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Weight management intervention: A person-centered assessment
abstract
January 2011, and who attended the clinic for at least six months. Bariatric surgery patients will be excluded. Pending results: Outcome measures will include weight loss, decrease in BMI, time to achieve appreciable weight loss, factors leading to greater weight loss success, and comorbidities. 159 relationship between parental eating behavioural traits and offspring bMI in the Québec Family study A.R. Gallant1, A. Tremblay2, L. Pérusse2, J.P. Després2,3, C. Bouchard4, and V. Drapeau5 1 Department of psychopedagory, Laval University, Ville de Québec, Québec, Canada; 2Department of Preventive Medicine, Laval University, Ville de Quebec, Québec, Canada; 3Quebec Heart Institute, Hôpital Laval Research Center, Hôpital Laval, Ville de Quebec, Québec, Canada; 4Pennington Biomedical Research Center, Baton Rouge, Louisiana, U.S.A; 5Department of Physical Education, Laval University, Ville de Québec, Québec, Canada background: Parental eating behaviours, especially maternal eating behaviours, have been shown to be related to the adiposity of their younger children. It is unknown if this relationship persists in older offspring, or whether rigid control is involved in the relationship. Objective: To test the hypothesis that parental Three-Factor Eating Questionnaire (TFEQ) scores are positively related to their offspring body weight, taking into account the effects of parental BMI and behavioural traits. Methods: Cross-sectional anthropometric data from phase 2 and 3 of the Québec Family Study were used and 213 parent-offspring pairs (age range of offspring 10 – 37yrs) were available. Eating behaviour traits were measured by the TFEQ. results: In all parent-offspring pairs, parental rigid control and disinhibition scores were positively related to the BMI of the offspring (r = 0.20, 0.22, respectively, p<0.01). Results were strongest for the 18 – 24 year-old offspring. When analyzed by gender, only the son’s BMI was related to parental eating behaviour traits. Parental TFEQ scores were not related to BMI of daughters. Parents with high levels of disinhibition and rigid control had heavier offspring than those with low levels of both behavioural traits (p<0.05). Offspring with both parents having high disinhibition levels were heavier than those with either one parent or none with high disinhibition scores (p<0.05). CONCLUSION: Parental eating behaviour traits are related to offspring BMI during early adulthood and should be considered in programs aimed at preventing childhood obesity. 160 Weight management intervention: a person-centered assessment D. Tone, S. Sterling, and S. Boras Chinook Primary Care Network, Lethbridge, Alberta, Canada Introduction: Obesity is an issue that has had increasing prevalence in Canada. The treatment and intervention for patients with obesity have traditionally followed a medically oriented approach. Moving away from seeing the patient as a recipient of our interventions, we have focused on a more holistic and person-centered approach. Methods: Based on a grey literature review, an assessment form was created for clinics participating in the Chinook Primary Care Network. The assessment form is focused on the whole person and is structured in a way that draws attention to social, emotional, cultural, individual, school, work, and family contexts. results: A detailed example of the assessment form will be presented. Strategies of how to utilize information gathered through the assessment, and how to apply it to each individual’s person system, will be discussed. conclusion: The Chinook Primary Care Network has tasked a working group to address the needs of patients with weight-management concerns. This assessment form will be used to standardize an approach
to weight management within primary care settings. The future direction of the primary care network in this area will be discussed. 161 the relationship between per cent body weight lost and measures of physical function and quality of life D.L. Groll1, A.B. Aiken2, B.J. Brower2, C.F.Pukall3, M.M. Harrison4, and K.L. Coriolano2 1 Department of Psychiatry, Queen’s University, Kingston, Ontario. Canada; 2 School of Rehabilitation Therapy, Queen’s University, Kingston, Ontario, Canada; 3Department of Psychology, Queen’s University, Kingston, Ontario, Canada; 4Department of Surgery, Kingston General Hospital, Kingston, Ontario, Canada Introduction: The purpose of this study was to determine the relationship between per cent of body weight lost and the need for total knee replacement surgery (TKR) by examining improvement and a variety of subjective and objective measures of physical function, pain, and quality of life. Methods: Thirty-four subjects were recruited into the study. Of those, 24 completed three months, 18 completed six months, and nine achieved their goal weight on the program. Subjective and objective measures of physical function, pain, and quality of life were completed at baseline, six weeks, three months, six months, and goal. Subjects were asked at each of these times if they still needed TKR. Change in per cent body weight was calculated, and the relationship between the per cent weight loss at the different time intervals, scores on the measures, and perceived need for surgery was examined. results: At six weeks, mean weight loss was 9.5% of body weight, with 16.2%, 26.3%, and 39.6% at three months, six months, and goal, respectively. The strongest relationship between weight loss and improvement on objective measures occurred at six weeks. This differed from the subjective measures, which, for the most part, had the strongest relationship at six months. Once patients had lost 9.5% of their body weight, 56% no longer desired surgery; at goal, 0% desired it. conclusions: Our findings reveal that that a 10% loss of body weight results in significant improvement in objective measures of function and pain and the desire for TKR. 162 correlates of maternal cardiorespiratory fitness in the early second trimester of pregnancy I. Marc1, J.Plaisance2, C.Rhéaume1, A.Dufresne3, E.Bujold4, A.Tremblay5, and N.Almeras5 1 Department of pediatrics, Université Laval, Ville de Québec, Québec, Canada; 2Department of Medicine, Université Laval, Québec, Ville de Québec, Canada; 3Department of Obstetrics Gynecology, Université Laval, Ville de Québec, Québec, Canada; 4Department of Preventive Medicine, Université Laval, Ville de Québec, Québec, Canada; 5Department of Food and Nutrition, Université Laval, Ville de Québec, Québec, Canada Introduction: Maternal cardiorespiratory fitness (CRF) might lead to health benefits on perinatal outcomes (e.g., glucose tolerance, hypertension, fetal growth). Information on factors predictive of maternal CRF can be used for public health counselling. Objectives: To explore sociodemographic, health, and lifestyle factors predictive of fitness in pregnant women. Methods: Standard measures of CRF using a treadmill exercise (VO2 peak, blood pressure, heart rate) were assessed at 15-17 weeks of gestational age, as well as anthropometric measures (muscular strength, skin folds, weight, body mass index(BMI)), physical activity (PA) before and during pregnancy, sociodemographic characteristics, sleep and quality of life (QOL) in the month before the test. The relationship between predictors and CRF (VO2 peak) was addressed by univariate and multivariate linear regression.
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January 2011, and who attended the clinic for at least six months. Bariatric surgery patients will be excluded. Pending results: Outcome measures will include weight loss, decrease in BMI, time to achieve appreciable weight loss, factors leading to greater weight loss success, and comorbidities. 159 relationship between parental eating behavioural traits and offspring bMI in the Québec Family study A.R. Gallant1, A. Tremblay2, L. Pérusse2, J.P. Després2,3, C. Bouchard4, and V. Drapeau5 1 Department of psychopedagory, Laval University, Ville de Québec, Québec, Canada; 2Department of Preventive Medicine, Laval University, Ville de Quebec, Québec, Canada; 3Quebec Heart Institute, Hôpital Laval Research Center, Hôpital Laval, Ville de Quebec, Québec, Canada; 4Pennington Biomedical Research Center, Baton Rouge, Louisiana, U.S.A; 5Department of Physical Education, Laval University, Ville de Québec, Québec, Canada background: Parental eating behaviours, especially maternal eating behaviours, have been shown to be related to the adiposity of their younger children. It is unknown if this relationship persists in older offspring, or whether rigid control is involved in the relationship. Objective: To test the hypothesis that parental Three-Factor Eating Questionnaire (TFEQ) scores are positively related to their offspring body weight, taking into account the effects of parental BMI and behavioural traits. Methods: Cross-sectional anthropometric data from phase 2 and 3 of the Québec Family Study were used and 213 parent-offspring pairs (age range of offspring 10 – 37yrs) were available. Eating behaviour traits were measured by the TFEQ. results: In all parent-offspring pairs, parental rigid control and disinhibition scores were positively related to the BMI of the offspring (r = 0.20, 0.22, respectively, p<0.01). Results were strongest for the 18 – 24 year-old offspring. When analyzed by gender, only the son’s BMI was related to parental eating behaviour traits. Parental TFEQ scores were not related to BMI of daughters. Parents with high levels of disinhibition and rigid control had heavier offspring than those with low levels of both behavioural traits (p<0.05). Offspring with both parents having high disinhibition levels were heavier than those with either one parent or none with high disinhibition scores (p<0.05). CONCLUSION: Parental eating behaviour traits are related to offspring BMI during early adulthood and should be considered in programs aimed at preventing childhood obesity. 160 Weight management intervention: a person-centered assessment D. Tone, S. Sterling, and S. Boras Chinook Primary Care Network, Lethbridge, Alberta, Canada Introduction: Obesity is an issue that has had increasing prevalence in Canada. The treatment and intervention for patients with obesity have traditionally followed a medically oriented approach. Moving away from seeing the patient as a recipient of our interventions, we have focused on a more holistic and person-centered approach. Methods: Based on a grey literature review, an assessment form was created for clinics participating in the Chinook Primary Care Network. The assessment form is focused on the whole person and is structured in a way that draws attention to social, emotional, cultural, individual, school, work, and family contexts. results: A detailed example of the assessment form will be presented. Strategies of how to utilize information gathered through the assessment, and how to apply it to each individual’s person system, will be discussed. conclusion: The Chinook Primary Care Network has tasked a working group to address the needs of patients with weight-management concerns. This assessment form will be used to standardize an approach
to weight management within primary care settings. The future direction of the primary care network in this area will be discussed. 161 the relationship between per cent body weight lost and measures of physical function and quality of life D.L. Groll1, A.B. Aiken2, B.J. Brower2, C.F.Pukall3, M.M. Harrison4, and K.L. Coriolano2 1 Department of Psychiatry, Queen’s University, Kingston, Ontario. Canada; 2 School of Rehabilitation Therapy, Queen’s University, Kingston, Ontario, Canada; 3Department of Psychology, Queen’s University, Kingston, Ontario, Canada; 4Department of Surgery, Kingston General Hospital, Kingston, Ontario, Canada Introduction: The purpose of this study was to determine the relationship between per cent of body weight lost and the need for total knee replacement surgery (TKR) by examining improvement and a variety of subjective and objective measures of physical function, pain, and quality of life. Methods: Thirty-four subjects were recruited into the study. Of those, 24 completed three months, 18 completed six months, and nine achieved their goal weight on the program. Subjective and objective measures of physical function, pain, and quality of life were completed at baseline, six weeks, three months, six months, and goal. Subjects were asked at each of these times if they still needed TKR. Change in per cent body weight was calculated, and the relationship between the per cent weight loss at the different time intervals, scores on the measures, and perceived need for surgery was examined. results: At six weeks, mean weight loss was 9.5% of body weight, with 16.2%, 26.3%, and 39.6% at three months, six months, and goal, respectively. The strongest relationship between weight loss and improvement on objective measures occurred at six weeks. This differed from the subjective measures, which, for the most part, had the strongest relationship at six months. Once patients had lost 9.5% of their body weight, 56% no longer desired surgery; at goal, 0% desired it. conclusions: Our findings reveal that that a 10% loss of body weight results in significant improvement in objective measures of function and pain and the desire for TKR. 162 correlates of maternal cardiorespiratory fitness in the early second trimester of pregnancy I. Marc1, J.Plaisance2, C.Rhéaume1, A.Dufresne3, E.Bujold4, A.Tremblay5, and N.Almeras5 1 Department of pediatrics, Université Laval, Ville de Québec, Québec, Canada; 2Department of Medicine, Université Laval, Québec, Ville de Québec, Canada; 3Department of Obstetrics Gynecology, Université Laval, Ville de Québec, Québec, Canada; 4Department of Preventive Medicine, Université Laval, Ville de Québec, Québec, Canada; 5Department of Food and Nutrition, Université Laval, Ville de Québec, Québec, Canada Introduction: Maternal cardiorespiratory fitness (CRF) might lead to health benefits on perinatal outcomes (e.g., glucose tolerance, hypertension, fetal growth). Information on factors predictive of maternal CRF can be used for public health counselling. Objectives: To explore sociodemographic, health, and lifestyle factors predictive of fitness in pregnant women. Methods: Standard measures of CRF using a treadmill exercise (VO2 peak, blood pressure, heart rate) were assessed at 15-17 weeks of gestational age, as well as anthropometric measures (muscular strength, skin folds, weight, body mass index(BMI)), physical activity (PA) before and during pregnancy, sociodemographic characteristics, sleep and quality of life (QOL) in the month before the test. The relationship between predictors and CRF (VO2 peak) was addressed by univariate and multivariate linear regression.
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