Arya M Sharma, MD, FRCPC

Chair in Obesity Research & ManagementUniversity of Alberta

Medical DirectorAlberta Provincial Obesity Program

Edmonton, AB, Canadawww.drsharma.ca

The 5As of Obesity Management™

Faculty/Presenter Disclosure

• Faculty: Arya M. Sharma• Program: 51st Annual Scientific Assembly

• Relationships with commercial interests:– Grants/Research Support: none– Speakers Bureau/Honoraria: Vivus, Esai– Consulting Fees: Novo-Nordisk, Vivus, Takeda– Other: none

Disclosure of Commercial Support

• This program has received financial support [none] from in the form of [none].

• This program has received in-kind support from [none] in the form of [none].

• Potential for conflict(s) of interest:– Arya M. Sharma has received none from [none].– Canadian Obesity Network benefits from the sale of, etc.] a product that

will be discussed in this program: [5As of Obesity Management tools and resources].

Mitigating Potential Bias

• All conflict and sources of funding will be declared.

• Key Principles of Obesity Management

• Overview of the 5As of Obesity Management• Ask• Assess• Advise• Agree• Assist

Outline

Obesities are heterogeneous complex disorders of multiple etiologies characterized by excess body fat that threatens or affects socioeconomic, mental or physical health Sharma 2007

Stage 0

Stage 1

Stage 2

Stage 3

Stage 4

Med

ical

Men

tal

Func

tiona

l

abse

nt

abse

nt

abse

nt

pre-cl

inical ri

sk

facto

rsm

ildm

ild

co-morbidity

moderate

moderate

end-organ

damage

severesevere

end-stage

end-stage

end-stage

Obesity

Edmonton Obesity Staging System (EOSS)

(no risk factors)(risk factors)(comorbidity)(end-organ damage)

EOSS Predicts Mortality in NHANES III

Padwal RS, Pajewski NM, Allison DB, Sharma AM. Using the Edmontonobesity staging system to predict mortality in a population-representativecohort of people with overweight and obesity. CMAJ. 2011;183:E1059-66

EOSS Predicts Mortality in NHANES III

Padwal RS, Pajewski NM, Allison DB, Sharma AM. Using the Edmontonobesity staging system to predict mortality in a population-representativecohort of people with overweight and obesity. CMAJ. 2011;183:E1059-66

Overweight

Sharma AM. M, M, M & M: a mnemonic for assessing obesity. Obes Rev. 2010;11:808-9.

Sharma AM, Padwal R. Obesity Is A Sign - Over-Eating Is A Symptom: AnAetiological Framework For The Assessment And Management Of Obesity.Obes Rev. 2010;11:362-370.