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ERIN BENDER, PA-C
• B OARD CERTIFIED PHYSICIAN ASSISTANT
• NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS (NCCPA)
WELCOME!
Sudhir MalhotraDirector - Healthcare Technology and Innovation
Debbie LalicTeam Lead – Customer Relations
Supported by
How Excess Weight Contributes to Aging and
Chronic Disease
America’s Obesity Epidemic
The Type 2 Diabetes Connection
24 million Americans (25% or 5.7 million are unaware!)
1 in 4 aged 60 or older
Becoming more common at younger ages
Global burden of diabetes primarily due to obesity
90% of type 2 DM attributable to excess body weight and lifestyle
What is our body made of ?
Bones
Organs
Muscle
Water
Fat
Where does fat collect in your body?
Inside the organs and arteries (Visceral fat)
Under the skin (Subcutaneous fat)
How we carry fat in the body
Visceral fat is unwanted
How visceral fat affects youPulmonary diseaseabnormal functionobstructive sleep apneahypoventilation syndrome
Nonalcoholic fatty liver diseasesteatosissteatohepatitiscirrhosis
Coronary heart disease Diabetes Dyslipidemia Hypertension
Gynecologic abnormalitiesabnormal mensesinfertilitypolycystic ovarian syndrome
Osteoarthritis
Skin
Gall bladder disease
Cancerbreast, uterus, cervixcolon, esophagus, pancreaskidney, prostate
Phlebitisvenous stasis
Gout
Idiopathic intracranial hypertensionStroke
Cataracts
Severe pancreatitis
Visceral fat strongly associated with
metabolic risk factors
Cardiovascular Disease &
Complications
Diabetic Complications
Metabolic Syndrome
(Visceral) Abdominal Obesity
Chronic Inflammation
Insulin Resistance
Type 2 Diabetes
Progression & outcomes of chronic
inflammationFFA
adipokines
Plaque or fat inside arteries blocking circulation
Rid yourself
of visceral fat and
the symptom
s will resolve
Prevention and Treatment
Prevention and Treatment
Where is the road block ?
Is it your hormones ?
Is your liver not doing the job ?
Is your body in fat-storing mode?
Are you addicted to food ? Mentally or physically
Are your cells not getting right signals ?
Solving problems at the roots
Causes of weight issuesSymptoms
MedicationsLifestyle
Stress Nutrition Social support
General Physical Factors
Disease and Illness
High blood pressureDepressionType 2 DiabetesFatigue
Prevention vs Treatment
Individualization & Personalization
Marathon Sprint
Lifestyle Change
Fat Loss vs Weight loss
Do you know what you’re made of?
BMI: 34 BMI: 34
BMI: how accurate is it?
Tracking The Fat Loss
Tracking The Fat Loss
Tracking The Fat Loss
Patient Results
“IT SAVED MY LIFEI NO LONGERHAVE DIABETES”
Patient Results
“DROPPED 25 LBSAFTER ATTEMPTINGPOPULAR DIETPLANS”
Patient Results
“I HAVE LOSTALMOST 70 LBSIN ABOUT 7MONTHS”
Patient Results
“I HAVE LOSTOVER 50 LBSIN ABOUT A 6MONTHS SPAN”
Cardiopulmonary Exercise Testing
Performance markers
from CPET test
Peak VO2 (VO2max)
Peak HR
Peak Watts
Anaerobic Threshold(AT)
HR at AT
Watts at AT
Today’s Food
Would you feed it to your dog?
Today’s Food
Up to 80% depleted in some vitamins & minerals
Over-fertilizedAntibiotics, pesticides
& preservatives
Today’s Food
Simple Carbohydrate
Sugar
Overeating Under eating
Harmful Habits
Does Timing Matter?
Vitamins: Are They Important?
Everything is not created
equal
• Fish oil• Quality• Ratios
“Physical Activity”
Over Exercising Under Exercising
Harmful Habits
Biological Vs Chronological Age
Aging ≠ Decreased Health
How old are you biologically vs. chronologically?
What are Telomeres?
Prolonging life of the cell
Takeaways
How Excess Weight Contributes to Aging and Chronic Disease
Prevention and Treatment• Target causes not symptoms• Individualize• Personalize• Fat loss not weight loss
Biological Vs Chronological Age
QUESTIONS?
QUIZ
What is a better measurement of good health?
A. Your weightB. Your waist
QUIZ
Which of the following foods does not contain healthy fats that will help keep you satisfied?
A. OlivesB. PeachesC. SalmonD. Walnuts
QUIZ
Skipping meals may cause your body to seek nourishment from your fat, thus burning more calories
A. True B. False
QUIZ
Sleep deprivation may alter levels of hormones in the body that regulate hunger, causing an increase in appetite
A. True B. False
QUIZ
Weight loss may be able to reverse Type 2 Diabetes.
A. True B. False
QUIZ
A nutrition facts label can list zero grams of fat even if the food does in fact contain some fat.
A. True B. False
QUIZ
High blood pressure (hypertension) is a condition that must be treated with medication
A. True B. False
QUIZ
Only adults need to have their cholesterol checked. Children can’t have high cholesterol
A. True B. False
Questions?
Thank You! For more information,Visit www.healncure.com or email us at [email protected] for more information
