1. Healthy Weight, Healthy Eating: Understanding and helping individuals with weight- and eating-related difficulties Edie Goldbacher, Ph.D. Department of Psychology La Salle University

2. 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?

3. 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%

5. 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

6. Conscious Choices?

7. The multifaceted nature of obesity: Behavioral Factors  Mindless / unintentional eating  Ineffective eating patterns  Sedentary behaviors  Ineffective problem-solving  Sensitivity to environmental cues

8. 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

9. Self-Monitoring I am going to need more information …

10. Self Monitoring Diet Physical Activity Weight

11. Stimulus control

13. Stimulus Control  Learning to pay attention to things that we identify in the environment and how they may alter eating habits.  Pavlov's Dogs-

14. 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

15. 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

16. 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

17. 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

18. 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

19. Questions? Thank you! goldbacher@lasalle.edu