JC2012-01 Changes in Diet and Lifestyle and Long Term Weight Gain in W

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Slide 1: 

A Presentation by Shilpa Patel

METHODS : 

METHODS Prospective investigations involving a total of 120, 877 U.S. men and women NHS 121, 701 Female RNs, mean age 52 NHS II 116, 686 Female RNs, mean age 37 HPFS 51,529 Men, mean age 50

Who Was Excluded? : 

Who Was Excluded?

Slide 5: 

BIENNIAL QUESTIONNAIRES

Slide 6: 

National Institute of Health and others

Baseline Characteristics & Average 4-Year Lifestyle Changes : 

Baseline Characteristics & Average 4-Year Lifestyle Changes TABLE 1

Slide 8: 

Mean weight gain of 3.35 lb during each 4 year period. Mean changes in lifestyle were small

Relationship between Diet Changes and Weight Changes : 

Relationship between Diet Changes and Weight Changes TABLE 2

Slide 11: 

Combined dietary changes were related to weight gain in a dose dependent fashion

Relationship Between Lifestyle Factors and Weight Changes : 

Relationship Between Lifestyle Factors and Weight Changes Physical Activity -ve Alcohol +ve Sleep +ve for <6 or >8 hrs Smoking -ve Television Watching +ve

DISCUSSION : 

DISCUSSION Multiple specific lifestyle changes are independently associated with long term weight gain Weight gain is gradual but accumulates over time

More Weight Gain : 

More Weight Gain Less Weight Gain

YOUR THOUGHTS : 

YOUR THOUGHTS From a public health point of view, how can we use these findings in future policies and research efforts to prevent obesity? How can we use this information to more effectively help our patients prevent weight gain?

CONCLUSIONS : 

CONCLUSIONS Combined dietary changes are associated with substantial differences in weight gain, with additional contributions from physical activity and television watching. SOOOOOOO......... WHAT DOES ALL OF THIS MEAN?

Slide 17: 

CHANGE IS GOOD!!!