Poster Presentation ESA-SRB 2023 in conjunction with ENSA
Physician directed low cost self help program to help patients and families manage obesity and related health programs and creating a Cardio-Metabolic Institute (#282)
There is an exponential increase in obesity, cardiometabolic morbidity and mortality globally1.
Children and those living in lower-income regions are more likely to develop obesity, often due
to their lack of exposure to obesity-related education and resources2,3. Despite both preventive
care and secondary care effectively decreasing obesity rates, research favors accessible
preventive care because it can stop obesity from occurring, decreasing the demand for secondary
care4,5. Sackidwellness is our approach to create a multilingual, preventive resource for a
motivated family to take care of their children and themselves.
To combat the paucity of resources on obesity, our group has created a self-guided, modular
approach for children and their families. Our goal is to limit the patient’s number of visits to a
specialist and coordinate their care with primary care providers. The program consists of
multilingual activities, videos, logs and booklets, and is tuned down to a weekly plan over a five
month period. At the end of each week, family members meet to review their progress and plan
the following weeks.
This design is helping us implement a uniform approach in educating our families with obesity,
prediabetes, PCOS, metabolic syndrome, and hyperlipidemia. With a methodical regional/systemwide implementation.
This can be a partnership between primary and specialty care practices, with in-person and remote follow-up plans.
Further authentication is warranted by way of a prospective study comparing traditional diabetes prevention programs with low-cost
programs like sackidwellness. We exclusively used publicly available resources,
such as Wix. The capital expenditures were for the personnel time and domain registration only.
Our future goal is to partner with community parks, schools and fitness centers to make the
program ubiquitous.
Population Health Management is the future of Cardio-Metabolic Care. We are envisioning a
Cardio-Metabolic Institute and the first step is creating this multilingual, self-directed Healthy
Lifestyle program.
- Jebeile, H., Kelly, A. S., O’Malley, G., & Baur, L. A. (2022). Obesity in children and adolescents: epidemiology, causes, assessment, and management. The Lancet Diabetes & Endocrinology, 10(5). https://doi.org/10.1016/s2213-8587(22)00047-x
- Nammi, S., Koka, S., Chinnala, K. M., & Boini, K. M. (2004). Obesity: an overview on its current perspectives and treatment options. Nutrition journal, 3, 3. https://doi.org/10.1186/1475-2891-3-3
- National Academies of Sciences, E., Education, D. of B. and S. S. and, Statistics, C. on N., Population, C. on, Disparities, C. on R. M. M. R. and S., Becker, T., Majmundar, M. K., & Harris, K. M. (2021). Cardiometabolic Diseases. In www.ncbi.nlm.nih.gov. National Academies Press (US). https://www.ncbi.nlm.nih.gov/books/NBK571925/
- Hoelscher, D. M., Butte, N. F., Barlow, S., Vandewater, E. A., Sharma, S. V., Huang, T., Finkelstein, E., Pont, S., Sacher, P., Byrd-Williams, C., Oluyomi, A. O., Durand, C., Li, L., & Kelder, S. H. (2015). Incorporating Primary and Secondary Prevention Approaches To Address Childhood Obesity Prevention and Treatment in a Low-Income, Ethnically Diverse Population: Study Design and Demographic Data from the Texas Childhood Obesity Research Demonstration (TX CORD) Study. Childhood Obesity, 11(1), 71–91. https://doi.org/10.1089/chi.2014.0084
- Pandita, A., Sharma, D., Pandita, D., Pawar, S., Tariq, M., & Kaul, A. (2016). Childhood obesity: prevention is better than cure. Diabetes, metabolic syndrome and obesity : targets and therapy, 9, 83–89. https://doi.org/10.2147/DMSO.S90783