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George Askew

Stephanie Rost. George Askew. MS, RD, Corporate Program Development Director, Weight Watchers, Int’l, New York, NY. Susan Swider. PhD, APHN-BC, Professor, Rush University College of Nursing, Chicago, IL.

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George Askew

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  1. Stephanie Rost George Askew MS, RD, Corporate Program Development Director, Weight Watchers, Int’l, New York, NY Susan Swider PhD, APHN-BC, Professor, Rush University College of Nursing, Chicago, IL MD, FAAP, Senior Policy Advisor for Early Childhood Health and Development, Administration for Children and Families, Washington, DC

  2. Weight Watchers International, Inc. -A science-based lifestyle modification approach focused on health promotion Stephanie Rost, MS, RD, Director of Corporate Program Development Friday, October 14, 2011

  3. About Us Who We Are Leading global provider of weight management services for nearly 50 years Available in 25 countries Our Reach – U.S. Annually more than 1.7 million enrollments in Weight Watchers meetings and 1 million signups for WeightWatchers.com 25,000 meetings each week held in convenient times and locations (~ 5000 in workplace) 75% of our members live with a 12 minute drive to a meeting

  4. Weight Watchers Method Developed by healthcare professionals A lifestyle modification program based on science that includes education, behavior change and group support Delivered by role models in a supportive environment All meeting staff have consistently lost and maintained their weight on the Weight Watchers program This method enables science to be translated and applied in a way that real people can understand and follow in a sustainable way.

  5. How to Follow Weight Watchers • Monthly Pass: • Unlimited meetings • Etools • $39.95/month • Most popular option

  6. Monthly Pass:More Engagement, More Weight Loss Strong correlation between meeting attendance and weight-loss success People who attended meetings + eTools lost 50% more weight than those who attended meetings alone* *Nguyen V et al. Obesity 15(9) suppl. A221, 2007.

  7. Weight Watchers Meetings • Weight Watchers staff give a private and confidential weigh-in prior to the meeting start • Each meeting is a discussion led by a Leader, with new topics each week (topics are consistent in every location) • Topics cover everything from holiday eating and struggles to family meal ideas, with lots of tips and suggestions • Leaders are trained in the program and to pass on their expertise and unique personal experiences as Lifetime Members of Weight Watchers

  8. Online • Tracking tools, robust content on weight/lifestyle topics, recipe builder, community • ~1 million subscribers • Mobile options (iPhone/iPad/Android) • > 1.5MM downloads of iPhone App • WW Kitchen Confidential Ipad App • Support for other mobile platforms

  9. The Four Pillars of the Weight Watchers Approach Diet Activity Cognitive Skills Social Support

  10. Uses formula based on macronutrients, net calories and satiety to calculate PointsPlus value of a food Fruit and most vegetables assigned 0 PointPlus value “Power Food” designation rates foods based on health and satiety

  11. Scientific Heritage • Strong commitment to evaluating efficacy of the Weight Watchers methodology • Established body of evidence • 65 original scientific publication to-date and growing • Located in the Weight Watchers Scientific Compendium Online • Scientific Advisory Board composed of world-renowned obesity experts

  12. Primary Care Referral to a Commercial Provider for Weight Loss Treatment, relative to standard care: An international randomized controlled trial. Susan A Jebb, Amy L Ahern, Ashley D Olson, Louise A Aston, Christina Holzapfel, Julia Stoll, Ulrike Amann-Gassner, Annie E Simpson, Nicholas R Fuller, Suzanne Pearson, Namson S Lau, Adrian P Mander, Hans Hauner, Ian D Caterson MRC Human Nutrition Research, Cambridge, UK (published in The Lancet, September 7th, 2011) 14

  13. Study objectives Primary objective To examine the differences in weight loss at 12 months between general practitioner referral (GP) to Weight Watchers (WW) program and standard management in primary care (as informed by national guidelines) across 3 countries. N = 772 participants (n = 377 WW, n = 395 SC) Secondary objectives To investigate the number of subjects losing 5% or 10% of baseline weight in each group. To investigate changes in indicators of metabolic risk – including waist circumference, body composition, blood pressure, blood glucose, lipids, etc. 15

  14. Results In all analyses, participants referred to WW lost more than twice as much weight as people receiving standard care over 12 months Weight loss over 1 year with WW was an average of 7 kg (15.4 lbs) This is considerably less than the 3 kg (6.6 lbs) loss among standard care Among WW completers, 60% of participantslost >5% and 32% lost >10% of baseline weight Among Standard Care completers, 25% lost >5% and about 9% lost >10% of baseline weight Odds ratios of WW group achieving at least 5% or 10% weight loss at 12 months: All subjects: 3.0; 3.2 Completers: 2.9; 3.5 16

  15. Weight Watchers on prescription: An observational study of weight change among adults referred to Weight Watchers by the NHS Amy L Ahern, Ashley D Olson, Louise A Aston, Susan A Jebb. BMC Public Health 2011, 11:434.

  16. Identify and prescribe a set of solutions that reverse or prevent the progression of weight of gain • Requires a Portfolio of Solutions • Variety of options needed to match the diverse needs of individuals with effective solutions • Surgeries (e.g., banding, gastric sleeve) • Medical Devices (e.g., VBLOC) • Medications (e.g., sibutramine, phentermine) • Lifestyle Modification • Structured eating plan • Regular physical activity • Cognitive skills • Support Progression of Weight Gain Risk – function of life stage, SES, ethnicity, etc.

  17. Research in Early Head Start George L. Askew, MD, FAAP Office of the Assistant secretary Administration for Children and Families U.S. Department of Health and Human Services American Association of nursing 38th annual meeting and conference October 14, 2011

  18. What I Will Cover Today • Brief Overview of Administration for Children and Families • Brief Overview of Early Head Start • Review of Research in Early Head Start (BABY FACES) • Questions and Answers

  19. Administration for Children and Families

  20. What is Early Head Start? • Head Start • Early Head Start • Established 1995 • Serves children birth to three: 1008 programs; over 133,000 children • Promotes healthy prenatal outcomes, enhances the development of infants and toddlers, and promotes healthy family functioning. • 4 Cornerstones: Child Development, Family Development, Community Building and Staff Development • 3 other areas of importance: Administrative Management, Continuous Improvement and Children with Disabilities

  21. Service Delivery: PIR & Baby FACES

  22. Staff Characteristics Teachers HV Highest level of education: High school or less 6 2 Some college 22 20 Associate’s 39 27 Bachelor’s or higher 33 51 Field of study early childhood or child development 64 59 CDA 55 4 Elevated depressive symptoms 8 6

  23. Linguistic and Ethnic Diversity

  24. What Do We Know About Health of EHS Children?

  25. Children Are Healthy at Birth and Age 1 • Low rates of premature birth and low birth weight (about 10 percent) • 63 percent were breastfed (average 4 months) • 96 percent have insurance coverage • 92 percent up-to-date immunizations • 74 percent had well-child checkups

  26. Poor Feeding Practices Start Early Percentage Parent Reported Feeding Practices at Age 1

  27. Some Incidence of Positive Feeding Practices Percentage Parent Reported Feeding Practices at Age 1

  28. Children’s BMI Similar to Other Low Income Samples • About 1/3 are overweight or obese at age 2 • 16 percent are overweight (85-94th percentile) • 17 percent are obese (95th percentile or higher) • Just 6 percent of parents report a medical professional said child is overweight • Rates of overweight and obesity not predicted by feeding practices or other characteristics (including race/ethnicity)

  29. Programmatic Initiatives • Office of Head Start is piloting obesity prevention programs: • Head Start: I Am Moving I Am Learning • Early Head Start: Little Voices for Healthy Choices

  30. Overall Impacts for Children: Age 3 • Higher immunization rate • Fewer emergency room visits for accidents and injuries • Cognitive development (higher Bayley scores & fewer in low-functioning group*) • Larger receptive vocabularies • Lower levels of aggressive behavior • Greater sustained attention with objects, engagement of parent, and less negativity

  31. Overall Impacts for Parents: Age 3 • More positive (and less negative) parenting observed in parent-child play: both mothers and fathers • Higher HOME scores, more stimulating home environments, support for learning • More daily reading • Less spanking: both mother and father report • More hours in education and job training

  32. Impact on Breastfeeding For those women who enrolled during pregnancy: • 44% of EHS moms • 33% of the control group

  33. Questions ?s

  34. Promoting happy, healthy and successful children, strong families and supportive communities

  35. The National Prevention StrategyDisease Prevention and Health Promotion for Populations Susan M. Swider, PhD, APHN-BC, Rush University Susan_M_Swider@rush.edu Health Promotion Initiatives Panel, Health Promotion Across the Lifespan: Focus on Evidence October 14, 2011

  36. National Prevention Strategy

  37. The Affordable Care Act In Addition to Coverage, Quality, and Cost… Unique Opportunities for Prevention

  38. Global Health Indicators(OECD, 2008)

  39. Global Health Indicators(WHO, 2006)

  40. Global Health Indicators(CIA World Factbook, 2009)

  41. US Health Outcomes • United States is a global leader in medical technology, treatment, and research, BUT • 47 million Americans lack health insurance • Health care costs at 14-16% GDP • Significant disparities in health access and outcomes across race and SES

  42. Social determinants of health • Economic and social conditions under which people live which determine their health. • Race/ethnicity • Income • Education • Housing • Civil unrest

  43. Proportion of Early Deaths Preventable by Treatment Type

  44. Contributions of Prevention and Medical Treatment to the 30 years of Increased Life Expectancy Achieved Since 1900

  45. Focus of U. S. Health Expenditures

  46. National Prevention Council

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