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Lifestyle Medicine Approach to Pediatric Subspecialty Care
This session is a recorded presentation from ACLM’s LM2024 Annual Conference, featuring leading experts and timely, clinically relevant content in lifestyle medicine.
Early childhood and adolescence is a critical period for health across the life course. The origins of cardiometabolic disease begin during this period and it is a key formative period in establishing the lifestyle behaviors that carry into adulthood. This session will take an evidence-based approach in reviewing the importance of the pillars of lifestyle medicine, specifically from the perspective of a pediatric cardiologist and a pediatric endocrinologist. Through this session, we will empower all attendees to better understand the ‘why’ underlying their delivery of lifestyle medicine to pediatric patients. We will first review the data on cardiometabolic risk among youth and then deconstruct the pathophysiology underlying insulin resistance, elevated blood pressure, and hyperlipidemia. We will apply this knowledge as we walk through each of the lifestyle medicine pillars in relation to cardiometabolic health, followed by a case-based presentation to apply the pillars to improve health and the ability to integrate lifestyle medicine into pediatric cardiometabolic disease care. In this session, we will emphasize and illustrate the necessity of a holistic approach to cardiometabolic disease prevention through lifestyle medicine through a series of case presentations. The case presentations will provide practical strategies for conducting these discussions with families.
This course expires September 21, 2027 at 11:59 PM PST.
Target Audience
This course is applicable for the interprofessional healthcare team including physicians, registered nurses, nurse practitioners, physician associates, registered dietitians, physical therapists, occupational therapists, pharmacists, other health professionals working with chronic disease prevention or treatment, certified health coaches, and clinicians in training.
Learning Objectives
- Define the cardiometabolic risks in children and adolescents.
- Describe the evidence base for the role of lifestyle medicine in cardiometabolic health.
- Employ strategies to effectively discuss the importance of lifestyle factors in cardiometabolic health with patients and families.
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Lorraine M. Schratz, MD, FAAP, DipABLM, DABOM
Dr. Lorraine Marasco Schratz is board certified in Lifestyle Medicine, Pediatrics, Pediatric Cardiology, and Obesity Medicine. She is a pediatric cardiologist at Massachusetts General Hospital where she is the Director of the Raising Healthy Hearts Program, a lifestyle medicine based program for children with overweight, obesity, hyperlipidemia, or at risk for heart disease. As an instructor at Harvard Medical School, she teaches in the Practice of Medicine course and supervises students and residents on rotation with Raising Healthy Hearts. Dr. Schratz is a Wellcoaches certified professional health and well-being coach and works as a physician coach with the MGH Center for Professional Well-being helping medical professionals find joy in their work and avoid burnout. Dr. Schratz serves on the Executive Board for the Massachusetts Chapter of the American Academy of Pediatrics. She is active with advocacy in the Massachusetts Medical Society where she serves as Chair of the Committee on Legislation and on the Committee on Student Health and Sports Medicine, among others. She enjoys hiking, kayaking, and spending time with her husband and five children (now all young adults).
Rachel Whooten, MD MPH
Dr. Rachel Whooten is an Assistant Professor of Pediatrics at Massachusetts General Hospital for Children in Boston, Massachusetts, where she is a member of the Divisions of Pediatric Endocrinology and General Academic Pediatrics. She graduated from Williams College and Boston University School of Medicine, then completed her residency in Pediatrics at UCSF, moving back to Boston to complete her fellowship in Pediatric Endocrinology at MGH and obtain her master's in public health at Harvard TH Chan School of Public Health. She has a longstanding interest in community-based strategies for healthy lifestyles, specifically relating to physical activity promotion in childcare and schools. She has experience as well leading a research study that examines the impact of lifestyle health coaching program for new parents in pregnancy and the first year of life. She is currently supported by a research grant through NIDDK addressing physical activity as a potential strategy for PCOS prevention. Her career goal is to identify strategies to integrate lifestyle approaches to decrease the risk of endocrine comorbidities of obesity. She has a longstanding interest in community-based strategies for healthy lifestyles, specifically relating to physical activity promotion in childcare and schools. She has experience as well leading a research study that examines the impact of lifestyle health coaching program for new parents in pregnancy and the first year of life. She is currently supported by a research grant through NIDDK addressing physical activity as a potential strategy for PCOS prevention. Her career goal is to identify strategies to integrate lifestyle approaches to decrease the risk of endocrine comorbidities of obesity.
Accreditation and Designation Statements
Joint Providership Statement: In support of improving patient care, this activity has been planned and implemented by RUSH University Medical Center and American College of Lifestyle Medicine. RUSH University Medical Center is Jointly accredited by the Accreditation Council for Continuing Medical Education, Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing medical education for the healthcare team.
Disclosure Information
Unapproved Uses of Drugs/Devices: In accordance with requirements of the FDA, the audience is advised that information presented in this continuing medical education activity may contain references to unlabeled or unapproved uses of drugs or devices. Please refer to the FDA approved package insert for each drug/device for full prescribing/utilization information.
It is the policy of the Interprofessional Continuing Education office at RUSH to ensure that its CE activities are independent, free of commercial bias. Therefore, we manage all financial relationships associated with accredited continuing education activities. RUSH asks everyone who has the ability to control or influence the content of an educational activity to disclose information about all of their financial relationships with ineligible companies within the prior 24 months.
An ineligible company is an entity whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. There is no minimum threshold; individuals must disclose all financial relationships, regardless of the amount, with ineligible companies. Individuals must disclose regardless of their view of the relevance of relationships to education. Mechanisms are in place to identify and mitigate any potential conflicts of interest prior to the planning, implementation, or evaluation of the continuing education activity. If a financial relationship is identified for the person in control of content, conflict mitigation strategies will be used to mitigate the financial relationship before they assume their role.
Individuals in control of content for this activity have the following relevant financial relationships with ineligible companies to disclose and all financial relationships have been mitigated.
| Name | Disclosure |
| Rohit Moghe, PharmD, MSPH, CDCES | Member, Speaker's Bureau - Novo Nordisk |
| Lorraine Schratz, MD | Stockholder/Options - GlaxoSmithKline, Proctor & Gamble |
All other individuals in control of content have no relevant financial relationships with ineligible companies.
Available Credit
- 1.00 AAFP Prescribed
The AAFP has reviewed Lifestyle Medicine Approach to Pediatric Subspecialty Care and deemed it acceptable for up to 1.00 Enduring Materials, Self-Study AAFP Prescribed credit(s). Term of Approval is from 9/19/2025 to 9/19/2025. Physicians should claim only the credit commensurate with the extent of their participation in the activity. .
- 1.00 ABIM Medical Knowledge
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.00 MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participation completion information to ACCME for the purpose of granting ABIM MOC credit.
- 1.00 ABLM MOC
The American Board of Lifestyle Medicine has approved 1.00 maintenance of certification credits (MOC) for this learning activity.
- 1.00 ABS Accredited CME
Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn credit toward the CME of the American Board of Surgery’s Continuous Certification program. It is the CME activity provider’s responsibility to submit learner completion information to ACCME for the purpose of granting ABS credit.
- 1.00 ACPE Pharmacy
Rush University Medical Center designates this knowledge-based enduring material for a maximum of 1.00 contact hour(s) for pharmacists.
- 1.00 ACPE Technician
Rush University Medical Center designates this knowledge-based enduring material for a maximum of 1.00 contact hour(s) for pharmacy technicians.
- 1.00 AMA PRA Category 1 Credit™
Rush Medical Center designates this enduring material for a maximum of 1.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only credit commensurate with the extent of their participation in the activity.
- 1.00 ANCC
Rush University Medical Center designates this enduring material for a maximum of 1.00 nursing contact hour(s).
- 1.00 APA
Rush University Medical Center designates this enduring material for 1.00 CE credits in psychology. Continuing Education (CE) credits for psychologists are provided through the co-sponsorship in the American Psychological Association (APA) Office of Continuing Education in Psychology (CEP). The APA CEP Office maintains responsibility for the content of the programs.
- 1.00 ASWB
As a Jointly Accredited Organization, Rush University Medical Center is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved continuing education (ACE) program. Organizations, not individual courses, are approved under this program. Regulatory boards are the final authority on courses accepted for continuing education credit. Social workers completing this course receive 1.00 general continuing education credits.
- 1.00 CPEU
This enduring material has been approved by the Commission on Dietetic Registration. Completion of this activity awards 1.00 CPEUs.
- 1.00 Occupational Therapy CE
Rush University Medical Center is an approved provider for physical therapy (216.000378) and occupational therapy (224.000220) by the Illinois Department of Professional Regulation. Rush University Medical Center designates this enduring material for 1.00 continuing education credits.
- 1.00 Participation (AMA PRA Category 1 Credit™ for non-MDs)
Rush University Medical Center designates this enduring material for a maximum of 1.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only credit commensurate with the extent of their participation in the activity.
- 1.00 Physical Therapy CE
Rush University Medical Center is an approved provider for physical therapy (216.000378) and occupational therapy (224.000220) by the Illinois Department of Professional Regulation. Rush University Medical Center designates this enduring material for 1.00 continuing education credits.
Price
ACLM member and category discounts are applied at checkout.
| Non-member | ACLM Members |
|---|---|
| $40 | $30 |
Access to online material is granted through the term of approval, which ends September 21, 2027.
Participant User Agreement (Terms of Use and Copyright)
Before registering for a Continuing Education/Continuing Medical Education Course (“Training”) for the first time, carefully review the following conditions of usage at https://lifestylemedicine.org/terms-of-use-and-copyright/
Registering for an American College of Lifestyle Medicine Course indicates your acceptance of the Participant User Agreement and its terms and conditions.
Required Hardware/software
This course can be viewed on desktop or tablet using a modern browser and most mobile devices. Speakers or headphones are required for this course.