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Healthy Weight, Healthy Eating: Understanding and helping individuals with weight- and eating-related difficulties Edie Goldbacher, Ph.D. Department of Psychology La Salle University An overview… Who am I? What is the context for trying to understand, prevent and treat eatingand weight-related difficulties? What How does this look like? are we at La Salle contributing to these efforts? Obesity Trends* Among U.S. Adults BRFSS, 1990, 2000, 2010 (*BMI 30, or about 30 lbs. overweight for 5’4” person) 2000 1990 2010 No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30% The multifaceted nature of obesity Genetics / Biological Factors Environmental Factors Availability / cost of food / advertising Portion sizes Characteristics of the built environment Social Factors Social support Social / cultural / environmental stress Conscious Choices? The multifaceted nature of obesity: Behavioral Factors Mindless / unintentional eating Ineffective eating patterns Sedentary behaviors Ineffective problem-solving Sensitivity to environmental cues Behavioral Weight Loss: Not a diet, but a lifelong change Self-monitoring Pre-determined # of sessions (12 – 20 weekly, Goal setting additional if needed) Problem Pre-set time frame (50 minute) solving Weekly weigh-ins Stimulus Nutrition education control Physical activity Coping Behavior modification Relapse Identify / modify unhelpful thinking patterns prevention Self-Monitoring I am going to need more information … Self Monitoring Diet Weight Physical Activity Stimulus control Stimulus Control Learning to pay attention to things that we identify in the environment and how they may alter eating habits. Pavlov's Dogs- The multifaceted nature of obesity: Psychological Factors Emotions Alternatives Binge eating Approximately 1-5% of population May be associated with weight loss difficulties May require different / specialized treatment approach (e.g., CBT) Other / stress psychological factors Psychological disorders The multifaceted nature of obesity: Bias / Discrimination Increased by about 60% over past decade Omnipresent Common stereotypes and attitudes Being a victim is associated with physical and psychological consequences Raise awareness / educate Address in treatment as precipitant Our work at La Salle: The community at large La Salle University’s Community Psychological Services: Healthy Eating, Healthy Weight clinic Low-cost, sliding scale services Individual services Eating and weight-difficulties Individualized treatment Improving treatment options, availability and outcomes Weight loss group Our work at La Salle: The university community Furthering our understanding of factors that contribute to eating and weight difficulties in students Emotional eating Examining weight-related attitudes among health care providers in student health centers Promoting change awareness, sensitivity and Interested in learning more? Yale’s http://www.yaleruddcenter.org/ The Obesity Society http://www.obesity.org/ The Rudd Food Center Academy for Eating Disorders http://aed-web.org/web/index.php Questions? Thank you! [email protected]