- Email: [email protected]
Type 2 Diabetes in Children and Adolescents: A Translational View
S14
Abstracts / Can J Diabetes 39 (2015) S10eS16
exchange ideas for successful chapter operations, and build collaborations.
WK16 SciCom-muniCON: Science Communication-Sharing and Exchanging Knowledge from a Variety of Vantage Points RUTH E. BROWN*1, REBECCA H. LIU*2, JENNIFER YANG*3, YONI FREEDHOFF*4, AARYN SECKER*5, TRAVIS SAUNDERS*6, PETER JANISZEWSKI*7 1 York University, Toronto, ON, Canada 2 Western University, Toronto, ON, Canada 3 Toronto Star, Toronto, ON, Canada 4 Bariatric Medical Institute, Ottawa, ON, Canada 5 Heart Niagara, Niagara Falls, ON, Canada 6 University of Prince Edward Island, Charlottetown, PEI, Canada 7 Edanz Group, Toronto, ON, Canada In this workshop, participants will have the opportunity to explore different perspectives and network with some of Canada’s leading science communicators during this professional development session. The Canadian Obesity Network Student and New Professional Executive will present a panel of science writers who are bloggers, writers for news media print, freelance, and full-time reporters. Discover tips and tricks for communicating your research to lay audiences, as well as advice on how to get started and hone your writing skills! Audience participation is welcomed and encouraged during the Q&A panel discussion.
Saturday, May 2: Workshops WK17 Drugs, Drinking and Disordered Eating: Managing Challenging Cases in Bariatric Surgery SANJEEV SOCKALINGHAM*1, 2, 3, STEPHANIE CASSIN*4, PATTI KASTANIAS*2, 5, SUSAN WNUK*2, LORRAINE GOUGEON*2, ANGELA COLE-KIM*2 1 University Health Network, University of Toronto, Toronto, ON, Canada 2 Bariatric Surgery Department, Toronto Western Hospital, Toronto, ON, Canada 3 Faculty of Medicine, University of Toronto, Toronto, ON, Canada 4 Healthy Eating and Lifestyle (HEAL) Lab, Ryerson University, Toronto, ON, Canada 5 Lawrence Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON, Canada Despite the established benefits of bariatric surgery for most obese patients, medication malabsorption, alcohol use disorders, and eating disorders have been identified as serious and challenging post-surgery complications to manage after bariatric surgery. Postoperative medication management can be challenging due to changes in medication absorption through various post-operative phases. These changes could de-stabilize psychiatric illness, which is prevalent in nearly 70% of bariatric surgery patients, and may exacerbate medical conditions, such as chronic pain. Approaches to medication monitoring, protocols and assessment tools for preventing psychiatric adverse outcomes, including hospitalization, after surgery will be discussed. In addition, changes in the metabolism of alcohol after bariatric surgery can result in some patients developing alcohol use disorders. Problematic alcohol use can impact weight, mental health, nutritional and medical stability. Furthermore, cases of severe eating psychopathology emerging after bariatric surgery, such as anorexia nervosa and other eating disorders, have also been identified in the literature and can result in serious impairments for patients and families. The following workshop will provide participants with an approach to managing these
challenging bariatric surgery patient presentations. We will use cases, video vignettes, and role plays and share resources/protocols to manage these challenging “3 D’s” in bariatric after care. WK18 From Mindless to Mindful Eating: Tools to Help the Bariatric Patient Succeed SUSAN WNUK*1, CHAU DU*1, KATIE WARWICK*2, LYNN TREMBLAY*2 1 University Health Network, Toronto, ON, Canada 2 Toronto Western Hospital, Toronto, ON, Canada Long-term weight loss maintenance is the goal for bariatric patients and clinicians as it is associated with medical, psychological, and quality of life benefits. Weight gain after weight loss interventions including surgery is concerning, especially when it is associated with problematic psychological and behavioural factors such as emotional eating and loss of control over eating. When these factors are present, both clinicians and patients can lose confidence in the patient’s ability to achieve and maintain a healthy weight. Mindfulness approaches have been used successfully with a variety of presenting problems including chronic pain, depression, anxiety, and more recently binge eating and emotional eating. This workshop will summarize the principles of mindfulness as it relates to eating, including mindful eating practices and other relevant mindfulness exercises for eating problems. We will discuss how these principles and techniques can be applied to prevent weight regain, aid in weight loss, and address weight regain. The emphasis will be on overeating, emotional eating, and loss of control overeating, rather than on restricting. WK19 Improving Body Image in Our Patients: A Key Component of Weight Management ANNICK BUCHHOLZ*, LAURIE CLARK* Children’s Hospital of Eastern Ontario, Ottawa, ON, Canada Negative body image is a common comorbidity of living at a higher weight. Having a negative body impact impacts one’s mental health and willingness to engage in health behaviours. Moreover, poor body image is an important predictor of weight preoccupation, dysregulated eating and weight gain. Research on the management of obesity with lifestyle/behavioural treatment suggests that the majority of patients will not lose a significant amount of weight. Thus promoting positive body image and body acceptance should be a key component of treatment. Attendees of the workshop will gain an understanding of the construct of body image, and its impact on mental health and dysregulated eating. Attendees will learn skills to assess and discuss the sensitive topic of body image and weight with their patients, and learn how to incorporate body image content into lifestyle/behavioural treatment programming. WK20 Type 2 Diabetes in Children and Adolescents: A Translational View GREGORY STEINBERG*1, STEPHANIE A. ATKINSON*2, JOHN VANDERMEULEN*3, M. CONSTANTINE SAMAAN*4 1 Department of Medicine, McMaster University, Hamilton, ON, Canada 2 Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada 3 Department of Pediatrics, McMaster Children’s Hospital, McMaster University, Hamilton, ON, Canada 4 Pediatric & Adolescent Type 2 Diabetes Program, McMaster Children’s Hospital, McMaster University, Hamilton, ON, Canada Over the past 3 decades, the rates of childhood obesity have increased dramatically, and today 1 in 4 Canadian children are
Abstracts / Can J Diabetes 39 (2015) S10eS16
overweight or obese. In parallel, the rates of type 2 diabetes (T2D), a disease of adults, have increased by 10-30 folds in youth in North America over the same period. T2D is more aggressive in children than it is in adults, and is affecting the quality of life and lifespan of a generation of children that will likely develop diabetes-related comorbidities and complications early in life. T2D affects children, their families, communities and health care systems globally, and there is an urgent need to understand its mechanisms and define interventions that mitigate its devastating impact on children. In this workshop, we are bringing a state-of-the-art translational view of T2D in children and adolescents.
S15
professionals have negative attitudes towards overweight and obese patients and that there is a significant impact of weight bias on mental and physical health. The development and implementation of effective strategies for reducing weight bias and stigma in the health system is a priority to promote health and well-being of patients. BC Mental Health and Substance Abuse Use Services (BCMHSUS) is developing an evidence-informed, online resource to address weight bias and stigma in the health care setting. BalancedView is a resource designed to: 1) Educate health professionals about the prevalence of weight bias and stigma in health care; 2) Increase awareness of the potential harms associated with weight bias and stigma and; 3) Provide tools for reducing weight bias and stigma in practice.
WK21 Weight Bias: What Do We Know and Where Can We Go from Here? SHELLEY RUSSELL-MAYHEW*, ANGELA S. ALBERGA*, ALANA IRELAND*, SARAH NUTTER* University of Calgary, Calgary, AB, Canada This workshop will begin by introducing the prevalence and consequences of weight bias and provide background information on the causes and theories explaining the pervasiveness of weight bias in society. This panel will focus on practical strategies and research projects aimed at reducing weight bias in the health and education sectors. In education, a number of professional development interventions addressing weight bias demonstrated significant improvements in teachers’ awareness of and sensitivity to student weight-related experiences. In health care, some pilot studies have shown short-term improvements in attitudes and beliefs about weight but there is an urgent need for a larger scale strategy to facilitate interdisciplinary collaborative professional development in the area of weight bias over the long term. The goal of this workshop is to provide a foundation to understand the causes and consequences of weight bias and practical tips on how to reduce it in day-to-day practices. Participants will be engaged through various learning styles using images, videos and interactive group discussions with the panelists.
WK22 Energy Balance in the Weight-Reduced Obese Individual: A Biological Reality that Favours Weight Regain ANGELO TREMBLAY*1, ERIC DOUCET*2 1 Department of Kinesiology, Université Laval, Québec, QC, Canada 2 Behavioral and Metabolic Research Unit, School of Human Kinetics, University of Ottawa, Ottawa, ON, Canada This workshop will cover multiple aspects as they relate to the effects on energy balance. The main objective of this workshop will be to convey information that highlights the effects of weight loss on factors that impact both energy intake and expenditure, which may well be in the end at the root of the ramping relapse after successful treatment. Two topics that will be explored in this presentation include the impact of body weight loss on appetite sensations and the effects of adaptive thermogenesis on the occurrence of resistance to lose fat and weight regain.
WK23 BalancedView: Addressing Weight Bias & Stigma in Health Care KIERA BAILEY*, KIMBERLY KORF-UZAN* BC Mental Health and Substance Abuse Use Services, Vancouver, BC, Canada Weight bias and stigma in health care settings are well documented in the literature. Evidence suggests that many health care
WK24 Transition of Care in Obesity Management: Bridging the Gap Between Pediatric and Adult Health Care Services ANDREA LEYSER*1, MARLENE TAUBE-SCHIFF*2, KIM S. DANIEL*3, ALENE TOULANY*1 1 Sick Kids Team Obesity Management Program, The Hospital for Sick Children, Toronto, ON, Canada 2 Bariatric Surgery Program, Toronto Western Hospital, Toronto, ON, Canada 3 The Hospital for Sick Children, Toronto, ON, Canada Transition-age youth (15 to 25 years) experience greater difficulty with medication adherence, illness management, following lifestyle changes, and adhering to healthy living practices compared to other age groups. During this stage of development, youth are also mandated to transfer their medical care from the pediatric to the adult health care system and often their healthcare needs are not adequately met. Despite increasing attention and interest in improving health outcomes during the vulnerable transition period, a paucity of published interventions and clinical guidelines on the transition of care for youth undergoing obesity management remains. Given the chronic nature of obesity and the need for close medical and psychosocial follow-up, it is critical that health practitioners place increased importance in this area. In this workshop, case illustrations will highlight medical, psychiatric and psychosocial challenges faced by youth when transitioning their surgical and non-surgical obesity management treatment. Possible solutions and models of care to best serve patients during this challenging time of developmental change will also be presented. A care model developed by the Sick Kids Team Obesity Management Program (STOMP) and the Bariatric Surgery Program at the Toronto Western Hospital will be highlighted. Transferrable transition resources will be shared and selective techniques will be taught through interactive role-plays and group discussions.
WK25 Innovative and Collaborative Models of Care for Obesity Treatment in the Early Years CATHERINE S. BIRKEN*1, DIANNE KNOX*1, MAPLELEE CARDONA*2, ALISA BAR-DAYAN*1, ALLISON LOUGHEED*1 1 The Hospital for Sick Children, Toronto, ON, Canada 2 Toronto Public Health, Toronto, ON, Canada Developing innovative and collaborative models of care in the early years is fundamental in the treatment of early obesity and prevention of obesity related co-morbidities such as heart disease, diabetes and mental health disorders. This presentation will highlight the Sick Kids Team Obesity Management Program (STOMP) Early Years Program, an innovative partnership between Sick Kids Hospital and Toronto Public Health. This
Abstracts / Can J Diabetes 39 (2015) S10eS16
exchange ideas for successful chapter operations, and build collaborations.
WK16 SciCom-muniCON: Science Communication-Sharing and Exchanging Knowledge from a Variety of Vantage Points RUTH E. BROWN*1, REBECCA H. LIU*2, JENNIFER YANG*3, YONI FREEDHOFF*4, AARYN SECKER*5, TRAVIS SAUNDERS*6, PETER JANISZEWSKI*7 1 York University, Toronto, ON, Canada 2 Western University, Toronto, ON, Canada 3 Toronto Star, Toronto, ON, Canada 4 Bariatric Medical Institute, Ottawa, ON, Canada 5 Heart Niagara, Niagara Falls, ON, Canada 6 University of Prince Edward Island, Charlottetown, PEI, Canada 7 Edanz Group, Toronto, ON, Canada In this workshop, participants will have the opportunity to explore different perspectives and network with some of Canada’s leading science communicators during this professional development session. The Canadian Obesity Network Student and New Professional Executive will present a panel of science writers who are bloggers, writers for news media print, freelance, and full-time reporters. Discover tips and tricks for communicating your research to lay audiences, as well as advice on how to get started and hone your writing skills! Audience participation is welcomed and encouraged during the Q&A panel discussion.
Saturday, May 2: Workshops WK17 Drugs, Drinking and Disordered Eating: Managing Challenging Cases in Bariatric Surgery SANJEEV SOCKALINGHAM*1, 2, 3, STEPHANIE CASSIN*4, PATTI KASTANIAS*2, 5, SUSAN WNUK*2, LORRAINE GOUGEON*2, ANGELA COLE-KIM*2 1 University Health Network, University of Toronto, Toronto, ON, Canada 2 Bariatric Surgery Department, Toronto Western Hospital, Toronto, ON, Canada 3 Faculty of Medicine, University of Toronto, Toronto, ON, Canada 4 Healthy Eating and Lifestyle (HEAL) Lab, Ryerson University, Toronto, ON, Canada 5 Lawrence Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON, Canada Despite the established benefits of bariatric surgery for most obese patients, medication malabsorption, alcohol use disorders, and eating disorders have been identified as serious and challenging post-surgery complications to manage after bariatric surgery. Postoperative medication management can be challenging due to changes in medication absorption through various post-operative phases. These changes could de-stabilize psychiatric illness, which is prevalent in nearly 70% of bariatric surgery patients, and may exacerbate medical conditions, such as chronic pain. Approaches to medication monitoring, protocols and assessment tools for preventing psychiatric adverse outcomes, including hospitalization, after surgery will be discussed. In addition, changes in the metabolism of alcohol after bariatric surgery can result in some patients developing alcohol use disorders. Problematic alcohol use can impact weight, mental health, nutritional and medical stability. Furthermore, cases of severe eating psychopathology emerging after bariatric surgery, such as anorexia nervosa and other eating disorders, have also been identified in the literature and can result in serious impairments for patients and families. The following workshop will provide participants with an approach to managing these
challenging bariatric surgery patient presentations. We will use cases, video vignettes, and role plays and share resources/protocols to manage these challenging “3 D’s” in bariatric after care. WK18 From Mindless to Mindful Eating: Tools to Help the Bariatric Patient Succeed SUSAN WNUK*1, CHAU DU*1, KATIE WARWICK*2, LYNN TREMBLAY*2 1 University Health Network, Toronto, ON, Canada 2 Toronto Western Hospital, Toronto, ON, Canada Long-term weight loss maintenance is the goal for bariatric patients and clinicians as it is associated with medical, psychological, and quality of life benefits. Weight gain after weight loss interventions including surgery is concerning, especially when it is associated with problematic psychological and behavioural factors such as emotional eating and loss of control over eating. When these factors are present, both clinicians and patients can lose confidence in the patient’s ability to achieve and maintain a healthy weight. Mindfulness approaches have been used successfully with a variety of presenting problems including chronic pain, depression, anxiety, and more recently binge eating and emotional eating. This workshop will summarize the principles of mindfulness as it relates to eating, including mindful eating practices and other relevant mindfulness exercises for eating problems. We will discuss how these principles and techniques can be applied to prevent weight regain, aid in weight loss, and address weight regain. The emphasis will be on overeating, emotional eating, and loss of control overeating, rather than on restricting. WK19 Improving Body Image in Our Patients: A Key Component of Weight Management ANNICK BUCHHOLZ*, LAURIE CLARK* Children’s Hospital of Eastern Ontario, Ottawa, ON, Canada Negative body image is a common comorbidity of living at a higher weight. Having a negative body impact impacts one’s mental health and willingness to engage in health behaviours. Moreover, poor body image is an important predictor of weight preoccupation, dysregulated eating and weight gain. Research on the management of obesity with lifestyle/behavioural treatment suggests that the majority of patients will not lose a significant amount of weight. Thus promoting positive body image and body acceptance should be a key component of treatment. Attendees of the workshop will gain an understanding of the construct of body image, and its impact on mental health and dysregulated eating. Attendees will learn skills to assess and discuss the sensitive topic of body image and weight with their patients, and learn how to incorporate body image content into lifestyle/behavioural treatment programming. WK20 Type 2 Diabetes in Children and Adolescents: A Translational View GREGORY STEINBERG*1, STEPHANIE A. ATKINSON*2, JOHN VANDERMEULEN*3, M. CONSTANTINE SAMAAN*4 1 Department of Medicine, McMaster University, Hamilton, ON, Canada 2 Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada 3 Department of Pediatrics, McMaster Children’s Hospital, McMaster University, Hamilton, ON, Canada 4 Pediatric & Adolescent Type 2 Diabetes Program, McMaster Children’s Hospital, McMaster University, Hamilton, ON, Canada Over the past 3 decades, the rates of childhood obesity have increased dramatically, and today 1 in 4 Canadian children are
Abstracts / Can J Diabetes 39 (2015) S10eS16
overweight or obese. In parallel, the rates of type 2 diabetes (T2D), a disease of adults, have increased by 10-30 folds in youth in North America over the same period. T2D is more aggressive in children than it is in adults, and is affecting the quality of life and lifespan of a generation of children that will likely develop diabetes-related comorbidities and complications early in life. T2D affects children, their families, communities and health care systems globally, and there is an urgent need to understand its mechanisms and define interventions that mitigate its devastating impact on children. In this workshop, we are bringing a state-of-the-art translational view of T2D in children and adolescents.
S15
professionals have negative attitudes towards overweight and obese patients and that there is a significant impact of weight bias on mental and physical health. The development and implementation of effective strategies for reducing weight bias and stigma in the health system is a priority to promote health and well-being of patients. BC Mental Health and Substance Abuse Use Services (BCMHSUS) is developing an evidence-informed, online resource to address weight bias and stigma in the health care setting. BalancedView is a resource designed to: 1) Educate health professionals about the prevalence of weight bias and stigma in health care; 2) Increase awareness of the potential harms associated with weight bias and stigma and; 3) Provide tools for reducing weight bias and stigma in practice.
WK21 Weight Bias: What Do We Know and Where Can We Go from Here? SHELLEY RUSSELL-MAYHEW*, ANGELA S. ALBERGA*, ALANA IRELAND*, SARAH NUTTER* University of Calgary, Calgary, AB, Canada This workshop will begin by introducing the prevalence and consequences of weight bias and provide background information on the causes and theories explaining the pervasiveness of weight bias in society. This panel will focus on practical strategies and research projects aimed at reducing weight bias in the health and education sectors. In education, a number of professional development interventions addressing weight bias demonstrated significant improvements in teachers’ awareness of and sensitivity to student weight-related experiences. In health care, some pilot studies have shown short-term improvements in attitudes and beliefs about weight but there is an urgent need for a larger scale strategy to facilitate interdisciplinary collaborative professional development in the area of weight bias over the long term. The goal of this workshop is to provide a foundation to understand the causes and consequences of weight bias and practical tips on how to reduce it in day-to-day practices. Participants will be engaged through various learning styles using images, videos and interactive group discussions with the panelists.
WK22 Energy Balance in the Weight-Reduced Obese Individual: A Biological Reality that Favours Weight Regain ANGELO TREMBLAY*1, ERIC DOUCET*2 1 Department of Kinesiology, Université Laval, Québec, QC, Canada 2 Behavioral and Metabolic Research Unit, School of Human Kinetics, University of Ottawa, Ottawa, ON, Canada This workshop will cover multiple aspects as they relate to the effects on energy balance. The main objective of this workshop will be to convey information that highlights the effects of weight loss on factors that impact both energy intake and expenditure, which may well be in the end at the root of the ramping relapse after successful treatment. Two topics that will be explored in this presentation include the impact of body weight loss on appetite sensations and the effects of adaptive thermogenesis on the occurrence of resistance to lose fat and weight regain.
WK23 BalancedView: Addressing Weight Bias & Stigma in Health Care KIERA BAILEY*, KIMBERLY KORF-UZAN* BC Mental Health and Substance Abuse Use Services, Vancouver, BC, Canada Weight bias and stigma in health care settings are well documented in the literature. Evidence suggests that many health care
WK24 Transition of Care in Obesity Management: Bridging the Gap Between Pediatric and Adult Health Care Services ANDREA LEYSER*1, MARLENE TAUBE-SCHIFF*2, KIM S. DANIEL*3, ALENE TOULANY*1 1 Sick Kids Team Obesity Management Program, The Hospital for Sick Children, Toronto, ON, Canada 2 Bariatric Surgery Program, Toronto Western Hospital, Toronto, ON, Canada 3 The Hospital for Sick Children, Toronto, ON, Canada Transition-age youth (15 to 25 years) experience greater difficulty with medication adherence, illness management, following lifestyle changes, and adhering to healthy living practices compared to other age groups. During this stage of development, youth are also mandated to transfer their medical care from the pediatric to the adult health care system and often their healthcare needs are not adequately met. Despite increasing attention and interest in improving health outcomes during the vulnerable transition period, a paucity of published interventions and clinical guidelines on the transition of care for youth undergoing obesity management remains. Given the chronic nature of obesity and the need for close medical and psychosocial follow-up, it is critical that health practitioners place increased importance in this area. In this workshop, case illustrations will highlight medical, psychiatric and psychosocial challenges faced by youth when transitioning their surgical and non-surgical obesity management treatment. Possible solutions and models of care to best serve patients during this challenging time of developmental change will also be presented. A care model developed by the Sick Kids Team Obesity Management Program (STOMP) and the Bariatric Surgery Program at the Toronto Western Hospital will be highlighted. Transferrable transition resources will be shared and selective techniques will be taught through interactive role-plays and group discussions.
WK25 Innovative and Collaborative Models of Care for Obesity Treatment in the Early Years CATHERINE S. BIRKEN*1, DIANNE KNOX*1, MAPLELEE CARDONA*2, ALISA BAR-DAYAN*1, ALLISON LOUGHEED*1 1 The Hospital for Sick Children, Toronto, ON, Canada 2 Toronto Public Health, Toronto, ON, Canada Developing innovative and collaborative models of care in the early years is fundamental in the treatment of early obesity and prevention of obesity related co-morbidities such as heart disease, diabetes and mental health disorders. This presentation will highlight the Sick Kids Team Obesity Management Program (STOMP) Early Years Program, an innovative partnership between Sick Kids Hospital and Toronto Public Health. This