1. Arya M Sharma, MD, FRCPC Chair in Obesity Research & Management University of Alberta Medical Director Alberta Provincial Obesity Program Edmonton, AB, Canada www.drsharma.ca The 5As of Obesity Management™

2. Faculty/Presenter Disclosure Faculty: Arya M. Sharma Program: 51 st Annual Scientific Assembly Relationships with commercial interests: –Grants/Research Support: none –Speakers Bureau/Honoraria: Vivus, Esai –Consulting Fees: Novo-Nordisk, Vivus, Takeda –Other: none

3. Disclosure of Commercial Support This program has received financial support [none] from in the form of [none]. This program has received in-kind support from [none] in the form of [none]. Potential for conflict(s) of interest: –Arya M. Sharma has received none from [none]. –Canadian Obesity Network benefits from the sale of, etc.] a product that will be discussed in this program: [5As of Obesity Management tools and resources].

4. Mitigating Potential Bias All conflict and sources of funding will be declared.

6. Key Principles of Obesity Management Overview of the 5As of Obesity Management Ask Assess Advise Agree Assist Outline

7. Obesities are heterogeneous complex disorders of multiple etiologies characterized by excess body fat that threatens or affects socioeconomic, mental or physical health Sharma 2007

23. Stage 0 Stage 1 Stage 2 Stage 3 Stage 4 Medical Mental Functional absent pre-clinical risk factors mild co-morbidity moderate end-organ damage severe end-stage Obesity Edmonton Obesity Staging System (EOSS)

24. (no risk factors) (risk factors) (comorbidity) (end-organ damage) EOSS Predicts Mortality in NHANES III Padwal RS, Pajewski NM, Allison DB, Sharma AM. Using the Edmonton obesity staging system to predict mortality in a population-representative cohort of people with overweight and obesity. CMAJ. 2011;183:E1059-66

25. EOSS Predicts Mortality in NHANES III Padwal RS, Pajewski NM, Allison DB, Sharma AM. Using the Edmonton obesity staging system to predict mortality in a population-representative cohort of people with overweight and obesity. CMAJ. 2011;183:E1059-66 Overweight

26. Sharma AM. M, M, M & M: a mnemonic for assessing obesity. Obes Rev. 2010;11:808-9.

27. Sharma AM, Padwal R. Obesity Is A Sign - Over-Eating Is A Symptom: An Aetiological Framework For The Assessment And Management Of Obesity. Obes Rev. 2010;11:362-370.