Monday, March 17, 2014

Welcome Ashley!


We are pleased to announce that we are joined by a new colleague!  Ashley Kontra, PA-C, will assist in delivering our core mission of excellence in primary care. In addition, she has taken a leadership position with our Progressive Weight Loss Program.

Ashley Kontra is a graduate of Pennsylvania College of Technology’s Physician Assistant Program. During her studies she served as class historian and graduated cum laude. Before studying to become a physician assistant, Ashley attended Lock Haven University where she earned her undergraduate degree in Health Sciences. Her special interests within primary care include dermatology, weight loss, and helping those with special needs. Ashley is a current resident of Philadelphia, PA and grew up in Lancaster, PA. While not at the office, she enjoys exploring Philly, photography, and the arts. Her goal is to make every healthcare visit a positive and comfortable experience that motivates her patients to strive for wellness.

Saturday, March 15, 2014

Live Long and Prosper Newsletter #3

This newsletter was compiled from the latest research on health and longevity, by David Donohue, MD, FACP.

Nutrition
1.   Relationship between 25-hydroxyvitamin D and all-cause and cardiovascular disease mortality.
   Being deficient in vitamin D puts you in a category that has almost double the risk of death relative to normal levels. However, supplementation with vitamin D has not shown greater longevity. We know that low vitamin D levels come with the usual suspects (obesity, sedentary behavior).
August 12, 2013

2.   Towards measurement of the Healthy Ageing Phenotype in lifestyle-based intervention studies.
   Interesting discussion. E.g. If you have these conditions in mid-life: overweight, pre-diabetes, elevated blood pressure, then it puts you at greater risk for cognitive decline later in life. Waist line of 52 inches in men or 45 inches in women doubles your risk of mortality.
August 14, 2013


Exercise
1.   Cardiovascular fitness and mortality after contemporary cardiac rehabilitation.
   People who have coronary heart disease live longer if they get on a cardiac rehab exercise program. The greater the level of fitness they are able to achieve and the more they work out, the longer they live.
August 12, 2013

2.   Benefits and costs of intensive lifestyle modification programs for symptomatic coronary disease in Medicare beneficiaries.
   Dean Ornish style low lat diet plus lifestyle changes resulted in better outcomes and a little lower costs for patients with coronary heart disease.
August 12, 2013



Lifestyle
1.   Lifestyle interventions in patients with coronary heart disease: a systematic review.
   The aggregate research done to date suggests when doctors do "multifactorial lifestyle interventions" (i.e., trying to get patients to eat and exercise better), their patients' risk of dying from heart disease is reduced by 18%.
August 12, 2013

2.   Non-nutritive sweeteners: Review and update.
   There is insufficient evidence to conclude that artificial sweeteners are safe.
August 12, 2013

Prevention
1.   Comparison between the effects of continuous and intermittent aerobic exercise on weight loss and body fat percentage in overweight and obese women: a randomized controlled trial.
   2 interesting findings in this small study: (1) that exercise added weight loss to those eating a calorie-restricted diet, and (2) splitting up exercise into three daily ~13 minute bouts caused 3X the weight loss at 12 weeks, than doing 40 minutes of exercise all at once. This suggests that we might be best served to "exercise as you are, whenever you can" rather than the monolithic trip to the gym.
September 22, 2013

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