Exercise is medicine 1
Track 17
| Friday, October 27, 2023 |
| 2:00 PM - 3:35 PM |
| Meeting Room C4.10 |
Speaker
Dr Salmaan Khan
Family Medicine Consultant & Certified Lifestyle Medicine Physician
Cleveland Clinic Abu Dhabi
Physician Health = Patient Health: Case Study to highlight the essence and impact of Lifestyle Medicine
2:00 PM - 3:15 PMSummary
A Personal Lifestyle Medicine Case Study
The evidence for lifestyle medicine is immense as nearly 80% of all chronic disease is preventable, and lifestyle behaviours are responsible for 40% of all premature deaths. The strong evidence that healthy doctors are more likely to produce healthy patients was enough motivation for me to commit to using myself as a case study.
Presentation
Family Medicine doctor - busy schedule with little time or effort dedicated to meal planning, nutrition, physical activity or emotional well-being. The personal health risks were also exacerbated by ethnicity and family history of obesity, diabetes, and cardiovascular disease.
Investigations
Physical Evaluation
ACLM Vital Signs Form
Pittsburg Sleep Quality Index (PSQi)
Perceived Stress Scale (PSS)
Intervention
Intensive Lifestyle Interventions with SMART goals for each of these domains over a 8 week period.
Nutrition – Reduce meat intake to improve cardiovascular health. Switch from full-fat to low-fat dairy products and switch all wheat products to whole-meal and whole-grain or replace with daily portions of fresh fruit/legumes to adhere to Michael Pollan’s ‘Food Rules’.
Exercise – At least two 45-minute whole-body weight lifting sessions per week, one 30-minute intense 5km run per week, one 30-minute swimming session of at least 20 pool lengths and at least two 30-minute walks in the local park.
Sleep & Stress – The implementation of a strict schedule to ensure adequate sleep of 7-9 hours per night as per American Academy Sleep Medicine recommendations.
Outcomes
Improved BMI, Reduced Body Fat %, Increased Muscle Mass and improved PSQi and PSS scores.
There is strong evidence that a whole food plant based diet is associated with favourable quality of life outcomes - improved self-efficacy, energy levels, self-esteem and food enjoyment.
Resistance exercise and strength training has been shown to reduce fatigue, increase metabolic rate and improve sleep.
The evidence for lifestyle medicine is immense as nearly 80% of all chronic disease is preventable, and lifestyle behaviours are responsible for 40% of all premature deaths. The strong evidence that healthy doctors are more likely to produce healthy patients was enough motivation for me to commit to using myself as a case study.
Presentation
Family Medicine doctor - busy schedule with little time or effort dedicated to meal planning, nutrition, physical activity or emotional well-being. The personal health risks were also exacerbated by ethnicity and family history of obesity, diabetes, and cardiovascular disease.
Investigations
Physical Evaluation
ACLM Vital Signs Form
Pittsburg Sleep Quality Index (PSQi)
Perceived Stress Scale (PSS)
Intervention
Intensive Lifestyle Interventions with SMART goals for each of these domains over a 8 week period.
Nutrition – Reduce meat intake to improve cardiovascular health. Switch from full-fat to low-fat dairy products and switch all wheat products to whole-meal and whole-grain or replace with daily portions of fresh fruit/legumes to adhere to Michael Pollan’s ‘Food Rules’.
Exercise – At least two 45-minute whole-body weight lifting sessions per week, one 30-minute intense 5km run per week, one 30-minute swimming session of at least 20 pool lengths and at least two 30-minute walks in the local park.
Sleep & Stress – The implementation of a strict schedule to ensure adequate sleep of 7-9 hours per night as per American Academy Sleep Medicine recommendations.
Outcomes
Improved BMI, Reduced Body Fat %, Increased Muscle Mass and improved PSQi and PSS scores.
There is strong evidence that a whole food plant based diet is associated with favourable quality of life outcomes - improved self-efficacy, energy levels, self-esteem and food enjoyment.
Resistance exercise and strength training has been shown to reduce fatigue, increase metabolic rate and improve sleep.
Takeaways
1. To understand that there is strong evidence that physician health behaviours directly impacts their patients' attitudes towards lifestyle modification and subsequent health outcomes.
2. To understand, and be able to impact, the key domains of Lifestyle Medicine including Nutrition, Physical Activity, Sleep, Substance Abuse, Stress and Social Connectedness.
3. To have easy and accessible tools to implement Lifestyle Medicine principles during regular and routine patient consultations.
2. To understand, and be able to impact, the key domains of Lifestyle Medicine including Nutrition, Physical Activity, Sleep, Substance Abuse, Stress and Social Connectedness.
3. To have easy and accessible tools to implement Lifestyle Medicine principles during regular and routine patient consultations.
Biography
Salmaan Khan qualified from Imperial College London with a distinction in medicine. He achieved his intercalated BSc honours in International Health and Development at University College London before completing family medicine training as an Academic Clinical Fellow whilst conducting research on evaluating the effectiveness of integrated healthcare systems. After getting Family Medicine Board Certification (CCT) he completed the HEE Urgent & Acute Care Fellowship prior to working as Quality Improvement Clinical Lead for a London Federation. He then worked as the Urgent Care Family Medicine Lead at one of London's busiest hospitals before relocating to the United Arab Emirates to join Cleveland Clinic Abu Dhabi as a Family Medicine Consultant. He has a special interest in holistic health with a post graduate certificate in Health & Wellbeing and is an IBLM/BSLM certified Lifestyle Medicine Physician.
