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Discover the role of physical therapy in weight loss with tips to overcome limitations, suggestions for building muscle strength, and considerations for cultural differences. Access helpful resources for identifying and treating overweight and obesity in adults and children.
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RESOURCES FROM NUTRITION SEMINAR Fall 2010
Role of the PT • Increase physical activity and encourage adherence • Develop a plan tailored to the individual • Flexible lifestyle modifications versus highly structured change • Identify physical limitations potentially affecting weight loss efforts or healthy lifestyle • Can’t stand long enough to cook meals due to pain • Too immobile to do grocery shopping on own • It hurts to do previous “favorite” exercises, so don’t exercise at all
Role of the PT • Help overcome pain and discomfort • Obese & overweight patients often have just learned to “deal” with it; poor movement habits exacerbate issue • Strengthen leg and core muscles to improve knee or back pain • Re-learn how to safely perform functional activities • Getting up from chair, floor or bed • Strengthen appropriate muscles to improve gait, posture, alignment • Help structure home environment to make it safer, more conducive to proper movement and exercise
Role of the PT • Consider potential cultural differences that would affect daily routines • Dress, dietary customs, “exercise” bias • Others? • Consider individuals with disabilities • Often higher rates of obesity in these individuals • What are their limitations? • Movement, vision, speech, hearing, social stigma
Professional Resources The Practical Guide: Identification, Evaluation, & Treatment of Overweight & Obesity in Adults The Obesity Society & National Heart, Lung & Blood Institute http://www.obesity.org/information/practicalguide.asp 2000 Adult Obesity Provider Toolkit California Medical Association Foundation & California Association of Health Plans http://www.thecmafoundation.org/projects/obesityProject.aspx *also available: Child Obesity Toolkit and Bariatric Surgery Toolkit 2008
Centers for Disease Control (CDC): www.cdc.gov/obesityObesity and Overweight Centers for Disease Control (CDC): www.cdc.gov/nchs/nhanes.htmPrevalence data and growth charts National Institutes of Health (NIH) www.nih.gov Weight-Control Information Network (WIN) http://win.niddk.nih.gov (National Institute of Diabetes & Digestive & Kidney Diseases –NIDDK) Obesity-Related Government Organizations