?

Dr. Ndegwa Y.

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.

Thus, health is defined as a state of relative equilibrium of body form & function, resulting from its successful dynamic adjustment to forces opposed.

WHAT DO WE WANT ?
Strength Happiness Health

Youthfulness

Beauty

Energy

We want

Long life 120 years No disease, sickness at all Diabetes, high BP, joint pain, cancer etc NOT at all

Lots of energy, stamina, joy, happiness

Enough money for needs

WHAT WE NEED
Knowledge

Conviction
Will power Action

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

Today we find
Majority 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

 I exercise 30min most days of the week

Can you say yes to ALL?

I eat a healthy diet with 5 fruits/vegetables

most 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!

 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.

Fact
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

Types of lifestyle diseases.

CVD Stroke, HTN, MI Diabetes & endocrine disturbances Cancer S.T.Is Psycho-somatic disorders Infections Metabolic syndrome

Misfortunes always come in through the door left open for them (Czechoslovakian proverb)

Healthy lifestyle
the image of a person's life aimed at disease

prevention and health promotion i.e

optimal 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

 What is the role of lifestyle change in preventing and

Overview

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?

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 prescriptions

by physicians
Emphasizes value of support of those prescriptions

by other health professionals

Lifestyle Medicine
LM is the evidence-based practice of helping individuals and families adopt and sustain healthy behaviors that affect health and quality of life.

 Virtually ALL of the top 10 leading causes of death

Behavioral Determinants

among adults are moderately to STRONGLY influenced by lifestyle patterns and behavioral factors

BEHAVIOR
Tobacco Use Physical Activity Diet Preventive Services

DISEASE
Heart Disease Stroke Cancers Diabetes

What are your favorite foods?

 Variety Balance

Principles of Good Eating

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 dont want, drink what you dont like, and do what youd rather not. (Mark Twain)

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 an unhappy but otherwise healthy adult than all the medicine and psychology in the world. (Paul Dudley White)

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 strong in old age. Good but your rich foods block the gods answer and tie Jupiters hands. (Persius)

Benefits of healthy eating and active living?

Those who do not find time for exercise will have to find time for illness. (Edward Smith-Stanley)

Some Options to Consider for Your Practice

Consider lifestyle as first line therapy for patients

with chronic diseases and include it in the treatment plan Prioritize patients in need of intensive lifestyle interventions Leverage worksite wellness and other programs Utilise available and financially feasible community resources to promote LM.

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

Key Message
Healthy eating & active living matters!! Its not always easy to eat healthy in todays

world There are opportunities to increase physical activity within our school community Care for your environment Lets all work together to make the healthy choice the easy choice for ALL!

We can all be agents of change!!

Tips on day-to-day living

Postural check Drink plenty of water and very very slowly Raw food Laughter club Reduce processed sugars, preserved or deep fried 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

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

Sources
www.lifestylemedicine.org

Leading Health Indicators.

www.health.gov/healthypeople/ Encyclopaedia of Alternative medicine Fit for life Health of mind, body and soul

Thank you !!!