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ALL TOGETHER
PUTTINGIT
Normal Coronary Arteries
Mild Coronary Artery Disease
Severe Coronary Artery Disease
Healthy EatingExercise
Weight ManagementLipid control
No smokingBlood pressure control
Stress management
NEW FOOD PYRAMID
Walter C. Willet, MDEat, Drink and Be Healthy
Cost of Inactivity
Inactivity costs at least $24 billion a year according to the Harvard School of Public Health
Men who became fit had a 53% reduction in direct healthcare costs
(Med Sci. Sports Exercise, 2004)
THE BATTLE OF INTAKE AND OUTPUT
THE BATTLE OF INTAKE AND OUTPUT
THE BATTLE OF INTAKE AND OUTPUT
THE BATTLE OF INTAKE AND OUTPUT
WALKING 1 MILE
BURNS100 CALORIES
(3600 CALORIES = 1 POUND BODY WEIGHT)
DAILY
EXERCISE SHOULD BE THE GOAL
IT IS THE KEY TO PUTTING A
HEALTHY LIFESTYLE TOGETHER
CHOOSE YOUR WEAPON !!!!!
AND ENJOY !!!!!!
LOWERS CARDIOVASCULAR RISK
IMPROVES CHOLESTEROL & GLUCOSE LEVELS
IMPROVES BLOOD PRESSURE
MAINTAINS BONE DENSTY
ENHANCES MOOD
ESSENTIAL FOR WEIGHT LOSS / MAINTENANCE
ESSENTIAL FOR NORMAL OR UNDERWEIGHT
**MORE ABOUT BEING FIT THAN HOW YOU LOOK
Benefits of exercise
Being FIT at any weight is protective
“If exercise could be put in a pill, it would be the most widely prescribed medicine in the world.”
Dr. Robert N. Butler, National Institute on Aging
IS NOT ROCKET SCIENCEBUT
IT IS A HUGE BEHAVIORAL CHALLENGE
PUTTTING IT ALL TOGETHER
Behavior change is a work in progress….
starting with
being uninterested, unaware, or unwilling to change
to considering a change
“I know I need to.. BUT…I don’t have time, can’t afford it. etc”
to deciding and preparing to make a change
buying a treadmill, joining Weight Watchers
To taking action
using the treadmill, following Weight Watchers
NIKE HAS IT RIGHT……
……. JUST DO IT !!!!!
Profile of an atypical patient
41 y/o man, father of 3 childrenNon smokerAthletic (biking 40-80 mi per wk)Mildly abnormal lipidsStressVery mildly overweightQuit smoking 1993
On 7-23-07 wakened with chest pain
Went to local emergency room
Blood test confirmed heart attack
Transferred to DHMC
Cardiac cath with stent placement
Referral to Cardiac Rehab
His story…………
His numbers
Wt: 203 lbsWaist: 41 inBody fat: 27 %
(55 lbs)BMI: 30.1
entry ideal
< 4016 %
< 25
Total chol: 165 <180LDL chol: 79 < 70HDL chol: 50 > 45
6 weeks
179 lbs36.5 in14.8%
(32 lbs) (26.4 lbs)
26.4
8232
5 months
164 lbs33 in9 %(14.7 lbs)
24.3
175 lbs
42
HIS BODY COMPOSITION CHANGE
LOST 39 POUNDS !
8 INCH DECREASE IN WAIST CIRCUMFERENCE !
18 PERCENT DECREASE IN BODY FAT !
5.8 DECREASE IN BODY MASS INDEX !
Kris… before
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