consider twitter! - acsep conf preso's... · 1. exercise alone doesnt keep weight stable 2....
TRANSCRIPT
Consider Twitter!
What role can we play?
As:
• the College – ACSEP?
• clinicians?
• community leaders
• individuals
Overview
Brainstorming to answer those questions…
• What can we do? ‘Yes we can!’ (7 mins)
• Sharing with the room particularly
examples / bright spots (10 mins)
• Practical examples from New Zealand,
South Africa and Australia…(33 mins)
Goal – foster discussion at the College level
that may lead to a working group…
What role the College?
Education role – doctors? community? /
mass media, social media?
Role models – practice type, individual
Research partner role / leader role
Referral role – linkages with ESSA,
other physical activity champions
Linkages with corporate Gym groups?
What role the College?
Individual counselling – public health or
tertiary referral?
World’s best practice? –
Curate/repository
Role in obesity?
What role the College?• Education role – doctors? community? /
mass media, social media?
• Role models – practice type, individual
• Research partner role / leader role
• Referral role – ESSA
C Schiphorst et al. Br J Sports Med doi:10.1136/bjsports-
2016-096999
Copyright © BMJ Publishing Group Ltd & British Association of Sport and Exercise Medicine. All rights reserved.
What are the 7?
Overarching – public education
including mass media (1)
What are the 7?
Overarching – public education
including mass media (1)
Built environment and transit (2)
What are the 7?
Overarching – public education
including mass media (1)
Built environment and transit (2)
Settings: Schools, communities, sport
for all (3)
Health professionals/hospitals/etc (1)
What are the 7?
Overarching – public education
including mass media (1)
Built environment and transit (2)
Settings: Schools, communities, sport
for all (3)
Health professionals/hospitals/etc (1)
Exercise Vital Sign
C Schiphorst et al. Br J Sports Med doi:10.1136/bjsports-
2016-096999
Copyright © BMJ Publishing Group Ltd & British Association of Sport and Exercise Medicine. All rights reserved.
What role the College?
Education role – doctors? community? /
mass media, social media?
Role models – practice type, individual
Research partner role / leader role
Referral role – ESSA
What role the College?
Individual counselling – public health or
tertiary referral?
World’s best practice? –
Curate/repository
Role in obesity?
Are you
motivating the
elephant with
emotion?
Or appealing to
the ‘rider’ with
data?
• Heath’s point # 1 (of 3)
• ‘Motivate the elephant’
Motivation comes via emotion
Emotion comes from ‘stories’
Stories trump data
Heath’s 2nd major point2. ‘Direct the
rider’
Simple clear
message
’22 mins a day’
2. Direct the rider (simple,
clear)
3rd (final major point)
‘One click’ on
Amazon
Macdonalds Drive
through
IKEA path?
3 = ‘Shape the
path’
#1 book recommendation for
‘behaviour change/persuasion’
Summary
There is a science to changing behavior
1. Motivation through emotion
2. Direct the rider
3. Shape the path
Is obesity that complicated?
Outline
1. Exercise alone doesn’t keep weight stable
2. Role of industry in guidelines
Is obesity that complicated? Resource channels
Hard? Obesity System Map
Is obesity that complicated? Is obesity that complicated?
It looks like the genes for obesity kicked in around 1976… 1. Exercise alone doesn’t keep weight stable
2. What is ‘healthy food’?• Personal story• Evidence
3. Role of industry in guidelines
or…people got lazy around 1976… 1. Exercise alone doesn’t keep weight stable
2. What is ‘healthy food’?• Personal story• Evidence
3. Role of industry in guidelines
70,000 views
What evidence springs to mind?
Prof Steven Blair. 5 million steps/year for 7 years (13,698 per day).
SAD = Standard American Diet
Prof Tim Noakes – just one of many gems on Twitter… Tim Noakes advocates REAL
FOOD…which means LOW CARB –HIGH FAT = ‘don’t fear the fat’
YouTube
@ProfTimNoakes
Carbohydrate
Fat
Glucose/insulin
Short version
• Insulin spikes with food
• Insulin is FAT STORING
• Feel hungry as insulin drops back
• Cycle
• Calorie restriction reduces metabolic rate. (balances out)
Short version
Carbohydrate
• Insulin spikes with food
• Insulin is FAT STORING
• Feel hungry as insulin drops back
• Cycle
Fats (Protein)
• Avoid the spike
• Metabolise fat…!!!
• ‘Fat burning’
• Go longer periods without hunger
• Fats are satiating….
• #HappyNotHungry
Rules for eating – Hallberg
• 1. If it says ‘light’, ‘low fat’ or ‘fat-free’ it must stay in the grocery store
• 2. Eat real food
• 3. Don’t eat anything you don’t like
• 4. Eat when you are hungry. Don’t eat when you are not.
• 5. NO GPS – no grains, potatoes or sugar
Sugar diabetes
Is obesity that complicated? Outline…3 parts…
1. Exercise alone doesn’t keep weight stable
2. Role of industry in guidelines
$3.3 billion Coke advertising
Recommend book:9 years work…
Summary: Is obesity that complicated?
1. Exercise alone doesn’t keep weight stable
2. Carbohydrates may have been over-rated
3. Simple – avoid
4. Enjoy full fat real foods – meat, full fat yoghurt, other dairy, avocado, vegetables and salads, nuts….
5. Role of industry in guidelines
Role of ACSEP?
• Which profession is going to embrace this
• Not the dietician$
• Not the cardiologist$
• Perfect space for ACSEP IMHO
• Behaviour change, real food, real health
• No commercial conflict