Medical Students As Ambassadors For Obesity Education  Vehicle Assisted Nutrtion
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Medical Students As Ambassadors For Obesity Education Vehicle Assisted Nutrtion

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Medical Students As Ambassadors For Obesity Education  Vehicle Assisted Nutrtion Medical Students As Ambassadors For Obesity Education Vehicle Assisted Nutrtion Presentation Transcript

  • Medical Students as Ambassadors for Obesity Education: Vehicle Assisted Nutrition José E. Rodríguez MD Angélica M. Soberón, MS2
  • Lecture Objectives
    • Identify the usefulness of mobile health units in the community for obesity education.
    • Define medical student educational learning objectives for community oriented primary care involving mobile health units.
    • Identify cultural barriers to obesity treatment obtained by this method.
  • Project Purpose
    • Learn more about our community’s attitudes toward obesity.
    • Educate and offer services to our community about obesity.
    • Equip students with skills necessary to counsel patients on lifestyle modification.
  • Obesity at Our Regional Campuses Obesity by County and Race/Ethnicity (2002) Percentage Florida Health Statistics. www.myflorida.com
  • VAN Project Goals
    • Emphasize lifestyle modification.
    • Approach communities with a higher prevalence of obesity.
    • Expose students to lifestyle modification counseling and obesity treatments.
    • Encourage students to learn more about the community and how to serve them.
  • Methods
    • Mobile health unit, Vehicle Assisted Nutrition, staffed by a physician and medical students went to heavily transited areas in our community.
    • Our team administered a short survey and calculated participant’s BMI.
    • Distributed patient education materials.
    • Students counseled participants on lifestyle modification.
    • Encouraged participation in healthy living class.
    • Students taught obesity class.
  • Methods
  • Survey Questions
    • The survey consisted of five questions including:
      • Is your weight a problem for you?
      • Do you exercise regularly?
      • Would you like our help?
    • Are you…
        • Underweight
        • Normal Weight
        • Overweight
        • Obese
    • Are you willing to do anything about it?
        • Modify your eating habits?
        • Modify amount of exercise?
        • Take medication?
  • BMI Categories
    • Underweight- BMI under 18.5
    • Normal Weight- BMI= 18.5- 24.9
    • Overweight- BMI of 25- 29.9
    • Obese 1- BMI= 30- 34.9
    • Obese 2- BMI= 35-39.9
    • Obese 3- BMI= 40 and above
    MCTIGUE K, LARSON JC, VALOSKI A, et al Mortality and cardiac and vascular outcomes in extremely obese women JAMA 296 (1): 79-86 JUL 5 2006
  • Our Participants Percentage
  • Percentage
  • Is your weight a problem?
    • Average BMI was 28.4
    • “ Yes” Responses:
      • 32% overweight
      • 58.2% obese class 1
    • “ No” responses
      • 25% obese 2
      • 20% of the obese 3
  • Are you…..
    • Overweight?
      • 59% Obese 3
    • Normal weight?
      • 63% overweight
      • 18% of obese 1, 2, or 3  
  • Percentage
  • Results Modify Eating Habits? Percentage
  • Modify Amount of Exercise? Percentage
  • Take Medication? Percentage
  • Lifestyle habits
    • Lifestyle modification:
      • 69% willing to change their diet
      • 69% to change amount of exercise
      • 38% would take medication.
    •   Regular exercise
      • Exercise more than 3 times per week
      • 60% of overweight
      • 49% of obese 1
      • 47% of normal weight
  • Percentage
  • Percentage
  • Gadsden County Health Fair
  • Conclusions
    • One of the biggest barriers to weight loss in our community is the lack of awareness of healthy weight range and regular exercise.
    • Many participants identified themselves in a category that was lower than the one determined by their BMI.
    • Most overweight and obese said that they were willing to do something about their weight.
    • Many overweight patients are pre-contemplative and not ready for change.
  • Conclusions
    • Students…
      • Learned more about patient education and counseling.
      • Had opportunities to interact directly with community.
      • Gained knowledge about their community and obesity issues.
    •   VAN demonstrated that the community members’ are excited to learn about nutrition and exercise from providers.
  • Questions?
    • José E Rodríguez MD
    • 1115 West Call Street
    • Suite 3210M
    • Tallahassee, FL 32306
    • 850-645-6850
    • [email_address]
    • Angélica M Soberón MS2
    • 1115 West Call Street
    • Tallahassee, FL 32306
    • [email_address]