Agenda

SUMMARY

The epidemic of non-communicable diseases (NCD’s) is the number one cause of death globally. Yet, morbidity and lost quality of life are often a footnote. The rising rates of NCD’s and lost quality of life are placing an ever-increasing burden on individuals, families and healthcare systems. Nutrition and lifestyle are the best solution to the morbidity and disability from NCD’s and the optimal way to add years to life and life to those years. This presentation will highlight the evidence that nutrition and lifestyle dramatically improve both quantity and quality of life and thus healthspan.

OBJECTIVES

1. Examine the global burden of non-communicable disease related disability and its implications on individual quality of life and healthcare systems.
2. Distinguish the key differences between lifespan and healthspan.
3. Determine and utilize the basic components of a lifestyle prescription and motivational factors to improve quality of life and healthspan.

REFERENCES

1. Crowe, Christopher L., et al. “Associations of loneliness and social isolation with health span and life span in the US health and retirement study.” The Journals of Gerontology: Series A76.11 (2021): 1997-2006.
2. Weidema, Bo P., and Peter Fantke. “Relating the Global Burden of Disease to life cycles.” Procedia CIRP 69 (2018): 417-422.
3. Dai, Haijiang, et al. “Worldwide Trends in Prevalence, Mortality, and Disability-Adjusted Life Years for Hypertensive Heart Disease From 1990 to 2017.” Hypertension 77.4 (2021): 1223-1233.
4. Kostova, Deliana, Rachel Nugent, and Patricia Richter. “Noncommunicable disease outcomes and the effects of vertical and horizontal health aid.” Economics & Human Biology 41 (2021): 100935.
5. Baden, Megu Y., et al. “Changes in plant-based diet quality and health-related quality of life in women.” British Journal of Nutrition 124.9 (2020): 960-970.

SUMMARY

A summary of the latest research on the profound effects of nutrition on brain health. Dr.‘s Sherzai will review their own novel research as well as the most current research that describes the associations between diet and dementia. They will demonstrate the genesis events in the development of dementia and data supported recommendations of the optimal lifestyle interventions to prevent and support dementia and other cognitive conditions.

OBJECTIVES

1. To assess the epidemiology of Alzheimer’s
2. To interpret the relationship of genes and Alzheimer’s
3. To recognize the myths around brain health and dementia
4. To determine the relationship between nutrition and brain health and Alzheimer’s.

REFERENCES

1. Flanagan, E., Lamport, D., Brennan, L., Burnet, P., Calabrese, V., Cunnane, S. C., … & Vauzour, D. (2020). Nutrition and the ageing brain: Moving towards clinical applications. Ageing Research Reviews, 62, 101079.
2. Bianchi, V. E., Herrera, P. F., & Laura, R. (2021). Effect of nutrition on neurodegenerative diseases. A systematic review. Nutritional neuroscience, 24(10), 810-834.
3. Sherzai, D., & Sherzai, A. (2019). Preventing Alzheimer’s: Our most urgent health care priority. American journal of lifestyle medicine, 13(5), 451-461.

SUMMARY

Many healthcare providers are burned out from fragmented healthcare systems that focus on disease rather than finding solutions to prevent disease and deescalating medications. Healthcare providers who practice passionate care have reported increased provider and patient satisfaction. There are various health care practices that have shown to demonstrate positive health outcomes not only through value-based care but also plant-based nutrition therapies. Amongst a pandemic, direct primary & lifestyle care and multispecialty and interdisciplinary telehealth has served to provide greater access, cost-effectiveness, improved continuity & comprehensive visits, and positive patient outcomes.

OBJECTIVES

1. Assess best practices from various healthcare systems offering plant-based nutrition/Lifestyle Medicine concepts and solutions.
2. Examine new and innovative ways to use telemedicine as part of a Direct Primary/Specialty Care practice.
3. Construct strategies for treating patients using lifestyle medicine/plant based nutrition that increase patient outcome and satisfaction while simultaneously increasing provider satisfaction.
4. Develop various strategies to implement/improve practice strategies, effective clinic flow and ways to bring visibility/credibility to your practice.

REFERENCES

1. https://pubmed.ncbi.nlm.nih.gov/34651142/
2. https://pubmed.ncbi.nlm.nih.gov/34646107/
3. https://pubmed.ncbi.nlm.nih.gov/27626113/
4. https://pubmed.ncbi.nlm.nih.gov/31105486/
5. https://pubmed.ncbi.nlm.nih.gov/34770148/
6. https://www.jstage.jst.go.jp/article/circj/84/3/84_CJ-20-0058/_pdf/-char/en

SUMMARY

Nutrition plays a key role in the prevention and treatment of non-alcoholic fatty liver disease (NAFLD). One in three adults in the US has NAFLD and nutrition is the #1 causal treatment option. In addition to weight management, diet composition is critical. A Western diet contributes to NAFLD by providing excess calories, particularly in the form of excess fat and sugar. Fat quality plays a major role. Saturated fat contributes to increased liver fat much more readily than polyunsaturated and monounsaturated fat. A plant-based diet significantly reduces liver fat. In a 16-week randomized clinical trial, a low-fat vegan diet reduced liver fat by 34%. A plant-based diet also addresses the underlying pathophysiologic mechanisms, including insulin resistance, oxidative stress, and inflammation. In addition to diet composition, intermittent fasting is a novel strategy to reduce liver fat, and to improve markers of cardiometabolic health at the same time.

OBJECTIVES

1. To analyze the dietary factors that contribute to non-alcoholic fatty liver disease.
2. To examine the dietary interventions that may be used in the treatment.
3. To evaluate the benefits of a plant-based diet and intermittent fasting.

REFERENCES

1. Cotter TG, Rinella M. Nonalcoholic Fatty Liver Disease 2020: The State of the Disease. Gastroenterology. 2020 May;158(7):1851-1864. doi: 10.1053/j.gastro.2020.01.052. Epub 2020 Feb 13. PMID: 32061595.
2. Rosqvist F, Iggman D, Kullberg J, Cedernaes J, Johansson HE, Larsson A, Johansson L, Ahlström H, Arner P, Dahlman I, Risérus U. Overfeeding polyunsaturated and saturated fat causes distinct effects on liver and visceral fat accumulation in humans. Diabetes. 2014 Jul;63(7):2356-68. doi: 10.2337/db13-1622. Epub 2014 Feb 18. PMID: 24550191.
3. Petersen KF, Dufour S, Befroy D, Lehrke M, Hendler RE, Shulman GI. Reversal of nonalcoholic hepatic steatosis, hepatic insulin resistance, and hyperglycemia by moderate weight reduction in patients with type 2 diabetes. Diabetes. 2005 Mar;54(3):603-8. doi: 10.2337/diabetes.54.3.603. PMID: 15734833; PMCID: PMC2995496.
4. Kahleova H, Petersen KF, Shulman GI, Alwarith J, Rembert E, Tura A, Hill M, Holubkov R, Barnard ND. 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):e2025454. doi: 10.1001/jamanetworkopen.2020.25454. Erratum in: JAMA Netw Open. 2021 Jan 4;4(1):e2035088. Erratum in: JAMA Netw Open. 2021 Feb 1;4(2):e210550. Erratum in: JAMA Netw Open. 2021 May 3;4(5):e2115510. PMID: 33252690; PMCID: PMC7705596.
5. Kahleova H, Belinova L, Malinska H, Oliyarnyk O, Trnovska J, Skop V, Kazdova L, Dezortova M, Hajek M, Tura A, Hill M, Pelikanova T. Eating two larger meals a day (breakfast and lunch) is more effective than six smaller meals in a reduced-energy regimen for patients with type 2 diabetes: a randomised crossover study. Diabetologia. 2014 Aug;57(8):1552-60. doi: 10.1007/s00125-014-3253-5. Epub 2014 May 18. Erratum in: Diabetologia. 2015 Jan;58(1):205. PMID: 24838678; PMCID: PMC4079942.

SUMMARY

Despite fascinating advances in cardiovascular medicine, heart disease continues to be the leading cause of death across the world. A vast majority of disease burden, morbidity, and mortality are preventable through the practice healthy lifestyle. This presentation will cover the scope of current cardiovascular disease burden and outline the evidence in support of various lifestyle strategies to prevent and treat the leading cause of death.

OBJECTIVES

1. Recognize the current scope and burden of cardiovascular disease.
2. Examine the data in support of various lifestyle strategies to prevent heart disease.
3. Develop and recommend healthy dietary and lifestyle strategies in day-to-day clinical practice.

REFERENCES

1. The Global Burden of Cardiovascular Diseases and Risks: A Compass for Global Action https://www.jacc.org/doi/10.1016/j.jacc.2020.11.021
2. Lifestyle Medicine and the Management of Cardiovascular Disease https://pubmed.ncbi.nlm.nih.gov/28980137/
3. Cardiovascular Disease and Lifestyle Medicine https://pubmed.ncbi.nlm.nih.gov/35389845/

SUMMARY

Pregnancy, the neonatal period, and early childhood represent opportunities to set a child’s future health outcomes for the positive. However, adverse childhood experiences and health inequities may jeopardize the health of the child and impact adult health as well. In this presentation, we will discuss the importance of preventing and mitigating adverse childhood experiences, the importance of starting ideal health behaviors in early childhood, and how starting lifestyle medicine in children may be an optimal way to achieve health equity.

OBJECTIVES

1. Evaluate the relationship between adverse childhood experiences and childhood disease.
2. Demonstrate the importance of starting ideal lifestyle behaviors in early childhood.
3. Examine how starting lifestyle medicine in children might be an optimal way to achieve health equity

REFERENCES

1. Black, M. M., Trude, A., & Lutter, C. K. (2020). All Children Thrive: Integration of Nutrition and Early Childhood Development. Annual review of nutrition, 40, 375-406. https://doi-org.proxyhu.wrlc.org/10.1146/annurev-nutr-120219-023757
2. Cassoobhoy, A., Sardana, J. J., Benigas, S., Tips, J., & Kees, A. (2021). Building Health Equity: Action Steps From the American College of Lifestyle Medicine’s Health Disparities Solutions Summit (HDSS) 2020. American journal of lifestyle medicine, 16(1), 61-75. https://doi.org/10.1177/15598276211052248
3. Robinette, L. M., Hatsu, I. E., Johnstone, J. M., Tost, G., Bruton, A. M., Leung, B., Odei, J. B., Orchard, T., Gracious, B. L., & Arnold, L. E. (2022). Fruit and vegetable intake is inversely associated with severity of inattention in a pediatric population with ADHD symptoms: the MADDY Study. Nutritional neuroscience, 1-10. Advance online publication. https://doi.org/10.1080/1028415×.2022.2071805

SUMMARY

Breast cancer is one of the most feared diseases in the world. But did you know that only 5-10 percent of all breast cancer comes from an inherited gene mutation? That’s right. Up to 90 percent of cancer results from the dietary and lifestyle choices we make every single day – not genetics. Dr. Kristi Funk, noted breast cancer surgeon and women’s health warrior at pinklotus.com, dispels common misconceptions about breast cancer and presents evidence-based nutrition and lifestyle secrets to living your healthiest life. Come listen as complex concepts get distilled into simple, actionable, take-it-home and start-right-now power.

Join Dr. Kristi Funk to learn about the critical importance of IGF-1, antioxidants, obesity, exercise, and other exposures that exert a dramatic effect on one’s cancer-kicking capacity. Find out what thousands of medical studies have revealed about the simple choices you and your patients can make to slash the risk of cancer.

OBJECTIVES

1. Demonstrate four risk factors for breast cancer that are under a person’s control.
2. Recognize three ways that diet affects a tumor cell’s microenvironment.
3. Evaluate techniques, lifestyle habits and resources Name three resources you can share with others to help them reduce their cancer risk.

REFERENCES

1. G.E.Fraser, et al. International Journal of Epidemiology, 49, no. 5, (2020), 1526-37. M. E. Levine et al., Cell Metabolism 19, no. 3 (2014): 407-17.
2. Y. Tantamango-Bartley et al., “Vegetarian Diets and the Incidence of Cancer in a Low-Risk Population,” Cancer Epidemiology and Prevention Biomarkers (2012): cebp-1060.
3. R. J. Barnard et al., Nutrition and Cancer 55, no. 1 (2006): 28-34.
4. M. Harvie et al., Cancer Epidemiology, Biomarkers and Prevention 14, no. 3 (March 2005): 656-61.

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.

OBJECTIVES

1. To be able to recognize and interpret the biological mechanisms common to many chronic diseases.
2. To be able to recognize and interpret how diet and lifestyle choices affect each of these biological mechanisms-for better and for worse.
3. 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

1. 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.
2. 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.
3. 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.
4. 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, Brenda Davis, RD, will review the current literature regarding the nutritional adequacy of plant-based diets, including 100% plant-based diets at every stage of the lifecycle. She will address the nutrients of special interest for those eating plant-based diets, including protein, iron, zinc, vitamin B12, calcium, vitamin D, essential fatty acids, and iodine. Brenda will answer many of the most pressing questions about plant-based eating. Are plant-based diets safe and adequate during childhood? Can we get enough protein from plants? Can plants provide enough iron, zinc, and calcium? Can people who do not eat fish get enough omega-3 fatty acids? Do seniors need to adjust dietary intakes to meet nutritional needs? Brenda provides evidence-based information, practical tools, and reassurance for plant-based practitioners. Well planned plant-based diets not only are appropriate for people at all stages of the lifecycle, they provide impressive advantages for disease risk reduction.

OBJECTIVES

1. Participants will be able to demonstrate at least 5 nutrients that are typically highest in plant-exclusive diets when compared to lacto-ovo vegetarian and nonvegetarian diets.
2. Participants will be able to solve for at least 3 nutrients that commonly fall short in people eating plant-exclusive diets when compared to lacto-ovo vegetarian and nonvegetarian diets.
3. Participants will assess the 3 groups of individuals that may need more protein than the RDA.
4. Recognize at least 3 key sources of zinc in plant-based diets.

REFERENCES

1. Position of the Academy of Nutrition and Dietetics: Vegetarian Diets. Journal of the Academy of Nutrition and Dietetics. July 2016;116: 1970-1980.
2. Weder S, Hoffmann M, Becker K, Alexy U, Keller M. Energy, macronutrient intake, and anthropometrics of vegetarian, vegan, and omnivorous children (1-3 years) in Germany (VeChi diet study). Nutrients. 2019;11(4)
3. Alexy U, Fischer M, Weder S, Längler A, Michalsen A, Sputtek A, Keller M. Nutrient Intake and Status of German Children and Adolescents Consuming Vegetarian, Vegan or Omnivore Diets: Results of the VeChi Youth Study. Nutrients. 2021 May 18;13(5):1707.
4. Allès B, Baudry J, Méjean C, et al. Comparison of Sociodemographic and Nutritional Characteristics between Self-Reported Vegetarians, Vegans, and Meat-Eaters from the NutriNet-Santé Study. Nutrients. 2017;9(9):1023. Published 2017 Sep 15. doi:10.3390/nu9091023
5. Rizzo NS, Jaceldo-Siegl K, Sabate J, Fraser GE. Nutrient profiles of vegetarian and nonvegetarian dietary patterns. J Acad Nutr Diet. 2013 Dec;113(12):1610-9.
6. Sobiecki JG, Appleby PN, Bradbury KE, Key TJ. High compliance with dietary recommendations in a cohort of meat eaters, fish eaters, vegetarians, and vegans: results from the European Prospective Investigation into Cancer and Nutrition-Oxford study. Nutr Res. 2016 May;36(5):464-77.
7. Clarys P, Deliens T, Huybrechts I, Deriemaeker P, Vanaelst B, De Keyzer W, Hebbelinck M, Mullie P. Comparison of nutritional quality of the vegan, vegetarian, semi-vegetarian, pesco-vegetarian and omnivorous diet. Nutrients. 2014 Mar 24;6(3):1318-32.
8. Kristensen NB, Madsen ML, Hansen TH, et al. Intake of macro- and micronutrients in Danish vegans [published correction appears in Nutr J. 2016;15:16]. Nutr J. 2015;14:115. Published 2015 Oct 30. doi:10.1186/s12937-015-0103-3
9. Schüpbach R, Wegmüller R, Berguerand C, Bui M, Herter-Aeberli I. Micronutrient status and intake in omnivores, vegetarians and vegans in Switzerland. Eur J Nutr. 2017 Feb;56(1):283-293.
10. Weikert C, Trefflich I, Menzel J, Obeid R, Longree A, Dierkes J, Meyer K, Herter-Aeberli I, Mai K, Stangl GI, Müller SM, Schwerdtle T, Lampen A, Abraham K. Vitamin and Mineral Status in a Vegan Diet. Dtsch Arztebl Int. 2020 Aug 31;117(35-36):575-582.
11. Elorinne AL, Alfthan G, Erlund I, et al. Food and Nutrient Intake and Nutritional Status of Finnish Vegans and Non-Vegetarians [published correction appears in PLoS One. 2016;11(3):e0151296]. PLoS One. 2016;11(2):e0148235. Published 2016 Feb 3.
12. Elliott LJ, Keown-Stoneman CD, Birken CS, Jenkins DJ, Borkhoff CM, Maguire JL. Vegetarian Diet, Growth, and Nutrition in Early Childhood: A Longitudinal Cohort Study. Pediatrics. 2022 May 2.

SUMMARY

What does the science show is the best way to lose weight? Dr. Greger has scoured the world’s scholarly literature and developed this new presentation based on the latest in cutting-edge research based on his new book How Not to Diet. He will touch on the 17 ingredients to the optimal weight loss diet and cover some of the 21 tricks and tweaks for fast-tracking weight loss, which include specific foods that can double as fat blockers and fat burners, starch blockers and appetite suppressants.

OBJECTIVES

1. Recognize three dietary components that may be considered characteristic of an optimal weight loss diet.
2. Analyze the randomized, controlled study that, without caloric restriction or an exercise component, led to the greatest reported weight loss at both 6 and 12 months.
3. Demonstrate that some foods can act as fat blockers, starch blockers, appetite suppressants, and that can counter the metabolic slowing that accompanies weight loss.

REFERENCES

1. Malik VS, Willett WC, Hu FB. The revised nutrition facts label: a step forward and more room for improvement. JAMA. 2016;316(6):583-584.
2. López M. Hypothalamic AMPK: a golden target against obesity? Eur J Endocrinol. 2017;176(5):R235-R246.
3. Daryabeygi-Khotbehsara R, Golzarand M, Ghaffari MP, Djafarian K. Nigella sativa improves glucose homeostasis and serum lipids in type 2 diabetes: a systematic review and meta-analysis. Complement Ther Med. 2017;35:6-13.

SUMMARY

This workshop is designed to explore the current research specific to the optimization of health and physiology for women throughout their lifespan. Topics covered will include reproductive health, hormonal balance, maintenance of bone density, the prevention, suspension, and reversal of chronic diseases, exercise and athletic performance and key strategies utilizing food and lifestyle.

OBJECTIVES

1. Attendees will recognize the impact of nutrition, physical activity, stress management, and sleep prioritization on the menopausal transition.
2. Attendees will recognize how nutrition and other pillars of lifestyle medicine impact the health of women as they age.
3. Attendees will plan opportunities to incorporate lifestyle medicine education into their interactions with their clients/patients.

REFERENCES

1. U.S. Department of Agriculture and U.S. Department of Health and Human Services. Dietary Guidelines for Americans, 2020-2025. 9th Edition. December 2020. Available at DietaryGuidelines.gov.
2. Piercy KL, Troiano RP, Ballard RM, Carlson SA, Fulton JE, Galuska DA, George SM, Olson RD. The Physical Activity Guidelines for Americans. JAMA. 2018 Nov 20;320(19):2020-2028. doi: 10.1001/jama.2018.14854. PMID: 30418471.
3. Barnard, Neal D. MD, FACC1,2; Kahleova, Hana MD, PhD1; Holtz, Danielle N. BS1; del Aguila, Fabiola PhD1; Neola, Maggie BS, RD1; Crosby, Lelia M. BA, RD1; Holubkov, Richard PhD3 The Women’s Study for the Alleviation of Vasomotor Symptoms (WAVS): a randomized, controlled trial of a plant-based diet and whole soybeans for postmenopausal women, Menopause: October 2021 – Volume 28 – Issue 10 – p 1150-1156 doi: 10.1097/GME.0000000000001812

SUMMARY

A whole-foods, plant-based lifestyle approach supports and optimizes Men’s health across the lifespan. Unhealthy dietary and lifestyle choices impact men’s risk for life threatening diseases like heart disease and cancer and reduce quality of life throughout life. Common conditions that have significant relational implications, like erectile dysfunction, are directly related to dietary and lifestyle choices. During this interactive workshop, attendees will learn about body of evidence demonstrating how lifestyle and a whole food plant based lifestyle can prevent, suspend, and reverse many common lifestyle related diseases and dramatically improve quality of life. They will also have the opportunity to learn key fitness interventions that optimize musculoskeletal health, recommendations for optimizing brain function with aging, and the importance of minimizing toxin exposures.

OBJECTIVES

1. Participants will be able to interpret the core components of a lifestyle prescription for men of any age.
2. Participants will be able to recognize the primary cause of erectile dysfunction and prescribe evidenced based solutions for their patients.
3. Participants will recognize the benefits of a WFPB diet and it’s impact on men’s health through the aging process.

REFERENCES

1. Carto, Chase, et al. “Consumption of a healthy plant-based diet is associated with a decreased risk of erectile dysfunction: a cross-sectional study of the National Health and Nutrition Examination Survey.” Urology 161 (2022): 76-82.
2. Babcock, Matthew C., et al. “Oxidative stress and inflammation are associated with age-related endothelial dysfunction in men with low testosterone.” The Journal of Clinical Endocrinology & Metabolism 107.2 (2022): e500-e514.
3. Lopes, L. Seligra, et al. “Do statins cause testosterone deficiency in men? Systematic review and meta analysis.” The Journal of Sexual Medicine 19.5 (2022): S150.
4. Kim, Hyunju, et al. “Plant‐based diets are associated with a lower risk of incident cardiovascular disease, cardiovascular disease mortality, and all‐cause mortality in a general population of middle‐aged adults.” Journal of the American Heart Association 8.16 (2019): e012865.
5. Shivalingaiah, Sushmitha Basavapattana, et al. “Sleep and gonadotrophin hormones.” International Journal of Nutrition, Pharmacology, Neurological Diseases 11.1 (2021): 17.
6. Kiwitt-Cárdenas, Jonathan, et al. “Sugar-sweetened beverage intake in relation to reproductive parameters in young men.” Revista Internacional de Andrología (2022).