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Syllabus

Master of Science in Applied Nutrition

APN 750 – Clinical Management of Overweight & Obesity (Summer B 2023)

Credits - 3

Description

The management and treatment of overweight and obesity are examined. Treatment approaches including medical, behavioral, and lifestyle management interventions are explored. Current practices will be critically reviewed and appropriate research methodology for proposing clinical or behavioral research will be examined. Clinical management of overweight and obesity across the population will be emphasized. Topics include specific treatment strategies in managing overweight, obesity, and related disease processes, implementing best practices in clinical and counseling environments, and appropriate and effective counseling modalities.

Materials

Required

  • Chapter 8, by D. H. Hoelscher and C. McCullum-Gomez. Addressing the Obesity Epidemic: An Issue for Public Health Policy, in M. Boyle. Community Nutrition in Action. Boston: Cengage Publishing, 2022, pages 293-348. – provided in course with permission of Author and Publisher
  • Additional readings and multimedia will be linked in Brightapace

Learning Objectives and Outcomes

Program Objectives

  • Develop and utilize nutrition concepts and best-practices for nutrition and health promotion initiatives.
  • Apply core research principles to measure the nutrition status and environment of individuals and communities.
  • Develop communications and collaboration strategies with representatives from government, non-profit, community, and business entities regarding nutrition initiatives.
  • Interpret and modify explanations of complex nutrition concepts for various audiences.
  • Research, develop and disseminate evidence-based and theory driven educational materials and work-products at an audience appropriate level for topics related to nutrition and health promotion.

Focus Level Objectives

  • Define overweight and obesity in children and adults and explain key concepts relating to overweight and obesity to a variety of audiences.
  • Describe the prevalence and trends in child/adult obesity.
  • Develop materials to combat the impacts of overweight and obesity.
  • Analyze and communicate the medical, psychosocial, and economic costs associated with obesity in children and adults to a variety of audiences.
  • Compare obesity prevention and treatment approaches to evaluate their efficacy at the individual and community levels.
  • Propose and communicate new approaches to combat the incidence of overweight and obesity for a variety of audiences based on analysis of existing policy and regulations.

Course Outcomes

  • Describe the current prevalence of overweight and obesity among adults and children in the United States.
  • Understand basic endocrinology and biological factors regulating energy intake and body weight.
  • Recognize the multifactorial nature of the contributors to obesity and the challenges of treatment.
  • Recognize current research evaluating the efficacy of leading popular diets and dietary approaches for weight management.
  • Distinguish between the amount and type of physical activity recommended for general health benefits and for weight management.
  • Apply evidence-based guidelines in assessing and managing overweight and obesity.
  • Recognize emerging trends in the treatment of overweight and obesity.
  • Distinguish between competent and disordered eating.
  • Identify behavioral predictors of successful weight maintenance.
  • Conduct a systematic review and determine a graded conclusion, using a process outlined by the Academy of Nutrition and Dietetics Evidence Analysis Library.

Course Framing Questions

  • Why is the prevention of obesity in children and adults such a critical issue?
  • What are current evidence-based recommendations and strategies for the prevention, assessment, and treatment of adult and pediatric obesity?

Assignments

Lectures:

This course is lecture-based; please see each week’s module for required, supplemental and optional viewing as applicable.

Discussion Boards:

You will be required to participate in discussions. Initial posts are due on Sunday, and responses to the initial postings of at least two classmates are due by Tuesday. If the initial post and response posts are not submitted within the discussion week you will be given a zero. Posts submitted after the discussion week will not be graded.

Your success in the course relies on robust discussion, critical thinking, and peer-response. Weekly posts responding to prompts posed are meant to facilitate a deeper understanding of the broader themes of the course as well as enrich the readings, handouts, and lectures.

Quizzes and Final Reflection Exam

There are several quizzes in this course that test your understanding of concepts and terminology. In the last week of the course, you’ll take a Final Reflection Exam that will have you look back over the semester and what you’ve learned.

Group Presentation

You will be placed into a group in which you will put together a Powerpoint slideshow on a particular diet of your choice to research. You will then share the slideshow with the rest of the class and lead a discussion.

Dietary / Physical Activity Record / Summary

Keep, and analyze your data from, a food and physical activity diary/log for one week.

EA Portfolio

Your key assessment for this course: You will follow the evidence analysis process to formulate a portfolio of research related to a specific dietary intervention for weight management.

EA Presentation

You will create a presentation on the EA portfolio and submit it to both your instructor and your peers.

Writing Statement

As professionals in the field, you will consistently be expected to clearly and concisely articulate advanced concepts for diverse audiences at a variety of educational levels.

Graduate students are expected to produce their best quality work, including screening their work prior to submission for clarity, grammatical, spelling, formatting and mechanical issues.

While there is often a portion of each assignment’s rubric dedicated specifically to grammar, spelling, mechanics, and formatting, it is critical to understand that failure to submit work that has been adequately proofed may result in a reduction of points in other areas of the rubric. These may include, but are not limited to metrics rating professionalism or content knowledge and synthesis; work submitted in graduate courses should provide evidence of strategic reading, writing, and academic speaking skills essential for success in the discipline.




Grading Policy

Your grade in this course will be determined by the following criteria:

Grade Breakdown

Syllabus and Final Project Contract1
Quizzes (4 points x 6 times)24
Discussions (2 points x 8 times)16
Dietary/Physical Activity Record/Summary5
Group Presentation9
EA Portfolio20
EA Presentation10
Final Reflection Exam10
ePortfolio5
Total100

Grade Scale

Grade Points Grade Point Average (GPA)
A 94 – 100% 4.00
A- 90 – 93% 3.75
B+ 87 – 89% 3.50
B 84 – 86% 3.00
B- 80 – 83% 2.75
C+ 77 – 79% 2.50
C 74 – 76% 2.00
C- 70 – 73% 1.75
D 64 – 69% 1.00
F 00 – 63% 0.00

Schedule

Course Dates

Week 1: Jun 28 – Jul 4
Week 2: Jul 5 – Jul 11
Week 3: Jul 12 – Jul 18
Week 4: Jul 19 – Jul 25
Week 5: Jul 26 – Aug 1
Week 6: Aug 2 – Aug 8
Week 7: Aug 9 – Aug 15
Week 8: Aug 16 – Aug 20

Week 1

Weekly Learning Outcomes

  • Describe the current prevalence of overweight and obesity among adults and children in the United States.
  • Recognize the multifactorial nature of the contributors to obesity and the challenges of treatment.
  • Discuss current dietary and policy priorities and strategies for obesity prevention, management, and treatment.

Readings & Lectures

  • Required
    • Textbook: Chapter 8, by D. H. Hoelscher and C. McCullum-Gomez, Addressing the Obesity Epidemic: An Issue for Public Health Policy, pages 293-301. 

    • Flegal KM, Kruszon-Moran D, Carroll MD, Fryar CD, Ogden CL. Trends in obesity among adults in the United States, 2005 to 2014. JAMA. 2016;315:2284-2291.

    • Glickman D, Parker L, Sim LJ, et al. Accelerating progress in obesity prevention: Solving the weight of the nation. Washington: National Academies Press; 2012.

    • Ogden CL, Carroll MD, Lawman HG, et al. Trends in obesity prevalence among children and adolescents in the United States, 1988-1994 through 2013-2014. JAMA. 2016;315:2292-2299.

    • Peters JC. Obesity prevention and social change: What will it take? Exercise and Sport Sciences Reviews. 2006;34:4-9.

    • Academy of Nutrition and Dietetics. EAL Orientation Tutorial

       

  • Recommended

    • Kirk SFL, Penney TL, McHugh T-F, Sharma AM. Effective weight management practice: A review of the lifestyle intervention evidence. International Journal of Obesity. 2012;2011;36:178-185.

    • Academy of Nutrition and Dietetics. Evidence Analysis Manual: Steps in the Academy Evidence Analysis Process. Chicago, IL: Academy of Nutrition and Dietetics; 2016.

    • Academy of Nutrition and Dietetics. EAL Materials

    • Centers for Disease Control and Prevention (CDC). Adult Obesity Facts

    • Centers for Disease Control and Prevention (CDC). Child Obesity Facts

    • Centers for Disease Control and Prevention (CDC), Adult Obesity Prevalence Maps

    • World Health Organization. Obesity and Overweight. February 2018.

  • Lectures
    • APN 750: Intro to Course
    • APN 750: Module 1 Overview
    • APN 750: Module 1 Trends
    • The Weight of the Nation: Parts 1-4

Assignments

  • Final Project Step 1 – Select a Topic for Evidence Review
  • Module 1 Quiz

Discussions

  • Introduction
  • The Weight of the Nation

 

Week 2

Weekly Learning Outcomes

  • Recognize current evidence-based recommendations for assessment and treatment of weight management. 
  • Discuss biological factors regulating energy intake and body weight.
  • Define body mass index and waist circumference and identify indications for use.
  • Recognize the limitations of using body mass index as an indicator of body weight status in adults and children.
  • Identify an Evidence Analysis Question, which is a weight management-related question using the PICO format, which can be answered by a systematic review of existing original research studies.
  • Effectively write a problem statement which supports the systematic review of literature.

Readings & Lectures

  • Required
    • Textbook: Chapter 8, by D. H. Hoelscher and C. McCullum-Gomez, Addressing the Obesity Epidemic: An Issue for Public Health Policy, pages 301-309.
    • Physiology:
      • Klok MD, Jakobsdottir S, Drent ML. The role of leptin and ghrelin in the regulation of food intake and body weight in humans: A review. Obes Rev. 2007;8(1):21–34.
      • Tchernof A, Després JP. Pathophysiology of human visceral obesity: An update. Physiol Rev. 2013;93:(1):359-404.
      • Woods SC, Seeley RJ. Understanding the physiology of obesity: Review of recent developments in obesity research. Int J Obes Relat Metab Disord. 2002;26(Suppl 4):S8-S10.
    • Assessment/Diagnosis:
      • Centers for Disease Control and Prevention. Body Mass Index: Considerations for Practitioners.
      • Use of BMI and Waist Circumference for Assessment of Body Weight
      • Duren DL, Sherwood RJ, Czerwinski SA, et al. Body composition methods: Comparisons and interpretation. J Diabetes Sci Technol 2008;2(6):1139-1146.
    • Obesity as a Disease:
      • Hajer G, van Haeften T, Visseren F. Adipose tissue dysfunction in obesity, diabetes, and vascular diseases. European Heart Journal. 2008;29(24):2959–2971. https://doi.org/10.1093/eurheartj/ehn387
      • Obesity as a Disease: The Obesity Society 2018 Position Statement
      • Regarding Obesity as a Disease: Evolving Policies and Their Implications
      • Is Obesity A Disease or A Behavior Abnormality? Did the AMA Get It Right?
      • Garvey WT, Garber AJ, Mechanick JI, et al. American Association of Clinical Endocrinologists and American College of Endocrinology position statement on the 2014 advanced framework for a new diagnosis of obesity as a chronic disease. Endocr Pract 2014; 20(9):977-989. 
  • Recommended
    • Assessment/Diagnosis:
      • US Preventive Services Task Force Recommendation Statement: Screening for and Management of Obesity in Adults. Ann Intern Med. 2012; 157:373-378. https://www.uspreventiveservicestaskforce.org/Page/Document/UpdateSummaryFinal/obesity-in-adults-screening-and-management
      • Padwal R, Leslie WD, Lix LM, Majumdar SR. Relationship Among Body Fat Percentage, Body Mass Index, and All-Cause Mortality: A Cohort Study. Ann Intern Med. 2016;164:532–541. doi: 10.7326/M15-1181
    • Obesity as a Disease:
      • Garvey WT, Mechanick JI, Brett EM, et al. American Association of Clinical Endocrinologists and American College of Endocrinology Clinical Practice Guidelines for Comprehensive Medical Care of Patients with Obesity. Endocr Pract 2016. 
      • A. Castro et al. Obesity, insulin resistance and comorbidities: Mechanisms of association. Arq Bras Endocrinol Metabol. 2014;58(6):600–609.
  • Lectures
    • APN 750: Module 2 Overview
    • Intuitive Eating: Making Peace with Food and Your Body

Assignments

  • Final Project Step 2 – Research Question
  • Final Project Step 3 – Problem Statement
  • Final Project Step 4 – Review Methodology
  • Module 2 Quiz

Discussions

  • Health consequences of weight stigma

 

Week 3

Weekly Learning Outcomes

  • Examine current research evaluating the efficacy of leading popular diets/eating patterns for weight management.
  • Review benefits of intensive lifestyle intervention for weight loss and weight loss maintenance.
  • Identify and apply tools for facilitating self-management training and behavior change.
  • Identify techniques used to assess dietary intake and any limitations of their use.

Readings & Lectures

  • Textbook: Chapter 8, by D. H. Hoelscher and C. McCullum-Gomez, Addressing the Obesity Epidemic: An Issue for Public Health Policy, pages 301-313 & 341-345.
  • Required
    • Jensen MD, Ryan DH, Apovian CM, et al. 2013 AHA/ACC/TOS Guidelines for the management of overweight and obesity in adults. Circulation. 2014; 129:S139-S140. http://dx.doi.org/10.1161/01.cir.0000437739.71477.ee
    • Jortberg B, Myers E, Gigliotti L, et al., Academy of Nutrition and Dietetics: Standards of practice and standards of professional performance for registered dietitian nutritionists (competent, proficient, and expert) in adult weight management. J Acad Nutr Diet. 2015; 115(4):609-618.e40.
    • Mozaffarian, D. Dietary and policy priorities for cardiovascular disease, diabetes, and obesity: A comprehensive review. Circulation. 12 January 2016.
    • Ochner C. N., Tsai A. G., Kushner R. F., Wadden T. A. Treating obesity seriously: When recommendations for lifestyle change confront biological adaptations. Lancet Diabetes Endocrinol 2015;3(4):232–234. doi: 10.1016/S2213-8587(15)00009-1.
    • Wadden TA, Webb VL, Moran CH, Bailer BA. Lifestyle modification for obesity: New developments in diet, physical activity, and behavior therapy. Circulation. 2012;125(9):1157-1170. doi:10.1161/CIRCULATIONAHA.111.039453.
    • Position of the academy of nutrition and dietetics: Interventions for the treatment of overweight and obesity in adults. J Acad Nutr Diet. 2016; 116:129-147. http://dx.doi.org/10.1016/j.jand.2015.10.031
  • Recommended
    • Butryn ML, Webb V, and Wadden TA. Behavioral treatment of obesity. Psychiatr Clin North Am. 2011; 34(4); 841-859. https://dx.doi.org/10.1016%2Fj.psc.2011.08.006
    • Bray G. A., Frühbeck G., Ryan D. H., Wilding J. P. H. Management of obesity. The Lancet. 2016 doi: 10.1016/S0140-6736(16)00271-3.
    • Hollis JF, Gullion CM, Stevens VJ, et al. Weight loss during the intensive intervention phase of the weight-loss maintenance trial. Am J Prev Med 2008;35(2):118-126. doi:10.1016/j.amepre.2008.04.013.
    • Johnston BC et al. Comparison of weight loss among named diet programs in overweight and obese adults: A meta-analysis. JAMA, 2014
    • The Look AHEAD Research Group. Long-term effects of a lifestyle intervention on weight and cardiovascular risk factors in individuals with Type 2 Diabetes: Four year results of the look AHEAD trial. Arch Intern Med 2010;170(17):1566-1575. doi:10.1001/archinternmed.2010.334.
    • CDC: Strategies to Prevent & Manage Obesity
  • Lectures
    • APN 750: Module 3 Overview
    • Does that really work? Deciphering popular weight-loss trends

Assignments

  • Final Project Step 5 – Systemic Search of Peer-Reviewed Literature
  • Module 3 Quiz

Discussions

  • Group Powerpoint Presentation

 

Week 4

Weekly Learning Outcomes

  • Describe the USDA Physical Activity Guidelines for adults and children.
  • Compare the physical activity guidelines for general health versus weight loss and weight loss maintenance.

Readings & Lectures

  • Required
    • Sallis, et al. Call to action on making physical activity assessment and prescription a medical standard of care. Curr Sports Med Rep. 2016 May-Jun;15(3):207-14.
    • Burke LE, Warziski M, Starrett T, et al. Self-Monitoring Dietary Intake: Current and Future Practices. J Ren Nutr. 2005;15(3):281-290. doi.org/10.1016/j.jrn.2005.04.002.
    • Burke LE, Wang J, Sevick MA. Self-Monitoring in Weight Loss: A Systematic Review of the Literature. J Am Diet Assoc. 2011;111(1):92-102. doi:10.1016/j.jada.2010.10.008.
    • Hollis JF, Gullion CM, Stevens VJ, et al. Weight loss during the intensive intervention phase of the weight-loss maintenance trial. Am J Prev Med. 2008;35(2):118-126. doi:10.1016/j.amepre.2008.04.013.
    • Hutchesson MJ, Rollo ME, Callister R, Collins CE. Self-monitoring of dietary intake by young women: online food records completed on computer or smartphone are as accurate as paper-based food records but more acceptable. J Acad Nutr Diet. 2015;115:87-94. DOI: https://doi.org/10.1016/j.jand.2014.07.036.
    • Reyes NR, Oliver TL, Klotz AA, et al. Similarities and differences between weight loss maintainers and regainers: a qualitative analysis. J Acad Nutr Diet. 2012;112(4):499-505. DOI: 10.1016/j.jand.2011.11.014.
    • Review data for current levels of physical activity among U.S. adults from the CDC.
    • Explore the current 2018 Physical Activity Guidelines for Adults from Health.gov
    • Swift DL, Johannsen NM, Lavie CJ, et al. The role of exercise and physical activity in weight loss and maintenance. Prog Cardiovasc Dis. 2014 Jan-Feb;56(4):441-7. doi: 10.1016/j.pcad.2013.09.012.
    • Marshall SJ, Levy SS, Tudor-Locke CE, et al. Translating physical activity recommendations into a pedometer-based step goal: 3000 steps in 30 minutes. Am J Prev Med. 2009 May;36(5):410-5. doi: 10.1016/j.amepre.2009.01.021. PMID: 19362695.
    • Kraus WE, Janz KF, Powell KE, et al. Daily Step Counts for Measuring Physical Activity Exposure and Its Relation to Health. Med Sci Sports Exerc. 2019 Jun;51(6):1206-1212. doi: 10.1249/MSS.0000000000001932.
    • Catenacci VA, Ogden LG, Stuht J, et al. Physical activity patterns in the national weight control registry. Obesity (Silver Spring). 2008;16(1):153-161. doi:10.1038/oby.2007.6.
    • Donnelly JE, Blair SN, Jakicic JM, et al. American College of Sports Medicine Position Stand. Appropriate physical activity intervention strategies for weight loss and prevention of weight regain for adults. Med Sci Sports Exerc. 2009;41(2)459-471.
    • Vissers D, Hens W, Taeymans J, et al. The effect of exercise on visceral adipose tissue in overweight adults: a systematic review and meta-analysis. PLoS One. 2013;8(2):e56415. doi:10.1371/journal.pone.0056415
    • Armstrong A, Jungbluth Rodriguez K, Sabag A, et al. Effect of aerobic exercise on waist circumference in adults with overweight or obesity: A systematic review and meta-analysis. Obes Rev. 2022 Apr 5:e13446. doi: 10.1111/obr.13446.
    • Fothergill E, Guo J, Howard L, et al. Persistent metabolic adaptation 6 years after The Biggest Loser competition. Obesity (Silver Spring). 2016;24(8):1612-1619. doi:10.1002/oby.21538.
    • Lee IM, Djoussé L, Sesso HD, Wang L, Buring JE. Physical activity and weight gain prevention. JAMA. 2010;303(12):1173-1179. doi:10.1001/jama.2010.312.\
  • Recommended
    • Erlandson M, Ivey LC, and Seikel K. Update on office-based strategies for the management of obesity. Am Fam Physician. 2016;94(5):361-368.
    • Garber CE, Blissmer B, Deschenes MR, et al. American College of Sports Medicine Position Stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. Med Sci Sports Exerc. 2011;43(7):1334-1359.
    • McNeil J, Brenner DR, Courneya KS, Friedenreich CM. Dose-response effects of aerobic exercise on energy compensation in postmenopausal women: combined results from two randomized controlled trials. Int J Obes. 2017;41(8):1196-1202. doi:10.1038/ijo.2017.87.
  • Lectures
    • APN 750: Module 4 Overview
    • Food Diaries and Weight Loss
    • Keeping a Food Log

Assignments

  • Final Project Step 6 – Critically Analyze and Abstract Data from Each Included Article
  • Dietary/Physical Activity Record/Summary
  • Module 4 Quiz

Discussions

  • Benefits of Regular Physical Activity

 

Week 5

Weekly Learning Outcomes

  • Outline the mechanism of action, advantages, and disadvantages of using current FDA-approved drugs for weight loss.
  • Outline the main actions, advantages, and disadvantages of the current options for bariatric surgery for weight loss.
  • Compare outcomes for behavioral, medical, and surgical interventions used to treat obesity.
  • Identify the current trends in the use of dietary supplements for weight management.

Readings & Lectures

  • Required
    • Dietary Supplements for Weight Loss: Fact Sheet for Health Professionals
    • Batsis, J.A. et al., (2021), A Systematic Review of Dietary Supplements and Alternative Therapies for Weight Loss. Obesity, 29: 1102-1113. https://doi.org/10.1002/oby.23110
    • Medical Weight Management
      • Apovian CM, Aronne LJ, Bessesen DH, et al. Pharmacological management of obesity: An Endocrine Society clinical practice guideline. J Clin Endocrinol Metab. 2015;100(2):342-362. doi: 10.1210/jc.2014-3415.
      • Yanovski SZ, Yanovski JA. Long-term drug treatment for obesity: a systematic and clinical review. JAMA. 2014;311(1):74–86. doi: 10.1001/jama.2013.281361.
      • Medical Weight Management – Currently, there are several medications that are approved by the FDA for weight loss. Note how each listed medication works, its benefits, and its concerns regarding weight loss.
    • Bariatric Surgery
      • Review the Types of Surgery, Benefits, Risks, and Outcomes of Bariatric Surgery at these two websites:
        • ObesityAction.org: Bariatric Surgery and Devices
        • NIDDK: Types of Bariatric Surgery
      • Ashrafian H, Le Roux CW. Metabolic surgery and gut hormones – a review of bariatric entero-humoral modulation. Physiol Behav. 2009;97(5):620-61. doi: 10.1016/j.physbeh.2009.03.012.
      • Isom KA, Andromalos L, Ariagro M, et al. Nutrition and Metabolic Support Recommendations for the Bariatric Patient. Nutr Clin Pract. 2014;29(6):718-739.
      • Read Executive Summary – Mechanick JI, et al. Clinical Practice Guidelines For The Perioperative Nutrition, Metabolic, And Nonsurgical Support Of Patients Undergoing Bariatric Procedures – 2019 Update: Cosponsored By American Association Of Clinical Endocrinologists/American College Of Endocrinology, The Obesity Society, American Society For Metabolic & Bariatric Surgery, Obesity Medicine Association, And American Society Of Anesthesiologists – Executive Summary. Endocr Pract. 2019 Dec;25(12):1346-1359. doi: 10.4158/GL-2019-0406.
      • Puzziferri N, Roshek TB, Mayo HG, Gallagher R, Belle SH, Livingston EH. Long-term follow-up after bariatric surgery: a systematic review. JAMA. 2014;312(9):934-942.
  • Recommended
    • Schauer PR, Kashyap SR, Wolski K, et al. Bariatric surgery versus intensive medical therapy in obese patients with diabetes. N Eng J Med. 2012;366(17):1567-1576. doi: 10.1056/NIJMoa1200225.
    • Svane M, Madsbad S. Bariatric Surgery: Effects on Obesity and Related co-Morbidities. Curr Diabetes Rev. 2014;10(3):208-214.
  • Lectures
    • APN 750 Module 5 Lecture

Assignments

  • Final Project Step 7 – Study Overview Table
  • Module 5 Quiz

Discussions

  • Dietary Supplements

 

Week 6 

Weekly Learning Outcomes

  • Describe the epidemiology of child and adolescent obesity.
  • Discuss opportunities for primary prevention of weight gain in children and adolescents.

Readings & Lectures

  • Required
    • Textbook: Chapter 8, by D. H. Hoelscher and C. McCullum-Gomez, Addressing the Obesity Epidemic: An Issue for Public Health Policy, pages 311-315, 323-327, 335-338.

    • US Preventive Services Task Force Recommendation Statement: Screening for Obesity in Children and Adolescents. JAMA. 2017;317(23):2417-2426.

    • Hoelscher DM, Brann LS, O’Brien S, Handu D, Rozga M. Prevention of Pediatric Overweight and Obesity: Position of the Academy of Nutrition and Dietetics Based on an Umbrella Review of Systematic Reviews. J Acad Nutr Diet. 2022 Feb;122(2):410-423.e6. doi: 10.1016/j.jand.2021.11.003.

    • Brown T, Moore THM, Hooper L, Gao Y, Zayegh A, Ijaz S, Elwenspoek M, Foxen SC, Magee L, O’Malley C, Waters E, Summerbell CD. Interventions for preventing obesity in children. Cochrane Database of Systematic Reviews 2019, Issue 7. Art. No.: CD001871. DOI: 10.1002/14651858.CD001871.pub4

    • American College of Pediatricians. The Benefits of the Family Table. May 2014.

    • Berge JM, Wall M, Hsueh T-F, Fulkerson JA, Larson N, Neumark-Sztainer D. The Protective Role of Family Meals for Youth Obesity: 10-year Longitudinal Associations. J Pediatr. 2015;166(2):296-301. doi:10.1016/j.jpeds.2014.08.030.

    • Michalsky M, Reichard K, Inge T, et al. ASMBS Pediatric Committee Best Practice Guidelines. Surg Obes Rel Dis 2012; 8:1-7.

    • Jernigan J, Kettel LK, Dooyema C, et al. Childhood Obesity Declines Project: Highlights of Community Strategies and Policies. Child Obes. 2018;14(Suppl 1):S32–S39. doi: 10.1089/chi.2018.0022.

    • Review the following information/resources, as listed below.

      • Review the CDC: Obesity Prevention Strategies

      • Review the methods for measuring weight status in children

      • Review the following resources that were identified by The Weight of the Nation™ partners as tools and strategies designed to assist communities and organizations reach their health goals for children:

        • The Whole School, Whole Community, Whole Child, or WSCC model

        • Action for Healthy Kids – Check out programs in your home state.

        • See the School Health Guidelines for Obesity Prevention from CDC

        • Thriving Schools  – Provides ready-to-use tools and resources; check out the success stories.

        • Food Marketing to Children—A Wolf in Sheep’s Clothing?

  • Lectures
    • APN 750: Module 6 Overview
    • Obesity in Children

Assignments

  • Final Project Step 8 – Summary and Conclusions

Discussions

  • Opportunities for Preventing and/or Reversing Child and Adolescent Obesity

 

Week 7

Weekly Learning Outcomes

  • Identify behavioral predictors of successful weight maintenance based on outcomes of the National Weight Control Registry.
  • Identify some applications of technology for self-monitoring, social support and education.
  • Recognize weight bias in personal and professional settings.

Readings & Lectures

  • Required
    • Textbook: Chapter 8, by D. H. Hoelscher and C. McCullum-Gomez, Addressing the Obesity Epidemic: An Issue for Public Health Policy, pages 316-335.
    • Bachman JL, Raynor HA. Effects of manipulating eating frequency during a behavioral weight loss intervention: a pilot randomized controlled trial. Obesity (Silver Spring). 2012;20(5):985-992.
    • Canuto R, da Silva Garcez A, Kac G, de Lira P, Olinto M. Eating frequency and weight and body composition: A systematic review of observational studies. Public Health Nutrition [serial online]. 2017;20(11):2079-2095.
    • Garaulet M, Gomez-Abellan P, Alburquerque-Bejar JJ, Lee YC, Ordovas JM, Scheer FA. Timing of food intake predicts weight loss effectiveness. Int J Obes (Lond). 2013;37:604–611.
    • Jakubowicz D, Barnea M, Wainstein J, Froy O. High caloric intake at breakfast vs. dinner differentially influences weight loss of overweight and obese women. Obesity (Silver Spring). 2013;21:2504–2512.
    • Kulovitz MG, Kravitz LR, Mermier C, et al. Potential of meal frequency as a strategy for weight loss and health in overweight or obese adults. Nutrition. 2014;30: 386–392.
    • Mattes R. Energy intake and obesity: Ingestive frequency outweighs portion size. Physiol Behav. 2014;134:110–118.
    • Murakami K, Livingstone MB. Eating frequency is positively associated with overweight and central obesity in U.S. adults. J Nutr. 2015;145(12):2715-2724.
    • Ohkawara K, Cornier MA, Kohrt WM, Melanson EL. Effects of increased meal frequency on fat oxidation and perceived hunger. Obesity. 2013;21(2):336-343.
    • Schoenfeld BJ, Aragon AA, Krieger JW. Effects of meal frequency on weight loss and body composition: a meta-analysis. Nutr Rev. 2015;73(2):69-82.
    • Hall KD, Kahan S. Maintenance of Lost Weight and Long-Term Management of Obesity. Med Clin North Am 2018;102(1):183-197. doi: 10.1016/j.mcna.2017.08.012.
    • Martin C, Gadde KM. Weight loss: slow and steady does not win the race. Lancet Diabetes Endocrinol. 2014;2(12):927-928.
    • Reyes NR, Oliver TL, Klotz AA, et al. Similarities and Differences between Weight Loss Maintainers and Regainers: A Qualitative Analysis. J Acad Nutr Diet. 2012;112(4):499-505. DOI: 10.1016/j.jand.2011.11.014).
    • Thomas JG, Bond DS, Phelan S, HIll JO, Wing RR. Weight-Loss Maintenance for 10 Years in the National Weight Control Registry. Am J Prev Med. 2014;46(1):17-23.
    • Vink, RG, Roumans N, Arkenbosch L. The Effect of Rate of Weight Loss on Long-Term Weight Regain in Adults with Overweight and Obesity. Obesity. 2016;24:321-327. doi:10.1002/oby.21346
    • Wing RR, Hill JO. Successful Weight Loss Maintenance. Annu Rev Nutr. 2001;21:323-341.
    • The Look AHEAD Research Group. Eight-Year Weight Losses with an Intensive Lifestyle Intervention: The Look AHEAD Study. Obesity (Silver Spring). 2014;22(1):5-13. doi:10.1002/oby.20662.
    • Purcell K, Sumithran P, Prendergast L, Bouniu CJ, Delbridge E, Proietto J. The effect of rate of weight loss on long-term weight management: A randomized controlled trial. Lancet Diabetes Endocrinol 2014;2(12):954–962.
    • Ross KM, Wing RR. Impact of newer self-monitoring technology and brief phone-based intervention on weight loss: A randomized pilot study. Obesity. 2016;24(8):1653-1659.
    • Bleich SN, Bandara S, Bennett W, Cooper LA, Gudzune KA. Enhancing the role of nutrition professionals in weight management: a cross-sectional survey. Obesity (Silver Spring). 2015;23(2):454-460. doi:10.1002/oby.20945.
    • Okorodudu DE, Bosworth HB, Corsino L. Innovative interventions to promote behavioral change in overweight or obese individuals: a review of the literature. Ann Med. 2015;47(3):179-185.
    • Khaylis A, Yiaslas T, Bergstrom J, Gore-Felton C. A review of efficacious technology-based weight-loss interventions: five key components. Telemed J E Health. 2010;16(9):931-938. doi: 10.1089/tmj.2010.0065.
    • Kouvari, M., Karipidou, M., Tsiampalis, T., et al. Digital health interventions for weight management in children and adolescents: Systematic review and meta-analysis. Journal of Medical Internet Research, 2022 doi:http://dx.doi.org/10.2196/30675
  • Recommended
    • The Community Guide: Obesity: What Works? Evidence-Based Interventions for Your Community.
    • Jensen MD, Ryan DH, Apovian CM, et al. 2013 AHA/ACC/TOS Guidelines for the Management of Overweight and Obesity in Adults. Circulation. 2014;129:S139-S140. http://dx.doi.org/10.1161/01.cir.0000437739.71477.ee.
    • MacLean PS, Wing RR, Davidson T, et al. NIH Working Group Report: Innovative Research to Improve Maintenance of Weight Loss. Obesity (Silver Spring). 2015; 23(1):7-15.
    • Redman LM, Heilbronn LK, Martin CK, et al. Metabolic and Behavioral Compensations in Response to Caloric Restrictions: Implications for the Maintenance of Weight Loss. PLoS One. 2009;4(2):e4377.dol:10:1371/journal.pone.0004377.
    • Svetkey LP, Stevens VJ, Brantley PJ et al. Comparison Strategies for Sustaining Weight Loss: The Weight Loss Maintenance Randomized Controlled Trial. JAMA. 2008; 299(10):1139-1148.
    • Wadden TA, Neiberg RH, Wing RR, et al. Four-Year Weight Losses in the Look AHEAD Study: Factors Associated with Long-Term Success. Obesity (Silver Spring). 2011;19(10):1987-1998.
    • Recommended Community Strategies and Measurements to Prevent Obesity in the United States
  • Lectures
    • APN 750: Module 7 Overview
    • Common Behaviors in Weight Maintenance
    • Taking on Obesity
    • Summary of the Obesity Epidemic: Community Solutions

Assignments

  • Final Project Step 9 – EA Project Portfolio Submission
  • Final Project Step 10 – EA Final Project Powerpoint Presentations
  • Module 7 Quiz

Discussions

  • Perspectives on what matters more for weight loss

 

Week 8

Weekly Learning Outcomes

  • Present a systematic review of the literature and its findings in a seminar-style presentation.

Assignments

  • Final Reflection Exam
  • ePortfolio

Discussions

  • Share Powerpoint Presentations with Peers

Student Resources

Online Student Support

Your Student Support Specialist is a resource for you. Please don't hesitate to contact them for assistance, including, but not limited to course planning, current problems or issues in a course, technology concerns, or personal emergencies.

Questions? Visit the Student Support Applied Nutrition page

UNE Libraries:

UNE Student Academic Success Center

The Student Academic Success Center (SASC) offers a range of services to support your academic achievement, including tutoring, writing support, test prep and studying strategies, learning style consultations, and many online resources. To make an appointment for tutoring, writing support, or a learning specialist consultation, go to une.tutortrac.com. To access our online resources, including links, guides, and video tutorials, please visit:

Information Technology Services (ITS)

  • ITS Contact: Toll Free Help Desk 24 hours/7 days per week at 1-877-518-4673

Accommodations

Any student who would like to request, or ask any questions regarding, academic adjustments or accommodations must contact the Student Access Center at (207) 221-4438 or pcstudentaccess@une.edu. Student Access Center staff will evaluate the student's documentation and determine eligibility of accommodation(s) through the Student Access Center registration procedure.

Policies

AMA Writing Style Statement

In keeping with the requirements of the Journal of the Academy of Nutrition and Dietetics and the Journal of Nutrition Education and Behavior, the American Medical Association (AMA) Manual of Style, 11th edition is the required writing format for this course and is available at both UNE libraries under the title "AMA Manual." Additional support for academic writing and AMA format is provided throughout the coursework as well as at the UNE Portal for Online Students.

Online resources: AMA Style Guide

Turnitin Originality Check and Plagiarism Detection Tool

The College of Professional Studies uses Turnitin to help deter plagiarism and to foster the proper attribution of sources. Turnitin provides comparative reports for submitted assignments that reflect similarities in other written works. This can include, but is not limited to, previously submitted assignments, internet articles, research journals, and academic databases.

Make sure to cite your sources appropriately as well as use your own words in synthesizing information from published literature. Webinars and workshops, included early in your coursework, will help guide best practices in AMA citation and academic writing.

You can learn more about Turnitin in the Turnitin Student quick start guide.

Technology Requirements

Please review the technical requirements for UNE Online Graduate Programs: Technical Requirements

Course Evaluation Policy

Course surveys are one of the most important tools that University of New England uses for evaluating the quality of your education, and for providing meaningful feedback to instructors on their teaching. In order to assure that the feedback is both comprehensive and precise, we need to receive it from each student for each course. Evaluation access is distributed via UNE email at the beginning of the last week of the course.

Attendance Policy

Online students are required to submit a graded assignment/discussion prior to Sunday evening at 11:59 pm ET of the first week of the term. If a student does not submit a posting to the graded assignment/discussion prior to Sunday evening at 11:59 pm ET, the student will be automatically dropped from the course for non-participation. Review the full attendance policy.

Late Policy

Assignments: Late assignments will be accepted up to 3 days late; however, there is a 10% grade reduction (from the total points) for the late submission. After three days the assignment will not be accepted.

Discussion posts: If the initial post is submitted late, but still within the discussion board week, there will be a 10% grade reduction from the total discussion grade (e.g., a 3 point discussion will be reduced by 0.3 points). Any posts submitted after the end of the Discussion Board week will not be graded.

Please make every effort ahead of time to contact your instructor and your student support specialist if you are not able to meet an assignment deadline. Arrangements for extenuating circumstances may be considered by faculty.

Student Handbook Online - Policies and Procedures

The policies contained within this document apply to all students in the College of Graduate and Professional Studies. It is each student's responsibility to know the contents of this handbook.

UNE Online Student Handbook

UNE Course Withdrawal

Please contact your student support specialist if you are considering dropping or withdrawing from a course. The last day to drop for 100% tuition refund is the 2nd day of the course. Financial Aid charges may still apply. Students using Financial Aid should contact the Financial Aid Office prior to withdrawing from a course.

Academic Integrity

The University of New England values academic integrity in all aspects of the educational experience. Academic dishonesty in any form undermines this standard and devalues the original contributions of others. It is the responsibility of all members of the University community to actively uphold the integrity of the academy; failure to act, for any reason, is not acceptable. For information about plagiarism and academic misconduct, please visit UNE Plagiarism Policies.

Academic dishonesty includes, but is not limited to the following:

  1. Cheating, copying, or the offering or receiving of unauthorized assistance or information.
  2. Fabrication or falsification of data, results, or sources for papers or reports.
  3. Action which destroys or alters the work of another student.
  4. Multiple submissions of the same paper or report for assignments in more than one course without permission of each instructor.
  5. Plagiarism, the appropriation of records, research, materials, ideas, or the language of other persons or writers and the submission of them as one's own.

Charges of academic dishonesty will be reviewed by the Program Director. Penalties for students found responsible for violations may depend upon the seriousness and circumstances of the violation, the degree of premeditation involved, and/or the student’s previous record of violations.  Appeal of a decision may be made to the Dean whose decision will be final.  Student appeals will take place through the grievance process outlined in the student handbook.