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Eating Ourselves To Death Reducing health care costs and improving care Joel Fuhrman, MD Copyright © Joel Fuhrman, M.D., 2010 Healthy Life Expectancy • Health care spending (more medical care) does not improve healthy life expectancy. • 22 industrialized countries spend less than half of U.S. per person medical expenses and have a significantly better healthy life expectancy. Copyright © Joel Fuhrman, M.D., 2010 Health Life Expectancy and Per Person Medical Expenses in 22 Countries World Health Organization Healthy Life Expectancy Estimates http://www.who.int/whr/2001/en/annex4_en.pdf Copyright © Joel Fuhrman, M.D., 2010 Health Care Costs For a person with 3 risk characteristics • High Cholesterol • Overweight • High Blood Pressure Health care costs is more than three times higher than average costs per person Scholze J, et al. Epidemiological and economic burden of metabolic syndrome and its consequences in patients with hypertension in Germany, Spain and Italy; a prevalence-based model. BMC Public Health. 2010 Sep 2;10:529. Copyright © Joel Fuhrman, M.D., 2010 Health Care Costs Increasing among the overweight and diabetic Expenditures on prescription drugs grew 40% from 2005 to 2010 due to the combined affect of more people suffering from diabetes, and the use of more expensive treatments. 10% of the population with chronic diseases utilize 90% of health care spending Approximately 50% of the British population are overweight www.diabetes.co.uk/nhs/ Copyright © Joel Fuhrman, M.D., 2010 Heart disease, Hypertension and Diabetes is preventable and reversible Compelling data from nutritional studies, population surveys, and interventional studies supports the effectiveness of a healthy, plant-based diet to lower cholesterol, lower blood pressure, arrest, prevent, and reverse heart disease. Physicians practicing Lifestyle Medicine focusing on educating and motivating individuals to make substantial changes in their diet-style to achieve the best outcomes at the lowest costs. Breslow JL. Cardiovascular disease myths and facts. Cleve Clin J Med 1998;65(6):286-287. Ornish D, et al. Intensive lifestyle changes for reversal of coronary heart disease. JAMA 1998;280:2001-2007. Copyright © Joel Fuhrman, M.D., 2010 Dr. Fuhrman’s Nutritarian Food Pyramid Copyright © Joel Fuhrman, M.D., 2010 Fill Up on Nutrient Rich Food Copyright 2010 Joel Fuhrman, M.D. All Rights Reserved Losing weight permanently without yo-yo dieting Average weight loss over 2-years 53 pounds. Nobody who adopted the program put weight back on once it was lost. Sarter B, Campbell TC, Fuhrman J, Effect of a high nutrient density diet on long-term weight loss: a retrospective chart review. Altern Ther Health Med, 2008. 14(3): p. 48-53. Diabetes Research Study Results 1. 2. 3. 4. All patients off diabetic meds Average HbA1C in normal range (7.7 5.7) All patients with high triglyceride normalized Average systolic blood pressure 145 118. Dunaief D, et al. Glycemic and cardiovascular parameters improved in type 2 diabetes with the high nutrient density diet. Journal of Nutrition, Health and Aging 2010;14(6):500. Results presented at the International Academy on Nutrition and Aging (IANA) Conference on Monday, July 26, 2010 Adrienne 123 lbs in 1 year! May 11, 2009 319 lbs May 13, 2010 196 lbs Tony His diabetes is gone and his weight is stable! Rebecca Has Lost 330 lbs “Before I had to keep eating just to feel okay. Dr. Fuhrman set me free. It’s like being let out of prison.” Julia Lost 105 lbs and went from a "cardiac cripple" to a healthy, happy human being Scott “Eat For Health is not a ‘diet’ and it’s not about a goal weight. I’m just doing what’s healthy for my body, and the results follow.” Before After 501 lbs 182 lbs Charlotte Lost 130 lbs and no longer suffers with chronic disease Case study # 5 Emily, lost 100 pounds in one year, no longer depressed and sick Jodi Suffering from psoriatic arthritis most of her life, finally resolved her health conditions, lost weight, and is off medication. The Fountain of Youth • Plant-based diet containing high micro nutrient containing foods - vegetables and beans, mushrooms, onions, seeds, nuts, fruit • Limit (or eliminate) unhealthy foods– including processed foods and animal products • Modern nutritional science provides substantial evidence that food choice is the major determinant of health and health care costs. Copyright © Joel Fuhrman, M.D., 2010 "Households should select predominantly plant-based diets rich in a variety of vegetables and fruits, pulses or legumes, and minimally processed starchy staple foods." WORLD HEALTH ORGANIZATION http://www.fao.org/docrep/004/Y2809E/y2809e08.htm#bm08