Agenda
ALL TIMES ARE PACIFIC DAYLIGHT TIME (LOS ANGELES, CA – USA)
TIME | DESCRIPTION | PRESENTER(S) | CME | CNE | CEU | CPE |
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2:00 pm – 5:30 pm | FULL Conference Check-in/Registration | - | - | - | - | - |
TIME | DESCRIPTION | PRESENTER(S) | CME | CNE | CEU | CPE |
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9:00 am – 12:00 pm | OPTIONAL Workshop 1 - Healthy and Delicious: Cooking for Health with Chef AJ (SEPARATE REGISTRATION REQUIRED) | Chef AJ | 3 | 3 | 3 | 3 |
SUMMARY Culinary medicine is an emerging field of translational science that effectively teaches the skills and knowledge necessary to move nutritional science into actionable sustainable lifestyles. This workshop will highlight the scientific evidence for disease remission, long term weight management, and long-term behavioral change and demonstrate how the science can be effectively translated into sustainable, achievable daily meal planning and preparation. Further, specific recommendations and meal planning will include evidence for specific foods and preparation with proven impacts on inflammation and cellular function that contribute to health and disease prevention. LEARNING OBJECTIVES: - Demonstrate various cooking techniques that maximize the positive health impacts of plant-based foods. - Recommend and demonstrate various recipes, menus and specific foods that have the most positive impact on chronic disease prevention and suspension. - Determine best recipes, menus and specific food combinations that maximize the chance of a positive behavior change towards a healthy, plant-based diet. REFERENCES - Asher, Roberta C., et al. “Culinary medicine and culinary nutrition education for individuals with the capacity to influence health related behaviour change: A scoping review.” Journal of Human Nutrition and Dietetics 35.2 (2022): 388-395. - Sharma, Shreela V., et al. “Impact of a virtual culinary medicine curriculum on biometric outcomes, dietary habits, and related psychosocial factors among patients with diabetes participating in a food prescription program.” Nutrients 13.12 (2021): 4492. - Magallanes, Emily, et al. “Nutrition from the kitchen: culinary medicine impacts students’ counseling confidence.” BMC Medical Education 21 (2021): 1-7. - Razavi, Alexander C., et al. “Multisite culinary medicine curriculum is associated with cardioprotective dietary patterns and lifestyle medicine competencies among medical trainees.” American Journal of Lifestyle Medicine 14.2 (2020): 225-233. |
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1:00 pm – 4:00 pm | OPTIONAL Workshop 2 - Healing From the Inside Out - Adding Connection Medicine to the Healing Paradigm |
Matthew Lederman, MD
Alona Pulde, MD |
3 | 3 | 3 | 3 |
SUMMARY Nutrition is an essential part of healing but without addressing how we live and connect to ourselves and with other people, we will never be able to fully shut off pro-inflammatory pathways, heal, and live our longest, most joyful lives. We have redefined what optimum health means by raising the bar to living in a state of “Life Is Wonderful.” When in that state everything from our physical health to our outlook on life changes. In this workshop we will not only show you data supporting the immense impact connection has on our physical health down to the inflammatory and cellular levels, but we will also show you how to actually start implementing connection tools in your own lives so that you can join the growing number of people saying, “Life is Wonderful.” LEARNING OBJECTIVES - Recognize how NVC training optimizes communication with patients and between healthcare team members making it of critical importance for the effectiveness of treatment. - Use Nonviolent Communication and language and intention, including the O.F.N.R. framework, to create a quality of connection with patients that facilitates an anti-inflammatory, physiological state of safety. - Prescribe treatment plans that not only identify pathogenesis and remove physical insults, but also create a comprehensive environment conducive to healing REFERENCES - Porges SW. Polyvagal Theory: A Science of Safety. Front Integr Neurosci. 2022 May 10;16:871227. doi: 10.3389/fnint.2022.871227. PMID: 35645742; PMCID: PMC9131189. - Naviaux RK. Mitochondrial and metabolic features of salugenesis and the healing cycle. Mitochondrion. 2023 May;70:131-163. doi: 10.1016/j.mito.2023.04.003. Epub 2023 Apr 27. PMID: 37120082. - Cole SW. The Conserved Transcriptional Response to Adversity. Curr Opin Behav Sci. 2019 Aug;28:31-37. doi: 10.1016/j.cobeha.2019.01.008. Epub 2019 Feb 25. PMID: 31592179; PMCID: PMC6779418. - Epinat-Duclos J, Foncelle A, Quesque F, Chabanat E, Duguet A, Van der Henst JB, Rossetti Y. Does nonviolent communication education improve empathy in French medical students? Int J Med Educ. 2021 Oct 29;12:205-218. doi: 10.5116/ijme.615e.c507. PMID: 34716989; PMCID: PMC8994647. |
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12:00 am – 12:00 am | - | - | - | - | - | |
12:00 pm – 7:00 pm | FULL Conference Check-in/Registration | - | - | - | - | - |
5:00 pm – 6:15 pm | Welcome Reception | NA | - | - | - | - |
6:15 pm – 9:00 pm | Session 1 - Opening Dinner and Keynote Address - What Happened and Where Do We Go From Here: A Philosophic and Historical Journey Toward Healing Healthcare | Scott Stoll, MD, FABPMR | 2 | 2 | 2 | 2 |
SUMMARY The epidemic of non-communicable diseases (NCD’s) is the number one cause of death globally. The rising rates of NCD’s and lost quality of life are placing an ever-increasing burden on individuals, families, and healthcare systems globally. How did we get to this place in history where more than half of all people are overweight and obese and non-communicable diseases account for more than 70% of all deaths and disability? This presentation will highlight the evidence of an unprecedented cultural lifestyle shift globally, explore the origins, primary drivers, and impact on individuals and healthcare. Further evidence will reveal the potential for creating healthy micro-cultural changes that enable and encourage lifestyle changes and the importance of team-based approach to the delivery of healthcare and cultivation of a new culture. LEARNING OBJECTIVES - Examine the global burden of non-communicable disease related disability and its implications on individual quality of life and healthcare systems. - Analyze the origins and root causes that have contributed to a culture of unhealthy choices and landscape of chronic disease. - Determine and utilize the basic components of a lifestyle medicine team and key components of a cultivate micro-culture that facilitates behavioral change and healthy lifestyle sustainability. REFERENCES - Osokpo, Onome, and Barbara Riegel. “Cultural factors influencing self-care by persons with cardiovascular disease: an integrative review.” International journal of nursing studies116 (2021): 103383. - Szabo, Zoltan, et al. “Possible Biochemical Processes Underlying the Positive Health Effects of Plant-Based Diets—A Narrative Review.” Nutrients 13.8 (2021): 2593. - Gaybullayeva, Nafisa Izatullayevna. “The Concept of Health and Disease.” Texas Journal of Philology, Culture and History15 (2023): 31-34. - Sharifovna, Shoyunusova Nargis, and Kodirov Sherzodbek Xusanboy o’gli. “THE ROLE OF A HEALTHY LIFESTYLE IN THE ORIGIN OF THE DISEASE.” Open Access Repository4.03 (2023): 67-72. - Kelkar, Sanjeev, and Sanjeev Kelkar. “The Western Model in Disease and Health Care Delivery.” India’s Private Health Care Delivery: Critique and Remedies (2021): 245-273. |
TIME | DESCRIPTION | PRESENTER(S) | CME | CNE | CEU | CPE |
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6:00 am – 8:00 am | BREAKFAST | - | - | - | - | - |
8:00 am – 9:00 am | Session 2 - Making Financial Sense of Lifestyle Medicine Practices | Wayne Dysinger, MD, MPH | 1 | 1 | 1 | 1 |
SUMMARY Lifestyle Medicine, including whole food plant based approaches to eating, was always the right thing to do morally. Over the last two decades it has become more and more clear that it is also the right thing to do scientifically. But can we claim that it is also the right thing to do economically? In this presentation we will walk our way through the philosophical underpinnings of making the clinical practice of Lifestyle Medicine work financially, then we will go into specific details of what works and doesn’t work as far as economic models of practicing Lifestyle Medicine, including strengths and weaknesses of various approaches. We will also share data and real life examples of how capitated or Value Based Care approaches mesh with Lifestyle Medicine, and how the Lifestyle Medicine clinical model can be merged with the Value Based Care economic model to truly transform how we go about delivering health care. LEARNING OBJECTIVES - Evaluate the Lifestyle Medicine philosophy and how that meshes with various economic approaches to health care delivery. - Examine Value Based Care, and how that can be applied to primary, specialty and consultative Lifestyle Medicine clinical approaches around specific population segments. - Demonstrate real live models, including clinical and economic data, that are pioneering new approaches to Lifestyle Medicine clinical care. REFERENCES - Dysinger W. Lifestyle Medicine Practice: Exploring Workable Models. Am J Lifestyle Med. 2016;10(5):345-347. - Frates E, Morris E, Sannidhi D, Dysinger W. The Art and Science of Group Visits in Lifestyle Medicine. Am J Lifestyle Med, Sept, 2017. - Donohue D, Dysinger W, Benigas S. Formation of a National Lifestyle Medicine Network to Benefit Patients and Lifestyle Medicine Providers. Am J Lifestyle Medicine. 2019;13(6):548-551. - Dysinger W. A Hybrid Value-Based Lifestyle Medicine Practice Model. Am J Lifestyle Med, 2021;15(5). - Pathak N, Pollard KJ. Lifestyle medicine prescriptions for personal and planetary health. J of Climate Change and Health. 2021;v4. - Lacagnina S, Tips J, Pauly K. Lifestyle Medicine Shared Medical Appointments. Am J Lifestyle Medicine 2020. |
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9:00 am – 10:00 am | Session 3 - Lifestyle Medicine Theory and Practice: Exploring 40 Years of Research on Disease Prevention, Reversal and Successful Life Integration |
Dean Ornish, MD
Scott Stoll, MD, FABPMR |
1 | 1 | 1 | 1 |
SUMMARY This interactive conversation between Dr. Ornish and Dr. Stoll will explain why a whole foods plant-based diet, moderate exercise, stress management techniques, and love/social support are the foundation for treating and preventing chronic diseases. The discussion will overview the body of research including interventional trials and key takeaways that helped shape Dr. Ornish’s unifying theory of lifestyle medicine. In addition, this guided discussion will highlight the important conclusions from the behavior change research and successful lifestyle adoption education recommendations from Dr. Ornish’s life work. LEARNING OBJECTIVES - 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 and assess 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 -Pearl, Robert. “Lifestyle medicine: overcoming systemic and cultural barriers to better, more affordable care.” American Journal of Lifestyle Medicine (2023): 15598276231166321. - 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. |
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10:00 am – 10:30 am | Break | - | - | - | - | - |
10:30 am – 11:30 am | Session 4 - Eating to Elevate Your Metabolism | William Li, MD | 1 | 1 | 1 | 1 |
SUMMARY Recent clinical studies have delineated the patterns of metabolism over the human lifespan. Surprisingly, many past assumptions concerning metabolism, age, body fat, and food have been shown to be inaccurate. This presentation presents the current scientific understanding of human metabolism, and its link to plant-based foods. The role of body fat and metabolism will be described, and how specific dietary factors can influence the growth of body fat and improve metabolism. Clinical data supporting the fat fighting activities of foods will be discussed. Indeed, the healthy patterns of Mediterranean and Asian cuisine that feature plant-based ingredients are further validated by their metabolism and fat fighting properties. It is possible to eat to beat your need for a diet. LEARNING OBJECTIVES To DEMONSTRATE the latest understanding of metabolism over the lifespan. To ANALYZE the connection between physiological and pathological adipose tissue and how they optimize metabolism and overall health. ANALYZE the data showing how plant-based foods and their bioactives influence health by lowering deleterious adipose tissue and improve metabolic function. REFERENCES Pontzer, H, et al. Daily energy expenditure through the human life course. Science 2021 Aug 13;373 (6556):808-812. Harb E, et. al. Brown adipose tissue and regulation of human body weight. Diabetes Metabolism Res Review 2023 Jan; 39(1):e3594 Hachemi I, et al. Brown adipose tissue: activation and metabolism in humans. Endocrine Metab Apr; 38(2):214-22. |
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11:30 am – 12:30 pm | Session 5 - Intersection of Genetics and Lifestyle in the Prevention of Cardiovascular Disease | Romit Bhattacharya, MD | 1 | 1 | 1 | 1 |
SUMMARY Traditional Mendelian genetics – that is, the idea that one gene leads to one trait or phenotype – have long underscored our understanding of inheritance. However, in recent years co-advancements in the fields of genetic sequencing, computing power, and image generation have allowed us to probe both the idea of single gene inheritance patterns and discrete phenotypic outcomes further. However, the field of lifestyle medicine has not kept pace in its ability to phenotype the lifestyle behaviors of patients and leads to confusion and frustration. Through harnessing wearables, internet-of-things devices, and social media technologies, we can gain valuable insights into human behavior and lifestyle. Here we discuss the intersection of genetic instruments with technology and big data instruments to shed further light on positive and negative lifestyle behaviors for health, and how clinical recommendations, screening tools and imaging could be individualized. LEARNING OBJECTIVES - Evaluate those likely to be at high polygenic risk of disease - Provide evidence-based recommendations that lifestyle interventions are more important for those who are at high genetic risk for disease - Correctly interpret genetic risk scores that are increasingly being provided to patients in the clinic - Recognize how poorly phenotyped lifestyle behaviors contribute to poor quality recommendations. Contribute to ongoing research efforts to improve lifestyle phenotyping - Advise your patients on ways to recognize authoritative and non-authoritative sources for evaluating novel medical breakthroughs – particularly in the field of lifestyle medicine REFERENCES - Fahed, Akl C., Minxian Wang, Julian R. Homburger, Aniruddh P. Patel, Alexander G. Bick, Cynthia L. Neben, Carmen Lai, et al. “Polygenic Background Modifies Penetrance of Monogenic Variants for Tier 1 Genomic Conditions.” Nature Communications 11, no. 1 (August 20, 2020): 3635. https://doi.org/10.1038/s41467-020-17374-3. - Khera, Amit V., Connor A. Emdin, Isabel Drake, Pradeep Natarajan, Alexander G. Bick, Nancy R. Cook, Daniel I. Chasman, et al. “Genetic Risk, Adherence to a Healthy Lifestyle, and Coronary Disease.” The New England Journal of Medicine 375, no. 24 (December 15, 2016): 2349–58. https://doi.org/10.1056/NEJMoa1605086. - Pirruccello, James P., Mark D. Chaffin, Elizabeth L. Chou, Stephen J. Fleming, Honghuang Lin, Mahan Nekoui, Shaan Khurshid, et al. “Deep Learning Enables Genetic Analysis of the Human Thoracic Aorta.” Nature Genetics 54, no. 1 (January 2022): 40–51. https://doi.org/10.1038/s41588-021-00962-4. - Münzel, Thomas, Mette Sørensen, Omar Hahad, Mark Nieuwenhuijsen, and Andreas Daiber. “The Contribution of the Exposome to the Burden of Cardiovascular Disease.” Nature Reviews. Cardiology, May 10, 2023. https://doi.org/10.1038/s41569-023-00873-3. - Khurshid, Shaan, Jeffrey S. Healey, William F. McIntyre, and Steven A. Lubitz. “Population-Based Screening for Atrial Fibrillation.” Circulation Research 127, no. 1 (June 19, 2020): 143–54. https://doi.org/10.1161/CIRCRESAHA.120.316341. |
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12:30 pm – 2:00 pm | LUNCH | - | - | - | - | - |
2:00 pm – 3:00 pm | Session 6 - The Role of Nutrition in Thyroid Health | Vanita Rahman, MD | 1 | 1 | 1 | 1 |
SUMMARY Thyroid conditions are commonly encountered in clinical practice and patients are increasingly interested in nutrition-based approaches to thyroid health. Dr. Rahman will review the latest research evidence regarding the role of nutrition, supplements, and obesity in autoimmune thyroid conditions and thyroid cancer. She will also review the tools used to assess for iodine sufficiency and deficiency and the interactions between various foods, supplements, and thyroid testing. LEARNING OBJECTIVES - Assess iodine sufficiency and deficiency in the clinical setting - Demonstrate the role of nutrition and obesity in autoimmune thyroid disorders and thyroid cancer - Analyze the role of supplements in thyroid health and testing REFERENCES - Danailova Y, Velikova T, Nikolaev G, Mitova Z, Shinkov A, Gagov H, Konakchieva R. Nutritional Management of Thyroiditis of Hashimoto. Int J Mol Sci. 2022 May 5;23(9):5144. doi: 10.3390/ijms23095144. PMID: 35563541; PMCID: PMC9101513. - Mikulska AA, Karaźniewicz-Łada M, Filipowicz D, Ruchała M, Główka FK. Metabolic Characteristics of Hashimoto’s Thyroiditis Patients and the Role of Microelements and Diet in the Disease Management-An Overview. Int J Mol Sci. 2022;23(12):6580. Published 2022 Jun 13. doi:10.3390/ijms23126580 - Ostrowska L, Gier D, Zyśk B. The Influence of Reducing Diets on Changes in Thyroid Parameters in Women Suffering from Obesity and Hashimoto’s Disease. Nutrients. 2021;13(3):862. Published 2021 Mar 5. doi:10.3390/nu13030862 - Zhang X, Zhang F, Li Q, Feng C, Teng W. Iodine nutrition and papillary thyroid cancer. Front Nutr. 2022;9:1022650. Published 2022 Oct 20. doi:10.3389/fnut.2022.1022650 |
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3:00 pm – 4:00 pm | Session 7 – Starting The Conversation: How to Effectively Initiate Behavior Change for Health Improvement | Shayla Toombs-Withers, D.O. , FAAFP | 1 | 1 | 1 | 1 |
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 - 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. - 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. - Zimmerman GL, Olsen CG, Bosworth, MF. A ‘Stages of Change’ Approach to Helping Patients Change Behavior. Am Fam Physician. 2000;61(5):1409-1416 - 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 - Searight HR. Counseling Patients in Primary Care: Evidence-Based Strategies. Am Fam Physician. 2018 Dec 15;98(12):719-728. PMID: 30525356. - 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 - 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. |
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4:00 pm – 4:45 pm | Break | - | - | - | - | - |
4:45 pm – 5:45 pm | Session 8 - The Year in Plants 2023: The Latest Science Reinforces the Plant-Based Lifestyle | Andrew M. Freeman, MD | 1 | 1 | 1 | 1 |
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 |
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5:45 pm – 7:30 pm | DINNER | - | - | - | - | - |
TIME | DESCRIPTION | PRESENTER(S) | CME | CNE | CEU | CPE |
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6:00 am – 8:00 am | BREAKFAST | - | - | - | - | - |
8:00 am – 9:00 am | Session 9 - Heart to Heart: A Conversation With A Cardiologist | Koushik R. Reddy, MD | 1 | 1 | 1 | 1 |
SUMMARY Despite many advances, heart disease continues to be the leading cause death. Most of this is preventable by healthy lifestyle strategies. The main objective of this presentation is to outline the current burden on CVD and discuss strategies to prevent it. LEARNING OBJECTIVES - Examine the connection between current cardiovascular disease burden and lifestyle factors. - Analyze and synthesize available scientific information related to lifestyle factors and heart disease. - Recognize the importance of social and psychological determinants of cardiovascular health and disease. - Recognize that healthy lifestyle significantly lowers clinical events, in the setting of high polygenic risk of cardiovascular disease. REFERENCES - https://www.jacc.org/doi/10.1016/j.jacc.2022.11.005 - https://heart.bmj.com/content/106/17/1317 - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8914096/ |
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9:00 am – 10:00 am | Session 10 - Meat, Gut Health and the Microbiome | Alan Desmond MB, BCh, BMedSc, FRCP | 1 | 1 | 1 | 1 |
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. |
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10:00 am – 10:30 am | Break | - | - | - | - | - |
10:30 am – 11:30 am | Session 11 - Plate Side Manners: Importance of Using Effective Communication Techniques to Facilitate Dietary Modifications | Deepa Deshmukh MPH, RDN, CDCES, BC-ADM | 1 | 1 | 1 | 1 |
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, - 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, - Nemec K. Cultural Awareness of Eating Patterns in the Health Care Setting. |
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11:30 am – 12:30 pm | Session 12 - Nutritional Intervention: Why has Acceptance Been So Difficult? | T. Colin Campbell, PhD | 1 | 1 | 1 | 1 |
SUMMARY Dr. T Colin Campbell draws on more than 50 years of experience as a professor of nutrition to help attendees refine their understanding of the history of nutritional education and how it impacts medical education today. Using a few perspectives to tell his story, such as the history of nutritional science, empirical evidence in medical recommendations, philosophy of lifestyle medicine and science, and institutional interests that impact cultural opinions and medical application. LEARNING OBJECTIVES - Understand the historical forces that have shaped the utilization of nutrition in medical care and impacted the beliefs and opinions of nutritional science. - Describe the strengths and weaknesses of the current scientific approach to nutrition in medicine including RCT’s and the evidence pyramid. - Develop more effective treatment plans and nutrition prescriptions for the treatment of chronic, lifestyle related diseases. REFERENCES - Campbell, T. Colin. “Nutrition and Medicine: Are They Connected?.” American Journal of Lifestyle Medicine 15.5 (2021): 495-497. - Fehér, András, et al. “A Comprehensive Review of the Benefits of and the Barriers to the Switch to a Plant-Based Diet.” Sustainability 12.10 (2020). - Storz, Maximilian Andreas. “What makes a plant-based diet? A review of current concepts and proposal for a standardized plant-based dietary intervention checklist.” European journal of clinical nutrition 76.6 (2022): 789-800. - Ewy, Matthew W., et al. “Plant-based diet: is it as good as an animal-based diet when it comes to protein?.” Current nutrition reports 11.2 (2022): 337-346. |
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12:30 pm – 2:00 pm | LUNCH | - | - | - | - | - |
2:00 pm – 3:00 pm | Session 13 - A Micro-cultural Approach to Health and Longevity: Lessons from the Blue Zones | Dexter W. Shurney, MD, MBA, MPH, FACLM | 1 | 1 | 1 | 1 |
SUMMARY The presentation is based on published research on health and longevity by National Geographic in collaboration with the National Institute on Aging spanning over a decade. The focus is on some of the key lessons learned and practical techniques to empowering individuals and communities to better health. LEARNING OBJECTIVES - Recognize and analyze the true determinates of better health and longevity. - Design, plan and prescribe better and more comprehensive health solutions for patients. - Demonstrate the potential of lifestyle and lifestyle medicine to reduce gaps in health disparities. REFERENCES - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6125071/ - https://pubmed.ncbi.nlm.nih.gov/35223947/ - https://pubmed.ncbi.nlm.nih.gov/33969711/ - https://www.bluezones.com/2023/04/the-truth-about-aging/ |
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3:00 pm – 4:00 pm | Session 14 - Gardening For Life: Why We Should All Grow Some Food | Jeffrey M. Pierce, MD | 1 | 1 | 1 | 1 |
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. |
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4:00 pm – 4:45 pm | Break | - | - | - | - | - |
4:45 pm – 5:45 pm | Session 15 - The Health Divide: Using Lifestyle to Impact Low Income Communities | Columbus Batiste, MD, FACC, FSCAI | 1 | 1 | 1 | 1 |
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 |
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5:45 pm – 7:00 pm | DINNER | - | - | - | - | - |
7:00 pm – 9:00 pm | Session 16 - Luminary Presentation - McDougall Mentors: The Four Men Whose Shoulders I Stand On | John McDougall, MD | 2 | 2 | 2 | 2 |
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. |
TIME | DESCRIPTION | PRESENTER(S) | CME | CNE | CEU | CPE |
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6:00 am – 8:00 am | BREAKFAST | - | - | - | - | - |
8:00 am – 9:00 am | Session 17 – Gluten and Beta Cell Damage | Helen Powell-Stoddart, MD, MS, FAAPMR | 1 | 1 | 1 | 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 - Matteo-Rocco Pastore, Elena Bazzigalupi, Cristina Belloni, Claudia Arcovio, Ezio Bonfacia, |
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9:00 am – 10:00 am | Session 18 - Paving a Woman’s Path through Menopause and Beyond with a Healthy Lifestyle | Michelle Tollefson, MD, FACOG, DipABLM, FACLM | 1 | 1 | 1 | 1 |
SUMMARY Women don’t want to merely survive menopause, they want to thrive through this transition and for decades to come. To do so, lifestyle medicine must be prioritized: enjoying nourishing foods, embracing movement, managing stress, prioritizing sleep and interpersonal connections. During this presentation, we’ll explore cutting-edge research highlighting the impact of lifestyle behaviors on common peri and post-menopausal symptoms, as well as brain, bone, hormonal, and sexual health. Participants will leave with the knowledge and practical lifestyle medicine recommendations to empower women to pave their path through menopause and beyond. LEARNING OBJECTIVES - Attendees will evaluate the impact of nutrition, physical activity, stress management, and sleep prioritization on the menopausal transition. - Attendees will examine how nutrition and other pillars of lifestyle medicine impact the health of women as they age. - Attendees will recognize opportunities to incorporate lifestyle medicine education into their interactions with peri and post-menopausal patients. REFERENCES - Hammond BR, Renzi-Hammond L. The influence of the macular carotenoids on women’s eye and brain health. Nutritional Neuroscience. 2022 Jun 9:1-7. - Barnard ND, Kahleova H, Holtz DN, Znayenko-Miller T, Sutton M, Holubkov R, Zhao X, Galandi S, Setchell KD. A dietary intervention for vasomotor symptoms of menopause: a randomized, controlled trial. Menopause. 2023 Jan 20;30(1):80-7. - Fausto DY, Leitão AE, Silveira J, Martins JB, Dominski FH, Guimarães AC. An umbrella systematic review of the effect of physical exercise on mental health of women in menopause. Menopause. 2023 Feb 28;30(2):225-34. |
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10:00 am – 10:30 am | Break | - | - | - | - | - |
10:30 am – 11:30 am | Session 19 - Practical Strategies for Living a Long Healthy Life | Michael Greger, MD | 1 | 1 | 1 | 1 |
SUMMARY The term “anti-aging” should be reserved for interventions that target of one or more of the established aging mechanisms. Nonpharmacological means to target these Hallmarks of Aging will be discussed, common denominators of the diets and lifestyles of healthy, long-lived populations teased out, and dietary approaches will be explored to preserve bladder, brain, and bowel function as we age, along with bone and muscle mass, as well as tips to combat skin aging and vasomotor symptoms of menopause. LEARNING OBJECTIVES - Examine diet and lifestyle interventions that may increase autophagy. - Recognize the top five dietary factors identified by the Global burden of Disease Study as contributing to the greatest annual death toll. - Examine nonpharmacological interventions that may help with BPH, constipation, sarcopenia, skin aging, urinary incontinence, and vasomotor menopausal symptoms. REFERENCES - Ma H, Xue Q, Wang X, et al. Adding salt to foods and hazard of premature mortality. Eur Heart J. 2022;43(30):2878-2888. - Barnard ND, Kahleova H, Holtz DN, et al. A dietary intervention for vasomotor symptoms of menopause: a randomized, controlled trial. Menopause. 2023;30(1):80-87. - Tu DY, Kao FM, Tsai ST, Tung TH. Sarcopenia among the elderly population: a systematic review and meta-analysis of randomized controlled trials. Healthcare (Basel). 2021;9(6):650. - Kahleova H, Levin S, Barnard ND. Plant-based diets for healthy aging. J Am Coll Nutr. 2021;40(5):478-479. |
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11:30 am – 2:00 pm | Session 20 - Lunch and Panel Discussion: Everyday Ideas for Practice |
Scott Stoll, MD, FABPMR
Andy Bellatti, MS, RD Michael Klaper, MD Wendie Pett, ND |
2 | 2 | 2 | 2 |
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 |
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2:00 pm – 2:15 pm | Closing Remarks | Scott Stoll, MD, FABPMR | - | - | - | - |
- Agenda subject to change.
++ NUMBER OF CREDITS ARE SUBJECT TO CHANGE.