Why Lifestyle is the BEST Medicine

1. Why Lifestyle is the BEST Medicine Amanda M. Grega Executive Chef, Event Coordinator Kellyn Foundation amanda@kellyn.org Meagan L. Grega, MD, FACLM Co-Founder, Chief Medical Officer Kellyn Foundation meagan@kellyn.org

3. Adult Health Metrics - 2019 Northampton County Lehigh County Obesity – 30% Diabetes – 12% Food Insecurity – 10% Physical Inactivity – 23% Insufficient Sleep – 34% Excessive ETOH – 20% • Obesity – 32% • Diabetes – 12% • Food Insecurity – 9% • Physical Inactivity – 27% • Insufficient Sleep – 36% • Excessive ETOH – 20% https://www.countyhealthrankings.org/app/pennsylvania/2019/overview

4. Top Ten Causes of Mortality Heart Disease Cancer Asthma Accidents Stroke Alzheimer’s Dx Diabetes Flu/Pneumonia Kidney Disease Suicide

5. Actual Causes of Death “Actual Causes of Death in the United States, 2000” – A. Mokhad, et al

6. Economic Implications • $316 billion spent yearly treating cardiovascular disease • $327 billion spent yearly for diabetes related costs • Cost of prescription medication for hypertension and hyperlipidemia increased at more than double the rate of total healthcare spending • Federal CBO predicts Medicare and Medicaid will account for 20% of GDP by 2050 http://jamanetwork.com/journals/jama/fullarticle/2594716?utm_campaign=articlePDF&utm_medium=articlePDFlink&utm_source=articlePDF&utm_content=jama.2016.16885

7. Health Care Spending as a Percentage of GDP, 1980–2013 Percent Source: OECD Health Data 2015

8. Institute of Medicine and National Research Council. 2013. U.S. Health in International Perspective: Shorter Lives, Poorer Health. Washington, DC: The National Academies Press. https://doi.org/10.17226/13497.

15. Cardiovascular disease

16. Cardiovascular Disease Esselstyn CB, Gendy G, Doyle J, Golubic M, Roizen M. A Way to Reverse CAD. The Journal of Family Practice. 2014, July; 63(7):356-364b

17. Effect of Lifestyle Habits • Ford, et. al studied over 23,000 participants aged 35-65, mean follow-up 7.8 years • Evaluated lifestyle factors: • BMI<30 • No tobacco use • 3.5 hr/week or more physical activity • High intake fruits, vegetables, whole grains and low red meat consumption • Following all 4 healthy lifestyle factors resulted in a 78% decreased risk of developing chronic disease compared to 0 healthy lifestyle factors Healthy Living Is the Best Revenge: Findings From the European Prospective Investigation Into Cancer and Nutrition–Potsdam Study. Arch Intern Med. 2009;169(15):1355–1362. doi:10.1001/archinternmed.2009.237

18. Effect of Lifestyle Habits • Loprinzi, et. al reviewed 2003-2006 NHANES data to evaluate: • Sufficient physical activity by accelerometer • Eating a healthy diet (24-hour recall Healthy Eating Index) • Non-smoker • Having recommended body fat percentage • Only 2.7% of American adults demonstrated all 4 healthy lifestyle characteristics Healthy Lifestyle Characteristics and Their Joint Association With Cardiovascular Disease Biomarkers in US AdultsLoprinzi, Paul D. et al.MayoClinic Proceedings , Volume 91 , Issue 4 , 432 - 442

20. “Regarding healthy lifestyles; there is no lack of information, there is a lack of implementation.” -Dr. Meagan Grega

21. The Four Cornerstones of Kellyn • Kellyn Health • Kellyn Schools • Kellyn Kitchens • Kellyn Food Access

22. In-Classroom Presentations

23. Garden as a Classroom

24. Garden as a Classroom

25. Eat Real Food Mobile Market

26. Lehigh Valley Corner Store Initiative

27. Kellyn Kitchens

28. Kellyn Kitchens

29. Kellyn Kitchens

36. Additional Resources • Books • “How Not To Die” – Michael Greger, MD • “Proteinaholic” – Garth Davis, MD • “Blue Zones” – Dan Buettner • “Salt, Sugar, Fat” – Michael Moss • Videos • “Forks Over Knives” • “The GameChangers” • “Code Blue: Redefining the Practice of Medicine” • Websites • www.nutritionfacts.org