Ppt on obesity management strategies

Healthy Weight Strategy for Nottingham: 2010-2020 Sarah Diggle Public Health Development Manager, NHS Nottingham City Chris Wallbanks Healthy Schools Manager,

Nottingham: 2010-2020 Sarah Diggle Public Health Development Manager, NHS Nottingham City Chris Wallbanks Healthy Schools Manager, Nottingham City Council Ground to cover today Rationale and content of the Healthy Weight Strategy for Nottingham –Vision –The issue –Our approach –What we are doing –Future priorities and development Background to Strategy Development Child obesity strategy and action plan in place since 2008 - cross sector steering group Commended/


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

’t eat in a rush Additional Strategies  Wellness programs with onsite or online wellness coaches are effective  Incentives  Ongoing reminders through newsletters, posters, speakers  Weight management support groups Partner with Community Resources /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 /


Obesity Prevention and Control Programs in the United States William H. Dietz, M.D., Ph.D. Division of Nutrition and Physical Activity Centers for Disease.

Stratification of care based on ROI Effective strategies for weight loss within primary care Reimbursement International Conference for cardio/cerebrovascular disease Environment Family School Worksite Community Medical System Information Systems Decision Support Delivery System Design Self Management Support Patient Self-Management Chronic Care Model International Conference for cardio/cerebrovascular disease Settings for the Prevention and Treatment of Obesity Industry Medical Settings School Work Site/


Nutrition for Health and Health Care, 5th Edition DeBruyne ■ Pinna © Cengage Learning 2014 Weight Management Chapter 7.

and messages Nutrition for Health and Health Care, 5th Edition DeBruyne ■ Pinna © Cengage Learning 2014 Aggressive Treatments of Obesity Obesity drugs –Beneficial with modest weight loss As part of a long-term, comprehensive weight-loss program –Must consider / –“How To” apply behavior modification to manage body fatness –Cognitive skills: “positive self-talk” Nutrition for Health and Health Care, 5th Edition DeBruyne ■ Pinna © Cengage Learning 2014 Reasonable Strategies for Weight Loss (cont’d.) Behavior /


National Center for Chronic Disease Prevention and Health Promotion Division of Nutrition, Physical Activity, and Obesity Healthy Communities: Healthy.

Managers, Urban Planners, and Budget Analysts  Each community pilot tested a subset of the measures  They provided feedback on their ability to report on each measurement, the level of effort required to gather the necessary data, and the perceived utility of each measurement. Local Government Pilot Test CDC Recommended Community Strategies and Measurements to Prevent Obesity/in public service venues CDC’s Recommended Strategies to Prevent Obesity Strategies to Create Safe Communities That Support Physical/


Chapter 9 Energy Balance and Weight Management. A Closer Look at Obesity Bodies come in many shapes and sizes. Which are healthy? © 2007 Thomson - Wadsworth.

men 54% women  Mexican Americans 32% men 42% women http://www.cdc.gov/obesity/data/trends.html#Race Copyright 2010, John Wiley & Sons, Inc. Weight Management Terms Energy balance occurs when energy consumed equals energy expenditure. Energy is measured in kilocalories/ which one part of the body is disproportionately thin relative to the others. © 2007 Thomson - Wadsworth Weight Loss Strategies The secret is a sensible (not to say easy) three-pronged approach involving:  Healthful eating habits  Exercise /


Mechanical Ventilation in Morbidly Obese patients Majid Malekmohammad M.D. Intensivist – Pulmonologist NRITLD.

goal based on IBW High protein or amino acid intake based on TBW Ventilator Strategies Ventilatory management of respiratory failure: – non-obese patients lung protective aim at early weaning – in overweight or obese not yet been formally evaluated – most of the ventilatory strategies healthy obese patients who underwent bariatric surgery Not effective in obese + ALI the lung does not grow with increasing BMI TV adjusted to the/


The National Diabetes Management Strategy: Diabetes Facts and Figures

web site, whether such obligations arise in contract, negligence, equity or statute law. The National Diabetes Management Strategy and The University of Western Ontario do not guarantee or warrant the quality, accuracy, completeness, timeliness, /15, 2011 Lau DCW, Douketis JD, Morrison K, et al; Obesity Canada Clinical Practice Guidelines Expert Panel. 2006 Canadian clinical practice guidelines on the management and prevention of obesity in adults and children [summary]. CMAJ. 2007;176(8 Suppl):/


Clinical Diagnosis and Effective Management Strategies

Clinical Diagnosis and Effective Management Strategies What Do We Know About Obesity Prevalence continues to rise at alarming rate among adults, children and adolescents. Most common medical problem seen in/, exercise, or both—together with behavioral interventions aimed at skill development, motivation, and support strategies produces modest, sustained weight loss (typically 3 to 5 kg for ≥ 1 year) in adults who are obese. Ann Intern Med 2003;139:930-932. Pharmacotherapy Indicated as an adjunct to diet and /


The Science and Medicine of Thrombosis Management New Dimensions, Novel Approaches, and Landmark Practice Advances in Venous and Arterial Thrombosis Prevention.

Systemic hypertension Heart failure Heart failure Valvular heart disease Valvular heart disease Diabetes mellitus Diabetes mellitus Obesity Obesity Increasing prevalence of risk factors for AF Older age Older age Systemic hypertension Systemic hypertension Heart /need for alternatives to warfarin. Prophylaxis Of VTE Current Strategies and Emerging Role of Xa Inhibition for DVT Prevention and Treatment The Science and Medicine of Thrombosis Management Samuel Z. Goldhaber, MD Program Chairman and Moderator /


Welcome to this Science-to-Strategy Summit. Critical Challenges and Landmark Advances in Thrombosis Management The Evolving and Foundation Role of LMWHs.

Learn how national guidelines for thrombosis prevention should impact management of patients with cancer. Learn how national guidelines for thrombosis prevention should impact management of patients with cancer. Be able to specify strategies for risk-directed prophylaxis against DVT in at risk /001<0.001<0.001 Age 65 y 1.10.005 Arterial thromboembolism 1.40.008 Comorbidities (lung/renal disease, infection, obesity) 1.3-1.6<0.001 Khorana AA et al. J Clin Oncol. 2006;24:484-490. Pharmacologic (Prophylaxis &/


Approaches for the treatment of obesity Dietary approaches for the treatment of obesity Amanda Hallson (MSc.,RD) Dietitian in Obesity Management.

loss and weight maintenance in obese adultsAddressed strategies which dietitians could use to promote weight loss and weight maintenance in obese adults Recognised that both prevention & treatment of obesity are complex and difficult endeavoursRecognised that both prevention & treatment of obesity are complex and difficult endeavours Dietitians are well positioned to provide evidence based, independent information on nutrition & eating behaviour in the management of obesityDietitians are well/


AAIP PROJECT STAFF – JOHN STAFFORD, PROJECT MANAGER EXPERT CONSULTANT – NOELLE KLESZYNKSI, MPH AAIP EXECUTIVE DIRECTOR – MARGARET KNIGHT THURSDAY NOVEMBER.

Guide to Preventive Services Examples Link to recommended obesity prevention strategies http://www.thecommunityguide.org/obesity/communitysetti ngs.html http://www.thecommunityguide.org/obesity/communitysetti ngs.html Behavioral interventions that aim to reduce recreational (i.e., neither school-related nor work-related) sedentary screen time teach behavioral self-management skills to initiate or maintain behavior change. Worksite wellness - Policy and environmental approaches aim to make/


Managing Total Risk & Total Cost: Workers Compensation & Employee Benefits Why Wellness, Why Now? May 17, 2011 Joe Picone, Chief Claim Officer, Willis.

Maintain & Improve Health  More than a Vendor Relationship 56 Conclusion  Do Homework: Analytics on Obesity, Aging, Mental Health Impact, Cultural Barriers  Know your Demographics: Risk Pool  Combine Disability, Medical and WC data  Bridge Gap: Joint Strategy with Workers Compensation and Employee Benefits  Wellness Strategic Risk Planning Session  Measure ROI Managing Total Risk & Total Cost: WC & Employee Benefits Why Wellness, Why Now? April 12/


Obesity Management in Primary Care Arya M Sharma, MD, PhD, DSc. (h.c.) FRCP(C) Professor of Medicine Research Chair for Obesity Research & Management University.

Obesity Management in Primary Care Arya M Sharma, MD, PhD, DSc. (h.c.) FRCP(C) Professor of Medicine Research Chair for Obesity Research & Management University of Alberta Medical Director Alberta Obesity Prevention & Bariatric Care Strategy Edmonton, AB, Canada www.drsharma.ca Disclosures Research Support: Heart and Stroke Foundation of Canada, Canadian Diabetes Association, Networks of Centres of Excellence, Canada Research Chair, University Hospital Foundation and /


The WM LD and Obesity Work Programme, Findings, Resources and Implementation Opportunities Karen Saunders Senior Public Health Manager Department of Health.

) and the healthy Lives Healthy People update and way forward document published in July 2011. No Health Without Mental Health Strategy (2011) The Quality, Innovation, Productivity and Prevention (QIPP) agenda Commissioning for Quality and Innovation (CQUIN) payment frameworks./ the country 4. Case Studies: LD and Obesity Projects A bank of case studies detailing projects that support people with Learning Disabilities to become more active, eat healthily and manage their weight can be found at http://www./


Weight Management: Nutrition & Physical Activity Part I.

and activity patterns influence current body weight  Availability  Serving sizes  Restaurant food Causes of Overweight & Obesity – Environment  Physical inactivity  Life requires little exertion  Modern technology  Inactivity contributes to weight gain /in absence of hunger  Emotional/stress eating  Another cortisol connection! Weight Loss Strategies – Physical Activity  Psychological benefits  Self-esteem  Stress management  Choosing activities  Ones you enjoy & are willing to do regularly  /


ISDH Strategies to Reduce Overweight and Obesity

healthy eating and activities, to promote healthy life styles, and to prevent obesity and related chronic diseases. Program Focus: To promote and promise individual, community, and environmental strategies to prevent and control obesity and related chronic diseases. Community Nutrition/Obesity Prevention Educate physicians and the public about prevention and management of overweight and obesity. Develop and support policies and legislation that promote daily physical activity and/


Healthy Lifestyles/Healthy Weight A Workplace Strategy for Reducing the Costs of Obesity.

activity days, 90 million bed days, and 63 million physician visits. (Current Estimates of the Economic Costs of Obesity in the United States, Obesity Research, 1998) Obese individuals have higher health care utilization rates : » 36%  inpatient and outpatient spending » 77%  /series of materials, in print and/or online 9 Strategy Distribute to every employee a memo announcing the healthy weight outreach initiative and emphasize management support Sponsor healthy weight activities, on-site seminars or /


Investigations  Stratification Front Line Clinical Applications New Frontiers and Emerging Treatment Paradigms for Optimizing Management of Obesity Focus.

Strategy Typical Algorithm (Progress through algorithm as clinically required) Post-surgical Combination Therapies Weight Loss Surgery Add Medications Professionally-directed Lifestyle Change Self-directed Lifestyle Change There is broad variability in the weight loss response to ALL therapies for obesity  Specific lifestyle interventions  Medications  Surgery The Heterogeneity of Obesity Epidemiology and Clinical Approaches to Obesity Management Epidemiology and Clinical Approaches to Obesity Management/


Chapter 5 Weight Management CHAPTER OUTLINE Overweight vs. Obesity

Disorders Physiology of Weight Loss Exercise: The Key to Weight Management Losing Weight the Sound and Sensible Way Daily Food Logs Behavior Modification & Weight Management Critical Thinking What behavioral strategies have you used to properly manage your body weight? How do you feel those strategies would work for others? Behavior Modification Techniques Overweight vs. Obesity Tolerable Weight The Weight Loss Dilemma Eating Disorders Physiology of Weight/


CHS 412 Lecture 2 Health Education to prevent and control Obesity and its danger Dr. Ebtisam Fetohy.

-for-age in children and adolescents compares well to laboratory measures of body fat e)The longer a child remains obese beyond age 3 years, the more likely that the obesity will persist into adulthood Management of obesity/1: Effective management of obesity requires long-term strategies and an integrated, multi-disciplinary approach that includes: dieexercise. 1.Community-based support for behavioral modification including: diet and exercise/


Module 3: Driver Education. Introduction NAFMP | North American Fatigue Management Program Copyright © 2012 3 Introduction to Module Topics: North American.

~25% are overweight Body-Mass Index (BMI) – Weight/Height 2 × 703 – Scale: <25 = normal 25-30 = overweight >30 = obese Being overweight/obese increases risks of heart disease, high blood pressure, Diabetes, OSA, other injuries, and some cancers Strategies: diet and exercise NAFMP | North American Fatigue Management Program Copyright © 2012 96 Smoking & Other Tobacco Use Leading preventable cause of disease, death, and disability ~20% of/


We must develop a better understanding of energy balance, if we hope to manage the obesity epidemic.

Church TS et al. PLoS 2011 Church TS et al. PLOS ONE 2011;6(5): e19657 Occupational EE and Obesity Household Management Energy Expenditure/Week Archer E, et al. (2013) PLoS ONE 8(2): e56620. doi:10.1371/journal./Environmental changes Occupation Household Transport Personal habits Dietary intake Physical activity Fitness and Fatness Strategies for addressing the obesity epidemic How Should We Deal with the Obesity Epidemic? Understand energy balance Design interventions to address the problem »Public policy »/


WEIGHT GAIN /OBESITY By Dr. Cuong Ngo-Minh Back to Basics April 14th 2010.

personal goals (eg. Able to play soccer with grand-son) Use Self-management strategies with action plan. Use Self-management strategies with action plan. A) Improve grocery choice to reduce calories B) /Improve food preparation (less frying) C) Progressive exercice plan with routine (eg pedometer 5000 steps, walk 30 min after meals). D) Chart weekly weight (same scale). Agree on realistic goals. Goal of care for obesity/


MNT in Diabetes and Related Disorders. key components of diabetes management healthful eating pattern Regular physical activity pharmacotherapy.

management healthful eating pattern Regular physical activity pharmacotherapy. Goals of nutrition therapy To promote and support healthful eating patterns, emphasizing a variety of nutrient dense foods in appropriate portion sizes Goals of nutrition therapy MNT Strategies/ Overtreatment of hypoglycemia should be avoided Adjustments of insulin should be made for exercise Obesity and Prognosis Obesity in diabetic persons is not associated with mortality or microvascular, macrovascular complications Short term/


Approaches to Obesity Prevention and Treatment at School-Based Health Centers Matt Haemer MD Assistant Professor in Pediatrics Section of Nutrition CU.

Medical Director LIFEStyle Medicine Weight Management Children’s Hospital Colorado matthew.haemer@childrenscolorado.org Faculty Disclosure Dr Haemer has no relevant financial or other conflicts to disclose. Objectives 1. to describe effective strategies to discuss weight status 2. to understand tools to support lifestyle screening and counseling and the potential benefit 3. to describe effective strategies to deliver clinical obesity prevention and treatment services/


William H. Dietz MD, PhD Director:Redstone Global Center for Prevention and Wellness Critical and Emerging Strategies for Obesity Prevention and Care.

is more likely to be held responsible tor their weight Describing a person with obesity is more likely to focus attention on cause Settings for the Prevention and Management of Obesity Early care & education Schools Communities Medical systems Early care & education Schools Communities Medical systems Strategies for Early Care and Education Regulations Standards for PA Limits on screen time Healthful foods and beverages Training/


Childhood Obesity: The Way Forward Susan Dentzer Editor-in-Chief With thanks to the Robert Wood Johnson Foundation for its generous support.

on healthy lifestyles in 2009 (72.7% in 2007) –88.1% of providers developed a care plan and family-management goals with obese/overweight patients who were ready to change in 2009 (74.2% in 2007)  Nemours’ providers: –Nemours’ provider classification/partners’ reasons for involvement –Provide partners with data, tools and training to make recommended changes  Focus on maintaining strategy –Clearly defined program goals are critical to success –Focus on a limited set of priority areas and sectors to /


Health and wellbeing strategy engagement survey Introduction One of the first major tasks of the health and wellbeing board has been to develop priorities.

for children and young people with complex needs Increasing physical activity: the Olympic legacy? Reducing levels of obesity and its impact on other conditions The prevention and management of diabetes Reducing the harm of alcohol consumption Review the pathways for stroke prevention and reduction Review strategies in place for long term conditions Adult mental health; review delivery, pathways and areas for joint working/


The National Diabetes Management Strategy: Diabetes Facts and Figures By using these slides, you agree to the terms on the next slide. The development.

on this web site, whether such obligations arise in contract, negligence, equity or statute law. The National Diabetes Management Strategy and The University of Western Ontario do not guarantee or warrant the quality, accuracy, completeness, timeliness, appropriateness or/ with significant morbidity Among people with diabetes: –40% have diabetic retinopathy –15% have foot ulcers –80–90% have obesity –34–45% have erectile dysfunction –40–50% have neuropathy –40% have anxiety and 15% have depression –75% of/


FOOD ADDICTION: FACTS, FICTION, CHALLENGES Jeremy Clorfene, Ph.D. Head Psychologist Advocate Weight Management Program (Chicago Area) 565 Lakeview Parkway,

This temporal pattern is fairly independent of initial weight loss. Efforts to prevent relapse in the treatment of obesity via aggressive maintenance strategies have been able to slow the rate of regain over time but have failed to alter the basic/ plan if get off plan Treatment keys: 5. Skills, skills, skills (impulses, emotional) a. stress management b. emotional eating c. delay impulses d. manage relationships Treatment keys: 6. Build a system about Food Addiction a. review food addiction model b. review /


Weight Management Clinic Program Orientation Amy Rothberg, MD, PhD Andrew Kraftson, MD Nevin Ajluni, MD  Charles Burant, MD, PhD Christine Fowler, RD,

eat), cognitive, and emotional components of food intake. Gaining a better understanding of the brain’s role in weight is one of our goals. Weight Management Clinic →Goal: Identify strategies that will result in long-term weight management for obese individuals, using the latest research and clinical strategies. →We are dedicated to educating, motivating, and empowering individuals to make healthy lifestyle choices! Comprehensive Adult Weight/


 2010 Cengage-Wadsworth Chapter 9 Weight Management.

 2010 Cengage-Wadsworth Chapter 9 Weight Management  2010 Cengage-Wadsworth Ask Yourself 1.The less you weigh, the better it is for your health. 2.Obese people pay higher insurance premiums than thin people. 3.If you weigh /personality, reduced interpersonal conflicts, or any other improvements in the quality of one’s life.  2010 Cengage-Wadsworth Successful Weight-Loss Strategies The secret is a sensible (not to say easy) three-pronged approach involving: 1.Healthful eating habits 2.Exercise 3.Behavior /


OBESITY Bavani Nadeswaran, MD Diplomat American society of Obesity Medicine.

d) Time management is the most effective behavioral strategy for inducing weight loss. e) Behavioral strategies play only a small role in losing weight. 10% Weight Loss Will Beneficially Improve the Following Conditions Affected by Obesity: Osteoarthritis / and BMR Indications: Short term adjunct in a regimen of weight reduction involving lifestyle changes in the management of adult exogenous obesity BMI > 30 or > 27 with comorbidities (HTN, DM, hyperlipidemia) Contraindications: -advanced arteriosclerosis, /


Energy Balance and Weight Management. Body Weight & Health In the United States today, 66% adults are either: Over Weight or Obese In 1960 only 13.4%

and Weight Management Body Weight & Health In the United States today, 66% adults are either: Over Weight or Obese In 1960 only 13.4% adults were obese In 1990 about 23 % adults were obese And today (2010) 32% adults are obese Obesity on The / [VLCD]) are unsuccessful at achieving lasting weight loss, lack necessary nutrients, and may promote eating disorders What Diet Strategies Are Best for Weight Loss? Balancing Carbohydrates, Fats, and Protein Choose fats sensibly Avoid saturated and trans fats Include/


Energy Balance and Weight Management. Energy Balance.

Composition Defining healthy body weight –What should be the primary focus of weight management efforts? –The criterion of fashion: ________________ –The criterion of health Obesity is a major chronic disease risk factor Copyright © 2017 Cengage Learning. All/ © 2017 Cengage Learning. All Rights Reserved. Energy Density Copyright © 2017 Cengage Learning. All Rights Reserved. Reasonable Strategies for Weight Loss: A Healthful Eating Plan (cont’d.) Sugar and alcohol –________ intakes Meal spacing –Flexible –/


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

–Government –Policy Makers –Healthcare Providers Health Plans Emerging As Pragmatic Partners in Fight Against Obesity. National Institute for Health Care Management. April 2005. http://www.nihcm.org/finalweb/Obesity Report.pdfhttp://www.nihcm.org/finalweb/Obesity Report.pdf Preventing Childhood Obesity, Health In the Balance. Institute of Medicine. 2005 Strategies for Combating Obesity Significant culture changes to promote healthy lifestyles. New model of care and significant cultural/


Weight Management Clinic

glucose tolerance Nature Clinical Practice 2008; 4:382-393 Weight Management Clinic Goal: Identify strategies that will result in long-term weight management for obese individuals, using the latest research and clinical strategies. We are dedicated to educating, motivating, and empowering individuals to make healthy lifestyle choices! Comprehensive Adult Weight Management Clinic Personalized Weight Management Program Multidisciplinary approach to weight loss and weight maintenance Intensive induction/


Obesity in America A Growing Epidemic Workplace Strategies and Solutions Janine V. Kyrillos, MD Director, Preventive Health Care Program Medical Coordinator,

A Growing Epidemic Workplace Strategies and Solutions Janine V. Kyrillos, MD Director, Preventive Health Care Program Medical Coordinator, Weight Management Program Thomas Jefferson University 215-955-6180 janine.kyrillos@jefferson.edu Sponsored by Health Advocate, Inc. Overview  1/3 of U.S. population is obese  2/3 of U.S. population is overweight or obese  74% Increase over 10 year period  Costs U.S/


Hélène Charlebois, RD HC Nutrition Inc. Consulting & Wellness Weight Management Specialist Certified in Adult Weight Management Level 1 & 2 Academy of.

Meal Replacements (cont’d) Waisting Away TM Weight Management Strategies What about Protein Shakes? Stomach = volume detector /Obesity???  Metamucil  PGX Expands in stomach Keeps you fuller longer Less 28 kcals/day= 1.7 kg per year wt loss Great for between meal hunger  Or take before a meal to eat less Mix in juice, yogurt, applesauce, pudding Mix with water; drink 15 minutes before your meal. Non-Prescription Medication High Fibre Products HOW? WHAT? Waisting Away TM Weight Management Strategies/


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

could be improved Tried all non-surgical treatments – failed weight loss at 6 months Receiving intense management in a specialist obesity service Fit for surgery – anesthesia Commitment to long term follow up First-line option BMI / COI (2008). Healthy weight, healthy lives: a cross government strategy for England. London. Department of Health. 3. NICE (2006) Obesity: The Prevention, Identification, Assessment and Management of Overweight and Obesity in Adults and Children. London: NICE 4. Kate Jolly, Amanda/


Obesity and Continence Care in Nursing Home Residents Christine Bradway, PhD, RN, FAAN Geriatric Medicine Grand Rounds January 10,

Mass Index53 (range-50-57) Urinary Incontinencen=3* Functional=3 Urge=1 Urinary Retention=1 Fecal Incontinencen=3* Strategies for Managing UIAnticholinergic Medication n=1 Pads/products n=3 Indwelling urinary catheter n=1 Findings Three primary themes From interview and observational data: Obese and Incontinent Day to Day Fitting In the Environment “It’s Rough…But We Want to Do It” Dealing/


WEIGHT MANAGEMENT Chapter 7. TEST YOUR KNOWLEDGE  About what percentage of American adults are overweight? a. 15% b. 35% c. 65% c. About 65% of American.

in daily activities.  Successful weight management requires a long term coordination of many aspects of wellness lifestyle, including: proper nutrition, adequate physical activity and stress management. Health implications of overweight and obesity  One of the major controllable risks/ significant cuts in food intake is difficult to maintain, increasing your physical activity is a much better strategy Physical activity  Even a small increase in activity level can help maintain your current weight or help/


© 2008 McGraw-Hill Higher Education. All rights reserved. Weight Management & Eating Disorders.

Physical Activity – among Americans is declining, beginning in childhood throughout adulthood. Psychosocial factors –Emotions –Coping strategiesObesity is strongly associated with socioeconomic status. © 2008 McGraw-Hill Higher Education. All rights reserved. 19/ 2008 McGraw-Hill Higher Education. All rights reserved. 24 Adopting A Healthy Lifestyle For Successful Weight Management (Continued) Portion Sizes Energy (calorie) Density Fat Calories Carbohydrates –Simple Sugars and Refined Carbohydrates Protein/


Dr. Fitzroy Henry Caribbean Food and Nutrition Institute (PAHO/WHO)

healthy and meet the nutritional requirements of adolescents without putting them at risk for obesity and other chronic diseases CRITICAL STRATEGIES - T2 SCHOOL VENDING Establish specifications for school canteen tenders. Implement an inspection process/ NEEDED 12 LESSONS LEARNT Desired Ideal, based on the research Reality Conceptualization Design Planning Teams Project Management Teaching methods and Materials Training of Teachers Teacher Motivation Standards Nutrient, meal, menu Monitoring & Evaluation/


WHO REGIONAL NUTRITION STRATEGY

food: shift in food preferences towards convenient and cheap but of poor nutrition quality foods Overweight, obesity and nutritionally-related chronic diseases (NCD) have increased rapidly Increasing reliance on imported food Decline in local/2010 Meeting of South-East Asia Regional Programme Managers on Child Health, Kathmandu, Nepal, 15 – 18 November 2011 Regional Nutrition Strategy: Addressing malnutrition and micronutrient deficiencies Rationale for the Strategy 70% of the world’s malnourished children /


Understanding the Impact of Obesity on Breathing and Sleep Scot Jones, BA, RRT-ACCS, RCP.

lab tests – Clinical confusion of multiple comorbidities + The Airway Bergler, et al., 1997 The Airway The Ideal Airway Airway Strategies Assess the physiology Proactive use of “difficult airway equipment” Consider back-up plan – what will you do if you cannot/ = prolonged period of recovery Significant concern of ventilatory depression with adequate pain management (loss of airway!) Medication administration by IBW, TBW, or DW? Obesity is not just a comorbidity. It is a disease. Clinical Diagnosis is /


HEDIS ® HEDIS ® requirements for Anthem, MDwise and Managed Health Services A Combined Managed Care Presentation October 20-22, 2009 HEDIS ® is a registered.

meetings  Providing medical records feedback from current year HEDIS abstractions 36 Hoosier Healthwise Anthem  Member focused strategies:  Clinical Quality Health Services Team implemented member interventions for all incentive measures and several NCQA accreditation /CDC BMI growth chart for age and sex  Provider’s Family Counseling Guide to address childhood obesity 46 Hoosier Healthwise Managed Health Services - HEDIS Initiatives  OMPP & NCQA Focused Performance Measures  Educational Material – MHS/


© 2007 Thomson - Wadsworth Chapter 9 Weight Management.

© 2007 Thomson - Wadsworth Chapter 9 Weight Management © 2007 Thomson - Wadsworth Ask Yourself 1.The less you weigh, the better it is for your health. 2.Obese people pay higher insurance premiums than thin people. 3.If you weigh / through physical activity, fat will return to the fat cells that remain in those regions. © 2007 Thomson - Wadsworth Weight Loss Strategies The secret is a sensible (not to say easy) three-pronged approach involving: Healthful eating habits Exercise Behavior change Such an approach/


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