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Toys, Testosterone & Technology How To: Make Good Nutritional Choices Stop Smoking Lose Weight & Be Physically Active in 2013 Sarah Mildred Gamble, DO.

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Presentation on theme: "Toys, Testosterone & Technology How To: Make Good Nutritional Choices Stop Smoking Lose Weight & Be Physically Active in 2013 Sarah Mildred Gamble, DO."— Presentation transcript:

1 Toys, Testosterone & Technology How To: Make Good Nutritional Choices Stop Smoking Lose Weight & Be Physically Active in 2013 Sarah Mildred Gamble, DO Internal Medicine Physician GPD Departmental Surgeon 02/05/13

2 About Me Police Officer Standards Training Council (POST) Certified Instructor: 2010-Current Clinical Instructor: Columbia University College of Physicians & Surgeons- NY, NY Solo Practitioner Wife of 9 years to GPD’s Newest K-9 Officer Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

3 Altos

4 Objectives 1.Understand how Poor Nutritional Choices, Tobacco, Obesity & Inactivity THREATEN LEO’s 2.Understand that Poor Nutritional Choices, Tobacco, Obesity & Inactivity cause DISEASE 3.Learn of New Ways to Stay Fitter & Faster Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

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6 Rule Before the Rules Eliminate the Threat Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

7 The LEO Threat Car Crash / Code 20 No Reflective Vest No Seatbelt No Body Armor Unarmed Off Duty Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

8 Threat

9 The LEO Threat Poor Nutritional Choices Tobacco Abuse Obesity Physical Inactivity Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

10 Threat

11 End Result is The SAME

12 Poor Nutritional Choice Related Disease High Blood Pressure High Cholesterol Stroke Cancer Sleep Disorders Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

13 Tobacco Related Disease High Blood Pressure High Cholesterol Respiratory Disorders Stroke Cancer Sleep Disorders Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

14 Obesity Related Disease High Blood Pressure High Cholesterol Respiratory Disorders Stroke Cancer Arthritis Sprains & Strains Sleep Disorders Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

15 Inactivity Related Disease High Blood Pressure High Cholesterol Cancer? Sleep Disorders Sprains & Strains Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

16 Healthy LEO Good Nutritional Choices No Tobacco Use Ideal Body Weight (within 25 lbs.) Physically Fit Departmental Support for Wellness Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

17 Unhealthy LEO Poor Nutritional Choices Smoker Obese (> 30 lbs. overweight) Physically Deconditioned No Departmental Support for Wellness Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

18 Healthy Cops Are Productive Cops Are Good Role Models Live QUALITY Lives Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

19 Healthy LEO

20 Unhealthy Cops Are Unproductive Cops Are Publically Mocked Live SHORT Lives Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

21 Unhealthy LEO

22 Root Cause? A Reason Why ‘Something’ Happened Failure of Process

23 Root Causes Depression / Mental Illness Genetics / Addiction Sleep Disorders Hormone / Vitamin Deficiencies Media Distortion Lack of Education Positive Reinforcement Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

24 Rule Before the Rules Eliminate the Threat Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

25 The LEO Threat Poor Nutritional Choices Tobacco Abuse Obesity Physical Inactivity Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

26 Eliminate How? Toys Testosterone Technology Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

27 Toys, Testosterone & Technology Apps E-Cig / Quit Line / Texts / Body Bugs Hormone/Vitamin D Replacement / Maintenance Bioelectrical Impedance / DEXA Scan RMR / VO2 Max / Flexibility Sleep Study / Electronic Monitoring Blood Work / Supplements ECT / Deep Brain Stim / Transcranial Stim Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

28 Why The Urgency? Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

29 Root Cause of Poor Nutritional Choices Learned Behavior Depression / Mental Illness Genetics / Addiction Sleep Disorder Lack of Education Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

30 Threat

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32 Good Nutritional Choice

33 Good Nutritional Choice Apps!

34 Good Nutritional Choice http://www.hsph.harvard.edu/nutritionsource

35 Good Nutritional Choice

36 http://www.cigna.com/individualsandfamilies/he althwellness

37 Good Nutritional Choice

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39 http:// blog.greenwichpuremedical.com

40 Good Nutritional Choice

41 Threat

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43 Cancer Stick Anyone?

44 Tobacco Kills People #1 preventable cause of disease disability & death Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

45 Root Cause for Smoking Addiction Media Distortion Lack of Education Positive Reinforcement Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

46 Electronic Cigarette Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

47 Latest Safest E-Cig Info BU School of Public Health 2010: – Safer than real cigarettes – Aid in breaking the habit of smoking – Tox level similar to existing nicotine replacements Carcinogen is 1,000 times less May help by simulating a tobacco cigarette Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

48 1-800-Quit-Now All 50 States Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

49 Tobacco Apps

50 Tobacco Texts Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

51 Threat

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53 Technology for Hormone/Vitamin Deficiency Blood Work Pharmaceutical Grade Replacements Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

54 Testosterone? Hormone made by body mostly in testicles (adrenals in women) Helps: Maintain reproductive tissues Sperm production Stimulate & maintain sexual function Increase muscle mass & strength Maintain bone strength Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

55 STEROID ABUSE IS RAMPANT Est 1 % entire pop USA have used/using 2009 Nat Inst Drug Abuse- 2.5% Male HS seniors used in past year Approx. 5% all HS students report using GH Testosterone, hGH & Growth Hormone Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

56 Causes of Low-T Daily Alcohol Consumption / Tobacco Abuse Infections / Infiltrative Disease Obesity Diabetes History of Brain Trauma / Testicular Trauma Aging Medications – Anti-Fungals – Oxycodone – Prednisone – Percocet/Vicodin – Antibiotics Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

57 Low-T Can Cause Central Obesity Higher Insulin Levels Diabetes Mood Disorders Loss of Height/Osteoporosis Female pattern Weight Gain Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

58 Low T Affects Cognitive Function / Mood Muscle Strength Fat Mass Bone Density Sexual Function Serious Emotional Stress Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

59 T Replacement Dangers High LDL / Low HDL Erythrocytosis / Hemostasis Sodium / HTN / Cardiac (?) Neuropsychiatric Issues Liver Toxicity Tendon / Muscle Injury Prostate Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

60 Vitamin D

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62 Vitamin D Deficiency Naturally produce Vitamin D from sun Est 30% USA is still low Crucial for muscle function & strong bones Correlation between Low D & Depression Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

63 Consequences of Vitamin D Deficiency Central Obesity Depression / Suicide? Osteoporosis Gum Disease Susceptibility to Infections Prolonged Recovery Time Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

64 Correct Vitamin D Deficiency Medical Grade Supplements GMP Certified Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

65 Threat

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67 Root Causes of Obesity Depression / Mental Illness Genetics / Addiction Sleep Disorders Media Distortions Lack of Education Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

68 Toys for the Obese Bioelectrical Impedance DEXA Scan Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

69 Bioelectrical Impedance

70 Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

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72 Root Cause of Physical Inactivity Depression / Mental Illness Sleep Disorders Lack of Education High Stress Levels No Access Perceived Time Component Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

73 Toys for the Inactive Body Bugs RMR / VO2 Max Testing Flexibility Training Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

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75 I Love Technology

76 Resting Metabolic Rate

77 VO2 Max

78 Measures metabolic rate during exercise – how many calories your body burns – calories come from fat, carbs, or a combo – what intensity level you burn most efficiently Data that is YOU – Your required calories / Your calories burned – Your fuel composition – Your threshold heart rate – Your fat-burning efficiency Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

79 Print Out

80 Flexibility Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

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82 Threat

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84 Technology for Better Sleep Sleep Study Home Monitoring Electronic Checklist Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

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87 Home Test Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

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89 Toys for Depression/Mood Disorders ElectroConvulsive Therapy (ECT) Deep Brain Stimulation TransCranial Magnetic Stimulation Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

90 ElectroConvulsive Therapy Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

91 Deep Brain Stimulation Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

92 TransCranial Magnetic Stimulation

93 Summary 1.Poor Nutritional Choices, Tobacco, Obesity & Inactivity THREATEN LEO’s 2.Poor Nutritional Choices, Tobacco, Obesity & Inactivity Cause DISEASE 3.Common Root Causes 4.Ideas to keep you Fitter & Faster than the BAD GUYS! Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

94 You GOT It Department Health IGNITES Community Health Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

95 My Team Desk sergeant / dispatchers Emergency 24/7 answering service Email Account: routine matters Social Media: health updates Contact WITHIN the department Captain Hero? Eliminate The Threat: Tobacco, Obesity & Physical Inactivity


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