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

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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