1. 1 Weight Watchers International, Inc. -A science-based lifestyle modification approach focused on health promotion Stephanie Rost, MS, RD, Director of Corporate Program Development Friday, October 14, 2011

2. About Us Who We Are – Leading global provider of weight management services for nearly 50 years – Available in 25 countries Our Reach – U.S. – Annually more than 1.7 million enrollments in Weight Watchers meetings and 1 million signups for WeightWatchers.com – 25,000 meetings each week held in convenient times and locations (~ 5000 in workplace) 75% of our members live with a 12 minute drive to a meeting

3. Weight Watchers Method Developed by healthcare professionals – A lifestyle modification program based on science that includes education, behavior change and group support Delivered by role models in a supportive environment – All meeting staff have consistently lost and maintained their weight on the Weight Watchers program This method enables science to be translated and applied in a way that real people can understand and follow in a sustainable way.

4. How to Follow Weight Watchers Monthly Pass: Unlimited meetings Etools $39.95/month Most popular option

5. Monthly Pass: More Engagement, More Weight Loss Strong correlation between meeting attendance and weight- loss success People who attended meetings + eTools lost 50% more weight than those who attended meetings alone* *Nguyen V et al. Obesity 15(9) suppl. A221, 2007.

6. Weight Watchers Meetings Weight Watchers staff give a private and confidential weigh-in prior to the meeting start Each meeting is a discussion led by a Leader, with new topics each week (topics are consistent in every location) Topics cover everything from holiday eating and struggles to family meal ideas, with lots of tips and suggestions Leaders are trained in the program and to pass on their expertise and unique personal experiences as Lifetime Members of Weight Watchers

7. Online Tracking tools, robust content on weight/lifestyle topics, recipe builder, community ~1 million subscribers Mobile options (iPhone/iPad/Android) > 1.5MM downloads of iPhone App WW Kitchen Confidential Ipad App Support for other mobile platforms

8. DietActivityCognitive SkillsSocial Support The Four Pillars of the Weight Watchers Approach

9. Uses formula based on macronutrients, net calories and satiety to calculate PointsPlus value of a food Fruit and most vegetables assigned 0 PointPlus value “Power Food” designation rates foods based on health and satiety

10. Scientific Heritage Strong commitment to evaluating efficacy of the Weight Watchers methodology Established body of evidence 65 original scientific publication to- date and growing Located in the Weight Watchers Scientific Compendium Online Scientific Advisory Board composed of world-renowned obesity experts

11. 11 Primary Care Referral to a Commercial Provider for Weight Loss Treatment, relative to standard care: An international randomized controlled trial. Susan A Jebb, Amy L Ahern, Ashley D Olson, Louise A Aston, Christina Holzapfel, Julia Stoll, Ulrike Amann-Gassner, Annie E Simpson, Nicholas R Fuller, Suzanne Pearson, Namson S Lau, Adrian P Mander, Hans Hauner, Ian D Caterson MRC Human Nutrition Research, Cambridge, UK (published in The Lancet, September 7 th, 2011)

12. 12 Study objectives Primary objective To examine the differences in weight loss at 12 months between general practitioner referral (GP) to Weight Watchers (WW) program and standard management in primary care (as informed by national guidelines) across 3 countries. N = 772 participants (n = 377 WW, n = 395 SC) Secondary objectives To investigate the number of subjects losing 5% or 10% of baseline weight in each group. To investigate changes in indicators of metabolic risk – including waist circumference, body composition, blood pressure, blood glucose, lipids, etc.

13. 13 Results In all analyses, participants referred to WW lost more than twice as much weight as people receiving standard care over 12 months Weight loss over 1 year with WW was an average of 7 kg (15.4 lbs) – This is considerably less than the 3 kg (6.6 lbs) loss among standard care Among WW completers, 60% of participants lost >5% and 32% lost >10% of baseline weight – Among Standard Care completers, 25% lost >5% and about 9% lost >10% of baseline weight Odds ratios of WW group achieving at least 5% or 10% weight loss at 12 months: – All subjects: 3.0; 3.2 – Completers: 2.9; 3.5

14. Weight Watchers on prescription: An observational study of weight change among adults referred to Weight Watchers by the NHS Amy L Ahern, Ashley D Olson, Louise A Aston, Susan A Jebb. BMC Public Health 2011, 11:434.

15. Requires a Portfolio of Solutions Variety of options needed to match the diverse needs of individuals with effective solutions Surgeries (e.g., banding, gastric sleeve) Medical Devices (e.g., VBLOC) Medications (e.g., sibutramine, phentermine) Lifestyle Modification Structured eating plan Regular physical activity Cognitive skills Support Morbid Obese Obese Overweight Healthy Weight Progression of Weight Gain Risk – function of life stage, SES, ethnicity, etc. Identify and prescribe a set of solutions that reverse or prevent the progression of weight of gain