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Dr. Ndegwa Y.?

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Health is a state of complete physical,

mental & social well being and not merely

an absence of disease or infirmity.(WHO)

This definition, however,considers health as a state

health is more a process of

continuous adjustment to the

changing demands of living.

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WHAT DO WE WANT ?

BeautyEnergy

Health

Youthfulness

HappinessStrength

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We want Long life120 years

No disease, sickness at all

Diabetes, high BP, joint pain, canceretcNOT at all

Lots of energy, stamina, joy, happiness

Enough money for needs

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WHAT WE NEEDKnowledge

Conviction

Will power

Action

Health and intellect are the twoblessings of life. (Menander ca. 342291 BC)

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Today we findMajority addicted to excessive drinking,

smoking, totally sedentary, overeating wrong

foods, overly stressed.

Others may occasionally exercise have a high

ego.

A minority try to follow all the rules of eating,

exercise, sleep etc.

Almost extinct - exceptionally knowledgeable &

disciplined.

Analyse your lifestyle

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Can you say yes to ALL? I exercise 30min most days of the week

I eat a healthy diet with 5 fruits/vegetablesmost days

I dont use tobacco products

I have 2 or fewer alcoholic drinks per day

I am within 2Kg of my ideal body weight

These are the drivers of health care costs!

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By age 50 they suffer either diabetes, or high blood

pressure or both.

By 60 or 65 they would have undergoes heart

treatment & most likely would suffer joint pains.

Occasional frequent fevers, cough etc.

Lack of energy to work long hours or to exercise or

play games.

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In the last century majority of deaths were due

to infectionswhich most were dealt with using

vaccines and new advancements in

pharmacology

NowMajor killers are CVD, Cancer, Diabetes,

Stroke and HIV/AIDS

Fact

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Types of lifestyle diseases. CVDStroke, HTN, MI

Diabetes & endocrine disturbances

Cancer

S.T.Is

Psycho-somatic disorders Infections

Metabolic syndrome

Misfortunes always come in through the doorleft open for them Czechoslovakian proverb)

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Healthy lifestylethe image of a person's life aimed at disease

prevention and health promotion i.eoptimal balance of work & rest

a balanced composition of energy and nutrition

physical activity

compliance with the rules of hygiene

lack of addictions

family well-being

enthusiasm for business

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Overview What is the role of lifestyle change in preventing and

treating disease?

Do physician interventions lead to lifestyle change?

What is lifestyle medicine?

What are the core LM competencies? What are the next steps and how can you help?

What are options for enhancing LM in your practice?

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Field of Lifestyle Medicine LM recognizes the link between lifestyle medicine

and health outcomes

Uses science behind health behavior change

Emphasizes value of lifestyle medicine prescriptionsby physicians

Emphasizes value of support of those prescriptions

by other health professionals

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Lifestyle MedicineLM is the evidence-based practice of

helping individuals and families adopt

and sustain healthy behaviors that

affect health and quality of life.

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Behavioral Determinants Virtually ALL of the top 10 leading causes of death

among adults are moderately to STRONGLY

influenced by lifestyle patterns and behavioralfactors

BEHAVIOR DISEASE

Tobacco Use

Physical Activity

Diet

Preventive Services

Heart Disease

Stroke

Cancers

Diabetes

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What are your favorite foods?

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Principles of Good Eating Variety

Balance Moderation

Planning in advance is important

General rule

90% of foods should be healthy

Limit junk foods to 10% of the diet

The only way to keep your health is to eat what you dontwant, drink what you dont like and do what youd rathernot. (Mark Twain)

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Active Living Do you get 60min of physical activity every day?

Take up a sport that you enjoy and gives you a

good work out.

Go to the Gym!

A vigorous five-mile walk will do more good for anunhappy but otherwise healthy adult than all themedicine and psychology in the world. Paul Dudley White)

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Environment

Think for a minute about the food: in grocery stores

in corner stores

in movie theatres

at fast food restaurants

at sports events

at school

You pray for good health and a body that will be strongin old age. Good but your rich foods block the godsanswer and tie Jupiters hands Persius)

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Benefits of healthy eating and active living?Those who do not find time for exercise will haveto find time for illness. Edward Smith-Stanley)

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Some Options to Consider for Your Practice

Consider lifestyle as first line therapy for patients

with chronic diseases and include it in thetreatment plan

Prioritize patients in need of intensive lifestyle

interventions

Leverage worksite wellnessand other programs Utilise available and financially feasible community

resources to promote LM.

5 As- Assess, Advise, Agree, Assist, Arrange

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Ti d t d li i

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Postural check

Drink plenty of water and veryvery slowly

Raw food Laughter club

Reduce processed sugars, preserved or deepfried items

Chew food at least 30 times each morsel.

Read a lot, look for new ideas and challenges

2 meals and in-between light portions of fruit

snack Develop some good purpose & meaning in life

Tips on day-to-day living

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Without health, life is not life; it is only astate of languor and suffering.Francois Rabelais)

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Sources www.lifestylemedicine.org

Leading Health Indicators.www.health.gov/healthypeople/

Encyclopaedia of Alternative medicine

Fit for life

Health of mind, body and soul

http://www.health.gov/healthypeople/http://www.health.gov/healthypeople/

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Thank

you !!!