Ppt on obesity management program

“Double Jeopardy” The Impact of Maternal Obesity on Mother and Infant Outcome Terry S. Johnson, APN, NNP-BC, CLEC, MN Neonatal Nurse Practitioner Founder,

C/SInformed consent, monitoring labor curve, intervention for labor dystocia Gunatilake. RP & Perlow JH Obesity and pregnancy. Am J Obstet Gynecol 2011. Obesity in Pregnancy Postpartum Management – Elevated Risk in Postpartum Period ↑ Rate of wound infection, thromboembolism, fluid retention Postpartum/ 2008; 358:1991-2002 May 8, 2008 DOI: 10.1056/NEJMoa0707943 What Happens Here… “Programming” – The term "programming" refers to the concept that an insult or stimulus applied at a critical or sensitive period /

1 FDA Obesity Work Group Knowledge Base Subgroup Richard Canady, Ph.D., DABT, Corinna Sorenson, M.P.H., M.H.S.A., and Donna Robie Howard, Ph.D. October.

Legislation (DC City Council Member Mendelson (D-At Large))  Florida Task Force (Gov. Jeb Bush (R))  NY Childhood Obesity Prevention Program – Commercial Alert  Assemblyman Felix Ortiz (D-Brooklyn) Slide 12 Legislation  "Personal Responsibility in Food Consumption Act (Representative Keller (/groups, and modeling) to develop label modifications or new approaches to labeling conducive to weight management. (More under research heading below) Task Force on Consumer Health Information for Better Nutrition /

Using Evidence to Treat Overweight and Obesity: ADA’s Pediatric Weight Management MNT Guidelines Nancy Copperman, MS,RD,CDN Director, Public Health Initiatives.

loss medications as an adjunct therapy within a multicomponent pediatric weight management program for adolescents. Clinical outcomes are likely to be enhanced with the participation of a dietitian. Consensus Imperative Is EJ a candidate for weight loss medication? Criteria: BMI>27 with obesity related diseases or BMI 30 Criteria: BMI>27 with obesity related diseases or BMI 30 If a weight loss medication is/

The New York Academy of Medicine Office of School Health Programs Promoting the Health of New York City Public School Students and Families through a Public-Private.

Managing Anger in the Family Managing Anger in the Family Talking about Sensitive Issues Talking about Sensitive Issues Partnering with English and Spanish Speaking Partnering with English and Spanish Speaking Parents to Prevent Obesity and Diabetes Parents to Prevent Obesity and Diabetes Programs for Parents and Families Program/. Partnering with English and Spanish Speaking Parents to Prevent Obesity and Diabetes Program Components  Professional Development  Interdisciplinary School-Community Team /

Chapter 9 Designing Weight Management and Body Composition Programs.

Chapter 9 Designing Weight Management and Body Composition Programs Health and longevity are threatened when a person is either overweight or underweight. Overweight and obesity increase one’s risk of developing serious cardiovascular, pulmonary, and metabolic diseases and disorders. Individuals who are underweight may have a higher risk than others of cardiac, musculoskeletal, and reproductive disorders. Definitions and Classifications Obesity: excessive amount of body fat/

Obesity Pre-Diabetes to Type 2 Diabetes Gül Bahtiyar, MD, MPH Woodhull Medical Center Clinical Associate Professor NYU School of Medicine.

Pays Off  Scheduling physical breaks during the day  Onsite wellness centers, exercise/walking trails  Stress management programs  Encourage walking/biking to/from work and during breaks  Memberships or discounts to health clubs  / Endocrinol Metab 2001; 86:280–288. Selection Oral Hypoglycemic Therapy Consider Insulin Secretagogue (Sulfonylurea); Non-obesity or mild obese Repaglinide (Prandin) or Nateglinide (Starlix) are useful for post-prandial hyperglycemia (non-sulfonylurea insulin secretagogues/

3 Steps to Successful Obesity Management. Learning objectives Review recent findings about the biologic regulation of eating and weight control Discuss.

and barriers Provide education and resources Refer to appropriate provider Arrange follow-up Talk to Rosalia using the 5 As of obesity management Ask: “Let’s talk about your exam. Your mammogram is normal and your exam, and most of your tests are/the available options. Agreeing on weight goals and treatment plan* Rosalia will attend weekly Weight Watchers meetings because her office wellness program offers it. Instead of eating at her desk, Rosalia will join co-workers on lunchtime walks. She sets a goal of/

3 Steps to Successful Obesity Management. Learning objectives Review recent findings about the biologic regulation of eating and weight control Discuss.

and barriers Provide education and resources Refer to appropriate provider Arrange follow-up Talk to Rosalia using the 5 As of obesity management Ask: “Let’s talk about your exam. Your mammogram is normal and your exam, and most of your tests are/the available options. Agreeing on weight goals and treatment plan* Rosalia will attend weekly Weight Watchers meetings because her office wellness program offers it. Instead of eating at her desk, Rosalia will join co-workers on lunchtime walks. She sets a goal of/

Physicians for Healthy Communities Initiative: An obesity prevention project of the CMA Foundation.

arenas. - Recommendations for Physician and Community Collaboration on the Management of Obesity (2005) From the Institute of Medicine (IOM): An epidemic of childhood obesity…is occurring in boys and girls in all 50 states,…/ etc. –Several state programs promoting healthy, active lifestyles –Examples: California Nutrition Network California 5 a Day Project Lean California Works Well Health Promotion Program StayWell Program California Obesity Initiative California Diabetes Program Governors 10-Point Vision /

The Causes of Pediatric Obesity

-based resources Education in schools & community Coalition formation Treatment Strategies Hospital-based 68% of Children’s hospitals provide services through an obesity clinic or weight management program Stability and sustainability hindered by lack of reimbursement and reliance on grant funding Many childhood obesity programs are active in educating and training pediatric providers in the community Treatment Strategies Hospital-based Brenner FIT @ Wake Forest Baptist Health/

Nutrition and Obesity David Freestone, DO PGY 1 UNSOM Dept. of Pediatrics.

Diabetes in Children. Adv Nutr January 2012 Adv Nutr vol. 3: 47-53, 2012. Eisenmann JC. Assessment of Obese Children and Adolescents: A Survey of Pediatric Obesity-Management Programs. PEDIATRICS Vol. 128 No. S51-58, 2011 Rausch JC, Perito ER, Hametz P. Obesity Prevention, Screening, and Treatment: Practices of Pediatric Providers Since the 2007 Expert Committee Recommendations. CLIN PEDIATR vol. 50: 434-441, 2011 Questions/

By Sarah Rose New Touro University- California Advisor: Dr. Thairu

Disease at Touro University’s Student Run Health Clinic By Sarah Rose New Touro University- California Advisor: Dr. Thairu Capstone Objectives To present a proposal for a Case Management Program that monitors hypertension, diabetes, obesity, and cardiovascular disease at the Touro University’s Student Run Health Clinic Background and Significance Cardiovascular Disease (CVD) Broad term for all diseases specific to the heart and/

Treatment of Obesity Pennington Biomedical Research Center Division of Education.

, behavioral therapy 2. Aggressive energy-deficit regimen 2. Aggressive energy-deficit regimenVLCD Extensive exercise program 3. Obesity drugs 3. Obesity drugs 4. Surgery 4. Surgery More extreme options 20097 Dietary treatment When someone is a/  Waitman, JA, Aronne LJ. Phrmacotherpay of obesity. Obesity Management 1: 15-19, 2005.  Greenway, F. Surgery for obesity. Endocrinology and Metabolism Clinics of North America 25(4):1005-1027.  Surgery for morbid obesity: What patients should know. 3 rd Ed. /

Should I refer my obese patient for bariatric surgery? Dr. Khalid Azzam Assistant Professor of Medicine HHS Bariatric Medical Clinic 4 th McMaster University.

– Choice of pharmacotherapy months 3 to 7 – Maintenance strategies for months 8 to 24 OR Usual care condition (UCC) (n=190). – Internet weight management program. Rayan D, et. al, Arch Intern Med. 2010;170(2):146-154 The Louisiana Obese Subjects Study (LOSS) Rayan D, et. al, Arch Intern Med. 2010;170(2):146-154 Percentage of the participants in the LOSS who/

Managing the Obese Patient, With Emphasis on Exercise Kevin deWeber, MD Family Physician Primary Care Sports Medicine USUHS.

. Behavioral Modification Self-monitoring Stimulus control Body image and self-esteem counseling Stress management Social support Self-monitoring One of the MOST HELPFUL TOOLS IN OBESITY MANAGEMENT Observation and recording of behaviors –Total calorie intake, fat grams consumed, food /research using diet, exercise, or diet plus exercise intervention.” Average 15-week treatment –Diet or Diet-plus-exercise program, produces a weight loss of about 11 kg Weight loss Maintenance after one year: –Diet only: 6./

Dr Michal Ajzensztejn The Evelina London Children’s Hospital July 2014

‘The most unfavourable outcome is thinness at birth followed by a rapid increase in body weight’ Foetal programming The way the mother prepares the foetus for the world in which it will be born A communication/ + economic inequalities in diet and physical activity Management Primary Prevention Community based weight management service Tertiary obesity service Severe obesity Obesity with co-morbidities Primary Prevention Ante-natal care of the obese mother Use of appropriate standards WHO-UK Growth charts/

Pediatric Obesity: Prevention & Management MaryKathleen Heneghan MD Endocrinology, Diabetes & Metabolism Advocate Medical Group Lutheran General Children’s.

.S. (Trust for America’s Health, 2009) In Illinois, Pre-teen and Teen (ages 10-17 years) Obesity Rates Exceed U.S. Levels Obese rates in adolescence CLOCC The Consortium to Lower Obesity in Chicago Children (CLOCC) is a childhood obesity prevention program housed within the Center for Obesity Management and Prevention at Children’s Memorial Hospital. We recognize the problem but need to make the diagnosis/

Welcome AAP Obesity Update and Dialogue. Webinar Overview Obesity as a priority at the Academy Obesity Leadership Workgroup Obesity Action Plan Current.

priority to the AAP Strategic Plan 2003 – 2005 Task Force on Obesity 2003-2007 Obesity Activities Education Activities (eg NCE, Peds21, PediaLink online courses) Publications (eg Books, manuals, policy statements and flip charts) Research (eg Periodic Survey and PROS) Practice Management Resources (eg Coding Fact Sheet, Strategy for Claim Denials) Community/State Programs (eg HP 2010, CATCH, COSH CDC Grant) Partnership Activities (eg Federal/

The Impact of and Management of Obesity At Kaiser Permanente Academy Health National Health Policy Conference February 4-5, 2008 Washington, D.C. Francis.

TM, 10,000 Steps ®, BMI 25 - 29.9 Weight Watchers ® Local KP Program, Nourish TM, Relax TM Obese IBalance TM, 10,000 Steps ®, BMI 30 - 34.9 Weight Watchers ® Local KP Program, Nourish TM, Relax TM Obese IIBariatric Surgery, BMI 35 - 35.9 Local KP programs Obese IIIBariatric Surgery, Regional Medical BMI > 40 Weight Management Program 17 Supporting the Office Visit KP HealthConnect EMR tools Weight tracking tools/

The Clinical Management of Obesity in Primary Care Dr. Sean Wharton, MD, FRCPC, PharmD Internal Medicine Wharton Medical Clinic Adjunct Professor – York.

and Weight Loss Maintenance Stage 4 Stage 4 Aggressive obesity management or palliative measures (pain management etc.) Aggressive obesity management or palliative measures (pain management etc.) EOSS Predicts Mortality in NHANES III Padwal R/ Medicine Clinics ? Yoni Freedhoff, MD Principles for Obesity Treatment 2011 National Obesity Summit Workshop Principles for Obesity Treatment 2011 National Obesity Summit Workshop Diabetes Prevention Program: Incidence of Diabetes Cumulative Incidence of Diabetes (%) /

Designing Effective Wellness Programs Bruce Coulter, CPE Department of Labor and Industries.

6. Drug/Alcohol use Driver results: 1. Sleep disorders 2. Drug/Alcohol use 3. Stress 4. Obesity 5. Unhealthy diet 6. Uncontrolled hypertension Top H&W Program Activities Top H&W Program Activities Exercise/physical activity opportunities Exercise/physical activity opportunities Nutrition training/information Nutrition training/information Weight management Weight management Nicotine prescriptions Nicotine prescriptions Tobacco cessation Tobacco cessation Responsible alcohol use Responsible alcohol use/

Commercial weight management solutions – what can you advise your patients? Robert Hobson Public Health Nutritionist.

3 stone 10lb Similar results, low morbidity and lower costs Weekly group meetings – CBT therapy, Healthy lifestyle VLCD – viable replacement to surgical management of obesity? Depends on patient Do different programs suit different people? Lot’s of choice – all offering slightly different methods of weight management Useful to have NICE CG43 guidance to establish which programmes are suitable in the treatment of overweight and/

2013 AHA/ACC/TOS Guideline for the Management of Overweight and Obesity in Adults Endorsed by the American Association of Cardiovascular and Pulmonary.

and American Heart Association, Inc. Citation This slide set is adapted from the 2013 AHA/ACC Guideline for the Management of Overweight and Obesity in Adults. E-Published on November 12, 2013, available at: http://content.onlinejacc.org/article.aspx?doi=10/weight management protocols (designed by health professionals) in programs that have been validated in high-quality trials published in peer-reviewed journals. Recommendation 5 5a.§Advise adults with a BMI ≥40 kg/m 2 or BMI ≥35 kg/m 2 with obesity-related/

Presented by: Carolyn Brown, M.Ed, RN, ARM, FCCWS National Director of Clinical Services C-3 Management of the Obese Population A Person Centered Care.

Management of the Obese Population A Person Centered Care Approach After attending this program the participant will be able to: 1.Define obesity and calculate Body Mass Index (BMI). 2.Discuss prevalence of obesity. 3.Identify unique and predictable clinical issues resulting from obesity/–Most common diagnosis = deferred –Embarrassing –Limited hygiene Increased endometrial cancer in obese women Gynecological Management Tips Gather appropriate supplies and adequate help –Longer speculum –Sit on metal bedpan /

HIV Nutrition Essentials For Program and Administrative Grantees Marcy Fenton, M.S., R.D. Program Manager, Care Services Division County of Los Angeles.

Anorexia Fatigue Taste alterations Mouth pain Anemia Hyperlipidemia Insulin resistance Hypertension Liver toxicity Renal impairment Obesity Lipodystrophy Peripheral neuropathy Cancer 10 Causes of Weight Loss 1-Inadequate Intake Oral and upper /of care, guidelines, contracts  Indicators, monitoring tools, reports MNT services: disparity in clinics  Providers, program managers, funding  Awareness, interpretation and abilities  Expectations, goal setting, reporting, access 67 Changing Practices and /

1998 Clinical Practice Guidelines for the Management of Diabetes in Canada January 1999 CANADIAN DIABETES ASSOCIATION ASSOCIATION CANADIENNE DU DIABÈTE.

cultural influences and weight changes Diabetes education received in the past   location and level of program, current understanding of diabetes and its management Level of physical activity   i.e.: type, duration, intensity, frequency and time of / Routine Cardiovascular system Signs of congestive heart failure, pulses, bruits General Height, weight, waist circumference (central obesity), BMI*, blood pressure (lying and standing), pulse Head and neck Eyes (pupillary reactions, extraocular movements,/


in place. They include; Creating awareness through training of health care providers and diabetic walks by(Diabetic Management and Information Centre (DMC) and Ministry of Health(MOH) School health policy and the recent Nutrition Action/Visscher, R.L.S., Renders, C.M. et al. (2006). The prevention of overweight and obesity in children and adolescents: A review of interventions and programs. Obesity Reviews,2006. 7, 111-136 KNBS(2008/9).Kenya Health Demographic Survey MOH(2013).Kenya Nutrition Bulletin/

2 2 Evaluation of the TRICARE Program FY 2011 A Message from Jonathan Woodson, M.D., Assistant Secretary of Defense (Health Affairs) It is an honor and.

Patients in Healthy Behaviors monitored by various measures, to include the use of tobacco, prevalence of obesity, and use of preventive services among the MHS population.  The Experience of Care Aim includes/Pharmacy Home Delivery program (formerly called TRICARE Mail Order Pharmacy) Overseas purchased care and claims processing Services Programs supporting Reserves, including the premium based TRS program and the Transitional Assistance Management Program (TAMP) Supplemental programs including TRICARE /

Management of Obesity An over review

expenditure in countries such as The Netherlands, France, USA, Australia and Sweden.” The Lancet August 1997 The Lancet August 1997 Clinical assessment & management Management of Obesity Clinical assessment & management Clinical assessment & management Obesity Program Team Approach Bariatric surgeon. Dietitian. Physical therapist. Psychiatrist. Psychologist. Gastro-entrologist. Radiologist. Nursing team. Internist. Endocrinologist Cardiologist. Pulmonologist. Family Physician. Anesthesiologist. Intensivist/

Special Populations.

profound effects of glucose metabolism in the obese client: Decreased fasting glucose and insulin Decrease insulin resistance Increased glucose tolerance Management & Meds The primary objective of obesity management is the reduction of fat weight with/diminish effects of inactivity. These clients respond favorably to a low-moderate, gradually progressed exercise program. Recommendations for Programming Low impact exercises Avoid activities with quick movements Focus on range of motion & strengthening muscles/

Patricia Coleman, Nutrition and Health Programs Team Leader.

Women, Infants, & Children Images from CHL brochure, courtesy of Center on the Family CHL Objectives 1.Conduct program / data inventories & situation analysis – Situation Analysis Work Group 2.(Degree) Train 22 professionals & paraprofessionals in obesity prevention – Training Work Group 3.Develop Pacific food, nutrition & physical activity data management & evaluation system – Data & External Communications Work Groups 4.Develop & conduct an environmental intervention (to prevent, maintain/

Childhood Obesity : How can physical education help reduce the incidence? Judith A. Flohr, Ph.D. Department of Kinesiology James Madison University

@jmu.edu Outline Introduction Responsibility Obesity and Public Health Defining Obesity:When is a Child Considered Obese/Overweight? Prevalence of Obesity Consequences of Obesity Prevention:The Importance of Physical Education Managing Obesity/Overweight Questions and Answers Physical/ Services Responsibility Teachers Maximize the child’s physical activity experiences Before/After school programs Recreational activities Maximize physical activity during and after class Emphasis should be on a child’s/


influence of provider’s weight status Bardia A, Holtan SG, Slezak JM, Thompson WG. Diagnosis of Obesity by Primary Care Physicians and Impact on Obesity Management. Mayo Clin Proc. 2007;82(8):927-932 Tips for talking with patients Don’t ignore weight /Smart, Move More, Weigh Less Eat Smart, Move More, Weigh Less is a 15-week weight management program that uses strategies proven to work The program is offered to worksites and other groups interested in eating smart, moving more and achieving a healthy weight/

Focus on Obesity (Relates to Chapter 41, “Nursing Management: Obesity,” in the textbook) Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier.

by Mosby, Inc., an affiliate of Elsevier Inc. 40 Planning Modify eating patterns. Participate in a regular physical activity program. Achieve weight loss to a specified level. Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc/staff should assist transfer of unconscious patient. During transfer, ensure that patient’s  Airway is stabilized  Pain is managed In severely obese patients, it is essential to monitor for rapid oxygen desaturation. Copyright © 2011, 2007 by Mosby, Inc., an /

Obesity A Weighty Problem. The “Top 10” The Associated Press.

by Race/Ethnicity for Adolescent Boys and Girls Targeted History & Physical for the Obese Child The Identification, Management & Treatment of the Obese Child History Birth –Weight: LGA & SGA Risk factor for Diabetes Mellitus –Decreased/SCHOOL? PRACTICAL SUGGESTIONS  Encourage parents to limit contribution of calories from beverages (only milk required).  Encourage 5 a day program.  Suggest Stoplight Diet (Epstein)  Stress Family Commitment- entire family needs to follow new eating habits. FAST FOOD /

Pharmacy and the Health Care System-Fall 2005 Lee R. Strandberg, Ph.D. Emeritus Professor Pharmacy Economics and Pubic Health & Director, Managed Care.

Health Outcomes HEDIS 3.0 No. CHF pts taking ACE Inhibitors (proposed) Pt satisfactions survey Mandatory Disease Management Programs (Diabetes-see Genesis rpt) Includes Medicare and Medicaid pt. pop. Accreditation NCQA accredits MCOs Joint Commission/is a random event (Accidents, colds, flu, pneumonia, diabetes, CHF) Illness is a behavior driven event (obesity, diet, exercise, drunken driving) Uncertainty creates hypochondriac behavior (illness anxiety) Asymmetric Knowledge Licensed health care providers /

Management of Obesity in Older Adults Benefits and Risks of Body Weight Interventions after Age 65 Connie W. Bales, PhD, RD * + Gwendolen Buhr, MD,MHS,

linked with poor health and functional outcomes… 2 But energy imbalances, whether positive or negative, threaten health…. 3 Management of Obesity in Older Adults 4 1998 Obesity Trends* Among U.S. Adults BRFSS, 1990, 1998, 2007 (*BMI 30, or about 30 lbs. / are age 70 or older. Specifically, the MOVE! Program* for veterans does not have any guidelines for eligible veterans if they are age 70 or older. *Managing Overweight and Obesity for Veterans Everywhere 31 Overall Approach for the Systematic Review/

Setting Up Camp: How Do We Improve Nutrition, Increase Physical Activity and Prevent and Control Obesity? William H. Dietz, MD, PhD Division of Nutrition,

Centers for Disease Control and Prevention DNPAO Functional Model Long-Range Planning Research Program Development and Technical Assistance Surveillance Policy Analysis Admin./ Clerical Services Leadership, Management & Accountability Training Partnerships and External Relations Translation & Dissemination Division of Nutrition, Physical Activity, and Obesity Proposed October-2008 Physical Activity and Health Branch Mike Pratt (Acting) Lisa Kimbrough Research Team Surveillance Team Guidelines Development/

Evidence Based Diagnosis and Management of Obesity Provider Training NMCSD Weight Management Clinical Quality Team July 2006 1.

People 2010 to define outcome metrics. Develop / Implement / Educate and Sustain the NMCSD’s Weight Management Clinical Registry. Develop and Implement the Weight Management point of care tools. 2 WM Program Purpose Facilitate interdisciplinary evidence-based decision- making. Provide efficient and systematic identification, tracking, and monitoring of Overweight &Obese (O&O) patients. Promote proactive, primary, secondary and tertiary prevention efforts. Improve communication and coordination/

1. 2015 NM Objectives Increase awareness on proper nutrition and physical activity to prevent obesity Encourage action to attain normal weight Manage.

schools. 3.Include enjoyable physical activities and sports events in schools. 49 Recommended actions to prevent overweight and obesity Local policy makers and program managers 1.Formulate local policies to support consumption of healthy diet and increase access to recreational physical activity. 2.Implement wellness programs or conduct regular exercises for community members. 3.Recreate physical environments to support active commuting like walking or/

Bariatric surgery Sheila MacNaughton, Team Lead Dietitian ( Surgery) Glasgow and Clyde Weight Management Service November 2013- Weight Management Training.

mobility problems, arthritis, type 2 diabetes) evidence of completion of a structured weight management program involving diet, lifestyle, psychological and drug interventions, not resulting in significant and sustained improvement in the co- morbidities SIGN Obesity Guidelines 2010 should be included as part of an overall clinical pathway for adult weight management Part of a programme of care delivered by multidisciplinary team including Surgeons, Dietitians/

Childhood Obesity and the Modern Lifestyle: Implications for Future Generations.

all children not just overweight. Captive audience. Lower costs when compared to clinical programs and possibly cost-effective*. Disadvantages include: In some cases less effective compared to clinical programs with regard to behavior change and BMI improvement. Lack of parent involvement and behavioral therapy. School Based Weight Management Interventions * Obesity Research. 2003;11:1313-1324 Barriers to Care Dysfunctional family situation Medical model – individual/

Improving Outcomes in Child [& Adult] Obesity Management W E CAN I MPACT THIS G LOBAL H EALTH P ROBLEM  Maggie Argentine, PhD, RN Professionally Certified.

& Mad. Cty DOH * Colgate Upstate Institute  Referring Providers  Oneida Healthcare  Community Memorial Hospital Expert, Kid-Friendly, Evidence-Based:  Registered Dietician  Youth Credentialed Fitness Trainer  Counselor, Social-Worker  Program Coordinator  Researcher, Data Analyzer Obesity Management STRATEGIES & TRACKING Argentine Health PartnersSyracuse, NY June 5, 2015 NIH Publication No. 12-7486A, October 2012 Recommendations based on Evidence Review Directed towards all primary pediatric care/

Weight Management Katie Belazis, Nicole Sagaria, Shelley Opremcak, Colleen Poling HCFN 400A November 6, 2008.

likelihood of long-term success and healthy outcomes All approaches to weight management require comprehensive lifestyle program that focuses on nutrition, exercise, cognitive behavioral changes and medical monitoring to increase the likelihood of long-term success and healthy outcomes Obesity must be acknowledged (by insurance companies) as a disease for reimbursement Obesity must be acknowledged (by insurance companies) as a disease for reimbursement Should/

A Population Health Approach to Managing Obesity Using a Primary Care Behavioral Health Clinical Pathway Anne C. Dobmeyer, PhD, ABPP, Chief Psychologist,

Managing Obesity Using a Primary Care Behavioral Health Clinical Pathway Anne C. Dobmeyer, PhD, ABPP, Chief Psychologist, PCBH Directorate, Deployment Health Clinical Center Jennifer L. Bell, MD, Associate Director, PCBH Directorate, Deployment Health Clinical Center Christopher L. Hunter, PhD, ABPP, DoD Program Manager/5):373-378. doi:10.7326/0003-4819-157-5-201209040-00475 Screening for and management of obesity in adults: clinical summary of U.S. Preventive Services Task Force recommendation. Figure /

Innovations and new initiatives to prevent obesity NSW Health Innovation & Health Symposium – November 2015 Louise A Baur University of Sydney: Discipline.

-care & community based care Level 2 High risk patients Care management Level 3 Obesity and the chronic disease care pyramid Complex patients Case management Self-care supported by GPs, other 1 o care, group programs Multidisciplinary teams; specialist allied health; group programs Tertiary level facilities & special obesity clinics; specialist teams; key worker case manages & joins up care Primary prevention & health promotion Level 1 70-80% of people/

Results Long-term Weight Outcomes by Severity of Obesity in Children in Comprehensive, Multidisciplinary Weight Management Compared to Standard Care Controls.

et al, 2012). This study investigated long-term outcomes of a comprehensive multidisciplinary intervention based on obesity severity and as compared to standard care Conclusions Children aged 9-18 presenting for a 24- week comprehensive, multidisciplinary group weight management program fell into evenly divided obesity severity classes. Classifying children in obesity severity categories can be a useful tool in tailoring treatment. Children with Class II/

Author name here for Edited books chapter 9 9 Designing Weight Management and Body Composition Programs chapter.

between health risks for carrying too much and too little body fat Identify healthy body weight targets Design a scientifically sound weight management program Understand the role of exercise in a sound weight management program Definitions and Classifications Obesity: excessive amount of body fat relative to body weight; body mass index (BMI) at least 30.0 kg/m 2 Overweight: BMI between 25 and 29/

Changing the Landscape to Prevent Childhood Obesity Kansas City’s Childhood Obesity Collaborative-Weighing In KC Capacity Inventory.

Focus SchoolNeighborhoodCommunity-RegionOther General Provide technical assistance and resource supports Support after school programs Launch and maintain school-based programs, Secure school district support Conduct youth empowerment program Change school environments and policies Conduct school-based screenings and refer at risk for weight management treatment Provide counseling for overweight/ obese children and their families Support neighborhood based initiatives Increase community mobilization on HE/

Abdulaziz Bin yahya Naif Al eid APPROACH TO OBESE PATIENT.

. This procedure tends to be performed in subspecialty centres. HOW CAN WE APPROACH AN OBESE CHILD? For children and adolescents focus lifestyle programs on parents. Weight loss is not recommended for most of children, as weight maintenance during growth will allow a gradual decline in BMI. Weight management in children and adolescents focuses on changes in health behaviors that influence weight, dietary behavior/

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