lifestyle e-news

In this months newsletter:

Issue 14 February 2014

Lifestyle Medicine Optimising sustainable health & wellbeing, while preventing & managing chronic disease Welcome to the latest edition of the ALMA newsletter, aimed at keeping you up to date with the latest research, information and resources in the area of lifestyle medicine. The newsletter will also keep you abreast of the work of the association and its committee. In this edition we have o%r ne&t '(A profile with ALMA )resident Dr Caroline West* We hope yo% en$oy findin" o%t a it more a o%t o%r committee mem ers+ their interest in lifestyle medicine and what they do o%tside of ALMA* We have an interestin" article from committee mem er Cam McDonald on the impact of lifestyle on rain health* O%r CEO ,an$a "ives %s an %pdate on what has een happenin" in ALMA in her CEO report* ,he ne&t ALMA Conference is sched%led for -.th / -0th Octo er 1-23 at Bri"hton Le 4ands 5ovotel in colla oration with A56O4 7A%stralian 5ew 6ealand O esity 4ociety8* As %s%al we provide a selection of recent lifestyle medicine9related articles from the $o%rnals and some %pcomin" events which may e of interest* If there are other topics or information yo% wo%ld li:e to see in f%t%re editions of this newsletter+ then please let %s :now y emailin" info;lifestylemedicine*com*a%

Welcome ALMA Mission and Aims Interview with Dr Caroline West CEO Report Lifestyle and Brain Health We site tips !pcomin" events #rom the $o%rnals

About ALMA Mission: ,o improve :nowled"e and practical s:ills of health care practitioners in lifestyle ehavio%r chan"e within A%stralia Aims:

Raise awareness of the need and val%e of lifestyle ehavio%r chan"e in the mana"ement and prevention of chronic disease Improve :nowled"e and s:ills of practitioners in lifestyle ehavio%r chan"e Enco%ra"e and en"a"e more health practitioners in the field of lifestyle chan"e #acilitate improved transfer of information and s:ills development in effective lifestyle chan"e #oster research and accreditation in this area Act as an advocate for the development of policies and pro"rams in this area+ as an apolitical association*

lifestyle e-news
Inter iew with! "aroline West #ow long ha e you been a member of ALMA$ I ecame a mem er of ALMA from the start* What made you get in ol ed with ALMA%&oin the committee$ I have wor:ed as a <) for 1= years with a foc%s on prevention* I was always :een to %p s:ill in terms of my :nowled"e aro%nd areas li:e wei"ht mana"ement+ n%trition+ e&ercise and mental health * More than a decade a"o I started attendin" <arry E""ers co%rses on wei"ht mana"ement> lifestyle medicine and from there I e"an to "et involved with teachin" and ed%cation * ?oinin" ALMA and then "ettin" involved in the committee was a nat%ral pro"ression*

Issue 14 February 2014

In this iss%e we a"ain rin" yo% '(A interviews with o%r ALMA committee mem ers+ providin" yo% with the opport%nity to meet them and find o%t more a o%t their interest and involvement in ALMA*

What is your role within ALMA$ I am c%rrently the )resident of ALMA* B%t I have to say the power of ALMA lies in the teamwor: from an incredi ly motivated committee and o%r passionate CEO ,an$a McLeish* What do you do outside of ALMA$ I am a <) and director at East 4ydney Doctors which is a lar"e comm%nity "ro%p practice in Darlin"h%rst* #or many years I have also een involved with the media and write and present for ,@ pro"rams* I also contri %te to col%mns and lo"s as a health writer* I am pretty %sy $%""lin" wor: with my 1 :ids and partner* I try to stay pretty active y cyclin" to wor:+ :aya:in"+ s%rfin"* M%sic has also een a sanity saver and I am c%rrently in love with my %:%leles and am an enth%siastic AhopelessA player 7$%st as: the participants of the ALMA ed%vent%re wal:B8 What sparked your interest in lifestyle medicine$ #or more than 12 years I have had a :een interest in o esity+ wei"ht mana"ement and prevention* It ecomes apparent when yo% wor: in this area that this is complicated* It is certainly not as simple as diet and e&ercise* Environment+ c%lt%re+ mental health+ socio9economic determinants all play a role too* In other words+ it is a comple& lifestyle medical condition* In fact most chronic conditions are complicated and lifestyle medicine helps enormo%sly p%t these health conditions in a lifestyle framewor:* I feel a solid :nowled"e of Lifestyle medicine is vital to all health wor:ers* We are literally facin" an overwhelmin" wave of chronic conditions from dia etes to heart disease to mental health* Lifestyle medicine with its foc%s on primary care really helps people optimally mana"e their conditions* What is something new in lifestyle medicine that is taking your interest at the moment$ I thin: the movement towards shared medical appointments is very interestin"* ,he c%rrent model of one on one cons%lts may not e economically s%staina le into the f%t%re * 5ot only may shared appointment e more afforda le for the health system+ %t it may offer etter team mana"ement and s%pport from others* )atients may "et more o%t of it+ and for the clinicians it provides a different dynamic platform from which they can share care* ItCs early days+ %t I thin: that in -2 years time+ there will e a variety of care models availa le with chronic disease* 'our fa ourite (uote$ DA personCs a person+ no matter how small*E Dr* 4e%ss+ Horton Hears a Who! Dr Caroline West specializes in Healthy Lifestyle Medicine and is one of Australias best known doctors. As a Medical Practitioner / P she has e!tensi"e clinical e!perience helpin# clients $ake healthy chan#es for life. %he is currently the President of the Australian Lifestyle Medicine Association. &aroline is also well known for her work in the $edia as a '( and print health )ournalist. %he has been a presenter on *eyond 'o$orrow+ *eyond ,---+ uide to the ood Life+ ood Medicine+ .- $inutes and eor#e /e#us 'oni#ht. &aroline is currently presentin# the ALMA Lifestyle Medicine workshops for health professionals around Australia.

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lifestyle e-news
)rom the "*+ ,esk - Tan&a McLeish .*W ALMA e/ook - on ALMA Website The ALMA *ating 0lan for 0eople and 0lanet / a "%ide for improvin" health and the environment in the modern world ased on recent scientific findin"s relatin" to the odyFs reaction to certain foods+ the plan is foc%sed aro%nd a newly discovered form of inflammation 7in the arteries and or"ans of the ody8 which can lead to lon"9term chronic li:e type 1 dia etes+ heart disease and cancers* ,asty sample recipes wee:ly meal plan and s%""estions for other evidence ased lifestyle ehavio%rs for "ood health* Written y <arry E""er with An$a 4%ssman+ 4e ely )al+ ?oanna and 4hiva%n Conn* A wor: oo: of ,he A%stralian Lifestyle Medicine Association at a disco%nt price for o%r mem ers* )lease remem er to lo"in into the we site to "et yo%r mem ers only price* @isit the ALMA we site on www*lifestylemedicine*com*a% to p%rchase yo%r eBoo: nowBBB Ama1ing *du enture - 2ydney Tall 2hips - 3 - 4 .o ember 4536

Issue 14 February 2014

evolved disease

McMillan special special

"ome on board for an *du enture, where you will learn the essential ingredients of Lifestyle Medicine in Module 35: Improvin" Efficiencies and O%tcomes from Better Chronic Disease Mana"ement )L!4 have an amaGin" advent%re alon" the way* An e&perience a oard a ,all 4hip allows yo% to spend the time needed to ta:e in the reathta:in" views+ the spectac%lar fra"rance of her tar and tim ers+ listen to the crea:s of the ship+ taste the salt in the air and en$oy the peace and H%iet as the ship "lides silently thro%"h the water* Come alon" + $oin the ALMA team and feel the love and $oy that sailin" provo:esB Contact ,an$a to re"ister on 23-3I1.IIJ or email ceo;lifestylemedicine*com*a%* 0LA"*2 A7* LIMIT*, 2+ 8*T I. *A7L'99 Registrations CLOSE 29th August 2014!! 7egister online http:%%lifestylemedicine.com.au%e ent%sydney:tall:ships:edu enture% ALMA Website Has "one LI@E* 0art of the security update will be for ALL members to update their passwords. 0lease reset as per the email you recei ed. Content mana"ement is an on"oin" process and we apolo"ies for any inconvenience whilst we %pdate the pa"es over the comin" months* We have had some fantastic feed ac: a o%t the new site already* Ko%r feed ac: is inval%a le and we loo: forward to hearin" from yo%* .*W LI)*2T'L* M*,I"I.* "+;72*2 Are yo% a health professional whoFd rather e %ildin" fences at the top of the cliff than pic:in" %p odies at the ottomL A post "rad%ate9H%alification in the worldFs first on9line MLifestyle MedicineF pro"ram y worldFs leadin" e&perts may e what yo%Fre loo:in" for* #or more co%rse details and applications clic: on the lin: 7httpN>>sc%*ed%*a%>co%rsesin12-3>L actionOmatri&(commandOmatri&PtempPload(sp:PnoOJ2-0-=Qaward9r%les9hdr8 and "o to part B 7specialisations / Lifestyle Medicine8 or call Dr <arry E""er on <3 4 ==>>>>?@ or eMail e""er"$;oGemail*com*a%* #+L, T#* ,AT* Date set for ne&t ALMA Conference / -.th / -0th Octo er 12-3 / Bri"hton Le 4ands 5ovotel in colla oration with A56O4 / A%stralian 5ew 6ealand O esity 4ociety* 2ocial Media #ollow %s on Twitter 9 ;ALMALifestyle 99 ?OI5 !4 on )acebook / A%stralian Lifestyle Medicine Association / soon yo% will e a le to re"ister for events from o%r face oo: pa"e / :eep %pdated on latest events and m%ch+ m%ch more* 0rofessor Trims .ewsletter - #a e you missed one$ ItAs okay they can be iewed on the ALMA Website under the B.ews C * entsA tab and click on B.ewslettersA. 0ntil April issue 11. 'ake care of YOU11&heers Tan a

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lifestyle e-news
'our ALMA "ommittee "aroline West 9 )resident Doanna McMillan / @ice )resident 8arry *gger / 4ecretary+ Conference Or"anisin" 4% 9Committee Dohn 2te ens / ,reas%rer ,a id "ol(uhoun 9 Conference Or"anisin" 4% 9Committee "am Mc,onald / 5ewsletter Editor+ Conference Or"anisin" 4% 9Committee Eate Marsh 9 5ewsletter Editor+ Conference Or"anisin" 4% 9Committee

Issue 14 February 2014

LIF* A LITTL* - In esting time in life beyond medicine will benefit you and your patients9 ,his was the headin" on an article written y Dr Caroline West 7ALMA )resident8 for the A%stralian Doctor a while ac: and now we see the development of <) Wellness mod%les+ meditation and mindf%lness strate"ies ein" p%t to"ether to roll o%t across the "eneral practice networ:* Caroline is passionate when it comes to Lifestyle Medicine and is :een to s%pport her collea"%es to en$oy the alancin" act etween wor: and life* Removin" arriers on why <)s donFt ta:e holidays s%ch asN

.ew Website We have "one LI@E with a new we site www*lifestylemedicine*com*a% Content mana"ement will contin%e as the we pa"es and enefits to mem ers "rowB O5 4ALE 5OW / 5EW eBoo: ,he ALMA Eatin" )lan for )eople and )lanet / remem er to si"n in for the Mem er disco%ntB

Inertia / how do yo% start incorporatin" rea:s into yo%r sched%le Concerns a o%t increased wor:load on collea"%es Cost and availa ility of loc%ms )atient reactions #inancial concerns #ears a o%t "ettin" ac: into a wor: ro%tine after a rea:

4harin" . "ood reasons to ta:e a holidayN

-* Rest+ rela&+ rechar"e* 1* ,ime to connect with family and friends+ shared memories and
e&periences can draw yo% closer*

J* Meet new people* While most doctors meet new people everyday+ there
;pcoming * ents 5ational #or%m 9 Incentivisin" a Healthier R A%stralia 9 March .th+ M%se%m of Contemporary Art+ 4ydney * ,he for%m will e loo:in" at the de ate of the CcarrotC vers%s Cstic:C approach when it comes to enco%ra"in" healthier ehavior to com at risin" o esity and chronic disease* httpN>>reso%rces*aia*com*a%>inde&*php>email>e mailWe viewLm:tPto:OJR:MM

3* =* .*

is a difference when yo% are on holiday* Ko% are meetin" people witho%t ein" their doctor+ which can e li eratin"* Advent%re+ learnin" new s:ills* ,ryin" somethin" a little different* Happiness* If yo% holiday in A%stralia yo% can tell yo%rself yo% are doin" yo%r it to stim%late the economy*

,a:in" the time to e mindf%l of simple daily thin"s and %tilisin" mindf%lness ased stress red%ction can provide many enefits+ incl%din"N

Improved imm%nity Red%ced stress+ an&iety+ depression Increase in empathy Improved sleep Red%ction of chronic pain <reater %se of positive copin" s:ills s%ch as en"a"ement and prioritisin"

WA.T T+ E.+W M+7*$ #+2T '+;7 +W. W+7E2#+0$ ,o learn more a o%t these wor:shops+ session times and when yo% can host a wor:shop in yo%r area please contact ,an$a McLeish+ CEO on 23-3 I1. IIJ or send yo%r reH%est and contact details via email to ceo;lifestylemedicine*com*a%*

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lifestyle e-news
Is your competition using the internet to steal your customers$ 4o co%ld it "et any worseL

Issue 14 February 2014

ItFs amaGin" to thin: that only 3JS of %sinesses have a we site* Ket over T2S of A%stralians are online and actively searchin"* Have yo% "ot a proper we siteL If yo% were thin:in" online was only for i" %siness+ thin: a"ain* - in = <oo"le searches is local* 4o if yo% donFt have a serio%s we presence and people are loo:in" for yo%+ where are they "oin"*** yo%r competition of co%rse*

,he answer is Kes* Even if yo% have a we site %t donFt have a mo ile version+ yo% co%ld e missin" o%t on the - in J people doin" a local search* 5ow thatFs i" %siness to e missin" o%t on* 4o what can yo% do a o%t itL <et a we presence and ma:e s%re yo%r site is optimiGed for mo ile* ,he internet sho%ld now e yo%r n%m er one mar:etin" channel as itFs the n%m er one way cons%mers find local %sinesses* And if yo% have a we site+ ma:e s%re yo%Fre o%t ran:in" yo%r competition for :eywords yo%r c%stomers will %se to find yo%r %siness* If they o%t ran: yo%+ then yo%Fre missin" o%t on a lot of %siness* Mi:e 4andys is the Mana"in" Director of Odd all We 4ol%tions* An innovative we desi"n company who %ild we sites that deliver a si"nificant Ret%rn9On9Investment* ,heyFre e&perts in hi"h <oo"le ran:in"s+ Adwords and 4ocial Media Mana"ement* Chec:o%t their we site at httpN>>www*odd allwe sol%tions*com*a%

Conference: Exercise as Treatment for Chronic Disease-What is the Evidence? 1st May 2014 ( o!d Coast" #!d$
E&ercise is hi"hly effective+ %t poorly %sed+ treatment for a n%m er of conditions incl%din" cancer fati"%e+ cardiac reha ilitation+ "raded e&ercise for C#4+ osteoarthritis+ o esity+ lower ac: pain+ falls prevention and dia etes* 4pea:ers+ incl%din" o%r own )rofessor <arry E""er have een invited to provide the evidence and rationale for the different types of e&ercise for different clinical conditions+ practical tips on the Ahow toA of different disease9specific e&ercise re"imes+ evidence of a variety of clinical conditions where e&ercise has een fo%nd to e most effective and disc%ss some of the important co"nitive+ social+ and lo"istical iss%es that form part of an effective Ae&ercise prescriptionA* More information and re"istration details can e fo%nd at httpN>>www*e&erciseastreatment*net*a%>

%&stra!ian M&sc&!os'e!eta! (et)or' (%M*($ *eminar: Connectin+ ,ractice1.th March" 2014 (/yron /ay$
,he AM45 e&ists to provide H%ality inter9professional development opport%nities for practitioners+ researchers and academics en"a"ed in m%sc%lo9s:eletal care* ,his seminar+ Connectin" )ractice+ will show how colla oration etween professions improves practice+ client o%tcomes and yo%r %siness* ,o"ether with some of the est spea:ers in their fields yo% will connect and>or re9connect withN new :nowled"e a o%t the state of yo%r c%rrent ( f%t%re clienteleU the %se of evidence and research that can improve practiceU and specialist clinical s:ills* As well yo% will connect with other m%sc%lo9s:eletal foc%ssed professionals and the services they offer* More information and re"istration details can e fo%nd at httpN>>amsn*com*a%>

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lifestyle e-news
Lifestyle and /rain #ealth. "am Mc,onald

Issue 14 February 2014

Are yo% com inin" lifestyle medicine to "et the est o%t of yo%r rainL ,he old idea that yo%r rain cells disappear never to ret%rn after each alcoholic drin:+ may have served a small p%rpose in red%cin" some cons%mption* However+ it "ave little hope to those who wanted to %nwind the dama"e ca%sed y a f%n 12Fs+ J2Fs e&perience* ,he "ood news from the last 1 decades is that yo%r rain is a %sy reprod%cer of new rain cells+ and this phenomenon e&tends into yo%r .2Fs and eyond* ,his is timely news+ as the rate of mental disease incl%din" Depression+ An&iety+ Bi9polar disease+ AlGheimerFs+ Dementia and others is rapidly increasin" and c%rrently affects 12S 7J*1 million8 of A%stralians a"ed -. to 0=* Evidence s%pportin" lifestyle medicine to red%ce this %rden have ecome more s% stantive in recent years+ s%ch that recommendations are ecomin" more o $ective and specific* *Gercise One of the commonalities to a n%m er of mental conditions is a decrease in the siGe and f%nction of the hippocamp%s+ a rain re"ion %sed for memory+ foc%s and attention* 4imilarly+ there seems to e a mar:ed red%ction in the prod%ction of a critical ne%rochemical+ rain derived ne%rotrophic factor 7BD5#U AVAN Brain #ertiliser8* ,his hormone is responsi le for the prod%ction+ maintenance and s%rvival of a y+ old and "rowin" ne%rons* 5ot to mention it is e&tremely anti9inflammatory and prod%ces ne%ro9 protective antio&idants* Aero ic e&ercise+ and to a lesser e&tent resistance trainin" have een shown to not only reverse the a"e related wastin" of the hippocamp%s+ %t has een shown to reverse this process res%ltin" in an I5CREA4ED rain vol%me in R.2 yr olds* ,he st%dy y Eric:sson et al had older "%ys r%n on a treadmill for 3= min%tes+ J times>wee: for -1 months* Compared to control+ the hippocampal vol%me increased -91S+ compared to a decrease of -91S in control* In addition+ witho%t any co"nitive specific trainin"+ vis%o9spatial memory 7a hippocamp%s tas:8 improved in the e&ercise "ro%p* Match these findin"s with the promisin" data on early co"nitive decline and depression+ e&ercise is the wonder dr%" for rains / prescri e it todayB 7Chec: o%t E&ercise is Medicine we site for more info on the enefits and prescriptions8 Lon" story short+ e&ercise increases rain f%nction and reverses the effects of a"ein" in an area specific to mental disease* .utrition ?%st li:e the heart+ the rain needs f%el+ and it also needs the ri"ht %ildin" loc:s to tac:le the challen"e of "rowin" and maintainin" rain cells* A5D+ $%st li:e the heart+ a Mediterranean diet profile is loo:in" li:e yo%r est et to enhance co"nitive health and prevent a"e related decline in some meas%res* Indeed+ it has even een shown to e lin:ed to an increase in BD5# and red%ced rates of depression* In addition+ individ%al n%trients have raised some interest* 4ince ne%ro"enesis is the critical element of "ood co"nitive f%nction+ n%trients that stim%late and s%pport this "rowth are "oin" to e :ey to healthy rains* Ome"a9J from fish+ :rill+ calamariBBB+ partic%larly that which is hi"h in DHA have een shown to e important elements in rain "rowth+ and a meta9analysis indicates itFs also pretty handy for depression* 5ot only does ome"a9J improve vasc%lat%re as we :now from cardiac research+ %t synaptic mem ranes consist of %p to 32S DHA ome"a9J / an essential %ildin" loc:* Other n%trients worth notin" incl%de folate+ B-1 and flavonoidsU spices li:e t%rmeric and cinnamon also have an effect on rain related optimisation* The combination Recent research is even showin" that pairin" e&ercise and ome"a9J to"ether may have syner"istic effects* 5ot only from an anti9 inflammatory perspective+ %t providin" BD5# release for the "rowth of rain cells+ and addin" a critical %ildin" loc: 7ome"a9J DHA8 may si"nificantly improve ne%ro"enesis / an interestin" idea rather than contin%ally analysin" individ%al modalitiesB

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lifestyle e-news
Continue! "ro# $age %&' The combination ,he rain is somethin" yo% can impact and #EEL todayB Heart disease mi"ht e 12 years away+ lon"er if yo% :eep %p with ALMA+ %t yo%r meetin" with the oss+ or new client that yo%Fve "ot to nail will e infl%enced y lifestyle todayB <et o%t there+ move+ eat "ood foods and watch yo%r rain improve every day well into yo%r older years* 7eferences: -* AIHWN https:%%httpN>>www*aihw*"ov*a%>mental9 health>* Camp ell 4+ MacH%een <N The role of the hippocampus in the pathophysiology of ma&or depression* 2ournal of psychiatry 3 neuroscience 4 2P/ 1223+ 4=7.8N3-I931.* Eric:son VI+ @oss MW+ )ra:ash R4+ Basa: C+ 4Ga o A+ Chaddoc: L+ Vim ?4+ Heo 4+ Alves H+ White 4M et alN *Gercise training increases si1e of hippocampus and impro es memory* Proceedin#s of the /ational Acade$y of %ciences 12--+ 35H7I8NJ2-I9J211 3* =*

Issue 14 February 2014

#Wart C+ 4amieri C+ Rondea% @+ Amieva H+ )ortet #+ Darti"%es ?9#+ 4carmeas 5+ Bar er"er9<atea% )N Adherence to a Mediterranean diet, cogniti e decline, and risk of dementia* 2AMA 4 the )ournal of the A$erican Medical Association 122T+ @547.8N.J09.30* 4XncheG9@ille"as A+ <al ete C+ MartineG9<onGXleG MA+ MartineG ?A+ RaGH%in C+ 4alas94alvadY ?+ Estr%ch R+ B%il9Cosiales )+ MartZ AN The effect of the Mediterranean diet on plasma brain:deri ed neurotrophic factor I/,.)J le els: the 07*,IM*,: .AFA77A randomi1ed trial* /utritional neuroscience 12--+ 367=8N-T=912-* 4ancheG9@ille"as A+ MartZneG9<onGXleG MAN ,iet, a new target to pre ent depression$ *M& $edicine 12-J+ 337-8NJ9J* 4anh%eGa C+ Ryan L+ #o&croft DRN ,iet and the risk of unipolar depression in adults: systematic re iew of cohort studies* 2 Hu$ /utr 5iet 12-J+ 4<7-8N=.9I2* <omeG9)inilla #N /rain foods: the effects of nutrients on brain function /at 6e" /eurosci 1220+ =7=.09=I08*

1*

.*

J*

I*

0*

)rom the Dournals )oter et al* O esity and physical frailty in older ad%ltsN a scoopin" review of lifestyle intervention trials* ? Am Med Dir Assoc* 12-3 ?an -I [Ep% ahead of print\ Wolever et al* A systematic review of the literat%re on health and wellness coachin"N definin" a :ey ehavio%ral intervention in healthcare* <lo Adv Health Med* 12-J ?%lU1738NJ09=I* MartineG9<onGaleG et al* ,he ma$or E%ropean dietary patterns and meta olic syndrome* Rev Endocr Meta Disord* 12-J 4epN -37J8N1.=9IH%tfless et al* 4trate"ies to prevent wei"ht "ain in ad%ltsN a systematic review* Am ? )rev Med* 12-J DecU3=7.8 4trath et al* <%ide to the assessment of physical activityN clinical and research applicationsN a scientific statement from the American heart association* American heart association physical activity committee of the co%ncil on lifestyle and cardiometa olic health and cardiovasc%lar+ e&ercise+ cardiac reha ilitation and prevention committee of the co%ncil on clinical cardiolo"y and co%ncil circ%lation* 12-J 5ov -1U-107128N11=T9IT *

Hoelscher et al* )osition of the academy of n%trition and dieteticsN interventions for the prevention and treatment of pediatric overwei"ht and o esity* ? Acad 5%tr Diet* 12-J OctU--J7-28N -JI=9 T3 @e"tin" et al* Internet pro"rams tar"etin" m%ltiple lifestyle interventions in primary and secondary care are not s%perior to %s%al care alone in improvin" cardiovasc%lar ris: profileN A systematic review* E%r ? Intern Med* 12-3 ?anU1=7-8NIJ90)eter et al* <enetic modifiers of cardiorespiratory fitness response to lifestyle intervention* Loo: AHEAD Research <ro%p* Med 4ci 4ports E&ercise* 12-3 #e U3.718NJ219--* #lemin" et al* Low9"lycaemic inde& diets in the mana"ement of lood lipidsN a systematic review and meta9analysis* #am )ract* 12-J OctUJ27=8N30=9T4howell et al* A systematic review of home9 ased childhood o esity prevention st%dies* )ediatrics* 12-J ?%lU-J17-8 * Cotter et al* Internet interventions to s%pport lifestyle modification for dia etes mana"ementN a systematic review of the evidence* ? Dia etes Complication* 12-J Dec -- [Ep% ahead of print\

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