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Arya M Sharma, MD, FRCPC Chair in Obesity Research & Management University of Alberta Medical Director Alberta Provincial Obesity Program Edmonton, AB, Canada www.drsharma.ca The 5As of Obesity Management™

Arya M Sharma, MD, FRCPC Chair in Obesity Research & Management University of Alberta Medical Director Alberta Provincial Obesity Program Edmonton, AB,

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Page 1: Arya M Sharma, MD, FRCPC Chair in Obesity Research & Management University of Alberta Medical Director Alberta Provincial Obesity Program Edmonton, AB,

Arya M Sharma, MD, FRCPC

Chair in Obesity Research & ManagementUniversity of Alberta

Medical DirectorAlberta Provincial Obesity Program

Edmonton, AB, Canadawww.drsharma.ca

The 5As of Obesity Management™

Page 2: Arya M Sharma, MD, FRCPC Chair in Obesity Research & Management University of Alberta Medical Director Alberta Provincial Obesity Program Edmonton, AB,

Faculty/Presenter Disclosure

• Faculty: Arya M. Sharma• Program: 51st Annual Scientific Assembly

• Relationships with commercial interests:– Grants/Research Support: none– Speakers Bureau/Honoraria: Vivus, Esai– Consulting Fees: Novo-Nordisk, Vivus, Takeda– Other: none

Page 3: Arya M Sharma, MD, FRCPC Chair in Obesity Research & Management University of Alberta Medical Director Alberta Provincial Obesity Program Edmonton, AB,

Disclosure of Commercial Support

• This program has received financial support [none] from in the form of [none].

• This program has received in-kind support from [none] in the form of [none].

• Potential for conflict(s) of interest:– Arya M. Sharma has received none from [none].– Canadian Obesity Network benefits from the sale of, etc.] a product that

will be discussed in this program: [5As of Obesity Management tools and resources].

Page 4: Arya M Sharma, MD, FRCPC Chair in Obesity Research & Management University of Alberta Medical Director Alberta Provincial Obesity Program Edmonton, AB,

Mitigating Potential Bias

• All conflict and sources of funding will be declared.

Page 5: Arya M Sharma, MD, FRCPC Chair in Obesity Research & Management University of Alberta Medical Director Alberta Provincial Obesity Program Edmonton, AB,
Page 6: Arya M Sharma, MD, FRCPC Chair in Obesity Research & Management University of Alberta Medical Director Alberta Provincial Obesity Program Edmonton, AB,

• Key Principles of Obesity Management

• Overview of the 5As of Obesity Management• Ask• Assess• Advise• Agree• Assist

Outline

Page 7: Arya M Sharma, MD, FRCPC Chair in Obesity Research & Management University of Alberta Medical Director Alberta Provincial Obesity Program Edmonton, AB,

Obesities are heterogeneous complex disorders of multiple etiologies characterized by excess body fat that threatens or affects socioeconomic, mental or physical health Sharma 2007

Page 8: Arya M Sharma, MD, FRCPC Chair in Obesity Research & Management University of Alberta Medical Director Alberta Provincial Obesity Program Edmonton, AB,
Page 9: Arya M Sharma, MD, FRCPC Chair in Obesity Research & Management University of Alberta Medical Director Alberta Provincial Obesity Program Edmonton, AB,
Page 10: Arya M Sharma, MD, FRCPC Chair in Obesity Research & Management University of Alberta Medical Director Alberta Provincial Obesity Program Edmonton, AB,
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Page 16: Arya M Sharma, MD, FRCPC Chair in Obesity Research & Management University of Alberta Medical Director Alberta Provincial Obesity Program Edmonton, AB,
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Page 23: Arya M Sharma, MD, FRCPC Chair in Obesity Research & Management University of Alberta Medical Director Alberta Provincial Obesity Program Edmonton, AB,

Stage 0

Stage 1

Stage 2

Stage 3

Stage 4

Med

ical

Men

tal

Func

tiona

l

abse

nt

abse

nt

abse

nt

pre-cl

inical ri

sk

facto

rsm

ildm

ild

co-morbidity

moderate

moderate

end-organ

damage

severesevere

end-stage

end-stage

end-stage

Obesity

Edmonton Obesity Staging System (EOSS)

Page 24: Arya M Sharma, MD, FRCPC Chair in Obesity Research & Management University of Alberta Medical Director Alberta Provincial Obesity Program Edmonton, AB,

(no risk factors)(risk factors)(comorbidity)(end-organ damage)

EOSS Predicts Mortality in NHANES III

Padwal RS, Pajewski NM, Allison DB, Sharma AM. Using the Edmontonobesity staging system to predict mortality in a population-representativecohort of people with overweight and obesity. CMAJ. 2011;183:E1059-66

Page 25: Arya M Sharma, MD, FRCPC Chair in Obesity Research & Management University of Alberta Medical Director Alberta Provincial Obesity Program Edmonton, AB,

EOSS Predicts Mortality in NHANES III

Padwal RS, Pajewski NM, Allison DB, Sharma AM. Using the Edmontonobesity staging system to predict mortality in a population-representativecohort of people with overweight and obesity. CMAJ. 2011;183:E1059-66

Overweight

Page 26: Arya M Sharma, MD, FRCPC Chair in Obesity Research & Management University of Alberta Medical Director Alberta Provincial Obesity Program Edmonton, AB,

Sharma AM. M, M, M & M: a mnemonic for assessing obesity. Obes Rev. 2010;11:808-9.

Page 27: Arya M Sharma, MD, FRCPC Chair in Obesity Research & Management University of Alberta Medical Director Alberta Provincial Obesity Program Edmonton, AB,

Sharma AM, Padwal R. Obesity Is A Sign - Over-Eating Is A Symptom: AnAetiological Framework For The Assessment And Management Of Obesity.Obes Rev. 2010;11:362-370.

Page 28: Arya M Sharma, MD, FRCPC Chair in Obesity Research & Management University of Alberta Medical Director Alberta Provincial Obesity Program Edmonton, AB,
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