Jan 2010Lifestyle Health Education, Inc.1 CHIP Information Session Just What is the Coronary Health Improvement Project, Anyway? John Kelly, MD, MPH, Director.

Jan 2010 Lifestyle Health Education, Inc. 1

CHIP Information Session

Just What is the “Coronary Health Improvement Project,”

Anyway?

John Kelly, MD, MPH, DirectorRocky Mount Lifestyle Health Center


Preview

• Introduce our CHIP staff• Share WSLS-10 Health Team report• Introduce CHIP founder, Dr. Diehl• Review advantages of community-

based lifestyle program• View CHIP video• Overview of CHIP program and

materials• Registration process


Introduce our CHIP staff

• John Kelly, MD - Medical Director• Sally Kelly - CHIP Co-Director & Chef• Viki Little, RN - Hosting Coordinator• Jody O’Brien - Heartscreen

Coordinator• Kevin Powell - Chaplain & Coach• And our many other volunteers…


How Did We Come to CHIP?

• Met Dr. Diehl in Loma Linda, CA• Helped with some CHIP programs• Led a CHIP program conducted by

medical students for medical training

• Conducted local CHIP programs, including one as a study at Carilion

• Helped launch numerous CHIP programs in Roanoke area

Combined CHIP Program Results

-6 -8 -7

-16

-24

-14

-4

-53

-60

-50

-40

-30

-20

-10

0

Wgt SBP DBP FBS TChol LDL HDL TGL

Amount Percent

Diabetic CHIP Program Results

129

80 76 82

163

179

283

233

133

77 75 79

121

153

78

35

199

120

80

60 60

180

100

45

150

41

89

238

90

-5

4

-2 -1 -3

-43

-26

-11 -6

-84-100

-50

0

50

100

150

200

250

300

Weight Systolic BP Diastolic BP Pulse HbA1c (x10) Glucose Total Chol LDL (bad) HDL (good) Triglycerides

Begin End Target Change CHIP targetBMI 38.9 ->38.2

Diabetic CHIP Program Results

129

80 76 82

163

179

283

233

133

77 75 79

121

153

78

35

199

120

80

60 60

180

100

45

150

41

89

238

90

-5

4

-2 -1 -3

-43

-26

-11 -6

-84-100

-50

0

50

100

150

200

250

300

Weight Systolic BP Diastolic BP Pulse HbA1c (x10) Glucose Total Chol LDL (bad) HDL (good) Triglycerides

Begin End Target Change CHIP targetBMI 38.9 ->38.2

FBS dropped 43 mg/dL (26%)TChol dropped 26 mg/dL (14%)LDL dropped 11 mg/dL (12%)TGL dropped 84 mg/dL (30%)


WSLS-10 Health Team Report• Karen McNew learned about CHIP

and excellent Carilion study results• Did a news story on local couple in

the study (Jimmy & Gail Law)• Shared “three things you can do to

improve your health”



The best researched and documented

lifestyle intervention program in the

medical literature, with ~20

publications.


An entire issue of Absolute Advantage

dedicated to the CHIP program and its

various applications


Hans Diehl, DrHSc, MPH• Worked with Nathan Pritikin

Longevity Center, a pioneer lifestyle health center as NIH research fellow

• Made lifestyle medicine his life work and career, developing community programs

• Conducted programs in US, Canada, India, Australia with hundreds attending

• Eventually produced videos of program


Advantages of Community-based Program• Pritikin program is residential - requires

folks to travel across country or world• Costs thousands ($5,000 - $20,000)• Requires leaving home environment

and being off work• Return to same environment after

program with no support• Difficult to continue the lifestyle

changes


Advantages of Community-based Program• Community-based program lets you

stay at home - no long travel required• Can implement lifestyle changes in

your own kitchen and dining room• Local alumni group gives support• Results are comparable to residential• Costs far less (Only $495 for a year

instead of $10-20,000 for 2-3 weeks)$295



Overview of CHIP Program• Heart screen with fasting blood testing• Three evenings a week for five+ weeks

(16 evenings, Mon, Tue & Thur 6:30-8:45pm)

• DVD lectures plus group medical visits with live presentations

• Cooking classes and taste samples• Exercise activity and Grocery store tour• Second heart screen with blood tests• Grad banquet, certificates and awards


CHIP Textbooks and Materials1. CHIP Syllabus2. Dynamic Living text and workbook3. Cookbook of tasty, quik-n-easy

recipes4. Take Charge of Your Health book5. JumpStart booklet6. Getting Started booklet7. Pedometer8. Water bottle and tote bag


CHIP Alumni Stories• Gail L.

• Interviewed by WSLS-10 News

• Now off most of her medications

• Blood sugars no longer in diabetic range

• Feels so much better

• Charles K.• Diagnosed with IHD

2y before CHIP• Stress echo after

CHIP: IHD is gone• He is losing weight

and feeling great

Jan 2010 Lifestyle Health Education, Inc. 19Lifestyle Health Education


$$$


Wolff, et al. Maternal epigenetics & methyl supplementation affect agouti mice gene expression, FASEB 1998;12:949-57.


CHIP Registration Process

1. You decide to take the program (or not)2. Complete the registration forms3. Pay registration fees (prepay or deposit)4. If financial assistance is needed,

complete a scholarship application form5. Select heart screen #1 time slot6. Receive forms to be completed at home

before heart screen #1


CHIP Heart Screen Process

• Come on time for heart screen appt in fasting state (no breakfast! we feed you)

• Bring completed forms with you• Arrange any remaining amount due• Complete each heart screen station• Eat a heart-healthy breakfast• Receive tote bag with CHIP materials• Attend first CHIP session on Monday


For More CHIP Information

Call the Lifestyle Health Centerat 540-483-7775

John Kelly, MD, MPH, DirectorRocky Mount Lifestyle Health Center

Jan 2010Lifestyle Health Education, Inc.1 CHIP Information Session Just What is the Coronary Health Improvement Project, Anyway? John Kelly, MD, MPH, Director.

Documents

health slide

lifestyle changes slide

chip materials

health book

chip session

chip founder

chip syllabus

chip textbooks