John C. Mobley, MD Pounds Off Pulaski Jan. 12, 2015

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1 John C. Mobley, MD Pounds Off Pulaski Jan. 12, 2015

2 Why are we here To help Pulaski County get inspired to get the Pounds Off!

3 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)

4 Dr. Mobley Before Surgery 300 lbs One Year After Surgery 194 lbs. Current Weight 177 lbs.

5 Obesity Q: Why do people become obese? A: Mathematics It is so hard to eat less than you burn

6 To Lose 1 pound a week -Burn or Cut Out 3,500 calories -500 calories/day -burn 250 cal and cut 250 cal

7 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

8 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 Morbid obesity- BMI of 40 or greater

9 Body Mass Index (BMI) Measures Obesity Based on Height and Weight

10 Size Matters Weight Loss Surgery Candidates

11 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 years of life expectancy 300,000 deaths annually related to obesity

12 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

13 Kentucky is Fat: Ranked 6 th in OBESITY with 31.5 % of adults Ranked 6 th in DIABETES with 10.5 % of adults. Had the 3 rd highest increase in diabetes rates from Hypertension ranking- 7 th with 31.6 % of adults Physical inactivity ranking- 6 th with 29.8 % adults Obese child ranking- 3 rd with 21 % of children ages % of High Schoolers obese (Number 1) Overweight/obese adults %

14 Obesity Increase Over the Years No Data <10% 10% 14% 15% 19% 20% 24% 25% 29% 30%

15 Obesity- A Preventable Death Morbid obesity has overtaken tobacco as the number one cause of preventable death in the United States

16 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

17 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

18 Resolved or Improved Health Conditions after Weight Loss

19 Obesity Related Cancer Esophageal Colon Ovarian Uterine Breast Prostate Cervical

20 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%

21 Choice is simple.. Success -diet -exercise -behavior modification Surgery OR Co-morbid conditions -never occur -improve

22 Laparoscopic Adjustable Gastric Band Esophagus Gallbladder Liver Stomach Band Band Tubing LAGB works by reducing the amount of food consumed at one time Large Intestines Band Port Appendix Small Intestines LAGB does not interfere with the normal absorption (digestion) of food and nothing is removed

23 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

24 Push Your Body Do something new Step up current routine

25 Live an Overall Active Life Train, BUT move around in your everyday life (eg stairs, dog walking, vacuum, gardening)

26 Get Up and Out-No Matter How Short 10 min break -Walk -Rev up your body (sunshine is a bonus)

27 Exercise in the Morning You workout harder Burn more calories during the day Takes 5 excuses to get a day off

28 Invest in New Gear Even a single item

29 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

30 Watch Your Drink Calories NO Liquid calories!

31 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

32 Drink Green Tea Increases metabolism Hydrates like water Major antioxidant power

33 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

34 Eat 8 grams of Fiber in the Morning Keeps you full Avoid hunger later

35 Eat Your Veggies 5-7 servings of fruit & veggies/day -low calorie -loaded with fiber

36 Enjoy the Food You Eat Healthy relationship with food helps avoid going overboard Allow a small indulgence

37 STOP Eating Junk Food Foods filled with sugar and fat -weight gain -irritability -low energy levels

38 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

39 Pack a Lunch Great way to stay committed to healthy meal plan Take out calorie count is a mystery

40 Helpful Eats Chickpeas -help break bad snacking habits Grapefruits

41 Cut Up Your Food Seems like more food Slow down, you ll eat less Chew well

42 Keep a Food Journal -Studies show more weight loss -Keeps you accountable

43 Practice Portion Control Check serving size

44 DON T Keep Treats in Your Cabinets Know your Kryptonite Keep healthy foods so you snack smarter

45 Always Eat Breakfast Within one hour of waking up Jump start metabolism Choose high protein and high fiber

46 Snack Right at the Office Fresh fruits and veggies Bring your own

47 Healthy Foods Don t Mean All-You-Can-Eat Be aware of serving size

48 Get Sweet on Potatoes Ample amounts of vitamin A Prevent blood sugar spikes Sweet & Fibrous, keep hunger and sugar cravings away

49 GO For Protein-NOT Sugar High protein and whole grains provide long-lasting energy

50 Get Cooking Control ingredients Reduce butter/oil i.e. FAT (secret)

51 Eat More Frequent meals 5-6/day boost metabolism Healthy foods give you energy and keep you full without the calories

52 Eat Foods That Fight Fat Almonds Oatmeal Soy beans Sweet potatoes Avocado

53 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

54 Get Some Sleep Strengthen immune system Eat less Store less fat Won t skip workouts

55 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

56 Work with us Pulaski County to get Pounds OFF!!

57 QUESTIONS?

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