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Integrating Effective Weight Management Strategies into Clinical Practice
Despite effective treatments, the obesity epidemic persists. About 18 percent of adult deaths in the United States are related to weight, yet only 20 percent of overweight and obese patients are being screened, diagnosed, and treated according to established medical guidelines. The cost, in loss of life and medical expenses, will continue to rise unless healthcare providers can consistently discuss weight with patients and prescribe effective lifestyle modifications.
In a practice policy statement published this week, the American College of Preventive Medicine (ACPM) stressed the importance of incorporating weight management strategies into clinical practice and increasing patient referrals to effective, evidence-based weight management programs in their community. The commitment to administer and reimburse for lifestyle interventions has the potential to significantly reduce rates of diabetes and cardiovascular disease, improve emotional health and quality of life, and decrease healthcare costs.
“We need to accept the transforming clinical models of practice at the individual and public health levels that incorporate evidence-based lifestyle interventions to meet the needs of weight management, especially among underserved populations,” said Ingrid Edshteyn, DO, MPH, ACPM member, lead author of the statement, and founder and CEO of Valia Lifestyle.
Intermountain Healthcare Adds Online Diabetes Prevention Program
Intermountain Healthcare, a nonprofit integrated healthcare delivery system based in Salt Lake City, Utah, recently implemented a pilot program with Omada Health to deploy its web-based Centers for Disease Control and Prevention (CDC)-accredited diabetes prevention program (DPP) to adult patients identified as having prediabetes. Intermountain has had more than 3300 adult patients participate in their face-to-face diabetes prevention program over the past three years, however this is the first time the healthcare system has implemented a web-based disease prevention or management program.
Elizabeth Joy, MD, MPH, FACSM, who served on the ACPM’s Medicare Diabetes Prevention Program (MDPP) Advisory Council, has helped to champion the implementation of Omada's online program at Intermountain. "We are thrilled to partner with Omada to bring their evidence-based, CDC-accredited diabetes prevention program to our patients." In addition to their partnership with Omada, Intermountain is also working closely with the American Medical Association (AMA) to better understand diabetes prevention efforts within healthcare systems, such as patient identification and referral, data transmission and analysis, meaningful outcomes, best practices, and defining success.
According to Dr. Joy, "the announcement from the Centers for Medicare and Medicaid Services (CMS) regarding Medicare reimbursement for the DPP, along with more than a decade of positive outcomes, prompted Intermountain leadership to not only support this pilot with Omada, but to pursue a diabetes prevention strategic plan for the entire organization. Not only will we have an accessible online DPP option for our patients, but we are also striving to align services for Intermountain employees, insurance company members (SelectHealth), and community members. Intermountain Healthcare hopes to be a leader in the prevention of type 2 diabetes, and its downstream consequences.”
WRITTEN BY ELIZABETH JOY, MD, MPH, FACSM
Elizabeth Joy is the Medical Director of Community Health & Clinical Nutrition at Intermountain Healthcare and a member of ACPM. Omada Health is a member of the ACPM Corporate Roundtable.
ACPM Advisory Council Submits Recommendations on Proposed Medicare Diabetes Prevention Program
Earlier this year, ACPM formed the MDPP Advisory Council to respond to a CMS notice of proposed rulemaking on the Medicare expansion of the DPP model (CMS-1654). The Council was composed of preventive medicine physicians with expertise in prediabetes and the delivery of the DPP, including members Kaylan Baban, Ayanna Buckner, Michele Etling, Elizabeth Joy, Shaylona Kirk, Nuria Lopez-Pajares, Heather Readhead, and Franciso Tejeda. On September 2, the Council submitted a public response to Acting Administrator Andy Slavitt detailing recommended changes to be incorporated into the final rule to ensure optimal implementation and long-term success of the program. ACPM would like to thank the Council members for their service in producing and submitting these recommendations to CMS.
STOP BY ACPM'S BOOTH AT OVERCOMING OBESITY 2016, SEPTEMBER 21-25 IN CHICAGO, TO LEARN MORE ABOUT OUR LIFESTYLE MEDICINE CURRICULUM AND OPPORTUNITIES!
National Conference on Tobacco or Health
The National Conference on Tobacco or Health—to be held in March 22-24, 2017 in Austin, Texas—is the premier U.S event for the tobacco control movement, attracting a diverse set of public health professionals and researchers to discuss best practices and policies to reduce tobacco use. All practitioners interested in reviewing current research findings and learning practical techniques for improving tobacco control programs, policy, and advocacy are encouraged to attend.
Conference organizers from the National Network of Public Health Institutes are currently seeking evidence-based strategies, tools, resources, success stories, and lessons learned to feature as breakout sessions and poster presentations across eleven program areas. Learn more about the call for abstracts process to share your research, work, or ideas with conference organizers and attendees. The abstract submission deadline is September 30, 2016.
Recordings Available from the Building Community Health Symposium
Audio and presentation slides are available for each speaker who participated in the Building Community Health & Wellbeing through Business, Culture and Policy symposium held February 23, 2016 in Washington, D.C. Organized by members of ACPM’s Corporate Roundtable, the one-day event explored the impact of a variety of societal influences on community health and included speakers: Robin Schepper, Robert W. Carr, Rick Brush, Tevi Troy, and many others.
Thank you for subscribing to ACPM's Lifestyle Medicine newsletter. To promote your latest lifestyle medicine research, resources, announcements, or events in a future issue, contact Dani Pere.
ANNOUNCEMENTS
Press and Media Invited to Teleconference on Lifestyle Medicine Curriculum -- Physician leaders from ACPM and the American College of Lifestyle Medicine will host a teleconference for press, media, and health writers regarding the launch of the new Lifestyle Medicine Core Competencies Program. Call participants must RSVP by September 27 to participate on the teleconference to be held 12:00 p.m. (ET) on September 28, 2016. Sign up for our news releases to receive the upcoming media advisory about this call and pass the news on to any press or writers who may be interested in lifestyle medicine.
LEARN MORE ABOUT THE COMPREHENSIVE ACPM/ACLM LIFESTYLE MEDICINE CORE COMPETENCIES PROGRAM
RESEARCH / NEWS
High percentage of deaths due to obesity -- Researchers examined data from 10.6 million men and women between the ages of 20 and 90 worldwide. Over the course of the 14-year study period, 1.6 million participants died. Analyzing the numbers they found a man of normal weight had a 19 percent risk of dying before turning 70, while the risk was 11 percent for women before age 70. But once a person is considered obese, their risk of death jumps up to 30 percent for men and 15 percent for women.
Women's Cancer Risk Rises With Years Spent Overweight -- A study based on data from the Women's Health Initiative, found that the longer a woman carried excess weight, the greater her risk of breast, endometrial, colon, and kidney cancers. Causality between weight and cancer was not proven.
Music as medicine -- Research has found evidence that music interventions help alleviate symptoms of anxiety, pain, and fatigue in cancer patients while also helping to boost their quality of life.
EXERCISE
Even with exercise, too much sitting is bad -- According to the American Heart Association, growing evidence suggests that, on its own, exercise isn’t enough to counter sitting’s unhealthy effects. A sedentary lifestyle may also be associated with an increased risk of diabetes, impaired insulin sensitivity, and a higher risk of death from any cause.
Prescribing High Interval Intensity Training -- In an opinion article, Karl Nadolsky and Spencer Nadolsky advocate that high intensity interval training should be an option in developing an exercise prescription in collaboration with patients.
DIET / MICROBIOMES
Animal protein ups risk of kidney failure -- In a study published online in the Journal of the American Society of Nephrology, researchers found that participants who consumed the most protein from red meat showed an increased risk of end-stage kidney disease. Results also showed that replacing red meat with another source of protein, such as soy products or legumes, cut the risk for disease by over 60 percent.
Dietary guidelines for a healthy microbiota -- The nonprofit Physicians Committee releases seven dietary guidelines for a healthy microbiota. “The microbiome is a complex field, but we can manipulate our dietary choices to create colonies where beneficial bacteria flourish,” says Meghan Jardine. “Whether you want to treat diabetes, reduce the risk of a heart attack, or bolster athletic performance, you can start by building meals around colorful, plant-based foods."
The PlantPure Summit 2016, being held online September 7-15, is a convergence of plant-based nutrition, lifestyle, and healthcare experts to discuss how to promote plant-based nutrition in the fight against heart disease, type 2 diabetes, cancer and obesity. There will be a new speaker every two hours and each presentation will be available for 24 hours. Access to the online broadcast is limited and a reservation is required to participate.
This conference provides education on the the comprehensive approach to clinical obesity treatment and methods for treating patients affected by obesity. Attendees will be able to make connections with other health professionals and find answers to obesity-related questions. Registration discounts available when bundling with ABOM exam.
STOP BY ACPM'S BOOTH AT OVERCOMING OBESITY 2016 TO LEARN MORE ABOUT OUR LIFESTYLE MEDICINE CURRICULUM!
The AICR Research Conference is a unique forum that brings together researchers and clinicians for a three-day program that is dedicated to increasing knowledge, stimulating research, and promoting prevention and treatment of cancer through nutrition, physical activity, and weight management. Basic scientists, clinical investigators, epidemiologists, dietitians, nutritionists, policy makers, and other health professionals interested in food, nutrition, physical activity, and weight management in relation to cancer are encouraged to attend. Early registration available through October 7.
