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Page 1: Presentazione standard di PowerPoint · The first1000days of human development including preconception and pregnancy phases account for 70% of individual future life. Future Parents
Page 2: Presentazione standard di PowerPoint · The first1000days of human development including preconception and pregnancy phases account for 70% of individual future life. Future Parents

Life course

Ris

k

Mother and

infant effective

point to

intervene

Child/adolescent

effective point to

intervene

Adult:

screening

may be too

late to reduce

risk

Affected adult:

interventions have

limited effect

PlasticityDetrimental effects of lifestyle

challenges/increasing mismatch

The first1000days of human development

including preconception and pregnancy phases

account for 70% of individual future life.

Future Parents

Prepare

For

Conception

Preconception

Page 3: Presentazione standard di PowerPoint · The first1000days of human development including preconception and pregnancy phases account for 70% of individual future life. Future Parents

Pre-conception

Fetal life

Infancy and childhood

Adolescence

Adult life

Older ages

Chronic Disease

Prevention: a life course

approach

Cumulative incidence

Preventable risk

Page 4: Presentazione standard di PowerPoint · The first1000days of human development including preconception and pregnancy phases account for 70% of individual future life. Future Parents

Modern lifestyleDiets

Microbial patterns

Pollutants

Physical excercise

Inflammationand altered immune

functions

Multi-System EffectTissue Damage, Oxidative Stress and Tissue Repair

Mood, behaviour, development,

degeneration

Cardiovascular response

Gastrointestinal inflammation

Lung development and

fuction

Joints and

tissues

Stress and HPA

responses

Metabolic

responses

Increased NCD Risk

Lifestyle-Caused Inflammation as Driver of NCDs

Health stressorsHormonal factors

Behavioral factors

Chemical stressors

Non-chemical stressors

Page 5: Presentazione standard di PowerPoint · The first1000days of human development including preconception and pregnancy phases account for 70% of individual future life. Future Parents

Nature Reviews Cardiology volume 15, pages 505–522 (2018)

Inflammation + ageing = Inflammageing

Page 6: Presentazione standard di PowerPoint · The first1000days of human development including preconception and pregnancy phases account for 70% of individual future life. Future Parents

Definition of WellnessWellness is the optimal state of healthof individuals and groups. There are two focal concerns: the realisation of the fullest potential of an individual physically, psychologically, socially, spiritually and economically and the fulfillment of one’s role expectations in the family, community, place of worship, workplace and other settings.

WHO – World Health Organization

Page 7: Presentazione standard di PowerPoint · The first1000days of human development including preconception and pregnancy phases account for 70% of individual future life. Future Parents

Wellness as a prescription to protect tissues and resolve chronic inflammation

Wellness ResolutionBalanced responsethrough

Wellness activation

PreventionWellness Treatment

Wellness Prescription

Page 8: Presentazione standard di PowerPoint · The first1000days of human development including preconception and pregnancy phases account for 70% of individual future life. Future Parents

“Wellness educates for healthy lifestyles and promotes prevention.”

Pre-

mature

Death

High-level

Wellness

Treatment Paradigm

Wellness paradigm

Neutral point

(no discernable illness or wellness)

Disability Symptoms Signs Awareness Education Growth

Illness-Wellness Continuum

52%of world

population

5%of world

population

Page 9: Presentazione standard di PowerPoint · The first1000days of human development including preconception and pregnancy phases account for 70% of individual future life. Future Parents

Precision medicine

Precision Medicine

Precision Medicine is a Systems approach that will possibly be able to convey a more precise classification of disease. It’s a measure of how molecular diagnostics allows physicians to unambiguously diagnose the cause of a disease without having to rely on intuition.

Page 10: Presentazione standard di PowerPoint · The first1000days of human development including preconception and pregnancy phases account for 70% of individual future life. Future Parents

Precision Wellness

Comprehensive integration and personalization of physical, meditational, intellectual, musical and other activities to increase self awareness and connection of the inside with the outside.

Page 11: Presentazione standard di PowerPoint · The first1000days of human development including preconception and pregnancy phases account for 70% of individual future life. Future Parents

Precision Medicine

Precision Wellness

Precision Health

It is the Integration of Precision Medicine and Precision Wellness to Improve the Health of an Individual.

Marrying

with

Page 12: Presentazione standard di PowerPoint · The first1000days of human development including preconception and pregnancy phases account for 70% of individual future life. Future Parents

Network Medicine:A System of

Integrated ComplexNetworks

Page 13: Presentazione standard di PowerPoint · The first1000days of human development including preconception and pregnancy phases account for 70% of individual future life. Future Parents

Dance

Nutrition

Touch/Vibration

Music/Art Writing

Meditation/Yoga, Tai ChiBeing in Nature, Spirituality

Community

Aroma

Physical Exercise

Floating Flo,Sauna/Water

Sleep

Network Wellness

The anti-inflammatory

systemic effectof the

wellness network

Page 14: Presentazione standard di PowerPoint · The first1000days of human development including preconception and pregnancy phases account for 70% of individual future life. Future Parents

Healthy food Sport Great Sex

In Italy, we’ve been doing that since quite some time…

Music

Page 15: Presentazione standard di PowerPoint · The first1000days of human development including preconception and pregnancy phases account for 70% of individual future life. Future Parents

Dimension of Health and Wellness

Spiritual

Intellectual

Health and Wellness are a Multi-dimensional Entangled Universe

Emotional-

mental

Social

Physical

Page 16: Presentazione standard di PowerPoint · The first1000days of human development including preconception and pregnancy phases account for 70% of individual future life. Future Parents

Living WellSelf-Care

Empowerment and Support

Early Prevention & Intervention

Acute and Specialist

Rehab

HospitalCare

Future Sustainability of the Healthcare System

Page 17: Presentazione standard di PowerPoint · The first1000days of human development including preconception and pregnancy phases account for 70% of individual future life. Future Parents

Pre-conception

Fetal life

Infancy and childhood

Adolescence

Adult life

Older ages

Cumulative incidence

Preventable risk

First 1000 daysprevention of

chronic diseasescontinues

throughout the lifespan

Page 18: Presentazione standard di PowerPoint · The first1000days of human development including preconception and pregnancy phases account for 70% of individual future life. Future Parents

• Current society urgently needs to establish a comprehensive and integratedsystems approach to tackle the burden of chronic diseases.

• The UN General Assembly unanimoulsly adopted a political declarationmobilizing accelerated effort to address non-communicable diseases (NCDs)on September 27, 2018:

Key Take-aways

"Time to Deliver: Accelerating our response to addressNCDs for the health and well-being of present and future

generations”.

Page 19: Presentazione standard di PowerPoint · The first1000days of human development including preconception and pregnancy phases account for 70% of individual future life. Future Parents

The First 1000 days: A Matrix for our Lifespan• Starting from Preconception to the First 1000 days, and continuing through

adolescence to adulthood (First 8000 days) healthy lifestyles andpersonalized wellness approach may prevent painful and expensive curesand provide the optimal conditions for health and wellbeing throughout thelifespan.

• The concept of Network Wellness is new and must be integrated with theconcept of Network Medicine.

• Precision Wellness represents the most cost-effective model to safeguardpublic health as well as a great ethical business.

Key Take-aways

Precision Wellness is the Vaccine to Chronic Diseases

Page 20: Presentazione standard di PowerPoint · The first1000days of human development including preconception and pregnancy phases account for 70% of individual future life. Future Parents

Sergio Pecorelli MD, [email protected]

www.thepecosprogram.com

Thank you!