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W O R K S H O P S I N
Lifestyle Medicine and
Chronic Disease ManagementFor GPs, Practice Nurses and Allied Health Practitioners
RACGP approved Continuing Professional Development (CDP)
C H P RTHE CENTRE FOR HEALTH
PROMOTION AND
RESEARCH
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1I N T R O D U C T I O N T O L I F E S T Y L E M E D I C I N E
Background: Lifestyle Medicine is the application of environmental, behavioural, medical andmotivational principles to the management (including self care and self-management) of lifestyle-
related health problems in a clinical setting (Egger, Binns and Rossner, 2009). This workshop
introduces the concept of Lifestyle Medicine and the rationale behind it.
Content:
Background: An overview of Lifestyle Medicine
Modern disease trends
The disease hierarchy
Lifestyle and disease
Lifestyle Medicine frameworks
Motivation or Liestyle Change
The anatomy of motivation
The Stages of Change Model
Motivational interviewing
Other motivational strategies for change
Measuring Liestyle Risks (practical)
Understanding risk factors
Anthropometric measurement
Other lifestyle measures for clinical use
Introduction to Management o Weight Control in General Practice
Causes of obesity
Existing management strategies
New and developing techniques
Metabolic inuences and how to deal with them
Prescribing and testing nutrition (practical)
Measuring food and activity causes of obesity
New ndings in nutrition carbohydrate; protein; fat; alcohol
Exercise prescription for disease managementEpidemiology of inactivity
Generic exercise prescription
Specic exercise prescription
The 4 Ss: Stamina; Size; Suppleness; Strength
The School o Health and Human Sciences at Southern Cross University, in conjunction with
the Australian Liestyle Medicine Association (ALMA) and the Centre or Health Promotion and
Research, ofers approved workshops in Liestyle Medicine or Australian GPs, practice nurses andallied health proessionals. The ollowing workshops are ofered or single day weekend, weekday
or weeknight presentation.
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2L I F E S T Y L E M E D I C I N E A N D M O O D S T AT E S
Background:This workshop introduces basic aspects of management of common mood states:stress, anxiety and depression, as well as introducing techniques for promotion of positive mental
health. It includes an expansion of relevant epidemiological issues for lifestyle management.
Content
Introduction: Liestyle Medicine and Mood States
Lifestyle related disorders
Type 2 Diabetes, pre-diabetes and lifestyle
Lifestyle and mood states
Practical: Measuring Body FatAnthropomorphic measures
Bio-impedance measures
Motivation: Techniques o Infuence
Habits: Hard-wired and learned
Seven methods of inuence
Applying marketing principles to the clinical situation
Pervasive Causes
Nutrition and mood states
Physical activity and management of mood states
Stress ( or Strain?) and Anxiety
Basic concepts of stress
Physiology of stress
Control and Escape the management of stress
Physiology of anxiety
Management tools
Depression andHappinessPrevalence of depression
Basic physiologyManagement tools
Positive psychology and the concept of a happiness
What attendees say about Eduventures:
the kayaking eduventure was a great learning experience Marion Goodman, Practice Nurse,
Tamworth; a antastic way to learn while enjoying the outdoors on a walk Dr Daniel Lewis;
Rheumatologist, Melbourne; the Yuraygir walk and chronic pain workshop were superb
Mary-Anne Cole, Managing Practice Nurse, Graton
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3P S Y C H O LO G I C A L A N D E N V I R O N M E N TA L I N F L U E N C E S I N L I F E S T Y L E M E D I C I N E
Background: This workshop explores a range of common environmental and psychologicalinuences in lifestyle practice. It covers the impact of modern lifestyles on sleep, injury and skin
conditions, as well as approaches to measurement and assessment of these for referral.
Content
Oxidative stress, metaammation and chronic disease
Changing ideas about obesity and disease
Inammation and Metaammation:
The basis of atherogenesis
Metaammation, Type 2 diabetes and Gestational Diabetes
Nutrition and Exercise Update
Energetic factors inuencing body weight
Recent ndings in nutrition
Updating nutrition recommendations
Updating exercise recommendations
Practical: Measuring lifestyle-related problems
Measuring body fat
Skin health
Sleep monitoring
Habits and Addictions
Understanding habits and their impact on health
Behavioural and cognitive habits
Habits relating to eating and drinking
Environmental issues in skin care
Basic anatomy of the skin and lifestyle
Behavioural and environmental insults to the skin
A skindex of problems and simple skin care package
Sleep and sleep disorders
Sleep factsHealth impacts of sleep: too much and too little
Sleep and metaammation
A sleep hygiene package
Associated Program
The LM workshop program represents an abridged version o the Post Graduate Masters in Clinical
Sciences (Liestyle Medicine) oered by Southern Cross University. Advanced standing can be
applied or by those successully completing individual workshop units and wishing to extend to
Post Graduate Certifcate, Diploma or Masters level.
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4L I F E S T Y L E M E D I C I N E , I N F L A M M - A G E I N G A N D A D D I C T I O N S
Background: New ndings suggest that chronic, low-grade systemic inammation underliesall lifestyle-related causes of chronic disease. This extends to ageing and has been called
inammageing. It has also been associated with different forms of addiction. This workshop
expands the role of Lifestyle Medicine into these areas.
Content
Liestyle acts and allacies
Nutrition facts and fallacies
Exercise facts and fallacies
Liestyle related infammation and infamm-ageing
Inammation in chronic disease
The maladaptive environment hypothesis
Teasing out the lifestyle-obesity link in chronic disease
Inamm-ageing: Immunosenescence with ageing
Thought processes, cognitive infammation and mental health
Developing psychological immunity
A 9-step process for changing damaging thought processes
Managing pain
Musculo-skeletal disorders, joint health and chronic pain
Passive vs active strategies of dealing with pain
Pacing for pain management
Inammation and sensitisation
Joint health
Injury
The 5th S of tness stability
Core strength and stability
Dealing with addictive behaviours
Feelings from addictive behaviours
The addiction pit
Addiction and psychological chasm
Trends in addiction treatment
Workshops on the run (or walk or paddle)
Workshops are ofered regularly as part o an Eduventure process walking remote desert trails or
kayaking majestic lake lands over 4-6 days. You can have a tax deductable adventure while earning
CPD points. Enquire or special courses and times on ofer.
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5S E L F - M A N A G E M E N T A N D L I F E S T Y L E M E D I C I N E
Background: A core principle of Lifestyle Medicine is the need for the client or patient to becomeactive in his or her health care. This module describes a model for how this can by initiated
by the clinician using a 3x3 matrix drawing from the best evidence-based approaches to self-
management.
Content
Introduction and sel-management quiz
A self management audit
Self care and self management in Lifestyle Medicine
Chronic Disease Self-Management (CDSM) and General Practice
The endothelium and chronic disease: A physiological basis or sel-management
Inequality and health
The vascular endothelium: Where the rubber meets the road
Risk factors, treatments and CVD outcomes
Self measurement
Rationale, background and models o sel-management
Practice principles for Lifestyle Medicine
Why self-management?
Evidence for CDSM
Structure of good self-management
Approaches to sel-management: 1. Being client-centred
Basic principles
Reective listening: reading body language
Increasing health efcacy
Approaches to sel-management: 2. Being motivation ocused
Basic principles
Motivational interviewing basic principles
Being ready, willing and able to change
Approaches to sel-management: 3. Being health literacy oriented
Facts on health literacy
Assessing clinical health literacy
Practice tips for improving health literacy
Specic Chronic Disease Self-Management health literacy
What attendees say about the clinics:
has changed the way I deal with patients. Dr Tony Andrew, Cremorne, Sydney
very innovative, state o the art inormation. Dr Andrew Binns, Lismore, NSW
a truly useul program. Dr Ke Teoh, Greenield Park, Sydney
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6L I F E S T Y L E M E D I C I N E A N D C H R O N I C PA I N
Background: Chronic, unexplained pain has increased dramatically in recent years. Traditionaltreatment methods have limited success and hence this workshop considers physiological
ndings that implicate lifestyle factors in neural changes and how these might have an inuence.
A triaging system for primary care is also considered to help reduce the demand on the limited
specialist pain clinics.
Content
Epidemiology o chronic pain
History of pain
Chronic pain as a modern phenomena
Types of pain?
Metafammation and chronic pain: a new perspective
Physiology of pain
Pain and chronic pain
Pain and glial cell involvement
Does all chronic pain involve systemic inammation?
A whole person approach to chronic pain
Management approaches
Alternative treatments: medial and other
Neural plasticity: Retraining old neural patterns
Liestyle approaches 1. Nutrition
Nutrition, inammation and pain
Specic aspects of nutrition
Physiological effects of nutrition
Is there such a thing as foods to reduce pain?
Liestyle approaches 2. Exercise
Exercise for pain reduction
Prescribing generic exercise for pain
Prescribing specic exercise for pain
Pain and mind/body medicine: The ideal situation
Exercise for pain reduction
Targeted procedures
Measuring pain
Chronic diseases surpass inectious diseases in prevalence once a country achieves a certain level
o economic development. This happened in western countries in the later hal o the 20th century
and is now happening in rapidly developing countries like India and China. Chronic pain appears to
be a bi-product o such a process, with enormous consequences or health costs.
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Anxiety is a thin stream of fear trickling through the mind. If encouraged, it cuts a channel into which all
other thoughts are drained. Arthur Sommers Roche
7L I F E S T Y L E M E D I C I N E F O R D O C T O R S A N D H E A L T H W O R K E R S
Background: While doctors and health care workers spend their time looking after others, theyoften ignore their own health. This workshop covers aspects of Lifestyle appropriate for getting
and maintaining good health for those at the front line of modern health care.
Working on the infammatory ront line
Lifestyle and health at the coal-face
Metaammation in the workplace
Prioritising heath
Practical:
Anthropometry
Red ags to look for in health workers
Measuring chronic disease early stages
Risk actors or health workers
The 3 Ss: Stress, Sleep and Social Relations
The 3 Fs: Forks, Feet and Fingers
The risks of being inactive and how to overcome them
Slow food for fast workers
Front line health care: All stressed up with no-where to go.
Recognizing brown out and preventing burn out
The ACT program for stress management
Anxiety and depression: Diagnosis and action
Sleeping with the enemy.
Sleep hygiene upgraded
Common sleep disorders amongst health care workers
Managing sleeplessness or daytime sleepiness
The sleep of others: in bed with a snorer/poor sleeper
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As author o Planet Obesity: How we are eating ourselves and the planet to death, Dr Garry Egger is
one o the worlds authorities on the big picture as well as small detail or weight loss.
8L I F E S T Y L E M E D I C I N E , S Y S T E M S T H E O R Y A N D W E I G H T L O S S
Background: Almost two-thirds of Australians are now classied as overweight or obese. Andwhile diet and exercise programs abound, few understand the complexities of weight control in
an obesogenic environment. This module looks at new ndings on obesity and weight control and
their practical implications.
Is at the problem? The physiology o obesity-related disease
Levels and forms of obesity management
New ndings about the adipocyte
Obesity paradox(es) and the fat spill-over hypothesis
Practical
Measuring fat not weight and health, not fat
Estimating ideal weight
Measuring obesity risk/measuring lifestyle risk
Systems theory and weight loss
Thinking in circles: Why a calorie is no longer a calorie
What we now know about the gut: food harvesting and efciency
Strategies and methods in weight-related disease management
Processes or weight loss
A LM toolbox for weight loss /risk factor change
Setting SMART goals
Individualising weight loss: medications/surgery/ lifestyle
Reducing the risks: NASTI DR
Debunking weight loss myths
Myths, presumptions and facts
Group consults a new process or obesity management
The nuts and bolts of group consults.
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While there is controversy about many alternative health practices, ~80% o the population use
these at some stage. Hence it is better or health workers to understand the reasons chosen or
going down this path than to deny that the path is used.
9L I F E S T Y L E M E D I C I N E A N D E V I D E N C E - B A S E D C O M P L E M E N TA R Y M E D I C I N E
Background: There is a wide gulf between orthodox and complementary medicines. However,some of the best aspects of both have relevance for the processes of lifestyle medicine. This
workshop discusses evidence-based research on relevant aspects of complementary medicine and
its use in lifestyle medicine.
Why complementary medicine?
Denitions and history
Lifestyle and chronic disease
Processes in complementary medicine research
The market for complementary products
Practical
Natural health products: The evidence for and against
Physical activity in liestyle and complementary medicine
Exercise as therapy
Activity prescription
Components of tness
Food supplements and exercise enhancement
Nutrition: the orthodox and complementary views
Basic theory
Food and health: Specic prescriptions
Health problems amenable to nutrition changes 1. T2DM
Health problems amenable to nutrition changes 2. Heart risks
Herbs and health
Stress: an alternative approach.
Behavioural approaches from naturopathy
The evidence for natural products: SAMe; St Johns Wort etc.
Dealing with depression
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Professor Garry EggerPhD, MPH, MAPS AM
Professor of
Health and
Human Sciencesat Southern Cross
University, and
consultant to the
NH&MRC and
WHO on chronic
disease. (Workshop
co-ordinator)
Dr Caroline WestMB BS (GP and Media Doctor)
Dr Caroline West
is a GP with a
special interest in
lifestyle medicine.
She has extensive
experience
conducting
workshops for
allied health
professionals,corporate and community groups in lifestyle
medicine and self care.
Dr Joanna McMillanB Hum Nutr., PhD
Joanna is a
registered
nutritionist anddietitian with a
PhD in nutritional
science. She is also
a trained fitness
instructor with
almost twenty years
experience.
Gary WebbB Hum Movt., MSc
Gary is an Exercise
Physiologist
with a particular
interest in nutrition,
public health and
lifestyle medicine.
He is currently
undertaking a PhD
addressing the
upstream causes oflifestyle disease.
W O R K S H O P D E T A I L S
Time: Workshops are six hours in duration (to receive full CPD points) and are generally
conducted over one day of a weekend. However 2x nightly meetings can be arranged if required
within Medicare Locals.
Costs: Where possible sponsorship is sourced to provide these workshops. In the event of
sponsorship not obtained, workshops can be provided at participant cost.
RACGP Requirements: Requirements for CPD points (40 Category 1) include completion of a pre
and post-test (reinforcing) activity as well as attendance at workshops. Other professionals can
obtain specific CPD points approval through their associations.
C O U R S E L E C T U R E R S I N C L U D E :
m0414 726 [email protected] wwww.lifestylemedicine.com.au