4^th International Conference and Exhibition on Obesity and Weight Management December 07-09, 2015 Atlanta, USA

Chi-Jane Wang is Assistant Professor working in Department of Nursing, College of Medicine, of National Chen-Kung University of Taiwan. She has completed her MPH at 1991 from Yang-Ming Medical University of Taiwan and Ed.D. at 2000 from Special Education Institute of Changhua University of Taiwan. Her specialty is in minority nursing. Furthermore, she also promotes population health in community, especially focusing on issues of obese prevention.

The aims were to examine the effects of applying partnership-groups and exercise e-maps to support fitness-walking in a weight management program to promote cardiorespiratory fitness and weight loss. A community-based intervention using a pretest and repeated tests design was conducted. A total of 116 adults with a body mass index between 24 and 32 with a minimum educational level of junior high school were recruited from urban areas of southern Taiwan, but only 72.4% participants completed. Using residential clusters randomly assigned participants to an intervention group (IG) or a control group (CN). IG additionally used exercise e-maps which were by mobile Apps as a reminder to keep tracks of their fitness-walking. Cardiorespiratory fitness was measured by the 3-minute step test. In addition, body weight was repeated measured at week 1th , 4th, 7th, 10th, 13th and 16th. Data were analyzed by Chi-square test for cardiorespiratory fitness changes and one-way ANOVA repeated measures for weight loss. The results show that cardiorespiratory fitness improved in both groups with the IG showing a higher percentage of positive change. Adjusting confounding factors, the IG showed significantly greater weight loss than CN at week 10th, 13th and 16th (F(df=1, 80)=34.4, p < .001). Furthermore, the IG had greater mean of weight loss (-2.9 kg; 95 % CI=-3.3~-2.5) compared to CN (-1.1 kg; 95 % CI=-1.5~-.7) over 16-week. Study shows that using partnership-group and exercise e-maps in a weight management program has significant impacts on promoting cardiovascular fitness and weight loss in individuals of urban communities.

Ioanna Galatianou is a graduate of Technological Educational Institute of Nursing and Technological Educational Institute of Aesthetics and Cosmetology. She has also received a post-graduate Master in Science degree on Cardiopulmonary Resuscitation, as well as the Basic Life Support, Advanced Life Support and Trauma Nursing Core Course certificates. She currently works at the General Hospital of Nikaia-Piraeus “Agios Panteleimon” in Athens (Greece) and she has a 24-year experience at various departments (ICU, Emergencies, Anesthesiology, Neurosurgery).

Over the last decades numerous studies have confirmed that obesity is an aggravating factor on human\'s health. The risk of cardiovascular events (acute myocardial infarction/heart attack, cardiac arrest) seems to correlate with increased body mass index (BMI). However, we have conducted a single-center study at the Cardiology ICU of our hospital and our findings were somewhat unexpected. Our study included 84 patients (age: 59,3±12,4 years), 61 men (age: 59,3±12,6 years) and 23 women (age: 59,3±12,3 years). Sixteen patients (19,3%) had normal BMI, 30 patients (36,1%) were overweight, 26 (30,2%) were obese and 12 (14,4%) were morbidly obese. 36,9% of patients were admitted to the hospital during the morning shift, 41,7% during the evening shift and 21,4% during the night shift. Most of the patients (n=61) were admitted on weekdays and less (n=23) on weekends. We have observed increased rates of survival after cardiac arrest among obese patients compared to patients with normal BMI. Particularly, 16% of patients with BMI>25 were alive on admission to the ICU, while only 12.5% of patients with BMI<25 were alive on admission. Survival rates at discharge were 6,2% for BMI<25 patients and 7,3% for BMI>25 patients. Although, this difference was not statistically significant, it still remains a paradox and further larger studies are needed to clarify these findings.

Bradley Tanner has completed his MD from the University of Virginia. He is Associate Professor of Psychiatry at the University of North Carolina and President of Clinical Tools, Inc. an R & D firm specializing in creating and delivering online curriculla to health professionals. He has created multiple online curriculla and evaluated them fully via support from the National Institute of Health.

With support from the National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) under NIH grant #2R44DK091144-01A1 we have developed CME-based skills training for primary care professionals on the topic of adult obesity. The Impact Obesity program provides the latest information, research, and resources on adult obesity and practical ways physicians can help manage it. This information is presented using Clinical Tool\'s Learning Ecosystem, a set of interactive and case-based learning elements designed to engage and excite the reader with interactive features throughout the courses. The Clinical Tools Learning Ecosystem is designed to allow users to interact with the course content using different assessment varieties to reinforce important information. Poll and Short Answer questions allow users to compare their answers to other respondents. \r\n\r\nWithin each module, the user is introduced to various patient case examples. Complete with medical histories, weight histories, and other general information, these case scenarios help illustrate the module\'s learning objectives by applying the concepts in a simulated, interactive experience. Example patient/provider dialogues appear throughout each case and help to illustrate common scenarios and potential pitfalls that healthcare providers may encounter while speaking with their patients regarding weight management. Resources provide additional information and easy-to-use tools that providers can give to their patients. Protocol icons found throughout this program mark clinical protocol steps that help to guide user\'s in their practice. We are currently completing a robust evaluation of the Impact Obesity curriculum on confidence, competence and performance outcomes.