USC School of Medicine Greenville receives $3.4M research project grant

The University of South Carolina School of Medicine Greenville received a $3.4 million research project grant from the National Institutes of Health.

The five-year grant will support research focused on the use of physical activity to treat disease and promote health. A program called Exercise is Medicine Greenville was launched in 2016 to identify and enroll eligible patients in community-based physical-activity programs designed to prevent, manage and treat their chronic diseases.

“This research is a big step toward helping health care systems promote physical activity in the communities where our patients work, live, pray and play,” said Jennifer Trilk, director of USC School of Medicine Greenville’s lifestyle medicine programs.

USC School of Medicine Greenville partners with Prisma Health and the YMCA of Greenville and Oconee Counties to operate the EIMG model. Meenu Jindal, medical director of Prisma Health’s internal medicine clinics, said the model provides an opportunity for health care providers to work with patients who can’t afford a physical-activity program otherwise or have unique lifestyle challenge to help them stay healthy.

Read more when you click here to visit the Greenville Journal article.

Lifestyle Medicine team co-authors research publications

USC School of Medicine Greenville’s Lifestyle Medicine team has co-authored two new research publications. The publications highlight Exercise is Medicine Greenville (EIMG), which launched in 2016 and involves physical activity assessment, prescription, and referral of patients with chronic diseases to a tailored, community-based physical activity program.

While many patients and medical providers understand the importance of physical activity to overall health, there remains a need to optimize utilization of this clinic-to-community referral program. Co-researchers Dr. Jennifer Trilk, Professor and Director of EIMG at School of Medicine Greenville, and Dr. Mark Stoutenberg, Professor of Sport and Exercise Sciences at Durham University (UK), are investigating the factors related to the implementation of the EIMG model from the perspectives of the primary care clinics, healthcare providers, clinic staff, and patients. With a better understanding of EIMG program implementation, the research team hopes that findings from this work will serve as a guide for other health systems seeking to incorporate a similar model in their patient care process to address the nation’s low physical activity levels.

Visit the University of South Carolina’s School of Medicine Greenville website, here, to read more.

Factors Influencing Patient Enrollment in a Community-based Physical Activity Program After Healthcare Provider Referral: A Mixed Methods Study

Structured physical activity (PA) programs help to prevent and manage chronic diseases, yet systematic approaches to identify and enroll patients in these programs are lacking. Exercise is Medicine Greenville (EIMG) is a novel clinic-to-community model that identifies patients with chronic diseases in primary care settings and connects them to a structured, evidence-informed, community-based PA program. This study assessed influences on PA program enrollment using a mixed methods design. Methods: Data were collected from 12 clinics over 18months. Electronic health record data were used to quantitively compare the characteristics of referred patients who did versus did not enroll. Semi-structured interviews were conducted with a subset of non-enrollees to elucidate barriers and facilitators to enrollment.

Read more & view the study’s results and conclusions here in the Journal of Primary Care & Community Health.

Implementing and evaluating the comprehensive integration of physical activity into a major health system: study design and protocol

The healthcare sector has great potential for promoting physical activity (PA) for chronic disease prevention, treatment and management; however, multiple adoption and implementation barriers exist, ranging from practice integration to information flow. In 2016, Exercise is Medicine Greenville (EIMG), a comprehensive clinic-to-community approach that involves PA assessment, recommendation and/or prescription and provider-based referral of patients to community-based PA programmes, was launched by Prisma Health in Greenville, South Carolina, USA. Since inception, variability has emerged in adoption and implementation, impacting patient reach, referral rates and engagement in the community-based PA programmes, highlighting the need for closer evaluation and refinement of strategies to maximise programme
impact.

Click here to read the study publication in its entirety on BMJ Open.

Nutrition, Exercise: Medical Schools Boost Teaching of Healthy Behaviors to Fight Chronic Disease

The following is an excerpt from The Wall Street Journal article by Laura Landro, and can be viewed in its entirety by clicking here.

An ounce of prevention may be worth a pound of cure, but medical schools have traditionally given little weight to instruction on how to help patients live healthier lives.

The future could look different as schools and residency training programs have begun to embrace a field known as lifestyle medicine, weaving teaching on nutrition, exercise and other healthy behaviors into the core curriculum of medical education. This new push aims to provide doctors with tools to tackle chronic but often preventable conditions such as heart disease, stroke and diabetes that affect six in ten adults in the U.S.

“Incorporating lifestyle medicine into medical-school curricula can resolve the inadequacies that exist in preparing physicians for the growing challenge of chronic disease,” says Jennifer Trilk, professor of biomedical sciences and director of lifestyle-medicine programs at the University of South Carolina School of Medicine Greenville, which in 2017 became the first medical school in the U.S. to incorporate more than 80 hours of lifestyle-medicine training over four years of undergraduate education.

A number of U.S. medical schools have begun to adopt lifestyle medicine or embed some of it in their programs. Among them are those of Brown University, Harvard University, Stanford University, the University of Oklahoma, historically Black colleges and universities including Morehouse School of Medicine, and schools of osteopathic medicine.

The approach is part of a broader movement to improve health and close gaps on racial disparities in healthcare, as research points to the benefits of healthy behaviors in preventing, treating and even reversing common chronic diseases. A study published in the Journal of the American College of Cardiology last year projected an increasing prevalence of heart disease and diabetes by the year 2060 among Black and Hispanic populations, which have historically had poor access to quality care. The Centers for Disease Control and Prevention cites chronic diseases as leading drivers of the nation’s $4.1 trillion in healthcare costs. And while the U.S. healthcare system has traditionally paid doctors to treat disease rather than prevent it, the opportunity to reduce costs is spurring new reimbursement models from Medicare, private insurers and employer health plans that offer clinicians incentives to prevent disease.

Design and implementation of a clinic-to-community, physical activity health promotion model for healthcare providers

Due to the worldwide burden of noncommunicable disease, the American College of Sports Medicine (ACSM) launched a global health awareness initiative in 2007 called Exercise is Medicine® (EIM®) to create awareness in healthcare providers in promoting physical activity to their patients. To transition awareness into action, Exercise is Medicine Greenville® (EIMG®) launched in 2016 through a first-of-its-kind partnership between a medical school, large healthcare system, and community organization to comprehensively integrate physical activity as a primary prevention strategy into their health system. The EIMG® model connects patients referred by their healthcare provider due to diagnosis of a physical inactivity and/or noncommunicable disease to community partners who provide evidence-based physical activity programs as a population health management strategy. The EIMG® program is inclusive of all patients referred and provides an “open door policy” through the YMCA scholarship fund. Through 2019, 210 patients completed the program (>60% graduation rate). Patients receiving usual care by their healthcare provider decreased body weight (p < 0.001) and systolic blood pressure (p = 0.042). Patients receiving usual care by their healthcare provider who were referred with hypertension decreased body weight (p = 0.001), and both systolic and diastolic blood pressure (p < 0.001). Graduating patients were highly satisfied with the program and program personnel (>4 on a 5-point Likert scale). Aligning healthcare and community partners to implement a clinic-to-community model for patients with noncommunicable disease may be a beneficial population health promotion strategy. Future efforts will be to refine the referral process, scale the model, and continue to inform national health promotion strategies.

CLICK HERE TO VIEW THE PUBLICATION ON THE NIH SITE

Moving Through Cancer

Moving through Cancer (MTC), an initiative of Exercise is Medicine® and the American College of Sports Medicine, has created a beautiful, comprehensive patient booklet on physical activity during and after cancer treatment. The information is based on the latest evidence-based guidelines and was developed by the Moving through Cancer Task Force. Physical activity during and after cancer treatment can result in fewer side effects, faster recovery, and reduced recurrence in some cancers. This booklet is designed for patients, caregivers and providers to both inspire and educate. Please share the link with your colleagues and patients.

Inactivity Linked to Severe COVID-19

Starting March 2020, near the beginning of the pandemic, exercise scientists and clinicians published blogs about the mechanisms by which physical activity could likely reduce harm from COVID-19.

There was strong evidence that physical activity improves immune function, reduces inflammation, prevents and treats most common chronic diseases, decreases the psychological and physiological burden of stress, and improves immune responses to vaccinations among older adults.

Read Full Article, here.

Interval training exercise could be a fountain of youth

Looking for a fountain of youth? You may need to search no further than your sneakers.

Exercise, particularly high-intensity interval training, encourages your cells to make more proteins to feed their energy-producing machinery — and this arrests the aging process, according to a new study published Tuesday in the journal Cell Metabolism.

“Any exercise is better than being sedentary,” said Dr. Sreekumaran Nair, senior author of the study and a diabetes researcher at the Mayo Clinic in Rochester, Minnesota. However, Nair noted that high-intensity interval training (HIIT), in particular, is “highly efficient” when it comes to reversing many age-related changes

High intensity interval training involves short bursts of intense aerobic activity within a stretch of more moderate exercise: intermittently sprinting for 30 seconds, for example, in the middle of a moderate-pace jog.

Read Full Article on CNN.com

Commentary: Exercise can be potent medicine

Exercise is better than any medication a doctor can prescribe for chronic disease.

This knowledge should be intuitive to physicians and patients, and yet we have an ever-increasing population who either do not exercise at all or don’t exercise enough. Multiple studies year after year continue to show the detrimental impact that physical inactivity can have on one’s health. In 2012, the prestigious medical journal Lancet released a series of studies that showed physical inactivity was the fourth-leading risk factor attributable to death. If we look at the Upstate, the top two leading causes – heart disease and cancer – have direct relationship to physical activity.

Now, from the heart of the stroke belt, comes a first-in-the-nation coalition that brings together medical school-based research with doctors, community resources and exercise professionals in an audacious partnership to slow the progression of inactivity-related chronic disease.

Greenville Health System (GHS), the University of South Carolina School of Medicine Greenville, the YMCA of Greenville and the American College of Sports Medicine have partnered on an innovative program called Exercise is Medicine Greenville. Its goal is making physical activity a standard in health care – that is, having your doctor talk about and prescribe exercise as part of your treatment plan just as he might prescribe medicine.

Read Full Article on Greenvilleonline.com