#5 Clinical Lifestyle EBM in Cardiovascular Disease

This episode we will cover clinical lifestyle evidence based medicine in cardiovascular disease.  We will cover: - What is Lifestyle Medicine (LM)? - Why do we need it? - Chronic disease burden  - What are the myths and facts about changing peoples lifestyles? - LM in hypertension, size of effect and details - including DASH diet, reduction by weight loss, smoking cessation, diet changes, physical activity, mindfulness and some specific foods - LM in high cholesterol - LM in coronary artery disease - LM in secondary prevention of stroke   References: https://www.heartfoundation.org.au/images/uploads/publications/PRO-167_Hypertension-guideline-2016_WEB.pdf https://www.heartfoundation.org.au/images/uploads/publications/Absolute-CVD-Risk-Full-Guidelines.pdf Salehi-Abargouei A, Maghsoudi Z, Shirani F. Effects of Dietary Approaches to Stop Hypertension (DASH)-style diet on fatal or nonfatal cardiovascular diseases – incidence: a systematic review and meta-analysis on observational prospective studies. Nutrition 2013; 29:611–618. Siervo M, Lara J, Chowdhury S et al. Effects of the Dietary Approach to Stop Hypertension (DASH) diet on cardiovascular risk factors: a systematic review and meta-analysis. Br J Nutr 2015;113:1–15. http://jamanetwork.com/journals/jamainternalmedicine/fullarticle/409499?resultClick=3 CAD -  http://jamanetwork.com/journals/jama/fullarticle/188274?resultclick=1 http://thelancet.com/journals/lancet/article/PII0140-6736(90)91656-U/abstract?cc=y Cholesterol-lowering effects of dietary fiber: a meta-analysis - http://ajcn.nutrition.org/content/69/1/30.full Stroke - https://www.ncbi.nlm.nih.gov/pubmed/24029303 Social isolation in disease -  https://www.ncbi.nlm.nih.gov/pubmed/11292274,  https://www.ncbi.nlm.nih.gov/pubmed/15760298 Mindfulness -  https://www.ncbi.nlm.nih.gov/pubmed/24127622 Flaxseed -  http://www.ncbi.nlm.nih.gov/pubmed/24126178 http://www.racgp.org.au/afp/2016/september/the-changing-face-of-australian-general-practice-across-the-decades/