Fit-for-Thought Winter 2023/24

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FOR WINTER 2023

The New Practice of Lifestyle Medicine Lifestyle Medicine is the new approach to lower the risk of disease and illness by utilizing lifestyle interventions such as physical activity, nutrition, stress management, sleep hygiene and other health habits. Lifestyle Medicine is now being promoted in clinical practices and other professional health care organizations. Chronic disease is now responsible for 70 to 80% of all health care expenditures, yet most health professionals treat chronic disease the same way they treat communicable disease: with pills and injections. While this might temporarily relieve acute symptoms, it does not address the underlying cause ….the lifestyle choices we make on a daily basis. There is now systematic and comprehensive efforts to incorporate lifestyle medicine into standard practice. This gives patients the tools to take control and self manage their health, which is long overdue. Dr. Anne Newman, Director of the University of Pittsburgh’s Center for Aging and Population Health, reports on a recent study stating ‘the bottom line is that those with the healthiest habits could expect to live out roughly 80 percent of their remaining years disability free. In contrast, among those with the lowest level of health habits, only 55-60 percent of their remaining years were disability free’ she added. For the study, Newman’s team sifted through data on almost 5900 men and women aged 65 and older. These findings suggest that, even later in life, having or adopting healthy lifestyle factors can potentially extend the period of future life lived with good health and free of disability.

SOURCES: Anne Newman, M.D., M.P.H., chair, department of epidemiology, Graduate School of Public Health, and director, Center for Aging and Population Health, University of Pittsburgh; Gregg Fonarow, M.D., professor, cardiology, and co-director, Preventative Cardiology Program, University of California, Los Angeles; October 2016, Journal of the American Geriatrics Society


Introducing Johns Hopkins Guided Care® Guiding Your Health and Wellness as You Age in Place By Nicci Kobritz Lieberman, President & CEO Youthful Aging Home Care

“A healthy lifestyle is the most potent medicine at your disposal.” - Sravani Saha Nakhro Guided Care takes Care Management to the next level. This revolutionary program designed by the Institute for Johns Hopkins Nursing aims to improve health outcomes and reduce spending by better managing care for the growing number of aging Americans with multiple chronic conditions. Each program is “Guided” around the basic principles of nutrition, exercise, stress, sleep, and socialization. Our Guided Care Guides also apply the latest research on improving cognitive function and brain health. Guided Care creates a structured process for registered nurses to assess patients’ needs, create care plans, and teach patients and their caregivers to manage health conditions. Youthful Aging Home Care, founded in Sarasota in 1993, is a pioneer in creating the model for concierge home care and implementing new programs to optimize client health. After review of multiple Johns Hopkins Guided Care research studies and awards, I decided to join forces with Johns Hopkins Guided Care. Another reason for our Johns Hopkins Guided Care program commitment, was the results of a 32 -month randomized controlled trial of Guided Care patients which found there were 29% fewer home care visits because of Guided Care. This is significant. At Youthful Aging Home Care, we proactively guide our clients in the self-care of their chronic conditions while integrating life-style interventions and facilitating home adaptations and maintenance services supporting of aging in place. 2

In addition, we know that 90% of people over the age of 65 want to age in place yet many lack the know-how. We also know that lifestyle interventions can have a profoundly positive effect on chronic disease by preventing, treating and in many cases, reversing chronic conditions. To remain at home, access to basic support services which are customized to fit a client’s needs may be necessary. These include meal preparation, handyman services, personal assistant, caregivers, handicap home modification to name few. Each program is “Guided” around the basic principles of nutrition, exercise, stress, sleep, and socialization. Our Guided Care Guides also apply the latest research on improving cognitive function and brain health. The program is administered at Youthful Aging by nurses specially trained and certified by the Institute for Johns Hopkins Nursing. Using evidence-based standards of care, our team of guides, physical therapists, nutritionists, and others work in conjunction with family physicians to maximize health and lifestyle. Additionally, Youthful Aging’s exclusive support team continues to be accessible and responsive to client needs as they successfully age-in-place. We are excited about the wonderful outcomes and the higher quality and higher value of care we are achieving for our clients using Johns Hopkins Guided Care. At Youthful Aging, we welcome the opportunity to work with you.


How Is Guided Care® Accomplished Stephanie Mille, RN,BSN Guided Care Guide

Guided Care begins with getting to know you and your lifestyle goals. Your personalized program is designed to address existing health issues as well as set a course for helping to prevent the many challenges that develop with aging. Preventing chronic conditions from becoming acute conditions, Guided Care nurses are knowledgeable about heart disease, congestive heart failure, chronic obstructive pulmonary disease; stroke, diabetes, and Alzheimer’s disease to name a few. Armed with the latest remote patient-monitoring devices, we can pick up early on potential health events twenty-four hours a day in real time. We communicate regularly with your family physician. Each program is “guided” around the basic principles of nutrition, exercise, stress, sleep, and socialization. To remain at home, access to basic support services may be necessary. Meal preparation, handyman, personal assistant, caregivers, handicap home adaptation …… to name a few. All customized to meet your needs. Youthful Aging’s exclusive Support Team is immediately accessible and responsive to your needs as you successfully age-in-place.

Registered Nurse and experienced Case Manager, Stephanie Mille has more than two decades of experience in Home Health Care. Before relocating to Florida, she worked for over 15 years as a director of nursing, managing chronic health conditions and long-term care cases.

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Walking to Good Health 1. It counteracts the effects of weight-promoting genes. Harvard researchers looked at 32 obesitypromoting genes in over 12,000 people to determine how much these genes actually contribute to body weight. They then discovered that, among the study participants who walked briskly for about an hour a day, the effects of those genes were cut in half. 2. It helps tame a sweet tooth. A pair of studies from the University of Exeter found that a 15-minute walk can curb cravings for chocolate and even reduce the amount of chocolate you eat in stressful situations. And the latest research confirms that walking can reduce cravings and intake of a variety of sugary snacks. 3. 3. It reduces the risk of developing breast cancer. Researchers already know that any kind of physical activity blunts the risk of breast cancer. But an American Cancer Society study that zeroed in on walking found that women who walked seven or more hours a week had a 14% lower risk of breast cancer than those who walked three hours or fewer per week. And walking provided this protection even for the women with breast cancer risk factors, such as being overweight or using supplemental hormones. 4. 4. It eases joint pain. Several studies have found that walking reduces arthritisrelated pain, and that walking five to six miles a week can even prevent arthritis from forming in the first place. Walking protects the joints — especially the knees and hips, which are most susceptible to osteoarthritis — by lubricating them and strengthening the muscles that support them. 5. It boosts immune function. Walking can help protect you during cold and flu season. A study of over 1,000 men and women found that those who walked at least 20 minutes a day, at least 5 days a week, had 43% fewer sick days than those who exercised once a week or less. And if they did get sick, it was for a shorter duration, and their symptoms were milder.

Processed Foods: Read the Label

It’s important to check the ingredients list of prepared or processed foods. Many prepared foods contain hidden sugar. It can be hard to tell, since sugar tends to assume aliases: By some estimates, there are over 50 names for added sugar in prepared commercial foods, such as “cane crystals” and “crystalized cane juice,” syrups and many ingredient names that ends in “ose” (chemical shorthand for sugar).

“Reading the labels is so important,” Snead stresses. “For instance, any food that lists partially hydrogenated oils as an ingredient should be avoided since these are trans fats.”

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