Midlife Transitions—The Integrative Preventive Medicine Approach to the Evaluation and Management of Menopause and Andropause

2017 ◽  
Author(s):  
Cynthia Geyer ◽  
Steven Brewer
Keyword(s):  
Resistance Training ◽  
Preventive Medicine ◽  
Lifestyle Interventions ◽  
Window Of Opportunity ◽  
Hormonal Changes ◽  
Lifestyle Medicine ◽  
Whole Person ◽  
Pros And Cons ◽  
Midlife Transitions ◽  
Physical Changes

Much more has been written about the pros and cons of hormone therapy for women in menopause than has been studied for men in andropause. In two separate sections, this chapter explores those pros and cons in more detail, as well as how to customize recommendations for individuals. Alternative modalities for managing symptoms are discussed, along with the key lifestyle interventions such as resistance training that can counter some of the physical changes associated with declining hormone levels. Attending to the emotional changes that may accompany menopause and andropause is an important component of working with women and men in this time of their lives. A whole-person approach, incorporating preventive and lifestyle medicine practices, may help shift concerns about aging and hormonal changes into a window of opportunity to embrace this next stage of life in as healthy and vibrant a way as possible.

A Powerful Antidote to Physician Burnout: Intensive Healthy Lifestyle and Positive Psychology Approaches

2021 ◽  
pp. 155982762110066
Author(s):  
Liana Lianov
Keyword(s):  
Healthy Lifestyle ◽  
Meaningful Work ◽  
Well Being ◽  
Evidence Base ◽  
Lifestyle Changes ◽  
Lifestyle Interventions ◽  
Physical And Mental Health ◽  
Physician Burnout ◽  
Lifestyle Medicine ◽  
Persistent Symptoms

Burnout rates among physicians are rapidly rising. Leaders in the movement to address burnout have made the case that health care workplaces need to foster a culture of well-being, including trusting coworker interactions, collaborative and transparent leadership, work-life balance, flexibility, opportunities for meaningful work and for professional development, and effective 2-way communication. The rationale for focusing on organizational change to prevent burnout has pointed to persistent symptoms of burnout even when individual healthy lifestyle interventions are adopted. However, a case can be made that the lifestyle interventions were not implemented at the level of intensity recommended by the lifestyle medicine evidence-base to secure the desired improvement in physical and mental health when facing significant personal and environmental stressors. The lifestyle medicine community has the ethical mandate to advocate for intensive healthy lifestyle approaches to burnout prevention, in conjunction with organizational supports. By combining comprehensive and intensive lifestyle changes with organizational cultures of well-being, we can more effectively turn the tide of physician burnout.

scholarly journals Type 2 Diabetes Remission and Lifestyle Medicine: A Position Statement From the American College of Lifestyle Medicine

2020 ◽  
Vol 14 (4) ◽  
pp. 406-419
Author(s):  
John Kelly ◽  
Micaela Karlsen ◽  
Gregory Steinke
Keyword(s):  
Type 2 Diabetes ◽  
Remission Rate ◽  
Diabetes Remission ◽  
Primary Component ◽  
Therapeutic Interventions ◽  
Lifestyle Interventions ◽  
Lifestyle Modifications ◽  
Weighted Mean ◽  
Lifestyle Medicine

Objectives. The present review represents the position of the American College of Lifestyle Medicine on type 2 diabetes (T2D) and remission treatment. Background. Research now reveals that sufficiently intensive lifestyle interventions can produce remission of T2D with similar success to bariatric surgery, but with substantially fewer untoward side effects. Methods. A literature review was conducted to examine lifestyle modifications targeting T2D remission, with most studies using a combination of blood glucose markers and treatment history. Results. There were notable differences in the dosing intensity of lifestyle interventions between therapeutic interventions and subtherapeutic interventions. Studies with therapeutic dosing typically used very low energy diets (600-1100 kcal/day) with a weighted mean remission rate of 49.4%, while studies with subtherapeutic dosing typically used more moderate caloric restrictions (reducing energy intake by 500-600 kcal/day) and the weighted mean remission rate was 6.9%. Conclusions. Remission should be the clinical goal in T2D treatment, using properly dosed intensive lifestyle interventions as a primary component of medical care for T2D patients.

scholarly journals Lifestyle Medicine Interventions in Patients With Advanced Disease Receiving Palliative or Hospice Care

2019 ◽  
Vol 14 (3) ◽  
pp. 243-257 ◽  
Author(s):  
Gowri Anandarajah ◽  
Haran Asher Mennillo ◽  
Gregory Rachu ◽  
Tyler Harder ◽  
Jyotsna Ghosh
Keyword(s):  
Clinical Decision Making ◽  
Hospice Care ◽  
Clinical Decision ◽  
Clear Understanding ◽  
Lifestyle Interventions ◽  
Lifestyle Medicine ◽  
Expert Opinions ◽  
Improve Symptom ◽  
Research Findings ◽  
Available Information

Background: Lifestyle medicine interventions have the potential to improve symptom management, daily function, and quality of life (QOL) in patients with advanced or terminal disease receiving palliative or hospice care. The goal of this review is to summarize the current state of the literature on this subject. Methods: The authors used a broad search strategy to identify relevant studies, reviews, and expert opinions, followed by narrative summary of available information. Results: Four main categories of lifestyle interventions feature prominently in the palliative care literature: exercise, nutrition, stress management, and substance use. High-quality studies in this vulnerable population are relatively sparse. Some interventions show promise. However, most show mixed results or inadequate evidence. For some interventions, risks in this generally frail population outweigh the benefits. Clinical decision making involves balancing research findings, including the risks and benefits of interventions, with a clear understanding of patients’ prognosis, goals of care, and current physical, emotional, and spiritual state. Achieving optimum QOL, safety, and ethical care are emphasized. Conclusions: The use of lifestyle interventions in patients receiving palliative or hospice care is a complex undertaking, requiring tailoring recommendations to individual patients. There is potential for considerable benefits; however, more research is needed.

scholarly journals Boating- and Shipping-Related Environmental Impacts and Example Management Measures: A Review

2020 ◽  
Vol 8 (11) ◽  
pp. 908
Author(s):  
Troy A. Byrnes ◽  
Ryan J. K. Dunn
Keyword(s):  
Environmental Impacts ◽  
Full Range ◽  
Chemical Properties ◽  
Positive Outcomes ◽  
Antifouling Paints ◽  
Management Measures ◽  
Physico Chemical ◽  
Pros And Cons ◽  
The Government ◽  
Physical Changes

Boating and shipping operations, their associated activities and supporting infrastructure present a potential for environmental impacts. Such impacts include physical changes to bottom substrate and habitats from sources such as anchoring and mooring and vessel groundings, alterations to the physico-chemical properties of the water column and aquatic biota through the application of antifouling paints, operational and accidental discharges (ballast and bilge water, hydrocarbons, garbage and sewage), fauna collisions, and various other disturbances. Various measures exist to sustainably manage these impacts. In addition to a review of associated boating- and shipping-related environmental impacts, this paper provides an outline of the government- and industry-related measures relevant to achieving positive outcomes in an Australian context. Historically, direct regulations have been used to cover various environmental impacts associated with commercial, industrial, and recreational boating and shipping operations (e.g., MARPOL). The effectiveness of this approach is the degree to which compliance can be effectively monitored and enforced. To be effective, environmental managers require a comprehensive understanding of the full range of instruments available, and the respective roles they play in helping achieve positive environmental outcomes, including the pros and cons of the various regulatory alternatives.

Community-Engaged Lifestyle Medicine: Building Health Equity Through Preventive Medicine Residency Training

2018 ◽  
Vol 55 (3) ◽  
pp. 412-421 ◽  
Author(s):  
Janani Krishnaswami ◽  
Paresh A. Jaini ◽  
Raymond Howard ◽  
Suad Ghaddar
Keyword(s):  
Residency Training ◽  
Health Equity ◽  
Preventive Medicine ◽  
Lifestyle Medicine

scholarly journals Lifestyle Medicine

2016 ◽  
Vol 11 (2) ◽  
pp. 134-136
Author(s):  
George E. Guthrie
Keyword(s):  
Relative Risk ◽  
Treatment Effectiveness ◽  
Absolute Risk ◽  
Relative Effectiveness ◽  
Number Needed To Treat ◽  
Lifestyle Interventions ◽  
Lifestyle Medicine ◽  
Present Practice ◽  
Lifestyle Related Diseases ◽  
Number Needed To Harm

Patients are often not aware of the reversibility of chronic lifestyle-related diseases and most physicians are not telling them. The present practice of communicating treatment effectiveness with relative risk reductions does not allow clinicians or patients to evaluate the relative effectiveness of our technotherapies or lifestyle interventions. Clinicians should use the clarity of “number needed to treat,” “number needed to harm,” and absolute risk in communicating with patients about all available therapies and then empower the patient to make the choices that fit their needs best.

scholarly journals Medicina del estilo de vida: La nueva disciplina global

2020 ◽  
pp. 82-92
Author(s):  
Jhony De La Cruz-Vargas
Keyword(s):  
Latin America ◽  
Chronic Diseases ◽  
Health Systems ◽  
Latin American ◽  
Preventive Medicine ◽  
Life Quality ◽  
Health Costs ◽  
Lifestyle Medicine ◽  
Calidad De Vida ◽  
Therapeutic Responses

ResumenLa medicina del estilo de vida está revolucionando los sistemas de salud a nivel mundial. Este nuevo campo de la Medicina apunta a reducir los costos en salud, prevenir las enfermedades, optimizar las respuestas terapéuticas y dar como resultado mejor calidad de vida para las personas. En Perú y en Latinoamérica, la Universidad Ricardo Palma y Latin American Lifestyle Medicine Association (LALMA) vienen trabajando para impulsar y desarrollar programas educativos y de investigación en medicina del estilo de vida.Palabras clave: Medicina del estilo de vida, medicina preventiva, Universidad Ricardo Palma, enfermedades crónicas. AbstractLifestyle Medicine is revolutionizing health systems worldwide. This new field of Medicine aims to reduce health costs, prevent diseases, optimize therapeutic responses and result in a better life quality for people. In Peru and Latin America, the Ricardo Palma University and the Latin American Lifestyle Medicine Association (LALMA) have been working to promote and develop educational and research programs in Lifestyle Medicine.Keywords: Lifestyle Medicine, Preventive Medicine, Universidad Ricardo Palma, Chronic Diseases.

scholarly journals Lifestyle medicine curriculum for a preventive medicine residency program: implementation and outcomes

2016 ◽  
Vol 21 (1) ◽  
pp. 29339 ◽  
Author(s):  
Haq Nawaz ◽  
Paul V. Petraro ◽  
Christina Via ◽  
Saif Ullah ◽  
Lionel Lim ◽  
...  
Keyword(s):  
Preventive Medicine ◽  
Program Implementation ◽  
Residency Program ◽  
Lifestyle Medicine

scholarly journals Navigating the Uncharted Waters of a Lifestyle Medicine Fellowship

2017 ◽  
Vol 11 (4) ◽  
pp. 318-320 ◽  
Author(s):  
Jeni A. Shull
Keyword(s):  
Primary Care ◽  
Training Program ◽  
Chronic Diseases ◽  
Preventive Medicine ◽  
Black Hills ◽  
Line Treatment ◽  
Fellowship Program ◽  
First Line ◽  
Lifestyle Medicine ◽  
First Line Treatment

Lifestyle medicine (LM) is now recognized as a first-line treatment and disease reversal program for many chronic diseases. More providers are encouraged to prescribe lifestyle treatments, yet lack of training, inadequate time, and poor reimbursement hinder many physicians from actually following through, and few LM specialists are available for counsel or referral. With great strides in resolving these dilemmas, the American College of Lifestyle Medicine has created standards and competencies, and the American Board of Lifestyle Medicine will be holding its first exam for certification in LM in October 2017. Still no residency or fellowship program exists to train providers to become LM specialists. This article describes one physician’s journey through an unaccredited fellowship in lifestyle medicine at Black Hills Health and Education Center under Dr John Kelly, founding president of the American College of Lifestyle Medicine. Highlighting the differences of her lifestyle medicine training from her prior primary care and preventive medicine training, the author advocates for the formation of an accredited LM training program in intensive lifestyle medicine interventions.

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