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Healthy Weight, Healthy Eating: Understanding and helping individuals with weight- and eating-related difficulties Edie Goldbacher, Ph.D. Department of Psychology La Salle University
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An overview… Who am I? What is the context for trying to understand, prevent and treat eating- and weight-related difficulties? What does this look like? How are we at La Salle contributing to these efforts?
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2000 Obesity Trends* Among U.S. Adults BRFSS, 1990, 2000, 2010 (*BMI 30, or about 30 lbs. overweight for 5’4” person) 2010 1990 No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
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The multifaceted nature of obesity Genetics / Biological Factors Environmental Factors Availability / cost of food / advertising Availability / cost of food / advertising Portion sizes Portion sizes Characteristics of the built environment Characteristics of the built environment Social Factors Social support Social support Social / cultural / environmental Social / cultural / environmentalstress
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Conscious Choices?
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The multifaceted nature of obesity: Behavioral Factors Mindless / unintentional eating Ineffective eating patterns Sedentary behaviors Ineffective problem-solving Sensitivity to environmental cues
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Behavioral Weight Loss: Not a diet, but a lifelong change Self-monitoring Goal setting Problem- solving Stimulus control Coping Relapse prevention Pre-determined # of sessions (12 – 20 weekly, additional if needed) Pre-set time frame (50 minute) Weekly weigh-ins Nutrition education Physical activity Behavior modification Identify / modify unhelpful thinking patterns
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Self-Monitoring I am going to need more information …
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Self Monitoring Diet Physical Activity Weight
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Stimulus control
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Stimulus Control Learning to pay attention to things that we identify in the environment and how they may alter eating habits. Pavlov's Dogs-
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The multifaceted nature of obesity: Psychological Factors Emotions / stress Alternatives Alternatives Binge eating Approximately 1-5% of population Approximately 1-5% of population May be associated with weight loss difficulties May be associated with weight loss difficulties May require different / specialized treatment approach (e.g., CBT) May require different / specialized treatment approach (e.g., CBT) Other psychological factors Psychological disorders Psychological disorders
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The multifaceted nature of obesity: Bias / Discrimination Increased by about 60% over past decade Omnipresent Common stereotypes and attitudes Being a victim is associated with physical and psychological consequences Raise awareness / educate Address in treatment as precipitant
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Our work at La Salle: The community at large La Salle University’s Community Psychological Services: Healthy Eating, Healthy Weight clinic Low-cost, sliding scale services Individual services Eating and weight-difficulties Eating and weight-difficulties Individualized treatment Individualized treatment Improving treatment options, availability and outcomes Improving treatment options, availability and outcomes Weight loss group
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Our work at La Salle: The university community Furthering our understanding of factors that contribute to eating and weight difficulties in students Emotional eating Emotional eating Examining weight-related attitudes among health care providers in student health centers Promoting awareness, sensitivity and change
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Interested in learning more? Yale’s Rudd Food Center http://www.yaleruddcenter.org/ http://www.yaleruddcenter.org/ The Obesity Society http://www.obesity.org/ http://www.obesity.org/ The Academy for Eating Disorders http://aed-web.org/web/index.php http://aed-web.org/web/index.php
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Questions? Thank you! goldbacher@lasalle.edu
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