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Improving Women’s Health Across the Lifespan





ISBN 9780367627621
Published October 25, 2021 by CRC Press
520 Pages 28 B/W Illustrations

 
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Book Description

There is renewed interest in lifestyle medicine – the focus on food, physical activity, stress management, high-quality connections, restorative sleep, and avoidance of toxic substances – in the prevention, treatment, and sometimes reversal of chronic disease, but very little information exists on its application for improving specific women’s health issues across the lifespan. Consequently, there is a growing need among health professionals who care for women for a textbook that addresses evidence-based lifestyle solutions to manage the health challenges they face every day in their offices.

This book begins with a review of the fundamentals of Lifestyle Medicine through the lens of a woman’s lifespan. It provides information about lifestyle interventions to improve gynecologic and sexual health and to manage and sometimes reverse gynecologic diseases. It clarifies the importance of lifestyle and behaviors before and during pregnancy to address infertility, reduce adverse pregnancy outcomes, and to lower non-communicable diseases in children along with emerging epigenetic evidence. The use of Lifestyle Medicine to prevent and manage breast and gynecologic cancers, enhance health as part of cancer survivorship, and decrease the risk or reduce many of the symptoms and diseases experienced during menopause including vasomotor symptoms and osteoporosis are also discussed. Additionally, the text covers cardiovascular disease, diabetes, autoimmune disorders, dementia and mental health from the perspective of gender specific differences.

This book provides practical resources on implementing the components of lifestyle medicine. Some of the topics covered include models of care for women and families, reimbursement, health coaching and behavioral change, community engagement and health equity for under-resourced settings. The electronic version of the book presents supplemental material featuring in-depth reading, as well as online and digital resources for implementing Lifestyle Medicine.

The book is an evidence-based source of information on women’s health issues for health professionals already practicing lifestyle medicine, as well as an entry level textbook for those new to the field of lifestyle medicine. The collective expertise of each of the editors along with content provided by leaders within the American College of Lifestyle Medicine fills a much-needed void within the specialty of Lifestyle Medicine and is for providers of women’s health globally.

Features:

● Provides a basic overview of Lifestyle Medicine (nutrient-rich diet, exercise, stress resilience, sleep, and high-quality connections) in the care of women across the lifespan.

● Provides lifestyle-focused treatment recommendations for specific women health issues.

● Includes strategies for implementing Lifestyle Medicine with vulnerable populations and in communities.

● Summarizes key points at the close of each chapter and includes supplemental material with in-depth reading.

● Features additional resources for implementing lifestyle medicine into practice.

 

"This women's health book is evidence based and comprehensive. There is nothing like it. Women need up to date information about physical activity, nutrition, sleep, stress resilience, social connection and substance use. In addition, there is a desire to better understand the power of these pillars throughout a woman's life including pregnancy, menopause and the golden years. This book fills that need." 
Elizabeth Pegg Frates, MD, DipABLM, FACLM, President Elect of the American College of Lifestyle Medicine
 
"Healthy aging begins at pre-conception. Evidence overwhelmingly shows that it’s we women who—through our lifestyle behavior choices—can take far greater control of our own health destinies, as well as the health destinies of our children and generations to come. We cannot underestimate the power of what we eat, how we move, and what we think in regard to our optimal health or lack thereof. This book is a must-read for all medical professionals!"
Susan Benigas, Executive Director of the American College of Lifestyle Medicine
 
Lifestyle Medicine is the science of taking core principles and customizing how they're applied to each individual and each situation to achieve positive health behavior change. This book sets the evidence based foundation for how that process happens, and why it needs to happen, with the most important segment of health consumers - women.  It is the next for all who are passionate about changing how health care is delivered."
Wayne S. Dysinger, MD, MPH, Physician, Founder and Chair, Lifestyle Medical
 
“Lifestyle factors have a powerful role in chronic disease prevention, underscoring the profound control we have over our health.  Improving Women’s Health Across the Lifespan applies lifestyle medicine to women’s health, empowering women and their clinicians with the tools to transform their lives, and fostering a legacy of health for future generations.”
JoAnn E. Manson, MD, MPH, DrPH, Professor of Medicine and the Michael and Lee Bell Professor of Women's Health, Harvard Medical School Chief, Division of Preventive Medicine Brigham and Women's Hospital, Professor, Harvard Chan School of Public Health

 

Table of Contents

Contents

Acknowledgments ..................................................................................................... ix

Editor Biographies .................................................................................................... xi

List of Contributors ................................................................................................. xiii

Introduction .......................................................................................... 1

Chapter 1 Optimal Nutrition for Women .............................................................. 3

Kayli Anderson, Kaitlyn Pauly, Debra Shapiro, and Vera Dubovoy

Chapter 2 Physical Activity for Women .............................................................. 41

Ginger Garner and Wendy Farnen Price

Chapter 3 Sleep and Women’s Health ................................................................. 63

Cindy Geyer

Chapter 4 Emotional Wellness and Stress Resilience ......................................... 85

Gia Merlo, Ariyaneh Nikbin and Hanjun Ryu

Chapter 5 Positive Psychology and Relational Connectedness ........................ 105

Liana Lianov

Chapter 6 Avoiding Risky Substances and Environmental Exposures ............. 125

Natasha DeJarnett and Neha Pathak

Chapter 7 Models of Care for Women and Families, Reimbursement, and

Telemedicine .................................................................................... 145

Haran Sivakumar, Megan Alexander, Allison Theberge,

and Deepa Sannidhi

Chapter 8 Adverse Childhood Events and Trauma- Informed Care .................. 155

Robin Ortiz

Chapter 9 Health Coaching, Motivational Interviewing, and Behavior

Change in Women’s Health .............................................................. 167

Mark D. Faries, Alyssa Abreu, Sarah- Ann Keyes,

Tasnim El Mezain and Jessica A. Matthews

Chapter 10 Health Equity and Women’s Health in Underserved

Communities .................................................................................... 185

Stacie Schmidt, Jada Bussey- Jones, and Tracey L. Henry

Chapter 11 Community Engagement and Women’s Health ................................ 199

Cheryl True, Elisabeth Fontaine, and Erin Phillips

Chapter 12 Lifestyle Medicine in the Care of Adolescent Girls ......................... 207

Neeta B. Agarwal and Michelle Dalal

Chapter 13 Menstrual Health and Lifestyle Medicine ........................................ 215

Kranti Dasgupta, Madeline Hardacre, and Michelle Tollefson

Chapter 14 Women’s Sexual Health and Lifestyle Medicine ............................. 227

Megan Alexander, Shannon Worthman, Rashmi Kudesia

and Michelle Tollefson

Chapter 15 Polycystic Ovary Syndrome, Endometriosis, and

Female Infertility .............................................................................. 241

Mahima Gulati, Joy Brotherton, and Jill Chasse

Chapter 16 Lifestyle Medicine in Menopause and Bone Health ........................ 255

Amanda McKinney

Chapter 17 Preconceptual Health ........................................................................ 273

Nancy L. Eriksen, Kristi R. VanWinden, and John McHugh

Chapter 18 Pregnancy ......................................................................................... 309

Nancy L. Eriksen, Kristi R. VanWinden, Anne Bingham,

and John McHugh

Chapter 19 Postpartum Health and Lactation ..................................................... 347

Kristi R. VanWinden and Elizabeth Collins

Chapter 20 A Lifestyle Medicine Approach to Breast Cancer ............................ 365

Amber Orman, Dianne L. Johnson, Amy Comander,

Nigel Brockton, Meghana Reddy, and Gautam Krishna Koipallil

Chapter 21 Gynecologic Cancers and Lifestyle Medicine .................................. 389

Nathalie D. McKenzie, Nnamdi I. Gwacham, and Sarfraz Ahmad

Chapter 22 Lifestyle Medicine in Female Cancer Survivorship ......................... 411

Amber Orman, Meghana Reddy, Gautam Krishna Koipallil,

Nigel Brockton, Michelle Faris, and Michelle Tollefson

Chapter 23 Cardiovascular Disease and Metabolic Syndrome ........................... 425

Neha Pathak

Chapter 24 Diabetes, Overweight, and Obesity .................................................. 441

Jeni A. Shull Clayton

Chapter 25 Dementia .......................................................................................... 459

Kelly J. Freeman, D. Nicole Paddock, and Cristina H. Davis

Chapter 26 Autoimmune Disorders across the Lifespan .................................... 469

Margaret A. Eagan

Chapter 27 Psychiatric Disorders in Women ...................................................... 477

Gia Merlo, Hanjun Ryu, and Ariyaneh Nikbin

Index ...................................................................................................................... 491

...
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Editor(s)

Biography

Michelle Tollefson , MD, FACOG, DipABLM, FACLM, is an obstetrician- gynecologist

in Denver, CO, and a professor in the Health Professions Department at

Metropolitan State University of Denver where she created and oversees the Lifestyle

Medicine Program and the Wellness Coaching and Lifestyle Medicine Pathway.

Dr. Tollefson is a graduate of Creighton University, where she received both her

Bachelor of Science and Doctor of Medicine degrees. She completed her obstetrics

and gynecology residency at the University of Missouri in Kansas City. She is also

board certifi ed in Lifestyle Medicine and is a fellow of the American College of

Lifestyle Medicine (ACLM).

As an ACLM member for more than a decade, she founded and co- chairs the

Women’s Health Member Interest Group as well as the Pre- Professional Lifestyle

Medicine Education Member Interest Group. She serves as the ACLM Board

Secretary and on the Education and Membership Committees.

Dr. Tollefson has worked with Dr. James Rippe, Lifestyle Medicine Series Editor,

on prior projects, including guest- editorship of a special edition of the American

Journal of Lifestyle Medicine .

She is also a breast cancer survivor and thriver and facilitates PAVING the Path to

Wellness online Lifestyle Medicine groups for breast cancer survivors. She lives in

Colorado with her husband and three children, Kaitlyn, Luke, and Blake.

 

Nancy Eriksen , MD, FACOG, DipABLM, is an associate professor of Maternal-

Fetal Medicine in the Department of Obstetrics and Gynecology at Baylor College of

Medicine in Houston, Texas. Dr. Eriksen is a graduate of the University of Miami in

Miami, Florida, where she received her Bachelor of Science degree in Biology. She

received her Doctor of Medicine degree and completed her residency in Obstetrics

and Gynecology at Wright State University in Dayton, Ohio. She completed her

fellowship in Maternal- Fetal Medicine at the University of Texas Health Sciences

Center in Houston, Texas. She is board certifi ed in Obstetrics and Gynecology,

Maternal- Fetal Medicine, and Lifestyle Medicine.

Dr. Eriksen is a member of the American College of Lifestyle Medicine (ACLM)

Women’s Health Member Interest Group and co- chair of the Pregnancy subcommittee.

Dr. Eriksen lectures on a variety of topics related to Lifestyle Medicine and

women’s health for local, regional, and national audiences. She has been a speaker for

an ACLM webinar and at national meetings for ACLM and the American College of

Obstetrics and Gynecology. Her most recent project is developing the Preconceptual

Health and Nutrition and Pregnancy and Nutrition modules for the ACLM Food as

Medicine CME course. Her clinical interests include the impact of a whole- food

plant- based nutrition on improving preconceptual health and pregnancy outcomes.

 

Neha Pathak , MD, DipABLM, is a physician and WebMD/ Medscape medical editor

and writer. Dr. Pathak is an honors graduate of Harvard College. She received her

Doctor of Medicine degree and completed her internal medicine degree at Weill

Medical College of Cornell University in New York. She is board certifi ed in both

Internal Medicine and Lifestyle Medicine.

Dr. Pathak began practicing Lifestyle Medicine within the Department of Veterans

Affairs (VA) with the Whole Health program. She completed the VA Quality

Scholar program, a VA- sponsored quality improvement fellowship during which she

developed and implemented a pilot program to improve care for vulnerable veterans

utilizing interdisciplinary care, telehealth monitoring, and interventions focused on

lifestyle and social determinants of health.

Dr. Pathak serves on the board of directors of the American College of Lifestyle

Medicine (ACLM) and is a member of the ACLM’s Women’s Health and Health

Equity Achieved through Lifestyle Medicine (HEAL) member interest groups. She is

also co- chair of the ACLM’s Global Sustainability Committee.

She is passionate about educating the public and health professionals about the

benefi ts of Lifestyle Medicine not only to protect individual health, but also to

improve community and planetary health. She lives in Atlanta with her husband and

three daughters, Ishani, Kiran, and Vidya.

Reviews

"This women's health book is evidence based and comprehensive. There is nothing like it. Women need up to date information about physical activity, nutrition, sleep, stress resilience, social connection and substance use. In addition, there is a desire to better understand the power of these pillars throughout a woman's life including pregnancy, menopause and the golden years. This book fills that need." 
Elizabeth Pegg Frates, MD, DipABLM, FACLM, President Elect of the American College of Lifestyle Medicine
 
"Healthy aging begins at pre-conception. Evidence overwhelmingly shows that it’s we women who—through our lifestyle behavior choices—can take far greater control of our own health destinies, as well as the health destinies of our children and generations to come. We cannot underestimate the power of what we eat, how we move, and what we think in regard to our optimal health or lack thereof. This book is a must-read for all medical professionals!"
Susan Benigas, Executive Director of the American College of Lifestyle Medicine
 
Lifestyle Medicine is the science of taking core principles and customizing how they're applied to each individual and each situation to achieve positive health behavior change. This book sets the evidence based foundation for how that process happens, and why it needs to happen, with the most important segment of health consumers - women.  It is the next for all who are passionate about changing how health care is delivered."
Wayne S. Dysinger, MD, MPH, Physician, Founder and Chair, Lifestyle Medical
 
“Lifestyle factors have a powerful role in chronic disease prevention, underscoring the profound control we have over our health.  Improving Women’s Health Across the Lifespan applies lifestyle medicine to women’s health, empowering women and their clinicians with the tools to transform their lives, and fostering a legacy of health for future generations.”
JoAnn E. Manson, MD, MPH, DrPH, Professor of Medicine and the Michael and Lee Bell Professor of Women's Health, Harvard Medical School Chief, Division of Preventive Medicine Brigham and Women's Hospital, Professor, Harvard Chan School of Public Health