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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™
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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
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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].
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Mitigating Potential Bias
• All conflict and sources of funding will be declared.
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• Key Principles of Obesity Management
• Overview of the 5As of Obesity Management• Ask• Assess• Advise• Agree• Assist
Outline
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Obesities are heterogeneous complex disorders of multiple etiologies characterized by excess body fat that threatens or affects socioeconomic, mental or physical health Sharma 2007
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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)
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(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
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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
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Sharma AM. M, M, M & M: a mnemonic for assessing obesity. Obes Rev. 2010;11:808-9.
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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.
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