American Board of Lifestyle Medicine Questions And Answers.
Lifestyle medicine - answer;-(1) Evidence-based practice of helping individuals and
families adopt and sustain healthy behaviors that affect health and quality of life. (2) The
use of therapeutic lifestyle changes to treat, prevent and reverse disease - Lifestyle "in"
medicine. When the same lifestyle choices maximize health and prevent disease, this is
lifestyle "is" medicine.
Pioneers of Lifestyle Medicine - answer;-Hippocrates; Thomas Edison; Nathan Pritikin;
John McDougall; Dean Ornish; Caldwell B Esselstyn Jr; Hans Diehl; WHO Diet,
nutrition, and the prevention of chronic diseases; James Rippe
ACLM - answer;-Organized in early 2004 by Dr John Kelly; Physician Core LM
Competencies established in 2009, published in JAMA 2010
ABLM - answer;-Established in 2015, first offering LM2017 conference
Value of Lifestyle Medicine - answer;-A distinguishing feature is that it actually saves
more than it costs.
Lifestyle Medicine Core competencies - answer;-Leadership: 1) Promote healthy
behaviors as foundational to medical care, disease prevention, and health promotion -
2) Seek to practice healthy personal behaviors - 3) Create environments that support
healthy behaviors at school, work and home; Knowledge: 1) Demonstrate a knowledge
of the evidence that specific lifestyle changes can have a positive effect on patients'
health outcomes - 2) Describe ways that physician engagement with patients and
families can have a positive effect on patients' health behaviors; Assessment Skills: 1)
Assess the social, psychological and biological predispositions of patients' behaviors
and the resulting health outcomes - 2) Assess patient and family readiness, willingness,
and ability to make health behavior changes - 3) Perform history and physical exam
specific to lifestyle-related health status including lifestyle 'vital signs'; Management
Skills: 1) Use nationally recognized practice guidelines to assist patients in self-
managing their health behaviors and lifestyle - 2) Establish effective relationships with
patients and families to effect and sustain behavioral change - 3) Collaborate with
patients and their families to develop action plans - 4) help patient manage and sustain
health lifestyle practices; Use of Office and Community: 1) Have the ability to practice in
an interdisciplinary team of HCPs - 2) Develop and apply office systems and practices
to support lifestyle medical care - 3) Measure processes and outcomes to improve the
quality of lifestyle interventions - 4) Use appropriate community referral resources that
support the implementation of lifestyle medicine
Lifestyle change impacts the "cause of the cause" of disease - answer;-1) beneficially
affecting gene expression (epigenetics); 2) Reducing insulin resistance; 3) reducing
chronic systemic inflammation; 4) providing anti-oxidants; 5) more...
, American Board of Lifestyle Medicine Questions And Answers.
Health Risk Assessments - answer;-Described in Sep 2013 AHRQ document; CDC
source
Scientific evidence about unhealthy behaviors - answer;-1) Tobacco - Cochrane
Collaboration, AHA and USPSTF; 2) USPSTF; 3) Interheart Study; 4) interSTROKE
study; 5) Chicago heart Association Detection Project in Industry; 6) Framingham heart
study; 7) Multiple Risk Factor Intervention Trial Study; 8) Nurses' Health Study; 9) Lyon
Diet Heart Study; 10) Adventist Health Study 2; 11) Nurses Health Study, NHS2 and
Health Professionals Follow Up Study; 12) World Cancer Research Fund/American
Institute for Cancer Research
Tobacco evidence - answer;-Strong evidence that tobacco cessation, increased
physical activity and making dietary changes decrease mortality, morbidity, cancer
(Cochrane, AHA, USPSTF)
USPSTF recommended screening - answer;-tobacco, alcohol and obesity
Interheart study - answer;-9 significant risk factors: smoking, lipids, HTN, obesity,
diabetes, diet, physical activity, alcohol and psychosocial factors account for 90% of
PAR of AMI in men and 94% in women: 5 risk factors: smoking, lipids, HTN, diabesity
and obesity accounted for 80%
InterSTROKE study - answer;-10 significant risk factors for all strokes: HTN, current
smoking, abdominal obesity, unhealthy diet, physical inactivity, diabetes, alcohol intake,
psychological stress, depression , cardiac causes and abnormal lipids
6 changes reduce risk of heart disease by as much as 90-95% - answer;-50% decrease
in total cholesterol; 6 mmHg decrease in diastolic BP; stop smoking; maintain ideal body
weight and waist size; >150 min/week moderate exercise; >5 servings fruits and
veggies a day
Lifestyle Medicine and its impact on disease pathophysiology - answer;-Epigenetics: 1)
improves short and long term clinical outcomes by changing gene expression in
favorable ways; 2) Prostate cancer gene expression was beneficially changed for 501
genes in 3 months on GEMINAL study: Substrate: whole foods plant diet changes the
"fuel" metabolism burns and changes the microbiome
Transtheoretical Stages of change - answer;-Precontemplation, Contemplation,
Preparation, Action, Maintenance, Relapse, Progress
Building effective relationships with patients - answer;-Wear the provider "hat" while
conducting medical assessment, making specific recommndationgs; Wear the coach
"hat" when dealing with behavioral change; Establish effective provider-patient
Lifestyle medicine - answer;-(1) Evidence-based practice of helping individuals and
families adopt and sustain healthy behaviors that affect health and quality of life. (2) The
use of therapeutic lifestyle changes to treat, prevent and reverse disease - Lifestyle "in"
medicine. When the same lifestyle choices maximize health and prevent disease, this is
lifestyle "is" medicine.
Pioneers of Lifestyle Medicine - answer;-Hippocrates; Thomas Edison; Nathan Pritikin;
John McDougall; Dean Ornish; Caldwell B Esselstyn Jr; Hans Diehl; WHO Diet,
nutrition, and the prevention of chronic diseases; James Rippe
ACLM - answer;-Organized in early 2004 by Dr John Kelly; Physician Core LM
Competencies established in 2009, published in JAMA 2010
ABLM - answer;-Established in 2015, first offering LM2017 conference
Value of Lifestyle Medicine - answer;-A distinguishing feature is that it actually saves
more than it costs.
Lifestyle Medicine Core competencies - answer;-Leadership: 1) Promote healthy
behaviors as foundational to medical care, disease prevention, and health promotion -
2) Seek to practice healthy personal behaviors - 3) Create environments that support
healthy behaviors at school, work and home; Knowledge: 1) Demonstrate a knowledge
of the evidence that specific lifestyle changes can have a positive effect on patients'
health outcomes - 2) Describe ways that physician engagement with patients and
families can have a positive effect on patients' health behaviors; Assessment Skills: 1)
Assess the social, psychological and biological predispositions of patients' behaviors
and the resulting health outcomes - 2) Assess patient and family readiness, willingness,
and ability to make health behavior changes - 3) Perform history and physical exam
specific to lifestyle-related health status including lifestyle 'vital signs'; Management
Skills: 1) Use nationally recognized practice guidelines to assist patients in self-
managing their health behaviors and lifestyle - 2) Establish effective relationships with
patients and families to effect and sustain behavioral change - 3) Collaborate with
patients and their families to develop action plans - 4) help patient manage and sustain
health lifestyle practices; Use of Office and Community: 1) Have the ability to practice in
an interdisciplinary team of HCPs - 2) Develop and apply office systems and practices
to support lifestyle medical care - 3) Measure processes and outcomes to improve the
quality of lifestyle interventions - 4) Use appropriate community referral resources that
support the implementation of lifestyle medicine
Lifestyle change impacts the "cause of the cause" of disease - answer;-1) beneficially
affecting gene expression (epigenetics); 2) Reducing insulin resistance; 3) reducing
chronic systemic inflammation; 4) providing anti-oxidants; 5) more...
, American Board of Lifestyle Medicine Questions And Answers.
Health Risk Assessments - answer;-Described in Sep 2013 AHRQ document; CDC
source
Scientific evidence about unhealthy behaviors - answer;-1) Tobacco - Cochrane
Collaboration, AHA and USPSTF; 2) USPSTF; 3) Interheart Study; 4) interSTROKE
study; 5) Chicago heart Association Detection Project in Industry; 6) Framingham heart
study; 7) Multiple Risk Factor Intervention Trial Study; 8) Nurses' Health Study; 9) Lyon
Diet Heart Study; 10) Adventist Health Study 2; 11) Nurses Health Study, NHS2 and
Health Professionals Follow Up Study; 12) World Cancer Research Fund/American
Institute for Cancer Research
Tobacco evidence - answer;-Strong evidence that tobacco cessation, increased
physical activity and making dietary changes decrease mortality, morbidity, cancer
(Cochrane, AHA, USPSTF)
USPSTF recommended screening - answer;-tobacco, alcohol and obesity
Interheart study - answer;-9 significant risk factors: smoking, lipids, HTN, obesity,
diabetes, diet, physical activity, alcohol and psychosocial factors account for 90% of
PAR of AMI in men and 94% in women: 5 risk factors: smoking, lipids, HTN, diabesity
and obesity accounted for 80%
InterSTROKE study - answer;-10 significant risk factors for all strokes: HTN, current
smoking, abdominal obesity, unhealthy diet, physical inactivity, diabetes, alcohol intake,
psychological stress, depression , cardiac causes and abnormal lipids
6 changes reduce risk of heart disease by as much as 90-95% - answer;-50% decrease
in total cholesterol; 6 mmHg decrease in diastolic BP; stop smoking; maintain ideal body
weight and waist size; >150 min/week moderate exercise; >5 servings fruits and
veggies a day
Lifestyle Medicine and its impact on disease pathophysiology - answer;-Epigenetics: 1)
improves short and long term clinical outcomes by changing gene expression in
favorable ways; 2) Prostate cancer gene expression was beneficially changed for 501
genes in 3 months on GEMINAL study: Substrate: whole foods plant diet changes the
"fuel" metabolism burns and changes the microbiome
Transtheoretical Stages of change - answer;-Precontemplation, Contemplation,
Preparation, Action, Maintenance, Relapse, Progress
Building effective relationships with patients - answer;-Wear the provider "hat" while
conducting medical assessment, making specific recommndationgs; Wear the coach
"hat" when dealing with behavioral change; Establish effective provider-patient
