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Toys, Testosterone & Technology
How To:
Make Good Nutritional Choices
Stop Smoking
Lose Weight
&
Be Physically Active
in 2013Sarah Mildred Gamble, DOInternal Medicine PhysicianGPD Departmental Surgeon
02/05/13
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
Altos
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
Rule Before the Rules
Eliminate the Threat
Eliminate The Threat: Tobacco, Obesity & Physical Inactivity
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
Threat
The LEO Threat
Poor Nutritional Choices
Tobacco Abuse
Obesity
Physical Inactivity
Eliminate The Threat: Tobacco, Obesity & Physical Inactivity
Threat
End Result is The SAME
Poor Nutritional Choice Related Disease
• High Blood Pressure• High Cholesterol• Stroke• Cancer• Sleep Disorders
Eliminate The Threat: Tobacco, Obesity & Physical Inactivity
Tobacco Related Disease
• High Blood Pressure• High Cholesterol• Respiratory Disorders• Stroke• Cancer• Sleep Disorders
Eliminate The Threat: Tobacco, Obesity & Physical Inactivity
Obesity Related Disease
• High Blood Pressure• High Cholesterol• Respiratory Disorders• Stroke• Cancer• Arthritis• Sprains & Strains• Sleep Disorders
Eliminate The Threat: Tobacco, Obesity & Physical Inactivity
Inactivity Related Disease
• High Blood Pressure• High Cholesterol• Cancer?• Sleep Disorders• Sprains & Strains
Eliminate The Threat: Tobacco, Obesity & Physical Inactivity
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
Unhealthy LEO
• Poor Nutritional Choices• Smoker• Obese (> 30 lbs. overweight)• Physically Deconditioned
No Departmental Support for Wellness
Eliminate The Threat: Tobacco, Obesity & Physical Inactivity
Healthy Cops
Are Productive Cops
Are Good Role Models
Live QUALITY Lives
Eliminate The Threat: Tobacco, Obesity & Physical Inactivity
Healthy LEO
Unhealthy Cops
Are Unproductive Cops
Are Publically Mocked
Live SHORT Lives
Eliminate The Threat: Tobacco, Obesity & Physical Inactivity
Unhealthy LEO
Root Cause?
A Reason Why ‘Something’ Happened
Failure of Process
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
Rule Before the Rules
Eliminate the Threat
Eliminate The Threat: Tobacco, Obesity & Physical Inactivity
The LEO Threat
Poor Nutritional Choices
Tobacco Abuse
Obesity
Physical Inactivity
Eliminate The Threat: Tobacco, Obesity & Physical Inactivity
Eliminate How?
• Toys• Testosterone• Technology
Eliminate The Threat: Tobacco, Obesity & Physical Inactivity
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
Why The Urgency?
Eliminate The Threat: Tobacco, Obesity & Physical Inactivity
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
Threat
Threat
Good Nutritional Choice
Good Nutritional Choice Apps!
Good Nutritional Choice
http://www.hsph.harvard.edu/nutritionsource
Good Nutritional Choice
Good Nutritional Choice
http://www.cigna.com/individualsandfamilies/healthwellness
Good Nutritional Choice
Good Nutritional Choice
Good Nutritional Choice
http://blog.greenwichpuremedical.com
Good Nutritional Choice
Threat
Threat
Cancer Stick Anyone?
Tobacco Kills People
#1 preventable cause of disease disability & death
Eliminate The Threat: Tobacco, Obesity & Physical Inactivity
Root Cause for Smoking
Addiction
Media Distortion
Lack of Education
Positive Reinforcement
Eliminate The Threat: Tobacco, Obesity & Physical Inactivity
Electronic Cigarette
Eliminate The Threat: Tobacco, Obesity & Physical Inactivity
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
1-800-Quit-Now
All 50 States
Eliminate The Threat: Tobacco, Obesity & Physical Inactivity
Tobacco Apps
Tobacco Texts
Eliminate The Threat: Tobacco, Obesity & Physical Inactivity
Threat
Threat
Technology for Hormone/Vitamin Deficiency
• Blood Work• Pharmaceutical Grade Replacements
Eliminate The Threat: Tobacco, Obesity & Physical Inactivity
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
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
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
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
Low T Affects
• Cognitive Function / Mood• Muscle Strength• Fat Mass• Bone Density• Sexual Function• Serious Emotional Stress
Eliminate The Threat: Tobacco, Obesity & Physical Inactivity
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
Vitamin D
Vitamin D
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
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
Correct Vitamin D Deficiency
Medical Grade Supplements
GMP Certified
Eliminate The Threat: Tobacco, Obesity & Physical Inactivity
Threat
Threat
Root Causes of Obesity
Depression / Mental Illness
Genetics / Addiction
Sleep Disorders
Media Distortions
Lack of Education
Eliminate The Threat: Tobacco, Obesity & Physical Inactivity
Toys for the Obese
• Bioelectrical Impedance • DEXA Scan
Eliminate The Threat: Tobacco, Obesity & Physical Inactivity
Bioelectrical Impedance
Eliminate The Threat: Tobacco, Obesity & Physical Inactivity
Eliminate The Threat: Tobacco, Obesity & Physical Inactivity
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
Toys for the Inactive
• Body Bugs• RMR / VO2 Max Testing• Flexibility Training
Eliminate The Threat: Tobacco, Obesity & Physical Inactivity
I Love Technology
Resting Metabolic Rate
VO2 Max
VO2 Max
• 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
Print Out
Flexibility
Eliminate The Threat: Tobacco, Obesity & Physical Inactivity
Threat
Threat
Technology for Better Sleep
• Sleep Study• Home Monitoring• Electronic Checklist
Eliminate The Threat: Tobacco, Obesity & Physical Inactivity
Home Test
Eliminate The Threat: Tobacco, Obesity & Physical Inactivity
Toys for Depression/Mood Disorders
• ElectroConvulsive Therapy (ECT)• Deep Brain Stimulation• TransCranial Magnetic Stimulation
Eliminate The Threat: Tobacco, Obesity & Physical Inactivity
ElectroConvulsive Therapy
Eliminate The Threat: Tobacco, Obesity & Physical Inactivity
Deep Brain Stimulation
Eliminate The Threat: Tobacco, Obesity & Physical Inactivity
TransCranial Magnetic Stimulation
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
You GOT It
Department Health
IGNITES
Community Health
Eliminate The Threat: Tobacco, Obesity & Physical Inactivity
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
