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John C. Mobley, MD
Pounds Off Pulaski
Jan. 12, 2015
Why are we here
To help Pulaski County get inspired to
get the Pounds Off!
John C. Mobley, MD, FACS
Bariatric surgeon
Laurel County native
University of Louisville School of Medicine
Completed residency at Good Samaritan Hospital in Cincinnati
Specializes in laparoscopic adjustable gastric banding surgery (LAP Band)
Board certified by the American Board of Surgery
Member of American Society of Metabolic and Bariatric Surgery (ASMBS)
Dr. Mobley
Before Surgery 300 lbs. 2006
One Year After Surgery 194 lbs.
Current Weight 177 lbs.
Obesity
Q: Why do people become obese?
A: Mathematics
It is so hard to eat less than you
burn
To Lose 1 pound a week
-Burn or Cut Out 3,500 calories
-500 calories/day
-burn 250 cal and cut 250 cal
To gain one pound in a year requires an
imbalance of 9.6 calories per day
To naturally maintain weight, burn 100%
of ingested calories
If 90 pounds overweight by age 65 you
have burned 99.2% of ingested calories
What is Obesity?
A medical condition with excess body fat accumulation which adversely affects health
Leads to an increase in health problems and reduced life expectancy
Obesity - BMI 30-39.9
Morbid obesity- BMI of 40 or greater
Body Mass Index (BMI) Measures Obesity Based on Height and Weight
Size Matters
Weight Loss Surgery Candidates
Obesity- The Epidemic According to the CDC
A major health problem worldwide
25% of industrialized world affected
68% of Americans are overweight
32% of Americans are obese
20% of American children are overweight
Healthcare expenditures over $300 billion annually
A morbidly obese individual loses 10-15 years of life
expectancy
300,000 deaths annually related to obesity
Obesity Epidemic
The adult obesity rate has DOUBLED in the past
two decades
The obesity rate has TRIPLED in children in
the past two decades
Kentucky is Fat:
Ranked 6th in OBESITY with 31.5 % of adults
Ranked 6th in DIABETES with 10.5 % of adults.
Had the 3rd highest increase in diabetes rates
from 1995-2010
Hypertension ranking- 7th with 31.6 % of adults
Physical inactivity ranking- 6th with 29.8 % adults
Obese child ranking- 3rd with 21 % of children
ages 10-17
18% of High Schoolers obese (Number 1)
Overweight/obese adults- 67.1 %
Obesity Increase Over the Years
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
1998 1990
2008
Obesity- A Preventable Death
Morbid obesity has overtaken tobacco
as the number one cause of
preventable death in the United
States
It’s mind boggling
There are currently more people in the
USA that I could band than the total
population of Australia
A new diabetic every 10 minutes
20% of all medical spending in age >50
in the US is on diabetes
Change in Perception
Over the last 10 years the greatest change
has been increased understanding that
OBESITY is a disease that causes other
diseases
These diseases cause premature death
Weight loss cures the associated diseases
There is no long term medical cure
Surgery gives durable weight loss, and can
help fix the diseases
Resolved or Improved Health Conditions after Weight Loss
Obesity Related Cancer
Esophageal
Colon
Ovarian
Uterine
Breast
Prostate
Cervical
Medical Weight Management
Programs are available that typically offer one or more of the
following options to lose weight:
Diet
Exercise
Behavior Modification
Medication- Diet Pills
Success rate in sustaining weight loss at 5 years is poor:
Medication- <10%
Choice is simple…..
Success Surgery
-diet
-exercise
-behavior modification
OR
Co-morbid conditions
-never occur
-improve
Laparoscopic Adjustable Gastric Band
LAGB works by reducing the
amount of food consumed at one
time
LAGB does not interfere with the normal absorption (digestion) of food and
nothing is removed
Liver
Stomach
Esophagus
Small
Intestines
Large Intestines
Band
Band
Tubing
Band
Port
Gallbladder
Appendix
Beginning Pounds Off
Research and increase your knowledge about weight loss
Attend patient support meetings
Increase your daily physical activity and begin a regular exercise program such as walking
Drink 64-ounces of sugar-free fluids daily
Practice eating lean protein first at each meal and adopt a high protein, low carb, low fat way of eating
Push Your Body
Do something new
Step up current routine
Live an Overall Active Life
Train, BUT move around in your
everyday life (eg stairs, dog walking,
vacuum, gardening)
Get Up and Out-No Matter How
Short
10 min break
-Walk
-Rev up your body (sunshine is
a bonus)
Exercise in the Morning
You workout harder
Burn more calories during the day
Takes 5 excuses to get a day off
Invest in New Gear
Even a single item
Beginning Pounds Off
Research and increase your knowledge about
weight loss
Attend patient support meetings
Increase your daily physical activity and begin
a regular exercise program such as walking
Drink 64-ounces of sugar-free fluids daily
Practice eating lean protein first at each meal
and adopt a high protein, low carb, low fat way
of eating
Watch Your Drink Calories
NO Liquid calories!
Drink Water
Water required to turn fat into energy
Fill up on water before a meal helps with
portion control
Cool/Cold water speeds up metabolism
Drink Green Tea
Increases metabolism
Hydrates like water
Major antioxidant power
Beginning Pounds Off
Research and increase your knowledge about weight loss
Attend patient support meetings
Increase your daily physical activity and begin a regular exercise program such as walking
Drink 64-ounces of sugar-free fluids daily
Practice eating lean protein first at each meal and adopt a high protein, low carb, low fat way of eating
Eat 8 grams of Fiber in the
Morning
Keeps you full
Avoid hunger later
Eat Your Veggies
5-7 servings of fruit & veggies/day
-low calorie
-loaded with fiber
Enjoy the Food You Eat
Healthy relationship with food helps
avoid going overboard
Allow a small indulgence
STOP Eating Junk Food
Foods filled with sugar and fat
-weight gain
-irritability
-low energy levels
Keep It Fresh
Avoid highly processed foods
Eat all-natural whole foods
Eat foods that walked the earth, flew in
the sky, swam in the ocean or grew in
the soil
Eat foods that rot
Pack a Lunch
Great way to stay committed to healthy
meal plan
Take out calorie count is a mystery
Helpful Eats
Chickpeas
-help break bad snacking habits
Grapefruits
Cut Up Your Food
Seems like more food
Slow down, you’ll eat less
Chew well
Keep a Food Journal
-Studies show more weight loss
-Keeps you accountable
Practice Portion Control
Check serving size
DON’T Keep Treats in Your
Cabinets
Know your Kryptonite
Keep healthy foods so you snack
smarter
Always Eat Breakfast
Within one hour of waking up
Jump start metabolism
Choose high protein and high fiber
Snack Right at the Office
Fresh fruits and veggies
Bring your own
Healthy Foods Don’t Mean
All-You-Can-Eat
Be aware of serving size
Get Sweet on Potatoes
Ample amounts of vitamin A
Prevent blood sugar spikes
Sweet & Fibrous, keep hunger and
sugar cravings away
GO For Protein-NOT Sugar
High protein and whole grains provide
long-lasting energy
Get Cooking
Control ingredients
Reduce butter/oil i.e. FAT (secret)
Eat More
Frequent meals 5-6/day boost
metabolism
Healthy foods give you energy and keep
you full without the calories
Eat Foods That Fight Fat
Almonds
Oatmeal
Soy beans
Sweet potatoes
Avocado
Lifestyle changes
Monitor your progress (weigh only
weekly)
Identify & address emotional eating
habits
Plan your strategy for coping without
using “comfort foods” as your drug of
choice
Avoid the tissue paper barrier
Get Some Sleep
Strengthen immune system
Eat less
Store less fat
Won’t skip workouts
Bottom Line… Obesity is a life-threatening problem
Surgery is safe and effective in providing substantial
long-term weight loss
Lifestyle changes are required
Follow-up care is essential for good outcomes and
good health
You are the key to your success by having a positive
and motivated attitude
Work with us Pulaski
County to get Pounds
OFF!!
QUESTIONS?
