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The
Mayo Clinic Plan
10
Essential Steps to a Better Body & Healthier Life
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This
course is designed to guide the participant in change to healthier
living and, in turn, to a happier, longer and more productive life.
There are six sessions presented in a classroom setting over a six-week
period that address the components of a healthy lifestyle and how these
relate to the quality of life. Activity, healthy eating, coping with
stress and staying motivated are discussed, along with setting SMART
goals and self-assessment. The Mayo Clinic Plan hardcover textbook,
pedometer, and five additional Mayo Clinic booklets: Walk Your Way to
Fitness, The Pocket Guide to Eating Out, Healthy Weight for Life, and
Healthy Solutions for Managing Stress are included as instructional
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The Chronic Diseases that kill us are
largely preventable. The risks associated with heart disease, stroke,
various forms of cancer, and diabetes can be greatly reduced with
lifestyle changes. The results from the recently completed three year
long Diabetes Prevention Program reinforce the importance of lifestyle
change as a primary preventive intervention.
In this study, a comparison was made
between
two approaches, each attempting to reduce the risk of type 2 diabetes
(maturity onset and closely related to obesity) in individuals at high
risk for the disease. One group received standard drug therapy and the
second group participated in a lifestyle intervention program that
focused on sensible dietary changes and moderate physical activity. A
third group served as the control and received no intervention.
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At the end of the
three years, the incidence
of diabetes was reduced 58% in the group making the lifestyle changes
compared to only 31% in the group that utilized medications when
compared to the control group.
This type of information is
encouraging and
proves that healthful lifestyle preventative measures are effective in
curbing the incidence of type 2 diabetes which is becoming all too
common as our society gets fatter and fatter.
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And, the cost of administering the
lifestyle
prevention program was only a fraction of the cost of paying for
medications. As information like this becomes more available, health
insurance companies and employers will find the combination of
effectiveness and lower cost hard to beat. The preventative
health program required only a 30-minute brisk walk five days a week
and a modest change in diet that focused on a slight reduction in
calories and reducing dietary fat. This approach is within the reach of
most people if they are given the knowledge and then the support to get
them started.
A review of another study tells us
that
nearly two of every three adults in the U.S. are either overweight or
obese, as defined by a BMI of more than 25 kg/m2 and 30 kg/m2,
respectively. Obesity-related diseases claim up to 300,000 lives in the
U.S. annually. However, weight loss of 5% to 10% of body weight has
been demonstrated to reduce the risk of developing such diseases.
Recent studies have also shown that people really can commit to diet
and lifestyle changes for the long haul, and when they do, the benefit
shows up in their blood pressure.
| In a recent study of 810 adults
with
elevated blood pressure, investigators found that those who were given
a true lifestyle revamp (extended counseling and education) were
generally able to stick with the plan for the 18 months they were
followed. What is more, their risk of having full-blown high blood
pressure was about one-fifth lower than that of study participants who
received only advice on lifestyle changes. The findings, which were
published in the Annals of Internal Medicine in April 2006, show that
people can change their behavior for the long term with the right
support. |
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In this study, lifestyle modifications
were
slightly different depending on which group study volunteers were in.
One group was given goals of exercising for at least 3 hours per week,
cutting sodium and alcohol intake, and, if overweight, shedding 15
pounds. A second group had all of those goals, plus instructions to
follow the National Heart, Lung and Blood Institute's DASH diet, which
calls for boosting fruit, vegetable and low-fat dairy intake, while
cutting down on saturated fat.
Both groups attended regular
counseling
sessions or classes to help them work these lifestyle changes into
their daily routine. A third group received only advice on diet,
exercise and weight loss.
After 18 months, men and women in both
groups that received more consideration than just advice were eating
less fat and sodium and lost weight. Twenty five percent met the goal
of losing 15 pounds. Those in the more intensive DASH diet group also
increased their fruit, vegetable and low-fat dairy intake.
These changes, the researchers found,
were
reflected in their blood pressure. At the outset, all of the study
volunteers were either on the verge of high blood pressure or in the
earliest stage of the condition, and nearly all were overweight. After
18 months, rates of full-blown high blood pressure were lower in all
three groups, but lowest in the DASH group -- where it fell from 38% to
22%. In the other counseling group, the hypertension rate slid from 36%
to 24%.
In real life few people have the
support of
group and individual counseling as the volunteers in this study did.
Even in the advice-only group participants had two 30-minute
discussions with a health educator, which is more support than the
average American battling excess pounds and elevated blood pressure has
easy access to, even from their physician. Most physicians tell
patients that lifestyle changes are necessary, but often due to
schedule limitations and a lack of resources, that is the most that is
accomplished. Advice is given, but there is no time for further
counseling or follow-up.
Understanding the importance of
increased
knowledge and support in addition to advice for patients, AAHF
identified the need for a program that would provide the counseling,
education, and motivation necessary to help people succeed in lifestyle
change. Working in conjunction with a group of 850 physicians in
central New Jersey the lifestyle change course Move More, Eat
Better—YOU Matter!™ was developed.
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