- Email: [email protected]
Achieving and Maintaining Healthy Weight with Every Step
Abstracts / Can J Diabetes 39 (2015) S10eS16
WK03 Promoting Healthy Maternal Weights in Pregnancy and Postpartum RHONDA C. BELL*1, MARY BARKER*2, WENDY LAWRENCE*2, KARA NERENBERG*3, CHRISTINE OLSON*4 1 University of Alberta, Edmonton, AB, Canada 2 University of Southampton, Southampton, UK 3 University of Calgary, Calgary, AB, Canada 4 Cornell University, Ithaca, NY, USA Maternal body weight is used as an indicator of the health of a mother and her developing fetus throughout pregnancy as it is well documented that the risk of adverse consequences increase when women gain either too little or too much weight during pregnancy. While gaining too little weight is problematic, excessive weight gain in pregnancy is now the norm in many Western countries. Strategies that are effective, safe, diverse, and reinforced across the environments that shape women’s individual choices are need. This informative and practical workshop brings national and international leaders in the field of promoting healthy weights in pregnancy and postpartum. Attendees will leave with an updated knowledge in the area as well as practical information to promote healthy weights, healthy pregnancies, and healthy women.
WK04 Neighbourhood Walkability and its Relationship with Walking: Does Measurement Matter? KABERI DASGUPTA*1, NANCY ROSS*2, RANIA WASFI*2, SAMANTHA HAJNA*3 1 McGill University Health Centre, McGill University, Montreal, QC, Canada 2 Department of Geography, McGill University, Montreal, QC, Canada 3 Department of Epidemiology, Biostatistics, and Occupational Health, McGill University, Montreal, QC, Canada In a technology and motorized environment, the incidental accumulation of walking is occurring less and less. Consequently, there has been a surge in interest in identifying the contextual factors that enhance walking, in order to leverage these to increase walking levels. Among these, neighbourhood walkability is of high interest, with some studies suggesting that high walkability enhances walking. Other studies, however, are inconclusive or suggest negligible effects. One of the reasons for inconsistencies among studies appears to be the use of participant-reported measures of walkability and walking vs. more objective assessments, such as audit or Geographical Information Systems-based walkability metrics and objective assessments of step counts through pedometer and/or accelerometer measurements. This issue will be considered with participants. Results of work which suggests definitive relationships between perceived walkability and pedometerassessed step counts, for GIS-measured walkability and self-reported active transport, but inconclusive relationships between objectively-assessed walkability and objectively-assessed step counts will be presented. Potential reasons will be explored with audience participation.
S11
a healthy-weight lifestyle including stress/anxiety management and promotion of overall well-being. By engaging w90% of muscles, pole walking maximizes the effectiveness of physical activity by providing both aerobic and resistance training, with potential to burn up to 46% more calories, compared to walking without poles. For overweight and obese patients, this activity results in significant loss of body fat and reduced waist circumference. Importantly, the activity results in improved mood, self-esteem and social interaction. In addition, walking with poles increases exercise tolerance and personal exertion limits, motivating patients to incorporate poling into their daily routine (exemplified by the reported increased participation and adhesion rates of pole walking programs). In partnership with the National Aboriginal Diabetes Association, a case study will be presented, illustrating successful implementation of the pole walking programs in First Nation communities across Canada, including how a pole walking program is a powerful tool, for prevention and treatment of obesity, which simultaneously targets other comorbidities associated with obesity.
WK06 Healthy Food Retail: Local Public-Private Partnerships to Improve Availability of Healthy Food in Retail Settings LEIA MINAKER*1, CATHERINE MAH*2, BRIAN COOK*3 1 Proper Centre for Population Health Impact, Waterloo, ON, Canada 2 Division of Community Health and Humanities, Faculty of Medicine and Community Health and Humanities, Memorial University of Newfoundland, St. John’s, NL, Canada 3 Toronto Food Strategy, Toronto, ON, Canada The high prevalence of obesity is due in part to ubiquitous availability of inexpensive, high-calorie, highly-processed foods. Altering food environments to decrease exposure to nonnutritious foods and increase exposure to nutritious foods may be one mechanism by which to promote healthy diets. This is particularly true of economically disadvantaged areas in Canada, which have greater exposure to sources of non-nutritious food relative to more advantaged areas. This workshop will highlight opportunities for local public-private partnerships to improve availability of financially sustainable, healthy food in retail settings in a variety of municipal contexts. Participants will be taken through a formal, deliberative method (role-playing) in one of three municipal contexts (urban, suburban and rural) and each will take on the role of a different stakeholder (e.g., food industry representative, retailer, researcher, public health unit, advocacy organization, economic development organization) to produce a plan to create and sustain a model of healthy food retail in their communities. After the role-play activity, participants will be invited to share reflections on actions to facilitate the development of healthy food retail, keeping in mind the various municipal contexts and stakeholder perspectives. Following the reflections, a multi-sectorial panel of experts will go through an example of healthy food retail currently underway in low-income neighbourhoods in Toronto.
WK07
Achieving and Maintaining Healthy Weight with Every Step AGNES COUTINHO* Urban Poling Inc, Toronto, ON, Canada
Preventative Care 2020: A Workshop to Design the Ideal Experience to Engage Patients with Obesity in Preventative Health Care MARY FORHAN*1, CHRIS FERGUSON*2 1 Department of Occupational Therapy, University of Alberta, Edmonton, AB, Canada 2 Bridgeable, Toronto, ON, Canada
Currently, there are >100 independent research studies describing health benefits of walking with poles, related to obesity and other metabolic diseases. In this hands-on interactive workshop participants will learn how walking with specialized poles promotes
Obesity is associated with the avoidance of preventative health care and low rates of treatment adherence for services offered in primary health care settings and chronic disease management and secondary prevention programs. Factors contributing to limited
WK05
WK03 Promoting Healthy Maternal Weights in Pregnancy and Postpartum RHONDA C. BELL*1, MARY BARKER*2, WENDY LAWRENCE*2, KARA NERENBERG*3, CHRISTINE OLSON*4 1 University of Alberta, Edmonton, AB, Canada 2 University of Southampton, Southampton, UK 3 University of Calgary, Calgary, AB, Canada 4 Cornell University, Ithaca, NY, USA Maternal body weight is used as an indicator of the health of a mother and her developing fetus throughout pregnancy as it is well documented that the risk of adverse consequences increase when women gain either too little or too much weight during pregnancy. While gaining too little weight is problematic, excessive weight gain in pregnancy is now the norm in many Western countries. Strategies that are effective, safe, diverse, and reinforced across the environments that shape women’s individual choices are need. This informative and practical workshop brings national and international leaders in the field of promoting healthy weights in pregnancy and postpartum. Attendees will leave with an updated knowledge in the area as well as practical information to promote healthy weights, healthy pregnancies, and healthy women.
WK04 Neighbourhood Walkability and its Relationship with Walking: Does Measurement Matter? KABERI DASGUPTA*1, NANCY ROSS*2, RANIA WASFI*2, SAMANTHA HAJNA*3 1 McGill University Health Centre, McGill University, Montreal, QC, Canada 2 Department of Geography, McGill University, Montreal, QC, Canada 3 Department of Epidemiology, Biostatistics, and Occupational Health, McGill University, Montreal, QC, Canada In a technology and motorized environment, the incidental accumulation of walking is occurring less and less. Consequently, there has been a surge in interest in identifying the contextual factors that enhance walking, in order to leverage these to increase walking levels. Among these, neighbourhood walkability is of high interest, with some studies suggesting that high walkability enhances walking. Other studies, however, are inconclusive or suggest negligible effects. One of the reasons for inconsistencies among studies appears to be the use of participant-reported measures of walkability and walking vs. more objective assessments, such as audit or Geographical Information Systems-based walkability metrics and objective assessments of step counts through pedometer and/or accelerometer measurements. This issue will be considered with participants. Results of work which suggests definitive relationships between perceived walkability and pedometerassessed step counts, for GIS-measured walkability and self-reported active transport, but inconclusive relationships between objectively-assessed walkability and objectively-assessed step counts will be presented. Potential reasons will be explored with audience participation.
S11
a healthy-weight lifestyle including stress/anxiety management and promotion of overall well-being. By engaging w90% of muscles, pole walking maximizes the effectiveness of physical activity by providing both aerobic and resistance training, with potential to burn up to 46% more calories, compared to walking without poles. For overweight and obese patients, this activity results in significant loss of body fat and reduced waist circumference. Importantly, the activity results in improved mood, self-esteem and social interaction. In addition, walking with poles increases exercise tolerance and personal exertion limits, motivating patients to incorporate poling into their daily routine (exemplified by the reported increased participation and adhesion rates of pole walking programs). In partnership with the National Aboriginal Diabetes Association, a case study will be presented, illustrating successful implementation of the pole walking programs in First Nation communities across Canada, including how a pole walking program is a powerful tool, for prevention and treatment of obesity, which simultaneously targets other comorbidities associated with obesity.
WK06 Healthy Food Retail: Local Public-Private Partnerships to Improve Availability of Healthy Food in Retail Settings LEIA MINAKER*1, CATHERINE MAH*2, BRIAN COOK*3 1 Proper Centre for Population Health Impact, Waterloo, ON, Canada 2 Division of Community Health and Humanities, Faculty of Medicine and Community Health and Humanities, Memorial University of Newfoundland, St. John’s, NL, Canada 3 Toronto Food Strategy, Toronto, ON, Canada The high prevalence of obesity is due in part to ubiquitous availability of inexpensive, high-calorie, highly-processed foods. Altering food environments to decrease exposure to nonnutritious foods and increase exposure to nutritious foods may be one mechanism by which to promote healthy diets. This is particularly true of economically disadvantaged areas in Canada, which have greater exposure to sources of non-nutritious food relative to more advantaged areas. This workshop will highlight opportunities for local public-private partnerships to improve availability of financially sustainable, healthy food in retail settings in a variety of municipal contexts. Participants will be taken through a formal, deliberative method (role-playing) in one of three municipal contexts (urban, suburban and rural) and each will take on the role of a different stakeholder (e.g., food industry representative, retailer, researcher, public health unit, advocacy organization, economic development organization) to produce a plan to create and sustain a model of healthy food retail in their communities. After the role-play activity, participants will be invited to share reflections on actions to facilitate the development of healthy food retail, keeping in mind the various municipal contexts and stakeholder perspectives. Following the reflections, a multi-sectorial panel of experts will go through an example of healthy food retail currently underway in low-income neighbourhoods in Toronto.
WK07
Achieving and Maintaining Healthy Weight with Every Step AGNES COUTINHO* Urban Poling Inc, Toronto, ON, Canada
Preventative Care 2020: A Workshop to Design the Ideal Experience to Engage Patients with Obesity in Preventative Health Care MARY FORHAN*1, CHRIS FERGUSON*2 1 Department of Occupational Therapy, University of Alberta, Edmonton, AB, Canada 2 Bridgeable, Toronto, ON, Canada
Currently, there are >100 independent research studies describing health benefits of walking with poles, related to obesity and other metabolic diseases. In this hands-on interactive workshop participants will learn how walking with specialized poles promotes
Obesity is associated with the avoidance of preventative health care and low rates of treatment adherence for services offered in primary health care settings and chronic disease management and secondary prevention programs. Factors contributing to limited
WK05