《动员患者采取健康生活方式》.pptVIP

Motivating Ourselves and Our Patients to be Healthy鼓励我们自己和病人保持健康 Marie Shieh, M.D. 2008 October 24 Patient story病人的故事 40 year old Asian woman40岁亚裔女性 Full time job and 2 children全职工作和两个孩子 Non smoker and no ETOH不吸烟不喝酒 Diet: less than 5 vegetables and fruits daily食谱：每天少于5种蔬菜水果 Activity: once per week运动：每周一次 Wellbeing: stressed and tired much of the time健康状态：压力很大，大部分时间困倦 BMI 23.5BMI 23.5 Not taking regular medication for chronic condition未因慢性病规律服药 What is a healthy lifestyle?怎样才是一种健康的生活方式? Not smoking不吸烟 Good diet良好饮食 Physical activity体育活动 Wellbeing安康快乐 Following Doctor’s advice听从医生的建议 Smoking and Tobacco Use吸烟与烟草制品使用 Multiple Health Risks to Self and Family对自身和家人的多重健康威胁 Bad Breath口臭 Early wrinkles早生皱纹 Yellow Teeth黄牙 Money耗费钱财 How may men worldwide smoke?世界上有多少男性吸烟？ 1 out of 3 men三分之一的男性 How many teens (13-15 yo) smoke?有多少未成年人（13-15虽）吸烟？ 1 in 5 teens五分之一未成年人 How many children start smoking everyday?每天有多少孩子开始吸烟？ 80-100,000 1/2 of these are in Asia其中一半是在亚洲 Healthy Diet健康饮食 Colorful and variety色彩鲜艳且种类多 Vegetables and fruits - 5 servings (7-9 ideal)蔬菜与水果5份（ 7-9份最理想） Whole grains全谷类 Not much fatty foods like meats and dairy没有太多脂类食物例如肉类与乳制品 2-3 portions of fish2-3份鱼 Limit saturated fat - if frying use olive, canola, sunflower or rapeseed oil限量的饱和脂肪酸-如果油炸使用橄榄、油菜籽、向日葵或者油菜油来烹饪 USPTF 1996 and JAMA 2002;288:2569 and www,patient.co.uk Physical Activity体育运动 Aging老年 Heart Disease and Diabetes心血管疾病以及糖尿病 Colon and Breast Cancer结肠和乳腺癌 Musculoskeletal Problems and Osteoporosis肌肉骨骼问题与骨质疏松 Depression and Anxiety抑郁和焦虑 Most Americans - no physical activity大部分美国人-没有体育运动 Australians: 65% do not meet minimal activity 澳大利亚人：65%没有达到最低运动量 China?中国？ What is minimum activity?什么是最低运动量 Breast cancer and exercise乳腺癌与运动 Archives Int Med 2007: 110,000 women, 20-79 years old. 6 year study. 110,000名年龄20～79岁的妇女，长达6年的研究 5 hours walking per week vs less than 0.5 hours per week 每周5小时不行 vs 不足0.5小时 20% reduction in breast cancer (RR 0.8) 乳腺癌风险降低20%（RR风险比0.8） Less invasive cancer - ER + in exercise