Description: Dr. Articolo defines obesity and discusses the genetic, environmental, and cultural factors associated with obesity.

Objectives:

• Define obesity
• Describe the incidence and prevalence of obesity
• Identify the genetic, environmental, and cultural factors of obesity
• Recall the financial costs of obesity, the pathophysiology of obesity-related disorders and the psychosocial aspects of obesity

Description: Dr. Pennings discusses how to complete an obesity-related physical along with being able to acknowledge adipose disorders.

Objectives:

• Assemble a complete obesity-related history and physical
• Select appropriate tests: lab, radiology, and other assessments
• Recognize rare adipose disorders
• Recall questionnaire and guideline resources

Description: Dr. Articolo addresses the issues and office policies and protocols related to treating a patient affected with obesity.

Objectives:

• Recognize weight bias, stigma, and discrimination
• Address the issues and office policies and protocols related to treating the patient affected by obesity
• Recognize the current guidelines and algorithms for adult obesity medicine treatment

Description:  In Pediatrics (Part 1), Dr. Censani explores the epidemiology and risk factors for childhood obesity along with evaluation and treatment strategies.

Objectives:

• Define epidemiology and risk factors for childhood obesity including environmental influences
• Discuss evaluation and treatment of a child affected by obesity

Description: Dr. Knopke discusses obesity-related behavioral problems along with eating, body image, mood, anxiety, and personality disorders.

Objectives:

• Identify obesity-related neruological principles
• Define common obesity-related behavioral problems
• Name eating disorders
• List body image disorders
• Name mood, anxiety, personality disorders
• Define sleep disorders

Description: Dr. Hallberg discusses different treatment strategies along with managing weight plateaus and co-morbid conditions.

Objectives:

• Age-related treatment
• Prevention of obesity and weight gain
• Define risks associated with excessive weight loss
• Management of a weight plateau
• Management of co-morbid conditions during weight loss
• Recognize the effect of weight loss on co-morbid conditions
• Recall adult treatment guidelines

Description: Dr. Lazarus discusses macro and micronutrients and their Dietary Reference Intakes (DRI) along with the effects on body weight and metabolism.

Objectives:

• Define macro and micronutrients 
• Recall GI sites of nutrient absorption
• Explain obesity-related vitamin and mineral metabolism (Ca, PTH, B12, Vit D)
• Describe macronutrient diet composition and effects on body weight and metabolism

Description: Dr. Knopke explores treatment strategies specific to behavioral problems along with psychological and pharmacologic therapies.

Objectives:

• Identify treatments for specific behavioral problems
• Define psychological therapies
• Name pharmacologic therapies

Description: Dr. Horn reviews the basics of creating an indvidualized exercise prescription along with the role physical activity has in weight loss.

Objectives:

• Distinguish differences between physical activity, exercise, and non-exercise activity thermogenesis
• Recall muscle anatomy and exercise physiology
• Interpret current evidence involving physical activity and its role in weight loss, weight maintenance, and reduction in all cause mortality
• List the components of an exercise history, basics of creating an individualized exercise prescription, and risks involved with exercise

Description: Dr. Lazarus addresses diets and meal replacements and their effects on co-morbid conditions.

Objectives:

• Calorie and micro/macro nutrient 
• Very low calorie diet
• Meal replacement
• Effect on co-morbid conditions
• Pediatric guidelines (not covered in this slide deck - see pediatrics slide deck)

Description:  Dr. Sicat reviews peripheral and CNS hormones along with the pathways of signaling from the hypothalamus.

Objectives:

• Recognize the complexity of weight control at the CNS level
• Name the peripheral hormones that assist with weight regulation
• List the CNS hormones that control energy balance
• Outline the paths of signaling from the hypothalamus, 1st and 2nd order neurons
• Discuss the function of orexigens and anorexigens at the CNS level
• Discuss genetic obesity disorders and their relationship to hormones

Description:  Dr. Sicat educates about the emerging science on the intestinal microbiome and the functions of different types of body fat.

Objectives:?

• Recognize the emerging science on the intestinal microbiome and its effect on weight regulation
• Discuss the impact of disordered sleep on metabolic parameters
• Name the functions of different types of body fat and the impact of their distribution
• Discuss obesity-related co-morbidities

Description: Dr. Fitch will provide an overview of the risk, benefits, adverse effects of medications along with alternative and emerging therapies.

Objectives:?

• Pharmacotherapy, Pharmacology, and Pharmacokinetics
• Risks, Benefits, and Adverse Effects
• Indications/Contraindications
• Monitoring and Follow-up
• Prescription Dose and Frequency
• Drug-Drug, Drug-Nutrient, Drug-Herbal Interactions
• Off Label Usage/Over-the-counter (OTC)
• Multi-drug/Combination Therapy
• Management of Drug-Induced Weight Gain
• Effect of Comorbid Conditions
• Alternative, Emerging, and Investigational Therapies

Description:  In Pediatrics (Part 2), Dr. Censani examines further treatment strategies along with reviewing expert committee recommendations.

Objectives:

• Explain the 2007 Expert Committee Recommendations and flow charts in detail
• Discuss evaluation and treatment of a child affected by obesity

Description: Dr. Long discusses types of weight-loss surgery (WLS) procedures along with the risks and benefits assoicated with these procedures.

Objectives:

• Define types, risks, and benefits of the different weight-loss surgery (WLS) procedures
• Describe pre-operative medical assessment and preparation
• List complications
• Determine post-op medical management
• Employ nutritional management
• Describe adolescent surgery
• Summarize WLS/pregnancy

Description: Ms. Bermann will provide an in-depth look into the vegetarian diet along with helpful tools such as sample meal plans and grocery lists. 
 

Objectives:

• Discuss three explanations for the health benefits seen with plant-based diets
• Explain how dietary choices can affect the composition of the gut microbiome
• Review weight netural strategies for inspiring dietary change

Description: Ms. Dennet will provide an in-depth look into the mediterranean diet and provide helpful resources such as sample meal plans and grocery lists. 
 

Objectives:

• Describe the traditional Mediterranean diet
• Explain which components of the Mediterranean diet may aid weight loss or reduction in visceral fat
• Understand the current strengths and limitations of research on Mediterranean-style diets

Description: Ms. Eggerichs and Ms. Moore will discuss the aspects of the low-carbohydrate ketogenic diet and provide helpful resources such as sample meal plans and grocery lists. 
 

Objectives:

• To be able to discuss the reasoning behind low-carbohydrate diet approaches with patients
• To be able to teach patients how to implement a low-carbohydrate diet
• To be able to identify challenges and offer solutions to implementing a low-carbohydrate diet

Description: Dr. Pennings will present on the relationship of insulin resistance and glucose intolerance with those affected by obesity.

Objectives:

• Recognize insulin resistance as an early marker for T2DM
• Understand the relationship between insulin, insulin resistance and adiposopathy
• Identify individual variation in adipose tissue accumulation and its impact on metabolic disease
• Recognize the role of diet and medications in the treatment of insulin resistance

Description: Dr. Still will discuss how to identify the underlying factor of medication-induced weight gain.

Objectives:

• Implement new treatment paradigm treating "weight first" rather than co-morbidity centric
• Identify medication that promote weight gain and inhibits weight loss
• Employ a shared decision making process with patients with regard to prescribing and altering medications

Description: Dr. Navaneethan will provide an overview of renal disease and its association with obesity.

Objectives:

• Obesity and development of chronic kidney disease
• Evidence for exercise and dietary interventions in chronic kidney disease (CKD)
• Bariatric surgery and kidney-related outcomes

Description: Dr. Neff will provide an overview of how obesity is a risk factor for non-alcoholic fatty liver disease. 

Objectives:

• Introduction and disease state
• Epidemiology and natural history
• Risk stratification
• Therapies

Description: Dr. Sicat will present the aspects of polycystic ovary syndrome and how obesity is associated with this disease.

Objectives:

• Discuss the consequences of PCOS
• Recognize who to screen to PCOS
• Understand the diagnostic criteria to evaluate for PCOS
• Discuss the treatment options for patients with PCOS

Description: Dr. Srivastava presentation will recognize appropriate application of available obesity pharmacotherapy in children and becoming familiar with those anti-obesity medications. 

Objectives:

• Understand that several different types of obesity exist and identifying those patient phenotypes help guide treatment algorithms
• Become familiar with some of the anti-obesity medications prescribed in children with severe obesity or those who have failed structured lifestyle intervention
• Begin to recognize appropriate application of available obesity pharmacotherapy in children

Description: Dr. Greenway will present upon the aspects of reward-induced eating.

Objectives:

• Define craving, its difference from the physiologic control of hunger and its relationship to the reward system
• Discuss how to measure craving
• Describe the relationship of craving and the reward system to present obesity treatments (diet, drugs, surgery, and devices) and the importance of considering the reward system in future obesity interventions

Description: Dr. Fitch discusses managing complications of aggressive lifestyle interventions such as kidney/gall stones and gout. 

Objectives:

• Define aggressive lifestyle interventions
• Kidney stone disease and weight loss
• Gallbladder disease
• Gout, uric acid and weight
• Vitamin D deficiency, PTH and bone density
• Cardiovascular arrhythmias and weight
• Hair loss
• Excess skin
• Psychosocial issues

Description: Dr. Mozaffarian discusses the potential dangers and risks of high intake of dietary saturated fat.

Objectives:

• Understand the effects of saturated fat consumption on blood lipid concentrations
• Understand the associations of saturated fat consumption with clinical heart disease events and the relevance of the replacement nutrient
• Understand the heterogeneity of associations of different food sources of fat with clinical outcomes

Description: Drs. Lindquist and Sung will provide insight from their perspectives of an obesity medicine clinician and a bariatric surgeon on guidelines for bariatric surgery and possible complicating issues through case studies. 

Objectives:

• Review medical recommendations regarding surgery
• Review surgical decision-making
• Application with case studies

Description: Dr. Fink builds an understanding of the relationship between psychiatric illness and obesity and how to treat patients affected by both diseases.

Objectives:

• Understand relationships between obesity and psychiatric illness
• Build a patient-centered approach
• Review toolbox of specific interventions

Description: Dr. Taylor reviews the principles of weight gain in patients affected by mental illness and how to focus a medical program on prevention.

Objectives:

• Understand the principles of weight gain in patients with mental illness
• Review the current treatment options available for weight management
• Appreciate the benefits of a medical program that focuses on prevention

Description: Dr. Bidwell evaluates how inactivity and dietary choices can lead to an increase risk of diabetes and CVD regardless of weight.

Objectives:

• Discuss how poor dietary choices and sedentary lifestyle can increase risk factors associated with diabetes and CVD - regardless of weight
• Explain how a high fat and/or high sugar diet can augment low-grade inflammation and hyperlipidemia
• Differentiate the role of physical activity versus inactivity on glycemic control during energy balance

Description: Dr. Yu addresses the fundamentals and neuroendocrine mechanisms of eating.

Objectives:

• Recognize the fundamentals of eating
• State the neuroendocrine mechanisms of eating
• Recall eating and its relation to weight regulation
• Compare metabolic obesity and hedonic obesity

Description: Dr. Zigman provides evidence from human and rodent trials of how ghrelin can influence eating and introduces the concept of ghrelin resistance.

Objectives:

• Provide an overview of the main components of the ghrelin system
• Provide evidence from human and rodent trials that the ghrelin system can influence eating and body weight
• Introduce the concept of ghrelin resistance and how ghrelin resistance might complicate the development of anti-ghrelin agents for the treatment of obesity
• Review the results of two Phase 1 trials of ghrelin-targeted agents that included examinations of the effects on food intake/body weight

Description: Dr. Stanford demonstrates how health professionals harbor implicit and explicit weight bias and the impact of these biases on health outcomes.

Objectives:

• Discern how weight bias and stigma contribute to energy storage
• Learn about how early life interactions influence weight bias
• Determine the deleterious impact of weight bias on health outcomes
• Ascertain how health professionals harbor implicit and explicit weight bias
• Evaluate national and international trends in weight bias and its influence on quality of life

Description: Drs. Seger along with patient Chris Sander will discuss the challenges associated with obesity care and how those challenges impact patient care.

Objectives:

• Define what obesity care currently looks like
• Discuss what it could/should look like
• How this impacts real patient care
• Discuss challenges to new care paradigm
• Discuss potential solutions and action items