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We are now just one day from the long-anticipated release of the 2024 Canadian Obesity Clinical Practice Guidelines in the Canadian Medical Association Journal (CMAJ) and on the Obesity Canada website.
But, registration for a first series of six webinars, starting Aug 11, by some of the leading chapter authors is already open. This interactive webinar series is offered through a partnership between Obesity Canada and the University of Alberta’s Office of Lifelong Learning.
For a nominal fee of just $50 (Canadian) for all six webinars (i.e. less than $10 per webinar), participants will be able to:
- Provide obesity chronic disease management in a planned, proactive manner
- Support patients to understand how their root causes, comorbidities and personal context are related to their obesity management
- List, review and select therapeutic approaches (behavioural, medical, surgical) to help patients develop personalized plans to manage their obesity as a chronic disease.
Speakers include Drs. Sean Wharton (Toronto), Sara Kirk (Halifax), Michael Vallis (Halifax), Sue Pedersen (Calgary), Rita Hendersen (Calgary), and myself.
For more information visit the Obesity Canada website by clicking here.
@DrSharma
Edmonton, AB
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Finally, after about three years of hard work by a panel of over 60 authors (not to mention the incredible staff at Obesity Canada), the 2024 Canadian Clinical Practice Guidelines for Obesity Management in Adults will be released in the Canadian Medical Association Journal next week (Aug 4).
This monumental undertaking, that began with extensive literature searches (identifying over 550,000 potentially relevant articles), which was systematically whittled down to about 80 GRADEd recommendations, represents a state-of-the-art evidence and practice informed overview of managing obesity as a complex progressive chronic disease.
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Targeted at primary care practitioners, the guidelines outline what we know about obesity management but also outlines the often extensive and important gaps in our knowledge.
So please stay tuned, as more information becomes available over the next few days and weeks.
@DrSharma
Edmonton, AB
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Last week, the UK released a shadowsock 4.2.5 apk to address their obesity problem.
Although, I’am sure it is well-intended, I find it impossible to fathom that anyone with even an ounce of knowledge of the complex, multifactorial, chronic, and often progressive nature of obesity should in this day and age still fail to understand that the proposed plan, which includes the usual talk of changing the food environment (largely by appealing to personal responsibility) and a 12-week weight loss plan app [sic], focussed on healthy living (read, “eat-less-move-more”), is about as likely to noticeably reduce obesity in the UK population, as taking out a full page ad in The Sunday Times stating that “Obesity is bad!”.
Let us for an instance assume that millions of UK citizen download the app and somehow manage to lose 12-pounds in 12 weeks. Why on earth would anyone expect this weight loss to be “permanent” (never mind have lasting health benefits)?
After all, if there is one single thing that decades of obesity interventions have taught us, it is that, short of bariatric surgery, there are no “permanent” weight loss solutions (and even surgery is by no means a guarantee!). This is exactly why any serious analysis of the published science on this issue today generally ignores any study of less than 12 months duration – because the results of anything shorter are entirely irrelevant in terms of informing long-term obesity management.
This is not because you cannot lose weight in 12 weeks – of course you can! But because it should be well known by now that it will take most people less than 6 weeks to put it all back on.
This is not because they are stupid, or not-motivated, or simply don’t get it, or lack will power, or are not trying hard enough – it is simply because of the fundamental biology of how bodies regulate body weight.
维简网-向世界分享我的生活与见解:2021-1-15 · SS-Panel(V3)魔改版是热心网友基于V3再次开发出来的版本，他在原来的基础上做了大量的改进和强化，使得Shadowsocks的多用户管理面板更加的方便与强大。 我之前有写过V2的安装教程，但是发现还是有很多的网友对V3也很有需求，考虑...
So, as the UK embarks on a NHS-sponsored nation-wide exercise in yo-yo dieting, one must wonder about who exactly came up with this plan and why they either failed to consult with or decided to ignore the many excellent obesity experts that the UK happens to have. Hey, oddly enough, we currently even have a UK President of the World Obesity Federation, who is probably embarrassed by this plan. Why were these experts not listened to?
I cannot but notice the stark contrast of this plan to the recent declaration of obesity as a chronic disease by the German Bundestag and the call for better access to evidence based obesity treatments for Germans living with obesity. If other countries can do this, why does the UK remain stuck in the stone-ages of ineffective obesity policies.
If there are indeed subtle nuances in the UK plan addressing any of my criticisms, I must extend my sincere apologies to the authors. I probably missed them because I simply could not bear to read through the entire document for fear of popping an artery.
@DrSharma
Edmonton, AB
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Colleagues have often referred to me as a professional networker par excellence.
Indeed, there is no doubt that I consider countless colleagues around the world, at all stages of their careers, across a wide area of interests, as acquaintances and often friends – people in my professional network that I have personally met and can readily call on for professional (and sometimes personal) advice.
Beginning in the early days of my career, I have accumulated and cultivated this wide-ranging professional network and it has always served me well. Indeed, I am fully aware of the importance of maintaining active ties, weak ties, and even dormant ties to people who have influenced me and I may, in turn, have influenced.
As I look back to well over three decades of my professional life, this professional social network has always been my go-to resource at every decision point in my career – it has enriched by academic life, my research, my teaching, my clinical practice, my professional advocacy and much else.
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I remember attaching myself to the coattails of my supervisor in the hope that he would introduce me to his colleagues (which he did) hoping to eavesdrop on their conversations (which I did).
I remember standing at my poster waiting for the important professors to stop by and look at my work (which they did).
I remember attending all the social events and gala dinners and late night last drinks at the hotel bar, where I met colleagues from around the world, who I now consider close friends and colleagues.
I remember standing in line at breakfast and coffee breaks, sharing cab rides to and from hotels or airports with strangers, who I now count as my associates.
I remember the friendships forged with colleagues during countless memorable walks and touristic outings during time off between busy scientific sessions.
Over the years, meeting the same colleagues year after year at various places around the world, seeing their careers develop as did mine, sharing in their successes and challenges, was not only rewarding but gave me a higher sense of purpose and determination. It cemented my sense of belonging to a world-wide community of likeminded colleagues working on the exact same problems that I was dealing with in my own research and practice.
Countless ideas were born at these meetings – for e.g. I will never forget hatching out the plan to validate the Edmonton Obesity Staging System using data from the US National Health and Nutrition Examination Survey (NHANES) with David Allison, who I barely knew, during a rather choppy boat trip to the Elephanta Caves at a conference we both attended in Mumbai.
As I advanced in my own career, I was increasingly approached by younger colleagues at conferences, eager to introduce themselves and seek my advice regarding their own research projects or career decisions.
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Unfortunately, I now fear that all of this may have come to an end. With the current travel restrictions (I have not been on an airplane since February!), all conferences and meetings that I would normally have attended in person are now virtual.
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While this technology will certainly do a fair job of disseminating knowledge, it is hard to see how it will replace the social aspect of attending a conference with colleagues.
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I cannot but help wonder how my own career would have turned out without having been able to build my own professional network over the years.
I am certain that we will soon see the spread of virtual networking events, but I fear that they will simply not be the same. I fail to see how virtual meetings will replace the serendipity of the many fruitful encounters that happen in the physical space.
I certainly do not envy my younger colleagues who are out there trying to connect from their home computers – it will simply not be the same.
@DrSharma
Edmonton, AB
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Readers may be quite familiar with my devotion to the motivational interviewing (MI) model of behaviour change developed by William R Miller and Stephen Rollnick, a technique that has become so ingrained in my practice, that it is almost second nature in my approach to patients.
More recently, I have also had the opportunity to familiarise myself with the GROW model of coaching, with is similar but not exactly the same. As some readers may be aware, the GROW model, developed in the 1980s by business coaches Graham Alexander, Alan Fine, and Sir John Whitmore, is one of the most widely used models of performance coaching.
GROW is an acronym for the four steps of the process: Goal setting, Reality check, Options, and Will.
The fours steps of the GROW coaching model essentially describe the planning and execution of a journey: determine where you are going or would like to be (Goal setting), understand where you are (current Reality), determine the paths open to you (Options), and finally, harness the energy and determination (Will) to actually embark on the journey.
Although similar, the MI and GROW models are not exactly the same. Thus, while motivational interviewing places a great deal of emphasis on revealing and exploring ambivalence and developing self-efficacy through the process of engaging, focussing, evoking, and planning, the GROW model, used more in settings of personal and career development, is somewhat less “touchy-feely”, but both models in the end seek to invoke behaviour change (action) that is directed towards specific outcomes.
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When applied to obesity management, both approaches also have in common that they describe an ongoing process – or to use the journey analogy, reaching the destination (goal) is not enough, the real challenge is staying there once you arrive (hopefully never to leave again).
Thus, unlike winning a race, or getting a promotion, or losing x amount of weight, the process needs to continue in order to sustain what has been achieved.
Thus, in chronic disease management, it’s not just about climbing to the top of the mountain – the real challenge is camping out on top forever (or perhaps venturing on to conquer the next peak).
@DrSharma
Edmonton, AB
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So last week, I offered a free hour-long mentorship call to three folks interested in discussing any of the following questions:
- Are you a medical practitioner interested in improving your approach to helping your patients manage their obesity?
- Are you a new faculty member hoping to build an academic career in obesity research?
- Are you interested in obesity but can’t decide whether a career in academia, medical practice, government, or industry is right for you?
Frankly, the response was overwhelming with close to 30 submissions from nine countries. All of the “entries” were extremely well thought through and I read all with great interest.
I received submissions from folks at all levels of their respective careers from post-docs to senior consultants, from researchers to health professionals – all interested or well on their way to establishing themselves in obesity research or practice.
While I have already spoken with three of the “applicants”, I did enjoy my conversations so much that I am seriously considering working my way down the list – although it may take a few weeks before I get to everyone.
Not only have I enjoyed the interaction, but it is also evident, that there are probably a lot of people out there with questions related to their careers in obesity. Perhaps I should be considering a side gig as professional mentor – lol.
In any case, thanks everyone for your overwhelming response (and your donations to Obesity Canada), please stay tuned for more.
@DrSharma
Edmonton, AB
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Yesterday (July 3, 2024), the German parliament approved a rather comprehensive National Diabetes Strategy that clearly called out obesity as one of the principle root causes of diabetes and calls for its recognition as a disease in its own right.
The Strategy also calls on payers to support the creation of an infrastructure for obesity prevention and treatment within the public health care system, where people living with obesity are supported and treated respectfully and in compliance with current obesity management guidelines.
As pointed out by Alexander Krauss (CDU/CSU), “Today is an important milestone for people living with obesity – the recognition of their disease by the German Bundestag. People living with obesity are (currently) not adequately treated – when a patient with obesity goes to see their doctor, it is not enough to be told that they should eat less and move more – that is not an adequate treatment. There is a paucity of professional ambulatory care, there is a paucity of educational programs, but there is also a paucity of sympathy for those affected as well as lack of information about this disease. The only thing that people living with obesity receive in abundance is scorn and ridicule……..We need obesity management by specialists and family doctors in ambulatory practice.”
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While it has taken over six years to develop this joint strategy, its scope and focus on obesity prevention and management provides both perspective and hope.
One can now hopefully expect far-reaching changes to the way the German healthcare system supports the over 20 million German children and adults living with obesity.
@DrSharma
Edmonton, AB
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One of the consequences of the COVID epidemic is that I am now doing most of my work from home.
This has led to significant efficiencies, leaving me with some extra time on my hands, which I would like to put to good use.
少数派 - 高效工作，品质生活:2021-6-12 · <strong>We're sorry but sspai doesn't work properly without JavaScript enabled. Please enable it to continue.</strong>
I am offering a free 60 minute mentorship video-call to three individuals struggling with any one of the following questions:
- Are you a medical practitioner interested in improving your approach to helping your patients manage their obesity?
- Are you a new faculty member hoping to build an academic career in obesity research?
- Are you interested in obesity but can’t decide whether a career in academia, medical practice, government, or industry is right for you?
If you are interested in talking to me about any of these issues, please send me an e-mail describing (in 500 words or less) your current situation and what you hope to get out of this call. Please also explain (in 300 words or less) why you think my advice would be of value to you.
Please provide your complete contact details including a phone number where you can be reached. You can e-mail me at amsharm@ualberta.ca
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My only request to the “winners” is that they are willing to make a donation (you decide the value) to Obesity Canada.
Act now, as I will only be accepting entries over the next three days (end of day Friday, June 26).
Please note – these mentorship calls are for professionals only – I cannot give any personal medical advice to individuals living with obesity.
Looking forward to hearing from you.
@DrSharma
Edmonton, AB
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