Obesity, prevalence, risk factors, approach to management- Dr Shahjada Selim
Obesity-A New Approach
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Transcript of Obesity-A New Approach
Obesity Management
Strategies:
A New ApproachBy Rebekah Adamson
April 23, 2014
Introduction
• Reasons to Care
• Current issues with obesity
• Previous Efforts
• A new approach
• Barriers to success
• Why it will work
Reasons to Care• Heart disease
• Stoke
• Type 2 diabetes
• Certain cancers
• High blood pressure
• Liver and gall bladder disease
• Osteoarthritis
Current Issues
• One-third are obese
• Cost to America
• Cost per person
• Increasing trend over 50 years
• NHANES chart shows increase
Figure 4. Predicted weights and NHANES weights.
Church TS, Thomas DM, Tudor-Locke C, Katzmarzyk PT, et al. (2011) Trends over 5 Decades in U.S. Occupation-Related Physical
Activity and Their Associations with Obesity. PLoS ONE 6(5): e19657. doi:10.1371/journal.pone.0019657
http://www.plosone.org/article/info:doi/10.1371/journal.pone.0019657
Current Issues
Reasons for obesity trend
• Genetics
• Metabolism
• Behavior
• Environment
• Culture
• Socioeconomic status
Previous Efforts• Extreme calorie restriction
• Elimination of food groups
• Extreme exercise
• Negative self-talk or talk from others
• Restrictive programs
• Guilt associated with eating
A New Approach
Intuitive Eating Model
1. Reject the diet mentality
2. Honor your hunger
3. Make peace with food
A New Approach
Intuitive Eating Model (continued)
4. Challenge the food police
5. Respect your fullness
6. Discover the satisfaction factor
7. Honor your feelings without food
A New Approach
Intuitive Eating Model (continued)
8. Respect your body
9. Exercise – feel the difference
10.Honor your health
PROGRESS NOT PERFECTION
Barriers to Success
• Negative and guilty thinking
• Back to old ways
• All-or-nothing thinking
Staying on Track
• Focus on physical feelings
• Focus on emotional feelings
• Focus on positive self-talk
• Focus on good relationship with food
• Focus on good relationship with self
References"Prevalence of Obesity and Trends in the Distribution of Body Mass Index
Among US Adults, 1999-2010." JAMA Network. N.p., n.d. Web. 23 Apr.
2014.
"Telling Patients They Are Overweight or Obese." JAMA Network. N.p., n.d.
Web. 23 Apr. 2014.
"Adult Overweight and Obesity." Centers for Disease Control and
Prevention. Centers for Disease Control and Prevention, 27 Apr. 2012.
Web. 21 Apr. 2014.
"Clinical Guidelines on the Identification, Evaluation, and Treatment of
Overweight and Obesity in Adults." Obesity Guidelines. N.p., n.d. Web. 23
Apr. 2014.
"The Original Intuitive Eating Pros - Creating a Healthy Relationship with
Food, Mind & Body." 10 Principles of Intuitive Eating. N.p., n.d. Web. 23
Apr. 2014.
"Intuitive Eating, Diet Composition, and The Meaning of Food in Healthy