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Chewing the Fat on Obesity Dr Jennifer D. Irwin Faculty of Health Sciences University of Western Ontario

Chewing the Fat on Obesity Dr Jennifer D. Irwin Faculty of Health Sciences University of Western Ontario. OBESITY. Who has it? What causes it? What helps us be rid of it? My perspective. We will not talk about . Fad “diets” Scales…they are great for ‘fish’

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Chewing the Fat on Obesity Dr Jennifer D. Irwin Faculty of Health Sciences University of Western Ontario

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  1. Chewing the Fat on Obesity Dr Jennifer D. Irwin Faculty of Health Sciences University of Western Ontario

  2. OBESITY Who has it? What causes it? What helps us be rid of it? My perspective

  3. We will not talk about • Fad “diets” • Scales…they are great for ‘fish’ • Will power – not lasting, set-up for beating self up

  4. My perspective • “Genuine” support helpful/needed • Nobody can be the expert on anybody else’s life • Relationship with self is critical • Now and future oriented - “where are you now, where do you want to go?”

  5. Who has it? Once considered a sign of wealth and prosperity…now not so rare, and not so ‘desirable’

  6. Rates of Obesity World-wide, more than 1 BILLIONadults overweight, 300 MILLION obese! Canada: 50% (11.1 million) adults overweight, 15% (3.3 million) are obese 1/3 children overweight or obese (starting at 2 years!)

  7. Obesity Trends* Among Canadian AdultsHPS, 1985 No Data <10% 10%-14% 15-19% 20% (*BMI 30, or ~ 30 lbs overweight for 5’4” person) Source: Katzmarzyk PT. Can Med Assoc J 2002;166:1039-1040.

  8. Obesity Trends* Among Canadian AdultsHPS, 1990 No Data <10% 10%-14% 15-19% 20% (*BMI 30, or ~ 30 lbs overweight for 5’4” person) Source: Katzmarzyk PT. Can Med Assoc J 2002;166:1039-1040.

  9. Obesity Trends* Among Canadian AdultsNPHS, 1994 No Data <10% 10%-14% 15-19% 20% (*BMI 30, or ~ 30 lbs overweight for 5’4” person) Source: Katzmarzyk PT. Can Med Assoc J 2002;166:1039-1040.

  10. Obesity Trends* Among Canadian AdultsNPHS, 1996 No Data <10% 10%-14% 15-19% 20% (*BMI 30, or ~ 30 lbs overweight for 5’4” person) Source: Katzmarzyk PT. Can Med Assoc J 2002;166:1039-1040.

  11. Obesity Trends* Among Canadian AdultsNPHS, 1998 No Data <10% 10%-14% 15-19% 20% (*BMI 30, or ~ 30 lbs overweight for 5’4” person) Source: Katzmarzyk PT. Can Med Assoc J 2002;166:1039-1040.

  12. Obesity Trends* Among Canadian AdultsCCHS, 2000 No Data <10% 10%-14% 15-19% 20% (*BMI 30, or ~ 30 lbs overweight for 5’4” person) Source: P.T. Katzmarzyk, Unpublished Results. Data from: Statistics Canada. Health Indicators, May, 2002.

  13. Obesity Trends* Among Canadian AdultsCCHS, 2003 No Data <10% 10%-14% 15-19% 20% (*BMI 30, or ~ 30 lbs overweight for 5’4” person) Source: P.T. Katzmarzyk, Unpublished Results. Data from: Statistics Canada. Health Indicators, June, 2004.

  14. Obesity Trends* Among Canadian AdultsCCHS, 2005 No Data <10% 10%-14% 15-19% 20% (*BMI 30, or ~ 30 lbs overweight for 5’4” person) Source: P.T. Katzmarzyk, Unpublished Results. Data from: Statistics Canada, Catalogue no. 82-621..

  15. Obesity Trends Among Canadian and U.S. Adults, 1985 No Data <10% 10%-14% 15-19% 20% Mokdad AH. Unpubliahed Data. Katzmarzyk PT. Can Med Assoc J 2002;166:1039-1040.

  16. Obesity Trends Among Canadian and U.S. Adults, 1990 No Data <10% 10%-14% 15-19% 20% Mokdad AH. Unpubliahed Data. Katzmarzyk PT. Can Med Assoc J 2002;166:1039-1040.

  17. Obesity Trends Among Canadian and U.S. Adults, 1994 No Data <10% 10%-14% 15-19% 20% Mokdad AH, et al. J Am Med Assoc 1999;282:16. Katzmarzyk PT. Can Med Assoc J 2002;166:1039-1040.

  18. Obesity Trends Among Canadian and U.S. Adults, 1996 No Data <10% 10%-14% 15-19% 20% Mokdad AH, et al. J Am Med Assoc 1999;282:16. Katzmarzyk PT. Can Med Assoc J 2002;166:1039-1040.

  19. Obesity Trends Among Canadian and U.S. Adults, 1998 No Data <10% 10%-14% 15-19% 20% Mokdad AH, et al. J Am Med Assoc 1999;282:16. Katzmarzyk PT. Can Med Assoc J 2002;166:1039-1040.

  20. Obesity Trends Among Canadian and U.S. Adults, 2000 No Data <10% 10%-14% 15-19% 20% Mokdad AH, et al. J Am Med Assoc2000;284:13. Statistics Canada. Health Indicators, May, 2002.

  21. Obesity Trends Among Canadian and U.S. Adults, 2003 No Data <10% 10%-14% 15-19% 20% Sources: Behavioral Risk Factor Surveillance System, CDC Statistics Canada. Health Indicators, June, 2004.

  22. So what?Obesity & overweight post MAJOR risk for: Type 2 diabetes CHD & CVD (cardiovascular disease) Hypertension & stroke Psycho-social pain some cancers Increased risk of premature death quality of life Gallbladder disease

  23. What’s Contributing to the Obesity Epidemic?  consumption of soft drinks Larger portion sizes Eating out more  sedentary time (computer use, TV)  recreation opportunities  leisure time physical activity

  24. Causes of Obesity Energy imbalance: Over-eating + inactivity = MAIN causes Very few cases are glandular or due to physiological disorders – genetics can predispose us

  25. BUT food choices & exercise can overcome predisposition Simple solution? Just eat healthy & exercise 150 mins/wk…why is obesity a problem when solution is so simple?

  26. Its not about the food/ activity! # of clients who didn’t know about healthy eating and exercise Not only knowledge, what else? Busy lives, sedentary jobs, easy access to junky food, etc, etc….

  27. Our work…. • Our team’s work looks more deeply at individuals (all of us exposed to influences, some choose healthy/unhealthy options…why?) • What do I (and our team) do? • Motivational interviewing/coaching • What happens during sessions? • How research program started

  28. Participants reveal… • It’s about the relationship with oneself • & willingness to be kind, respectful to self • exploring body composition at this level, lasting changes happen • Not about “telling” info but asking questions

  29. So, what kind of questions? • No one question is ‘the’ question for everyone…here are some: • What’s my relationship to food/exercise? • How does this reflect my relationship with myself? • What’s important to me (really!) about having healthy bodyweight?

  30. More Q’s • What do I need to say yes/no to? • What does my body want? • What am I afraid of? • Where am I on my priority list? Where do I need to be? • To what extent am I willing to: forgive, be kind to, trust, etc. myself?

  31. Example: • Brainstorm components that make up our lives

  32. 1 component per slice…

  33. Choose one component… • What’s important about changing that component of your life? • What is one thing you can do (big or small) in the next 48 hours in service of this component? • Will you do it? • Who will you be accountable to?

  34. Final thoughts • Takes a lifetime to create a lifestyle; more than few days for new one • Beating self-up not much fun, gentleness & patience longer-term investments in health/enjoying life • Know you are worth it!

  35. Thank you!

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