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SESSION: D3 |
| ROOM |
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| DATE |
Thursday, June 18, 2015 |
| TIME |
2:00pm-3:15pm |
| ABSTRACT CATEGORY |
Clinical Skills |
ABSTRACT TITLE |
Obesity: 5, 2, 1, 0 in 2015
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ABSTRACT SUMMARY |
Obesity rates are trending upward everywhere, and the cause is multifactorial. Environmental causes are most susceptible to intervention, but change is hard. The 5-2-1-0 initiative is a great way to begin with healthy changes that have evidence for having a significant impact. This workshop will review the background on this topic, discuss medical risk stratification, and then begin inspiring you to think about enacting change toward a healthy living culture in your school or community.
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ABSTRACT DESCRIPTION |
The obesity rate upward trend continues in every state in the Unites States. Childhood obesity rates are mirroring this trend, which potentially means even worsening rates in adults, as this generation ages. The 5-2-1-0 initiative is an evidence-based campaign that was developed from recommendations from an expert committee on childhood obesity. This initiative models a straightforward way to begin enacting change in small ways that can result in large impact, both individually and community-wide. This workshop will begin with the basics of the 5-2-1-0 initiative, and how it begins to address some of the root causes of the unhealthy weight problem in our culture. We will discuss how this can be used as both an educational tool at the individual and family level, as well as for advocating for change within your schools and communities. We will then begin thinking about the foundation of balance in a healthy living culture by considering the problem of excess weight as an energy balance problem. This serves to facilitate thinking about this complex problem with multifactorial etiology. We will review the metrics used in evaluating, diagnosing, and monitoring excess weight, including BMI, BMI %-ile, and z-factor, and review the medical definitions of overweight, obesity, and morbid obesity. We will review the process that is used for screening and medical risk stratification in our multi-disciplinary obesity clinic, and discuss how change is enacted in the specialty setting, through motivational interviewing techniques. This will provide a context for considering change at a deeper level. We will then explore a detailed consideration of the various areas of causality, including both genetic and environmental, subdividing the environmental causes into domains of nutrition, physical activity, and emotional / behavioral. We will then shift towards a thought process for enacting change within each of the subdomains. We will review evidence-based guidelines for initiating and managing change within each subdomain, the principles for which could be used at the individual level for treatment, or at the school or community level for primary prevention. We will end with a directed, interactive brainstorming session on specific ideas for change in participants’ local schools and communities, which will hopefully provide inspiration for enacting change toward a healthy living culture.
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PRESENTER(S) |
NAME: Caron Farrell MD, PhD, FAAP ORGANIZATION: Seton Mind Institute
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AUDIENCE |
ADMINISTRATORS: N |
PRIMARY HEALTH: Y |
MENTALHEALTH: N |
ORGANIZATIONAL: N |
PUBLIC HEALTH: N |
EDUCATION: N |
YOUTH: N |
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