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Weight…Wait, Don’t Tell Me

Weight…Wait, Don’t Tell Me. Erin Camacho, RDN, Director, CNMI WIC Program Jaclyn Chamberlain, MPH, RDN, CSP, Pinnacle Prevention. A No Harm Approach to Anthropometric Assessment in CNMI. CNMI. The Need to Address Weight From A Different Point of View. Imagine This Scenario.

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Weight…Wait, Don’t Tell Me

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  1. Weight…Wait, Don’t Tell Me Erin Camacho, RDN, Director, CNMI WIC Program Jaclyn Chamberlain, MPH, RDN, CSP, Pinnacle Prevention

  2. A No Harm Approach to Anthropometric Assessment in CNMI

  3. CNMI

  4. The Need to Address Weight From A Different Point of View

  5. Imagine This Scenario

  6. Health At Every Size Keeping Our Eyes on The Prize

  7. What is Health At Every Size

  8. All Roads Lead to Life Style

  9. Health At Every Size Challenges Penney T, et al. The Health at Every Size Paradigm and Obesity: Missing Empirical Evidence May Help Push the Reframing Obesity Debate Forward. Am J Public Health. 2015 May; 105(5): e38–e42.

  10. Not all Fat is Equal

  11. Is Weight Itself The “Savior” • BMI Does Not Equal Automatic Health • In recent study: • 1/3 of “normal” BMI patients had markers of CV disease • 1/2 of “overweight” BMI patients had no indication of CV disease Tomiyama AJ, et al. Misclassification of cardiometabolic health when using body mass index categories in NHANES 2005–2012. International Journal of Obesityvolume40, pages883–886 (2016)

  12. We Are More Than A Number On A Scale

  13. Hierarchy of Food Needs

  14. Food and Culture

  15. An Interesting Perspective Poor parents honored their kids’ junk food requests to nourish them emotionally, not to harm their health.

  16. Going From Weight to Health • Goal is healthy food relationships/active living • In ways that are pleasurable, relatable to life, culture, family • Change comes from self-acceptance not self-loathing • Managing our own thoughts/biases is crucial

  17. What HAES is NOT

  18. What Does This Mean in Practice • Weight is not the driving force of the conversation • “Ideal” weight is different for each body • Approach each session with “DO NO HARM” as goal. Assess family’s individual needs and strengths.

  19. “Let the Client Lead the Dance”

  20. Focus on Autonomy

  21. During Anthropometric Assessment

  22. Offer Choice

  23. Our Approach

  24. Impact

  25. Reality

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