What role can we play? As: the College ACSEP? clinicians? community leaders individuals
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- Ann Jemimah Moody
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Transcription
1
2 Consider Twitter!
3
4 What role can we play? As: the College ACSEP? clinicians? community leaders individuals
5 Overview Brainstorming to answer those questions What can we do? Yes we can! (7 mins) Sharing with the room particularly examples / bright spots (10 mins) Practical examples from New Zealand, South Africa and Australia (33 mins) Goal foster discussion at the College level that may lead to a working group
6 What role the College? Education role doctors? community? / mass media, social media? Role models practice type, individual Research partner role / leader role Referral role linkages with ESSA, other physical activity champions Linkages with corporate Gym groups?
7 What role the College? Individual counselling public health or tertiary referral? World s best practice? Curate/repository Role in obesity?
8 What role the College? Education role doctors? community? / mass media, social media? Role models practice type, individual Research partner role / leader role Referral role ESSA
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10 C Schiphorst et al. Br J Sports Med doi: /bjsports Copyright BMJ Publishing Group Ltd & British Association of Sport and Exercise Medicine. All rights reserved.
11 What are the 7? Overarching public education including mass media (1)
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13 What are the 7? Overarching public education including mass media (1) Built environment and transit (2)
14 What are the 7? Overarching public education including mass media (1) Built environment and transit (2) Settings: Schools, communities, sport for all (3) Health professionals/hospitals/etc (1)
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16 What are the 7? Overarching public education including mass media (1) Built environment and transit (2) Settings: Schools, communities, sport for all (3) Health professionals/hospitals/etc (1)
17 Exercise Vital Sign
18 C Schiphorst et al. Br J Sports Med doi: /bjsports Copyright BMJ Publishing Group Ltd & British Association of Sport and Exercise Medicine. All rights reserved.
19 What role the College? Education role doctors? community? / mass media, social media? Role models practice type, individual Research partner role / leader role Referral role ESSA
20 What role the College? Individual counselling public health or tertiary referral? World s best practice? Curate/repository Role in obesity?
21
22 Heath s point # 1 (of 3) Motivate the elephant Are you motivating the elephant with emotion? Or appealing to the rider with data?
23 Motivation comes via emotion Emotion comes from stories Stories trump data
24 Heath s 2 nd major point 2. Direct the rider Simple clear message 22 mins a day
25 2. Direct the rider (simple, clear)
26 3 rd (final major point) 3 = Shape the path One click on Amazon Macdonalds Drive through IKEA path?
27 #1 book recommendation for behaviour change/persuasion
28 Summary There is a science to changing behavior 1. Motivation through emotion 2. Direct the rider 3. Shape the path
29 Is obesity that complicated? Outline 1. Exercise alone doesn t keep weight stable 2. Role of industry in guidelines
30 Is obesity that complicated? Resource channels
31 Hard? Obesity System Map
32 Is obesity that complicated? Is obesity that complicated?
33 It looks like the genes for obesity kicked in around Exercise alone doesn t keep weight stable 2. What is healthy food? Personal story Evidence 3. Role of industry in guidelines
34 or people got lazy around Exercise alone doesn t keep weight stable 2. What is healthy food? Personal story Evidence 3. Role of industry in guidelines
35 70,000 views
36 What evidence springs to mind?
37 Prof Steven Blair. 5 million steps/year for 7 years (13,698 per day). SAD = Standard American Diet
38 Prof Tim Noakes just one of many gems on Twitter Tim Noakes advocates REAL FOOD which means LOW CARB HIGH FAT = don t fear the fat
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40 Insulin makes us hungry
41 Glucose/ insulin Carbohydrate Fat
42 Short version Insulin spikes with food Insulin is FAT STORING Feel hungry as insulin drops back Cycle Calorie restriction reduces metabolic rate. (balances out)
43 Short version Carbohydrate Insulin spikes with food Insulin is FAT STORING Feel hungry as insulin drops back Cycle Fats (Protein) Avoid the spike Metabolise fat!!! Fat burning Go longer periods without hunger Fats are satiating. #HappyNotHungry
44 Rules for eating Hallberg 1. If it says light, low fat or fatfree it must stay in the grocery store 2. Eat real food 3. Don t eat anything you don t like 4. Eat when you are hungry. Don t eat when you are not. 5. NO GPS no grains, potatoes or sugar
45 Sugar diabetes
46 Is obesity that complicated? Outline 3 parts 1. Exercise alone doesn t keep weight stable 2. Role of industry in guidelines
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49 $3.3 billion Coke advertising
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52 Recommend book: 9 years work
53 Summary: Is obesity that complicated? 1. Exercise alone doesn t keep weight stable 2. Carbohydrates may have been over-rated 3. Simple avoid 4. Enjoy full fat real foods meat, full fat yoghurt, other dairy, avocado, vegetables and salads, nuts. 5. Role of industry in guidelines
54 Role of ACSEP? Which profession is going to embrace this Not the dietician$ Not the cardiologist$ Perfect space for ACSEP IMHO Behaviour change, real food, real health No commercial conflict
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