80% women 20% men Lost an average of 66 lbs and kept it off

for 5.5 years› Weight losses have ranged from 30 to 300

lbs. › Duration of successful weight loss has

ranged from 1 year to 66 years.› Some have lost the weight rapidly, while

others have lost weight very slowly--over as many as 14 years.

45% of registry participants lost the weight on their own and the other 55% lost weight with the help of some type of program.

98% of Registry participants report that they modified their food intake in some way to lose weight.

94% increased their physical activity, with the most frequently reported form of activity being walking.

Most report continuing to maintain a low calorie, low fat diet and doing high levels of activity.

  › 78% eat breakfast every day. › 75% weigh themselves at least once a week. › 62% watch less than 10 hours of TV per week. › 90% exercise, on average, about 1 hour per

day.

EPIGENETICS

16

Many typical signs of aging are actually symptoms of mental and physical disuse.

Fat burning enzymes shut down Cholesterol metabolism decreases

increasing risk for heart disease For every 2 hrs spent sitting your

risk of diabetes increases by 7% Lower blood flow to brain means

higher risk for depression Hip flexors & hamstrings tighten,

back supporting muscles weaken, increased back pain

4 hours of sitting in front of screen twice as likely to have heart attack

Get NEAT: Non-Exercise Activity Thermogenesis: Get off your butt 10 minutes per hour---double metabolic rate

Fidget Dance Walk and Talk Stick your treadmill in front of

TV Rearrange work space to get up

more often

TOTAL ADIPOSE INTRAABDOMINAL ADIPOSE

Excess Intraabdominal Adipose or Excess Intraabdominal Adipose or Toxic FatToxic Fat

TOTAL ADIPOSETOTAL ADIPOSEINTRAABDOMINAL INTRAABDOMINAL

ADIPOSEADIPOSE

The mind is the body & vice versa

Mind and body are plastic or changeable throughout the life span

Healing is a constant, dynamic psychobiological process

Stage 0 No co-morbidities: Counseling to prevent further weight gain through lifestyle measures including healthy eating and increased physical activity.

Stage 1 One or more co-morbidities, mild mental/physical symptoms: Investigation for other (non-weight related) contributors to risk factors. More intense lifestyle interventions, including diet and exercise to prevent further weight gain. Monitoring of risk factors and health status.

Stage 2 One or more obesity-related chronic diseases & moderate physical limitations: Initiation of obesity treatments including considerations of all behavioral, pharmacological and surgical treatment options. Close monitoring and management of comorbidities as indicated.

Stage 3 End-organ damage, incapacitating osteoarthritis, significant psychopathology, significant functional limitation: More intensive obesity treatment including consideration of all behavioral, pharmacological and surgical treatment options. Aggressive management of comorbidities as indicated.

Stage 4 severe disabilities from obesity-related chronic diseases, severe disabling psychopathology, severe functional limitations: Aggressive obesity management as deemed feasible. Palliative measures including pain management, occupational therapy and psychosocial support.