98 M. Pickford

General Practitioners are on the front line caring forpatients with this health issue along with the mul-titude of health impacts that it brings. On averageAustralians attend their GP 2—7 times a year andpatients report high rates of feeling respected andlistened to by GPs. Despite this and the acknowl-edged positive effect of GP involvement in healthprevention current obesity management strategiesrequire referral outside the GP environment. Thisproject was developed to identify and understandthe evidence around GP delivered interventions forobesity.

Methods: A systematic review with the follow-ing inclusion criteria: RCTs, adults, BMI over 25 anda weight loss program delivered by a Primary Caredoctor in a Primary Care setting. The primary out-come was BMI measured at 2 years with reporting ofadverse outcomes. We used Pubmed, PsycInfo andCochrane Central Register of Controlled Trials.

Results: There is almost no research on strate-gies delivered by General Practitioners — weidentified one International study, and no Australiandata.

Conclusion: We will reflect upon why there is solittle research on GP delivered strategies for obe-sity treatment [1—4].

References

[1] Overweight and obesity. Australian Institute ofHealth and Welfare; 2013. http://www.aihw.gov.au/overweight-and-obesity/.

[2] Healthy communities: Australians’ experiences with pri-mary health care in 2010—11. National Health PerformanceAuthority; 2013.

[3] General Practitioners. Patient experiences in Australia: sum-mary of findings 2012—13. Canberra: Australian Bureau ofStatistics; 2013.

[4] Martin P, et al. A primary care weight management inter-vention for low-income African-American women. Obesity2006;14(8):1412—20.

http://dx.doi.org/10.1016/j.orcp.2014.10.179

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Running shared medicalappointments for diabesity

Marianne Sumego

Cleveland Clinic, Chicago, IL, UnitedStates

The increasing complexity and costs of med-ical care are challenging the entire healthcarecommunity to develop efficient and high qualitycare models. Shared Medical Appointments (SMAs)provide an innovative solution addressing access

and quality of care in a setting which leveragesrepetition and extended visit length. The model’ssuccess is critical on the elements flowing togethercreating a seamless appointment. Looking backover more than 10 years of experience at the Cleve-land Clinic conducting SMAs, we can share the keyessentials in the development and implementationof SMAs. Our data illustrates how SMA’s can resultin increased access, improved quality of care andan enhanced patient experience. Chronic diseaseconditions like diabesity and the associated impacton healthcare are taking centre stage. SMA’s area care model that combines maximising workflowefficiencies with high quality of care and are oneway to address the changing needs in healthcare. Itcan be an exciting time in healthcare as we forgeahead to advance the care of our patients.

http://dx.doi.org/10.1016/j.orcp.2014.10.180

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LiveLighter Phase II ‘‘SugaryDrinks’’ mass media campaign

Maurice Swanson 1,∗, Maria Szybiak 1,Trevor Shilton 1, Steve Pratt 2, TerrySlevin 2, Belinda Morley 3, PhilippaNiven 3, Helen Dixon 3, MelanieWakefield 3

1 Heart Foundation, Subiaco, WA,Australia2 Cancer Council WA, Shenton Park,WA, Australia3 Centre for Behavioural Research inCancer, Cancer Council Victoria,Melbourne, VIC, Australia

Background: In 2012, the Department of HealthWA contracted the Heart Foundation in WA todevelop an evidence-based public education cam-paign to address unhealthy weight in adults in WA.This was in response to the increasing prevalenceof obesity and the need to present obesity as aserious public health issue. The 2013-2014 PhaseII campaign, ‘‘Sugary Drinks’’, graphically depictsvisceral fat around vital organs and focuses on thecontribution of sugar-sweetened beverages (SSB) tothe development of toxic fat and ultimately dis-ease.

Method: The campaign has employed similarstrategies to those used by successful social market-ing campaigns designed to reduce the prevalenceof smoking. Paid media advertising that graphi-cally portrays the negative health effects of excessvisceral fat has been complemented by generat-ing unpaid media coverage. A dedicated campaign

Annual Scientific Meeting 99

website provides important information and indi-vidually tailored applications for healthy eating andphysical activity to achieve a healthy weight. Tacti-cal advertising promotes the campaign’s advocacypriorities. The impact of Phase II of the campaignwas assessed using computer assisted telephonesurveys (CATI) of a cohort of 1500 adults betweenAugust 2013 and April 2014.

Results: Responses from the junk food and drinkindustries, the media industry and international andnational stakeholders advocating for the Campaignto be run outside Western Australia will be pre-sented together with process evaluation data fromthe Campaign.

Conclusion: The LiveLighter campaign hasdemonstrated that hard hitting public educationcampaigns can be successful in raising awareness,especially among overweight and obese adults. TheCampaign has achieved important traction for theissue of obesity and the development of chronicdisease in Western Australia. Consequently, theLiveLighter campaign is now being conducted inVictoria and the ACT and is generating interestinternationally.

http://dx.doi.org/10.1016/j.orcp.2014.10.181

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Subcutaneous fat transplantationalleviates diet-induced glucoseintolerance and inflammation inmice

Samantha L. Hocking 1,2,∗, Rebecca L.Stewart 1, Amanda E. Brandon 1,Eurwin Suryana 1, Emily M. Baldwin 1,Ganesh A. Kolumam 3, MichaelMedynskyj 4,5, Sinead P. Blaber 4,5,Elisabeth Karsten 4,5, Benjamin R.Herbert 4,5, Gregory J. Cooney 1,6,Michael M. Swarbrick 1,7

1 Diabetes and Metabolism Division,Garvan Institute of MedicalResearch, Sydney, NSW, Australia2 Endocrinology, Royal North ShoreHospital, St. Leonard’s, NSW,Australia3 Tumor Biology and Angiogenesis,Genentech, Inc, South San Francisco,California, USA4 Regeneus, Ltd, Pymble, NSW,Australia5 Department of Chemistry andBiomolecular Science, MacquarieUniversity, Sydney, NSW, Australia6 St Vincent’s Clinical School,University of New South WalesAustralia, Darlinghurst, NSW,Australia7 School of Medical Sciences,University of New South Wales,Kengington, NSW, Australia

Background: Adipose tissue distribution is amajor determinant of mortality and morbidity inobesity. In mice, intra-abdominal transplantation ofsubcutaneous adipose tissue protects against glu-cose intolerance and insulin resistance, but theunderlying mechanisms are not well understood.

Methods: We investigated changes in adipokines,tissue-specific glucose uptake and systemic inflam-mation in male C57BL6/J mice implanted intra-abdominally with either inguinal (subcutaneous)or epididymal (visceral) adipose tissue and fed ahigh-fat diet (HFD) for up to 17 weeks. Gene expres-sion in grafted and endogenous adipose tissues wasexamined by microarray, and the expression of 84fatty liver-associated genes involved were mea-sured using PCR arrays (Qiagen). Plasma cytokineconcentrations were measured using Bio-plex Proassays (Bio-Rad).