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Complementary Approaches to Modeling Projected Health and Economic Impacts of Obesity in Canada
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Abstracts / Can J Diabetes 37 (2013) S217eS289
posed by weight bias and stigma, appropriate health outcomes and expectations, and provide effective assessment tools and management strategies. 405-WK Health at Every Size: A Compassionate Approach to Body Weight JACQUI GINGRAS, JULIE ROCHEFORT, LUCY APHRAMOR Ryerson University, Toronto, Ontario, Canada Health at Every Size (HAES) is a public health initiative that encourages practitioners and patients to shift their focus away from weight loss and dieting as a means optimize health. Research indicates that HAES has potential to improve people’s health through its emphasis on body acceptance, intuitive eating and joyful body movement. However, the adoption of HAES into public health practice is still at the early stage. Given the relative newness of the HAES approach this workshop will seek to identify the challenges and opportunities that exist with advancing HAES within varied health and community care contexts. Considering the growing literature on HAES and research that demonstrate that obese individuals can improve metabolic indicators independent of weight loss; our inquiry comes at a crucial juncture. Incorporating alternative views of fatness is imperative to promoting the health and wellbeing of the population.
health care team approach . For example, patients of such teams have access to professionals who can respond to different aspects of their care within one setting, which can make more efficient use of patients’ time. Health care professionals within interprofessional teams have the opportunity to learn new skills and approaches while developing their own areas of expertise. At the same time, interprofessional teams pose challenges, such as role confusion and lack of communication and coordination. The first few years of program development and implementation are often met with significant challenges and successes. This workshop will facilitate participants’ dialogue of challenges in team development through interactive discussion and role plays.
408-WK Complementary Approaches to Modeling Projected Health and Economic Impacts of Obesity in Canada SUZANNE ROSS, PATRICIA W. LAU, CLAUDE NADEAU, RONALD WALL, CHRISTINA BANCEJ Office of Public Health Practice, Public Health Agency of Canada, Hazelton, British Columbia, Canada
Certain lifestyle behaviours and environmental influences are commonly considered risk factors for increased risk of overweight and obesity among children and adolescents. These include: frequency and nature of snacking; television viewing; and exposure to unhealthy food/beverage marketing. Ensuring ongoing Canadian surveillance of these factors or influences is important for understanding the potential risks faced by our youths, and for identifying potential trends that may be indicative of successful interventions in place or of a need for additional considerations. In providing a Canadian context to such surveillance, innovative data sources and analyses may need to be explored. This workshop will provide an overview of our findings related to snacking, television viewing and exposure to food marketing by Canadian children, with a subfocus on some data derived from non-traditional sources.
Beginning in 2010, the Public Health Agency of Canada partnered to develop two models to estimate future health and economic burden from the increasing trend in body mass index (BMI) among Canadians, and to build an evidence base to compare the effectiveness of alternative courses of public health action. The two complementary approaches: 1) An aggregate approach based on a “top-down” analysis, which employs a multiple cohort model. The Canadian ACE-BMI model, developed with the University of Queensland, adapted the Australian BMI model from the Assessing Cost Effectiveness (ACE) Prevention project for Canadian data and context. 2) A dynamic microsimulation approach based on “bottom-up” incorporation of Canadian micro-data into Statistics Canada’s Population Health Model (POHEM). POHEM simulates open Canadian populations and supports cohort analyses. With Statistics Canada, a revised and improved BMI module was developed (POHEM-BMI). Both models estimate health (obesity prevalence; disease incidence/prevalence/ mortality; life expectancy), health-related quality of life (health/ disability adjusted life years) and economic (direct costs) effects of the rising BMI trend. Both allow simulation of counterfactual scenarios to project health outcomes short and long-term time horizons. They differ with respect to the simulated populations: POHEM simulates future open Canadian populations whereas the Canadian ACE-BMI model simulates the cohort’s future. This workshop will examine modelling as a tool for policy and program development. It will also introduce both modelling approaches and compare and contrast the models’ inputs, outputs, underlying process, assumptions and relevant questions each can reliably address.
407-WK
409-WK
Building an Interdisciplinary Treatment Team: Lessons Learned from a Collaborative Bariatric Treatment Program SUSAN WNUK, LYNN TREMBLAY, PATTI KASTANIAS, RAED HAWA, MARY WEILAND University of Toronto, Toronto, Ontario, Canada
Promoting Healthy Weights - Evidence for a new Paradigm to Address Weight Bias and Promote Mental Health ANN PEDERSON, LYDIA DRASIC, KIMBERLEY KORF-UZAN, KIERA ISHMAEL, ALBERTA GIRARDI BC Centre of Excellence for Women’s Health (BCCEWH), Vancouver, British Columbia, Canada
406-WK Surveillance of Environmental Influences and Behaviours Associated with Child and Adolescent Obesity within the Canadian Context MARGARET DE GROH, ELAINE JONES-MCLEAN, YIPU SHI, MONIQUE POTVIN-KENT Public Health Agency of Canada, Ottawa, Ontario, Canada
Creating an effective interdisciplinary healthcare team requires planning, commitment and resources. Key success factors are the establishment and maintenance of efficient and reciprocal team collaboration and communication. We will describe our journey of building an interprofessional bariatric treatment team focused on obesity management. We will describe and discuss the creative strategies used to implement and facilitate collaboration and communication amongst professionals who endorse both medical and surgical priorities. Evidence suggests that there are multiple advantages to patients, health care professionals, students and health care systems as a whole, in employing an interdisciplinary
This interactive workshop will present the results of several evidence reviews, resources and analyses which are part of the B.C. Provincial Health Services Authority’s (PHSA) Promoting Healthy Weights initiative. They include 1) the interrelationships among obesity, overweight, positive mental health and weight bias across the life course; 2) developing a prevention of weight bias and stigma resource for healthcare professionals; 3) an evidence review on injury prevention, healthy weights promotion and its links to bullying and self-harm; and 4) a review of gender-related aspects of weight bias and potential gender-sensitive approaches to
Abstracts / Can J Diabetes 37 (2013) S217eS289
posed by weight bias and stigma, appropriate health outcomes and expectations, and provide effective assessment tools and management strategies. 405-WK Health at Every Size: A Compassionate Approach to Body Weight JACQUI GINGRAS, JULIE ROCHEFORT, LUCY APHRAMOR Ryerson University, Toronto, Ontario, Canada Health at Every Size (HAES) is a public health initiative that encourages practitioners and patients to shift their focus away from weight loss and dieting as a means optimize health. Research indicates that HAES has potential to improve people’s health through its emphasis on body acceptance, intuitive eating and joyful body movement. However, the adoption of HAES into public health practice is still at the early stage. Given the relative newness of the HAES approach this workshop will seek to identify the challenges and opportunities that exist with advancing HAES within varied health and community care contexts. Considering the growing literature on HAES and research that demonstrate that obese individuals can improve metabolic indicators independent of weight loss; our inquiry comes at a crucial juncture. Incorporating alternative views of fatness is imperative to promoting the health and wellbeing of the population.
health care team approach . For example, patients of such teams have access to professionals who can respond to different aspects of their care within one setting, which can make more efficient use of patients’ time. Health care professionals within interprofessional teams have the opportunity to learn new skills and approaches while developing their own areas of expertise. At the same time, interprofessional teams pose challenges, such as role confusion and lack of communication and coordination. The first few years of program development and implementation are often met with significant challenges and successes. This workshop will facilitate participants’ dialogue of challenges in team development through interactive discussion and role plays.
408-WK Complementary Approaches to Modeling Projected Health and Economic Impacts of Obesity in Canada SUZANNE ROSS, PATRICIA W. LAU, CLAUDE NADEAU, RONALD WALL, CHRISTINA BANCEJ Office of Public Health Practice, Public Health Agency of Canada, Hazelton, British Columbia, Canada
Certain lifestyle behaviours and environmental influences are commonly considered risk factors for increased risk of overweight and obesity among children and adolescents. These include: frequency and nature of snacking; television viewing; and exposure to unhealthy food/beverage marketing. Ensuring ongoing Canadian surveillance of these factors or influences is important for understanding the potential risks faced by our youths, and for identifying potential trends that may be indicative of successful interventions in place or of a need for additional considerations. In providing a Canadian context to such surveillance, innovative data sources and analyses may need to be explored. This workshop will provide an overview of our findings related to snacking, television viewing and exposure to food marketing by Canadian children, with a subfocus on some data derived from non-traditional sources.
Beginning in 2010, the Public Health Agency of Canada partnered to develop two models to estimate future health and economic burden from the increasing trend in body mass index (BMI) among Canadians, and to build an evidence base to compare the effectiveness of alternative courses of public health action. The two complementary approaches: 1) An aggregate approach based on a “top-down” analysis, which employs a multiple cohort model. The Canadian ACE-BMI model, developed with the University of Queensland, adapted the Australian BMI model from the Assessing Cost Effectiveness (ACE) Prevention project for Canadian data and context. 2) A dynamic microsimulation approach based on “bottom-up” incorporation of Canadian micro-data into Statistics Canada’s Population Health Model (POHEM). POHEM simulates open Canadian populations and supports cohort analyses. With Statistics Canada, a revised and improved BMI module was developed (POHEM-BMI). Both models estimate health (obesity prevalence; disease incidence/prevalence/ mortality; life expectancy), health-related quality of life (health/ disability adjusted life years) and economic (direct costs) effects of the rising BMI trend. Both allow simulation of counterfactual scenarios to project health outcomes short and long-term time horizons. They differ with respect to the simulated populations: POHEM simulates future open Canadian populations whereas the Canadian ACE-BMI model simulates the cohort’s future. This workshop will examine modelling as a tool for policy and program development. It will also introduce both modelling approaches and compare and contrast the models’ inputs, outputs, underlying process, assumptions and relevant questions each can reliably address.
407-WK
409-WK
Building an Interdisciplinary Treatment Team: Lessons Learned from a Collaborative Bariatric Treatment Program SUSAN WNUK, LYNN TREMBLAY, PATTI KASTANIAS, RAED HAWA, MARY WEILAND University of Toronto, Toronto, Ontario, Canada
Promoting Healthy Weights - Evidence for a new Paradigm to Address Weight Bias and Promote Mental Health ANN PEDERSON, LYDIA DRASIC, KIMBERLEY KORF-UZAN, KIERA ISHMAEL, ALBERTA GIRARDI BC Centre of Excellence for Women’s Health (BCCEWH), Vancouver, British Columbia, Canada
406-WK Surveillance of Environmental Influences and Behaviours Associated with Child and Adolescent Obesity within the Canadian Context MARGARET DE GROH, ELAINE JONES-MCLEAN, YIPU SHI, MONIQUE POTVIN-KENT Public Health Agency of Canada, Ottawa, Ontario, Canada
Creating an effective interdisciplinary healthcare team requires planning, commitment and resources. Key success factors are the establishment and maintenance of efficient and reciprocal team collaboration and communication. We will describe our journey of building an interprofessional bariatric treatment team focused on obesity management. We will describe and discuss the creative strategies used to implement and facilitate collaboration and communication amongst professionals who endorse both medical and surgical priorities. Evidence suggests that there are multiple advantages to patients, health care professionals, students and health care systems as a whole, in employing an interdisciplinary
This interactive workshop will present the results of several evidence reviews, resources and analyses which are part of the B.C. Provincial Health Services Authority’s (PHSA) Promoting Healthy Weights initiative. They include 1) the interrelationships among obesity, overweight, positive mental health and weight bias across the life course; 2) developing a prevention of weight bias and stigma resource for healthcare professionals; 3) an evidence review on injury prevention, healthy weights promotion and its links to bullying and self-harm; and 4) a review of gender-related aspects of weight bias and potential gender-sensitive approaches to