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2018 Annual Meeting Recorded Session B118: Head over Meals: A Review of the Science and Strategies for Immediately Implementing Behavioral Weight Management into Your Program
Obesity is a worldwide epidemic, and our cardiopulmonary rehabilitation programs reflect the magnitude of this crisis. Some programs report that as many as 88% of their patients have body mass indexes (BMIs) in the overweight or obese ranges, and many patients anecdotally report being interested in reducing excess weight. Patients with excess weight who experience intentional weight loss during cardiac and pulmonary rehabilitation also demonstrate positive changes in physiological markers of health at a greater magnitude than patients with excess weight who complete the program without weight loss. Weight losses as little as 3 or 5% of initial body weight are enough to be clinically meaningful in this population. Although most AACVPR-accredited programs include basic psychoeducation on behavior change, diet modification, exercise prescription, and advice for maintaining positive health behaviors post-discharge, most patients do not lose clinically significant weight during their participation. The purpose of this presentation is to review the state of the science in weight loss in patients with established cardiovascular disease. Attendees will better understand the obesity paradox and will receive a breakdown of the evidence that is relevant to cardiac and pulmonary rehabilitation patients. Attendees will learn about a recently NIH-funded study designed to reduce excess weight in cardiac rehabilitation patients. Then, another specialist will discuss key ingredients necessary to a successful program, barriers to implementation, and an example from a high-performing program. The presenters will propose a “gold standard” of behavioral weight loss in cardiac rehabilitation as well as “silver” and “bronze” standards for programs with fewer resources.
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Please note, if you attended this session at the 2018 Annual Meeting in Louisville and claimed CE for the live session, you cannot also get CE for the recorded session.
Presented by Carly M. Goldstein, PhD and Megan McMurray, PhD
Obesity is a worldwide epidemic, and our cardiopulmonary rehabilitation programs reflect the magnitude of this crisis. Some programs report that as many as 88% of their patients have body mass indexes (BMIs) in the overweight or obese ranges, and many patients anecdotally report being interested in reducing excess weight. Patients with excess weight who experience intentional weight loss during cardiac and pulmonary rehabilitation also demonstrate positive changes in physiological markers of health at a greater magnitude than patients with excess weight who complete the program without weight loss. Weight losses as little as 3 or 5% of initial body weight are enough to be clinically meaningful in this population. Although most AACVPR-accredited programs include basic psychoeducation on behavior change, diet modification, exercise prescription, and advice for maintaining positive health behaviors post-discharge, most patients do not lose clinically significant weight during their participation. The purpose of this presentation is to review the state of the science in weight loss in patients with established cardiovascular disease. Attendees will better understand the obesity paradox and will receive a breakdown of the evidence that is relevant to cardiac and pulmonary rehabilitation patients. Attendees will learn about a recently NIH-funded study designed to reduce excess weight in cardiac rehabilitation patients. Then, another specialist will discuss key ingredients necessary to a successful program, barriers to implementation, and an example from a high-performing program. The presenters will propose a “gold standard” of behavioral weight loss in cardiac rehabilitation as well as “silver” and “bronze” standards for programs with fewer resources.
Learning Objectives:
- Explain what is known about excess weight in cardiac and pulmonary rehabilitation patients from a behavioral perspective.
- Identify mechanisms for benefiting from weight loss in cardiac rehabilitation.
- Review the obesity paradox, evidence for losing weight in cardiac rehabilitation as risk prevention, and components of gold-standard behavioral weight management.
- Describe empirically supported treatments for behavioral weight management in a general population.
- Discuss barriers and facilitators to implementation.
- Identify the components that would make up gold-, silver-, and bronze-standard programs.
Product includes: presentation recording, handouts, post test, evaluation, and CE certificate.Viewing window: 60 days from date of purchase