFERENCES

- J Am Coll Cardiol. 2022 Jul, 80 (2) 138–151

- https://doi.org/10.1016/j.clnesp.2020.12.012

- Public Health Nutr. 2022 Mar 21;1-38

- https://doi.org/10.1016/j.jacc.2022.05.033

- J Am Coll Cardiol. 2021 Dec, 78 (24) 2457–2459

SUMMARY

The Four Men Whose shoulders I Stand On: Denis Burkett, Nathan Pritikin, Walter Kempner, and Roy Swank.

From these scientists I learned the power of diet-therapy and the simple nutritional needs of our patients. The cause of more than 80% of chronic diseases afflicting people of developed societies is a diet once reserved for aristocrats. Fortunately, one U-turn back to the traditional starch-based diets followed almost all of Earth’s human inhabitants is the simple, side-effect, low-cost cure for obesity, heart disease, and diabetes, to name a few medical conditions so common to be considered “normal” these days.

LEARNING OBJECTIVES

- Recognize the 2 categories of food poisons: animal products and free oils. Stop the repeated injury from the fork and spoon and the miraculous human body heals.

- Demonstrate the solid science behind diet-therapy and the foods that make you well —Remove the cause and the patient heals. Naturally people love the foods that make them well, the problem is we are unfamiliar with the tastes of starches, vegetables, and fruits.

- Less is more, when it comes to drugs and operations. Examine how to safely avoid and reduce the burdens of over-treatment as your patients recover.

- Demonstrate that the truth is simple and easy to understand but is not profitable where modern medicine treatments (drugs, surgeries, and devices) are concerned. Follow the money.

REFERENCES

- Barnard ND, et. Al. A Mediterranean Diet and Low-Fat Vegan Diet to Improve Body Weight and Cardiometabolic Risk Factors: A Randomized, Cross-over Trial. J Am Nutr Assoc. 2022 Feb;41(2):127-139.

- Kahleova H. Et. Al. Effect of a Low-Fat Vegan Diet on Body Weight, Insulin Sensitivity, Postprandial Metabolism, and Intramyocellular and Hepatocellular Lipid Levels in Overweight Adults: A Randomized Clinical Trial. JAMA Netw Open. 2020 Nov 2;3(11)

- Koutentakis M. The Effect of a Vegan Diet on the Cardiovascular System. J Cardiovasc Dev Dis. 2023 Feb 22;10(3):94.

- Dybvik JS, Svendsen M, Aune D. Vegetarian and vegan diets and the risk of cardiovascular disease, ischemic heart disease and stroke: a systematic review and meta-analysis of prospective cohort studies. Eur J Nutr. 2023 Feb;62(1):51-69.

- Delgado-Lista, et. al.CORDIOPREV Investigators. Long-term secondary prevention of cardiovascular disease with a Mediterranean diet and a low-fat diet (CORDIOPREV): a randomized controlled trial. Lancet. 2022 May 14;399(10338):1876-1885.

- Torreggiani M et.al. Plant-based diets for CKD patients: fascinating, trendy, but feasible? A green nephrology perspective. Clin Kidney J. 2022 Dec 9;16(4):647-661.

- Crosby L. Changes in Food and Nutrient Intake and Diet Quality on a Low-Fat Vegan Diet Are Associated with Changes in Body Weight, Body Composition, and Insulin Sensitivity in Overweight Adults: A Randomized Clinical Trial. J Acad Nutr Diet. 2022 Oct;122(10):1922-1939.e0.

SUMMARY

S. Stoll, MD, A. Bellatti, RD, M. Klaper, MD, Wendie Pett, ND are all part of a guided discussion and Q&A session focused on the application of plant-based nutrition in a clinical setting.

LEARNING OBJECTIVES

- Assess the different types of practice models and steps necessary to transition individual practices to include lifestyle medicine interventions.

- Develop a plan for first steps toward the implementation and/or modification of individual clinical practices.

- Examine and answer the most common questions regarding the clinical practice of lifestyle medicine and implementation of practical, tested solutions that optimize patient care.

REFERENCES

- Katz, D. L., et al. “Hierarchies of evidence applied to lifestyle Medicine (HEALM): introduction of a strength-of-evidence approach based on a methodological systematic review.” BMC medical research methodology 19.1 (2019): 178.

- Egger, Garry. “Defining a structure and methodology for the practice of lifestyle medicine.” American journal of lifestyle medicine 12.5 (2018): 396-403.

- Bodai, Balazs I., et al. “Lifestyle medicine: A brief review of its dramatic impact on health and survival.” The Permanente Journal 22 (2018).

- Henderson, Richard C., and Tracie L. Shing. “Characterization of Patients in a Lifestyle Medicine Practice.” American Journal of Lifestyle Medicine (2019): 1559827619826543