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The goal of this program is to familiarize nurses with the growing epidemic of obesity among adults in the United States. After studying the information presented here, you will be able to: * Define adult obesity and describe the contributing factors. * Discuss the health and economic consequences of adult obesity. * Describe treatment options and coping methodologies.

Because weight loss through diet and exercise is difficult and studies suggest that obese patients tend to regain lost weight, interest in bariatric surgery has been increasing. In spite of its well-established benefits, however, bariatric surgery is not without risk. Healthcare professionals who hope to improve outcomes in severely obese patients need a clear understanding of how bariatric surgery fits into the care of these challenging patients. This includes the likely extent of weight loss...

Childhood obesity is a concern of national importance. Physicians need to know the best ways to address weight management with children and their families. Discussing healthy eating habits and promoting activity in young people are just some ways to make lifestyle changes in patients who have normal body mass indices. In those patients who are obese, physicians must learn how to manage patients who have comorbidities, such as asthma and psychological problems.

The Obesity Summit traditionally draws a diverse mix of health care practitioners interested in discussing innovative solutions to the causes of obesity, preventive strategies, and therapeutic management approaches. This year’s Summit features several innovative sessions designed to engage the audience and faculty. These include interactive workshops, a meet-the-experts luncheon, and a panel discussion. Supplementing these will be didactic/interactive sessions focusing on: • obesity biolo...

Upon completion of this course, you will be able to: * Describe the incidence and prevalence of overweight and obesity among children from birth through adolescence. * Discuss the short-term and long-term consequences of childhood obesity. * Identify major factors contributing to overweight and obesity. * Explain approaches to treatment of overweight and obese children and adolescents. * Discuss individual approaches to prevention of overweight and obesity. * Describe public health app...

In this program designed to address obesity, one of the nation’s most significant public health crises, leading clinicians will address the impact of excess weight on a patient’s overall health, including co-morbidities such as dyslipidemia, diabetes, osteoarthritis, renal disease and sleep apnea. The latest data on obesity management strategies, from behavior modification and meal replacement to updates on pharmacotherapy and the latest devices will be presented. Specialists will also dis...

Acknowledgement: This course is co-sponsored by the Institute of Lifestyle Medicine This program has also been approved for 4.00 hours of continuing education credit with the Commission Case Management Certification (CCM). In order to receive your verification of completion form, please email cme_online@hms.harvard.edu Lifestyle choices including tobacco use, poor diet, and inactivity are at the root of the most prevalent causes of death: heart disease, stroke, and cancer. Lifestyle modi...

The number of overweight American children keeps growing at a rate that's hard to swallow. And so does the number of American children at risk for becoming overweight. Unless we stop the spread of this problem now, the long-term debilitating effects on today's children -and ultimately, on their children-will exhaust our healthcare resources. **Objectives:** * Describe the obesity epidemic and its consequences. * Describe the guidelines of the American Medical Association's Expert Committ...

This program is designed to provide specific information concerning recent developments in the diagnosis and management of medical, surgical and psychological problems encountered by health care professionals in their daily care of patients. This program is open to physicians in all specialties, physician assistants, nurse practitioners, nurses, medical students, and allied health professionals. Faculty who are both clinically and academically oriented will address relevant issues and provid...

1. Explain how malnutrition (deficit or excess) is used as a decisive factor in treatment of cancer patients. 2. Describe the interactions and influences of overweight/obesity on tumor metabolism and of individualized tumor metabolism on tumor burden and undernutrition. 3. Use the association of sarcopenic obesity to predict and manage poorer performance status and decreased survival in cancer patients.

One of the foremost causes of the obesity epidemic is the fact that few people engage in leisure-time physical activity. According to data published by the Centers for Disease Control and Prevention (CDC), approximately one-half of U.S. adults do not perform the minimum amount of exercise needed to prevent diseases, such as diabetes and high blood pressure. One in four adults do not perform any exercise at all. This is despite the fact that the benefits of exercise are well-documented; includi...

Course Objectives 13.01 Malnutrition & Involuntary Weight Loss * Describe age-related changes which can affect the nutritional status of elderly individuals * Recognize the daily nutritional requirements of the elderly, how they differ from a younger individual and how illness can affect these nutritional requirements * Describe the incidence, etiology, physical and laboratory findings, and consequences of malnutrition and involuntary weight loss in the senior population ...

Acknowledgement: This course is supported by educational grants from Celera and the Applera Charitable Foundation. This course discusses a syndromic cause of morbid obesity and cognitive impairment, Prader Willi Syndrome. Participants will learn about the clinical features of Prader Willi Syndrome, for whom this diagnosis should be considered, and what diagnostic laboratory testing is indicated. Detailed information about the underlying genetic etiology and mechanisms is presented. The part...

It is impossible to separate cardiovascular from metabolic disease when it comes to risk assessment, prevention, and clinical intervention. The biggest health problem facing the world today is from the combined impact of obesity, diabetes, and cardiovascular disease. No other conference address the breadth and depth of this new paradigm like the Cardiometabolic Health Congress (CMHC) – imparting the scientific basis and clinical tools essential to combat cardiometabolic risk. It is cri...

After completing this activity, participants should be able to: 1. Review the anatomy and physiology of reproduction. 2. Identify factors that influence female fertility. 3. Discuss the causes of infertility. 4. Describe pharmacologic and nonpharmacologic treatment options for female infertility.

While bariatric surgery can improve an obese patient’s overall health by limiting risk for diabetes and hypertension, patients require careful postoperative monitoring to maintain optimal health. In this activity, hear about the tests that should be ordered for postoperative patients, micronutrients that may require supplementation to avoid deficiencies, and the risk for regaining lost weight.

Management of hyperglycemia is an integral part of treatment for type 2 diabetes to achieve improved macrovascular and microvascular outcomes. Controlling blood-glucose levels often requires several strategies including weight loss if needed, dietary control, increased physical activity, and antidiabetic medications. Treatment regimens include monotherapy and combinations of drugs from different classes. In 2007, AHRQ published its first systematic review on the comparative effectiveness of or...

This is a bundled collection of courses addressing pharmacotherapy for the following topics: Cognitive Decline in Older Adults Failure to Thrive in Older Adults Falls in Older Adults Introduction to Geriatric Syndromes Impaired Mobility in the Older Adult: Focus on Parkinson’s Disease Managing Chronic Kidney Disease in the Older Adult Pain Management in the Older Adult Sexual Dysfunction in Older Adults Shortness of Breath in the Older Adult Sleep Disturbance in Older Adults Uri...

This course reviews the case of a 54-year-old gentleman who has full Metabolic Syndrome (i.e., impaired fasting glucose, pre-hypertension, low HDL, high triglycerides, and abdominal obesity). At his first visit to you this patient, who is new to town, will voice concern about his elevated blood glucose as well as his poor eating behavior and pattern. Through the course of seven questions, you will learn how to counsel this patient about nutrition and behavior management using evidence based...

Learning Objectives After participating in this educational activity, participants should be able to 1. Recognize the risk factors, comorbidities, signs, and symptoms of obstructive sleep apnea (OSA) 2. Order the appropriate test to confirm the diagnosis of OSA 3. Employ a management plan for patients being treated for OSA to increase adherence 4. Address residual symptoms and comorbidities in regular follow-up visits Overview Obstructive sleep apnea (OSA) is an unexpectedly com...

OBJECTIVES Nutrition: • Construct algorithms to guide in appropriate use of Parenteral Nutrition in the hospitalized patient • Organize support groups for patients with eating disorders and their families • Discuss specific dietary nutrients required for comprehensive medical and/or surgical support of the GI patient • List feeding tube issues that can improve outcome in patient treatment • Examine the ethics of feeding the critically ill patient • Relate strategies for gu...

Program Overview Gout is not a headline-grabbing disease. People tend to think of it as something that only happens to hard-drinking portly old men in Dickens novels. They may be surprised to learn that the prevalence of gout is on the rise among Americans – particularly postmenopausal women – and that the increase is expected to continue steadily over the next decade. Historically, gout was attributed to meat-heavy diets and alcohol consumption. However, the current increase in gout p...

Acknowledgement: This course is co-sponsored by the Institute of Lifestyle Medicine. "Stress" is a common patient complaint and chronic stress related symptoms can directly or indirectly account for a substantial proportion of primary care office visits. Adapting to excess stress may give rise to negative coping strategies such as poor diet, smoking and increased alcohol consumption. A NEJM review article on the damaging effect of stress mediators notes that these significant lifestyle chan...

Thursday, June 28, 2012 7:30 am Registration & Continental Breakfast 8:00 am Welcome & Introductions Larry A. Rues, MD, Moderator OREAR MEMORIAL LECTURE 8:10 am Top Selling Dietary Supplements: A Critical Review of the Evidence Tieraona Low Dog, MD 9:10 am Evidence-Based Weight Loss I: Medical Facts and Lifestyle Changes Steven Masley, MD, FAAFP, CNS, FACN, CCD ...

OBJECTIVES After viewing this activity, the participant will demonstrate the ability to: Describe current guidelines for preoperative cardiac and pulmonary risk assessment and how to prevent and/or minimize cardiac and pulmonary complications using cost effective preoperative testing and specific intraoperative and postoperative interventions in both ambulatory and hospitalized patients Describe the perioperative risks associated with diabetes, obesity, advanced age, and pregnancy and ...

Nonalcoholic Steatohepatitis (NASH) is being increasingly recognized in the clinical setting. The burgeoning epidemic of type 2 diabetes and obesity places many individuals at risk for developing this recently recognized disorder. The term nonalcoholic fatty liver diesease, or NAFLD, encompasses fatty liver, NASH, and cirrhosis. This course highlights the epidemiology, clinical features, and diagnosis of this hepatic disorder. The pros and cons of performing a liver biopsy --the only difinitiv...