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Module 1: Introduction to Age Management Medicine
1 Day
10 AMA PRA Category 1 Credits™
Module 1 reveals the scope, theory and
practice of age management medicine (AMM)—including synergistic
components, nutrition and exercise. The course discusses preventive
medicine, (including risk factors and the role oxidation and
inflammation play in degenerative diseases) and describes evaluation
of the aging adult and laboratory panel.
Prior to arriving at the training
site, three home-study sections must be completed, using the
home-study materials, which include tests:
At the training site, you will
personally experience a Clinical Executive Health Evaluation:
complete physical exam, fitness and flexibility measurements, DEXA
scan, hormone panel appropriate for gender, CBC, Chem 20 screen,
HbA1C, serum insulin, homocysteine, serum iron, lipid panel, CRP,
TIBC and U/A.
Module Content
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Definitions and disease targets
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Cancer – age and risk-appropriate
screening, e.g., colonoscopy, mammogram, Indole-3-Carbinol, lycopene, melatonin, omega 3 fatty acids
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Diabetes mellitus – hemoglobin A1c,
insulin resistance/insensitivity, percent body fat
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Cardiovascular disease – LDL
cholesterol, fiber, over-the-counter alternatives, HDL
cholesterol & triglycerides, lipoprotein(a), homocysteine, C
reactive protein, Syndrome X/Metabolic Syndrome
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Osteoporosis – bone densitometry
(dual energy X-ray absorptiometry), pharmaceutical agents
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Dementia – neurochronometric
analysis
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Diet and nutrition – minimum protein
requirement, glycemic index, glycemic load, saturated,
monounsaturated, polyunsaturated, trans fats
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The exercise prescription
Outcome Objectives
After completing this module, the
physician will be able to . . .
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Comprehend the scope of AMM, rooted
in nutrition, endocrinology and disease-risk management
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Identify risk factors for chronic
degenerative disease, including oxidation and inflammation
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Describe the optimal balance of
protein, carbohydrate and fat to delay the onset of degenerative
disease
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Describe the relationship of
glycemic load (GL) to glycation, advanced glycation end-product
(AGE) formation, oxidative stress, and degenerative disease
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Describe the relationship of GL to
serum lipoproteins and cardiovascular risk
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Describe the role of fat and protein
in limiting GL and managing cardiovascular risk
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Describe GL and its relationship to
blood glucose control
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Calculate the GL of any
carbohydrate, given the parameters of total carbohydrate and
fiber content
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Identify foods carrying a high GL
and those with a low GL
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Identify patients with Metabolic
Syndrome and formulate a lifestyle approach for treatment
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Review findings in the literature,
regarding the value of exercise in the treatment and prevention
of chronic disease
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Formulate an exercise prescription
for several patients
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Practice Development Training
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