Posts Tagged ‘Martin Reisman’

Support for First Lady’s Fight for Children’s Health Newest Chapter in Kaiser Permanente’s Historic Leadership

posted on February 9, 2010

by Tom Debley and Bryan Culp

Kaiser Permanente people can feel a real sense of pride – present and historic – with word we are a founding partner in the Partnership for a Healthier America, the coalition that will work alongside First Lady Michelle Obama in the fight against the nationwide epidemic in childhood obesity.

On the Home Front of WWII in the Kaiser Richmond shipyards, children of the shipyard workers stepped up to the scales during their routine health checkups. Kaiser Permanente was the largest civilian medical care program in the U.S. in World War II, and is today a sponsor of the Rosie the Riveter / World War II Home Front National Historical Park in Richmond, California.

This critical movement in 2010 is reminiscent in some ways of another First Lady, Eleanor Roosevelt, when she reached out more than a half century ago in 1943 to Kaiser Permanente’s founding physician, Sidney R. Garfield, for advice on preventive medicine.  “I am interested in getting medical care, both preventive and curative, at least cost to the people,” she said in a message from the White House.

And on another leadership front, it is reminiscent of a Southern California Permanente Medical Group physician and UCLA School of Medicine professor who, 45 years ago, published the first research paper to suggest that atherosclerosis, a consequence of obesity, might in fact be a “pediatric disease.” Dr. Martin Reisman, a pediatric cardiologist, issued the seminal call for a better understanding of the dietary causes of pediatric atherosclerosis. (For more information on Dr. Reisman’s work, see the vignette, Voice of a Permanente Pioneer.)

The latest leadership initiative came as Michelle Obama announced that she’s taking a leading role as an advocate for clinical and community-based prevention approaches to fight the nationwide epidemic in childhood obesity. Her Let’s Move campaign will encourage families to commit to living healthier, active lives.

Kaiser Permanente is one of the founding partners in the Partnership for a Healthier America, is a coalition that will work alongside the First Lady to place best practices for fighting childhood obesity in every community throughout the nation. Other founding partners include The California Endowment, Nemours, the Robert Wood Johnson Foundation, the W. K. Kellogg Foundation, and the Alliance for a Healthier Generation.

Kaiser Permanente has long supported a comprehensive approach to combating childhood obesity, including healthy eating and active living, and clinical and evidence-based interventions. As Ray Baxter, senior vice president, Community Benefit, Research and Health Policy, commented on the First Lady’s announcement: “KP has been committed to clinical weight management and community health efforts for many years, and we have received national acclaim for this work…. In every community we serve, we work to fight obesity, reduce health disparities and make healthy food and physical activity a part of everyday life.”

For more information on our involvement in this effort, visit Kaiser Permanente’s News Center.

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Voice of Permanente Pioneer Martin Reisman, MD

posted on August 12, 2009
fore-n-aft-cover-19440707-without-textWhen I learned that the Centers for Disease Control (CDC) presented Kaiser Permanente with its Pioneering Innovation Award in late July for leadership in combating obesity with its associated rising rates of Type 2 diabetes and cardiovascular disease – news of the award brought to mind a voice from forty-five years ago.

First the award.  Dr. William Dietz, the Director of CDC’s Division of Nutrition, Physical Activity and Obesity cited Kaiser Permanente’s comprehensive assault on the health risks associated with the obesity epidemic. Dietz praised Kaiser Permanente’s evidence based clinical programs, its interventions and grassroots coalitions to improve food and physical activity environments, and its advocacy for public policies that promote healthy eating and active living.  Now let’s take note of an early pioneer in this effort.

In January 1965, Dr. Martin Reisman, a pediatric cardiologist at the Kaiser Foundation Hospital, Los Angeles and a professor in the Department of Pediatrics at the UCLA School of Medicine published an article “Atherosclerosis and Pediatrics” in The Journal of Pediatrics. This was the first article in the pediatric literature to suggest that atherosclerosis was a “pediatric disease” with onset within the first two decades, and that pediatricians should begin to participate in appropriate research and possible clinical primary interventions.

The current relevant literature and research were reviewed by Dr. Reisman with special emphasis on the pathologic studies from the Korean War casualties. A significant degree of coronary arteriosclerosis and narrowing of the coronary lumen were noted in the young American casualties in their early twenties. In contrast Chinese and Korean war dead showed virtually no evidence of this early onset of heart disease.

Dr. Reisman noted, “As a pediatric cardiologist, I find myself uncomfortable at the thought that standard pediatric practice might be contributing to the development of acquired heart disease.  These considerations have prompted many observers to believe that the present standard American diet is a major contributing factor in the etiology of atherosclerosis. The larger part of the incubation period of this disease may very well be the first two decades of life, and a modest change initiated early and sustained through life might be clinically significant.” He went on to say:  “It is time for us to join intellectually with colleagues in adult medicine and concern ourselves with a disease that is probably a mutual responsibility.”

Dr. Reisman, during his career as a pediatric cardiologist worked to encourage screening for hyperlipidemia and intervening when appropriate with dietary / life style changes and use of lipid lowering medications. This effort has been continued and expanded by colleagues who followed him.

Bryan Culp

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