Principles of Lifestyle MedicineLecture Series

1. Introduction to Lifestyle Medicine2. The Epidemic of Lifestyle Diseases3. The Effectiveness of Lifestyle Medicine4. Approaches to Lifestyle Medicine5. History of Lifestyle Medicine @ LLU6. The Future of Lifestyle Medicine @ LLU7. The Physiologic Basis for Lifestyle Medicine8. Understanding the Appropriate Role of Medications9. Getting Trained in Lifestyle Medicine10. Health Ministry

Principles of Lifestyle MedicineTopic #1: Introduction to Lifestyle Medicine

• Definition of Lifestyle Medicine• Comparison of Lifestyle Medicine to:

– Preventive Medicine– Alternative, Integrative & Complementary Medicine– Conventional Medicine

• Multi-disciplinary Nature of Lifestyle Medicine• The Wholeness Aspect of Lifestyle Medicine

– Not just conventional medicine + spiritual care– NEWSTART, WHOLENESS

Principles of Lifestyle MedicineTopic #2: The Epidemic of Lifestyle Diseases

• What are the Lifestyle Diseases?• The Prevalence of Lifestyle Diseases

– As cause of death– As % of medical practice

• Medical Specialties Impacted by Lifestyle Diseases• The Future of Lifestyle Diseases

– Aging populations– Genetic implications

Principles of Lifestyle MedicineTopic #3: The Effectiveness of Lifestyle Medicine

• The Ineffectiveness of Wimpy Interventions• The Effectiveness of Intensive Interventions

– Short-term– Long-term

• Reversal of Coronary Artery Disease – Dean Ornish• Diabetes Type 2• Weight, b/p, Cholesterol, Homocysteine, Neuropathy• Compliance

– Fully informing patients– Lifestyle hypocrisy

• Lifestyle As a Way of Life

Principles of Lifestyle MedicineTopic #4: Approaches to Lifestyle Medicine

• Inpatient Lifestyle Centers– Secular– Religious

• Outpatient Lifestyle Centers– Battle Creek Lifestyle Center– Loma Linda Lifestyle Program

• Large Community-based Programs– CHIP

• Outpatient Medical Clinics– E.g. Family Medicine clinic

• Small Community-based Programs– Smoking cessation programs– Vegetarian cooking classes

Principles of Lifestyle MedicineTopic #5: History of Lifestyle Medicine @ LLU

• Grass-roots initiative by students & residents• Lifestyle Medicine Interest Group (LMIG)

– Community health talks– “Lifestyle Focus” newsletter– GoVege Week

• Lifestyle Medicine Fund• “Lifestyle Update” News Magazine• The Loma Linda Lifestyle Program (LLLP)

Principles of Lifestyle MedicineTopic #6: The Future of Lifestyle Medicine @ LLU

• Loma Linda Lifestyle Program (LLLP)• Lifestyle Medicine Research Consortium• Office for Lifestyle Medicine

– LMIG– “Lifestyle Update” News Magazine– Lifestyle Medicine Research Consortium (LMRC)– Christian Association for Lifestyle Medicine (CALM)– lifestylemedicine.org

• Center for Lifestyle Medicine

Principles of Lifestyle MedicineTopic #7: Physiologic Basis for Lifestyle Medicine

• God’s Role:– Creation of natural processes– Working through natural processes

• Physiology Works Towards a State of Health• Reasoning from Cause to Effect

– First identify and remove any offending cause– Establish a lifestyle consistent with health

• Disease Reversal vs Disease Management– Example of hypertension

Principles of Lifestyle MedicineTopic #8: Understanding the Role of Medications

• Overuse of Medications:– Antibiotic resistance– Popping pills vs conscientious action of the will– The patient – doctor “conspiracy”

• Appropriate Place for Medications:– Emergencies– Surgeries– True deficiencies– As back-up to lifestyle changes

• Goal of Lifestyle Medicine:– Minimize the need for medications

Principles of Lifestyle MedicineTopic #9: Getting Trained in Lifestyle Medicine

• Status of Lifestyle Medicine Training Availability:– Smoking cessation– Practical dietetics– Exercise physiology– Natural remedies– Community health outreach

• Ways to Augment Your Training:– Practice a healthy lifestyle yourself– Express your interest now (e.g. LMIG)– Seek Lifestyle Medicine electives (e.g lifestyle centers & LLLP)– Consider additional training (e.g. MPH, fellowship)

• Work to Pave the Way for Those Who Follow You

Principles of Lifestyle MedicineTopic #10: Health Ministry

• Christ as Our Great Physician• Medicine: Career vs Calling• The Conscientious Practice of Medicine• Partnering with the Ministry

– Clergy– Local Church– Health Evangelism