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Update on TOS initiatives: Science, partners and next steps
Letter from the President
Dear Colleagues,

I hope the summer has treated you well! It has been very hot in Florida, but I know some of you are enjoying an "Indian Summer" in northern climes. The rhythm of the year cycles forward as students return to school, the heat abates (we hope and pray!), fall sports resume (not just football but also lacrosse, crew/rowing, & wrestling, and so many others), the final summer crops are harvested and the fall crops are planted.

We've not been too distracted and have been busy this summer with several new notable TOS initiatives. I'd like to pick out a few of these to bring to your attention.
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Last chance to vote in the 2014 TOS elections!
This is your last chance to vote in the 2014 TOS Council and Nominating Committee elections, which close on Thursday, Sept. 4. Current Fellows and regular members of TOS are now able to cast their ballot. You can find more information about casting your vote here. Please note: you can only submit the e-ballot once.

To vote for the Society's new leaders, you will need to ensure your membership status is up to date. To verify your membership status, access TOS Member Center here.

This year (as always!) we have an outstanding group of candidates for you to consider for the following positions on Council: Vice President, Clinical Practice Councilor, Councilor At-Large and Councilor At-Large: Representative to Mexico. There are also 3 open positions on the Nominating Committee. TOS members will have the opportunity to review the candidates' statements in the e-ballot prior to voting.

Please contact Jean McMahon, Governance and Executive Assistant at or 240-485-1955, if you have questions regarding the election process.

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Novel program helps women with obesity limit weight gain during pregnancy and reduce risk for large babies
A study published in the September issue of Obesity finds that women with obesity can limit their weight gain during pregnancy using conventional weight loss techniques, including weekly group support meetings, advice about nutrition and diet, and keeping food and exercise diaries. Results of the "Healthy Moms" study also show that women who do limit their weight gain are less likely to have large-for-gestational age babies.

"Most interventions to limit weight gain during pregnancy among women with obesity have failed, but our study shows that with regular contact and support, these women can reduce the amount of weight they gain, which will also reduce the risk of complications during and after pregnancy," said author Kim Vesco, MD, MPH, an obstetrician and researcher at the Kaiser Permanente Center for Health Research in Portland, Oregon.

Half of the 114 women enrolled in the "Healthy Moms" study participated in the intensive, weekly weight management program with the goal of maintaining their weight during pregnancy. The other women were placed in a usual care group consisting of one meeting with a dietician.

By 34 weeks of pregnancy women who participated in the intervention had gained an average of 11 pounds, compared to 18 pounds for women who were not in the intervention. Women in both groups had about the same number of birthing and delivery complications, but only 9 percent of women in the intervention had large-for-gestational age babies, compared to 26 percent of women in the control group.

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  Introducing the Obesity Hyperguide™
The Obesity Hyperguide™ is a free, interactive learning management system offering a unique, practice-relevant CME learning experience for professionals interested in managing and treating obese patients. Conveniently available 24/7, this web-based platform provides access to engaging educational content exclusively geared to meet your educational needs and improve your clinical practice.

Additive effect of dietary prescriptions may optimize weight regulation
Contributed by Susan F. Franks, PhD, ABPP
Dietary guidelines addressing obesity are based on the notion that healthy weight is maintained by eating in ways that balance energy intake and expenditure. A recent study published in the September issue of Obesity by Urban and colleagues is the first to investigate the independent and additive role of commonly recommended specific dietary strategies on energy balance.

Dietary choices made by 151 adult subjects during their first 2 days of stay at a research center as part of the Tufts Twin Study of energy regulation were evaluated. Subjects selected meals and snacks from a choice of 97 typical foods. Researchers analyzed percent of energy from carbohydrates, fat, protein, and nondairy beverages: total fiber, energy density, dietary variety, and glycemic index.

A favorable energy balance (lower energy intake relative to predicted energy requirement) was found for subjects who selected a higher percentage from protein, but a lower percentage from nondairy beverages, as well as foods lower in energy density, variety, and glycemic index. Subjects who selected foods that were favorable for only one or two parameters had less favorable energy balance.

This new research suggests that healthy weight regulation may be optimized by the use of multiple dietary strategies. Read the full article in the Obesity journal here.

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Family may undermine adults' healthy eating and weight loss attempts
Contributed by Amanda Staiano, PhD
Do family, friends and coworkers affect success in a weight loss program? Could they actually undermine efforts to lose weight? Recently published findings by Dr. Monica Wang and colleagues in the journal Obesity examined the relationship between social support for healthy eating/physical activity and subsequent weight loss (or weight gain) at 1 year and 2 years into a weight gain prevention program.

Using data from 633 adults employed in public schools (63% overweight/with obesity, 66% women, 96% white), investigators assessed perceived social support and undermining related to healthy eating and physical activity using an instrument developed by Dr. Jim Sallis. Controlling for a host of socioeconomic and individual factors, the authors demonstrated that social support from friends, family members, and coworkers predicted weight loss at 2 years (between 0.3 and 0.6 kg weight loss per 1 standard deviation higher support score). Conversely, social undermining by family related to healthy eating was related to weight gain at 2 years (0.4 kg weight gain per 1 standard deviation higher undermining score).

The take home message is weight management interventions should strategize to reduce social undermining and sustain social support from multiple sources in a participant's life in order to maximize potential for success. Read the full study here.

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Get to know a TOS Fellow! Q&A with Kishore Gadde, MD

Dr. Kishore Gadde
It's time for another edition of the Q&A interviews with TOS Fellows! This is the perfect opportunity to get to know leaders in the obesity field a little better, and learn more about their personal lives outside of work. Here are some questions and answers from our interview with Kishore Gadde, MD, newly appointed Director of Allen A. Copping In-Patient Research Unit at Pennington Biomedical Research Center:

Q: Please tell us about your current work and your professional developmental trajectory.
A: I became interested in obesity in the late nineties when I began to test some of my own new ideas for weight management. For the past 16 years, I have been mostly conducting clinical research in obesity and related metabolic disorders with a focus on new interventions.

Q: What advice do you have for today's junior obesity researchers?
A: Life is a never-ending saga of learning. Important research findings often begin with simple observations. Hence, it is important to keep your mind open to what your patients, colleagues, juniors, and students are saying.

Q: What are your favorite things to do when you're not at work?
A: Pennington Biomedical is a lovely campus and the work environment is cheerful. When not at work, I go for long walks regularly and eat fairly healthy food with the belief that we should practice what we teach our patients. I enjoy blues-derived rock music and frequently go to concerts — anything to keep me feeling young at heart.

Read the rest of the interview with Dr. Gadde here. These interviews will be featured bi-monthly in the TOS eNews. Don't miss the next one on September 17!

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mHealth Boot Camp: Developing mobile health interventions to prevent and treat pediatric obesity
Contributed by eHealth/mHealth Section
After hosting a very successful workshop in 2013, TOS eHealth/mHealth Section has decided to continue the mHealth Boot Camp at ObesityWeek℠ 2014. This full day pre-conference workshop on Monday, Nov. 3 offers a primer on mHealth using obesity prevention and treatment examples, and will include public health and clinical perspectives. The workshop will be conducted in a "boot camp" format: each presentation will be followed by participants breaking into small groups to develop a mock mHealth intervention.

Presentations will include:
    1) Developing a transdisciplinary team for the chosen problem (determining which disciplines and partners you need, and identifying what is involved in working with diverse teams);
    2) Sensor systems and technology for measuring for biology, physiology and behavior, including a discussion of which technologies are best suited for particular research questions;
    3) Methods to engage users;
    4) New directions in analyzing large data-sets (using text from electronic health records and visualizing information); and,
    5) Methods to personalize and adapt treatments.
The faculty will include clinicians, mHealth and pediatric obesity researchers, engineers and industry experts. This composition models the interactions and partnerships necessary to develop and deploy mHealth.

Sign up when you register for ObesityWeek!

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USPSTF recommends intensive behavioral counseling for people with obesity, overweight
People who are obese or overweight with at least one other cardiovascular disease risk factor should receive intensive behavioral counseling focusing on a healthful diet and physical activity, the U.S. Preventive Services Task Force recommends.
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Why aren't prescription weight-loss drugs more in demand?
WebMD Health News via MedicineNet
Obesity costs the U.S. healthcare system close to $150 billion a year — not terribly surprising when you consider that more than a third of American adults are obese. That number, from 2009, is the latest reported by the CDC. Other estimates are even higher, and those costs are expected to rise.
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Obese and pregnant: An intervention that works
A new study shows comprehensive programs for weight management can help obese women have healthy pregnancies Obesity during pregnancy is a dangerous mix for both mom and baby. A mother's obesity during pregnancy is linked to a greater likelihood for gestational diabetes, birth injuries, miscarriage, and a higher rate of C-sections. A child born to an obese mother is at a higher risk of developing obesity down the line, too.
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Study: Obesity fueling rise in diabetes rates
The U.S. obesity epidemic is a driving force behind the rising rates of type 2 diabetes, according to a new study. Researchers looked at data from five national surveys spanning from 1976 through 2010 to determine how much the increase in diabetes over time could be explained by factors such as changing distribution of race, age and obesity in U.S. adults.
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Shift work tied to higher diabetes risk
Health Central
In a new study published in the journal Occupational and Environmental Medicine, researchers from China found more evidence of a connection between shift work and type 2 diabetes. To conduct their study, the team combined and re-analyzed the data from 12 previous studies that looked at the association between shift work and chances of developing diabetes.
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Why eating the right breakfast is so important
Consumer Reports
Roll your eyes if you like, but the old bromide about breakfast being the most important meal of the day is true (mostly). Breakfast eaters tend to have better diets overall, consuming more fruit, vegetables, milk, and whole grains than non-breakfast eaters.
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The Obesity Society eNews
Mollie Turner, News Editor, The Obesity Society  
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Colby Horton, Vice President of Publishing, 469.420.2601
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Disclaimer: eNews is a digest of the most important news selected for The Obesity Society from thousands of sources by the editors of MultiBriefs, an independent organization that also manages and sells advertising. The Obesity Society does not endorse any of the advertised products and services. Opinions expressed in the articles are those of the author and not of The Obesity Society.

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