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RESOURCES FROM NUTRITION SEMINAR. Fall 2010. Role of the PT. Increase physical activity and encourage adherence Develop a plan tailored to the individual Flexible lifestyle modifications versus highly structured change
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RESOURCES FROM NUTRITION SEMINAR Fall 2010
Role of the PT • Increase physical activity and encourage adherence • Develop a plan tailored to the individual • Flexible lifestyle modifications versus highly structured change • Identify physical limitations potentially affecting weight loss efforts or healthy lifestyle • Can’t stand long enough to cook meals due to pain • Too immobile to do grocery shopping on own • It hurts to do previous “favorite” exercises, so don’t exercise at all
Role of the PT • Help overcome pain and discomfort • Obese & overweight patients often have just learned to “deal” with it; poor movement habits exacerbate issue • Strengthen leg and core muscles to improve knee or back pain • Re-learn how to safely perform functional activities • Getting up from chair, floor or bed • Strengthen appropriate muscles to improve gait, posture, alignment • Help structure home environment to make it safer, more conducive to proper movement and exercise
Role of the PT • Consider potential cultural differences that would affect daily routines • Dress, dietary customs, “exercise” bias • Others? • Consider individuals with disabilities • Often higher rates of obesity in these individuals • What are their limitations? • Movement, vision, speech, hearing, social stigma
Professional Resources The Practical Guide: Identification, Evaluation, & Treatment of Overweight & Obesity in Adults The Obesity Society & National Heart, Lung & Blood Institute http://www.obesity.org/information/practicalguide.asp 2000 Adult Obesity Provider Toolkit California Medical Association Foundation & California Association of Health Plans http://www.thecmafoundation.org/projects/obesityProject.aspx *also available: Child Obesity Toolkit and Bariatric Surgery Toolkit 2008
Centers for Disease Control (CDC): www.cdc.gov/obesityObesity and Overweight Centers for Disease Control (CDC): www.cdc.gov/nchs/nhanes.htmPrevalence data and growth charts National Institutes of Health (NIH) www.nih.gov Weight-Control Information Network (WIN) http://win.niddk.nih.gov (National Institute of Diabetes & Digestive & Kidney Diseases –NIDDK) Obesity-Related Government Organizations