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   Resources for waist circumference
and obesity

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Resources for adding waist circumference measurement to your practice for prevention of obesity and metabolic syndrome.

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Resources & Patient Education                

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Featured Waist Circumference Resources

Watch a video demonstration of how to correctly measure waist circumference.

Documenting Waist Circumference Measures in Epic Ambulatory EMR

Evidence supports the need to measure visceral fat as a risk indicator for metabolic syndrome.  But where do you document this measurement in the Epic Ambulatory EMR? Click the image to the right to find out!

CME Resources

Free registration and subsequent login to the website is required for access.


MUSC Online Grand Rounds:

Pediatric Obesity Sessions   Available for credit


April/May 2012 Issue

Responding to the Pediatric Obesity Epidemic: Should We Treat Children Like Adults?

Available for credit until April 2014

Free registration and subsequent login to the Medscape website is required for access.


Intro to Motivational Interviewing for Tobacco Cessation and Chronic Diseases   Available for credit through Nov 30, 2013.       

Free registration and subsequent login to the Medscape website is required for access.

The New Treatment Paradigm in Obesity: Proper Patient Selection, Assessment of Comorbidities, and Stepped Interventions  Available for credit through 12/03/2013
 Can Obesity Worsen Breast Cancer Outcomes? Available for credit through 09/04/2013

Translating Science Into Strategy: Contemporary Clinical Approaches in the Management of Obesity Available for credit through 12/6/2013

 Obesity and Weight Management Learning Center 
Medscape's online, evidence-based free CME activities on current research and management of obesity and obesity-related disease
 Advances in Obesity Management 
A series of evidence-based CME activities

Free registration and subsequent login to the website is required for access.

Advances In The Understanding And Treatment Of Obesity Interactive Activity
Available for credit through December 6, 2013

Free registration and subsequent login to the website is required for access.

Plant-based Diets for Weight Management  Available for credit through January 30, 2015

Free registration and subsequent login to the website is required for access.

Obesity CME/CE 

myCME offers highly credible, rigorous, certified CME/CE programs through ACCME-accredited providers, at no charge, for health professionals on current research and management of obesity and obesity-related disease

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Featured MUSC Resources

April/May 2012 Issue: Responding to the Pediatric Obesity Epidemic: Should We Treat Children Like Adults?

April 2011 Issue: Bariatric Surgery Program Most Comprehensive in South Carolina

Educational resources, weight loss tools, and information about MUSC's weight management services. Plus, information about current obesity-related clinical trials.


Bariatric Surgery Center of Excellence at MUSC

Free Monthly Seminars at MUSC

This one-hour seminar is held at MUSC on the first Tuesday of each month, and provides attendees with the chance to meet our bariatric surgeons and support team, learn about the procedures we perform, ask questions about risks and benefits of surgery and begin the process of qualifying for surgery.

MUSC Nutrition Services

MUSC Nutrition Services has about 30 Registered Dietitians that could help your patients reach their health goals. Access their website for educational resources.

South Carolina  Guidelines for Diabetes Care - 2011, approved by the Diabetes Initiative of South Carolina on September 2, 2011, include waist circumference measurement to screen for risk of diabetes.

MUSC has partnered with local hospitals, schools and colleges, businesses, health agencies, physicians, and community leaders, to create the Lighten UP Charleston website, providing Icommunity resources to assist local residents with the needed support to run a self-sustained weight loss program.

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American Medical Association recognizes obesity as a disease, June 2013 
The AMA’s classification is expected to influence changes in treatment, coverage, research and health policy. Click here for more.

Screening for and Management of Obesity in Adults

Release Date: June 2012 

The USPSTF recommends screening all adults for obesity. Clinicians should offer or refer patients with a body mass index (BMI) of 30 kg/m2 or higher to intensive, multicomponent behavioral interventions. Grade: B Recommendation.  

Click here to access the clinical summary


The Journal of the American Medical Association’s Sept. 19, 2012 issue was devoted to a single theme -- obesity. Click the photo to the left to access the online issue.

A free article from this issue is available below:

Rodgers GP, Collins FS. The Next Generation of Obesity Research: No Time to Waste. JAMA. 2012;308(11):1095-1096. doi:10.1001/2012.jama.11853.

JAMA also provides a special topic listing on obesity, which includes articles, author interviews, and CME activities from current and past issues. Click here to access.

Obesity Paradox

From Medscape Internal Medicine 

February 2013

Body Mass Index Compared with Abdominal Obesity Indicators in Relation to Prehypertension and Hypertension in Adults: The CHPSNE Study. Am J Hypertens. 2013 Jan;26(1):58-67. doi: 10.1093/ajh/hps001. Epub 2012 Dec 13.

New Formula to Assess Obesity and Risk for Premature Death July 2012

Improved 1-Year Weight Loss Seen With Self-Monitoring Strategies  August 2012

Waist circumference, abdominal obesity, and depression among overweight and obese U.S. adults: National Health and Nutrition Examination Survey 2005-2006.

BMC Psychiatry. 2011 Aug 11;11:130. PMID: 21834955

Prescribing Qsymia for Weight Loss Oct 2012

Physical Activity: Practice and Preach
Oct 29, 2012

Obesity Risk Increases, T2D Risk Decreases With Gene Variant Sept 2012

Lorcaserin: The Second Weight- Loss Contender
Medscape Internal Medicine, Sept 2012

PTEN Mutations as a Cause of Constitutive Insulin Sensitivity and Obesity N Engl J Med.2012;367(11):1002-1011. Abstract

Waist Circumference, Mortality Risk, and BMI in the Elderly
International Journal of Epidemiology, Aug 2012

Comparing Apples and Pears: Women's Perceptions of Their Body Size and Shape. 

J Womens Health (Larchmt). 2012 Aug 8. [Epub ahead of print] PMID: 22873752 [PubMed - as supplied by publisher]

State Obesity Rankings: No Winners, WebMD Health News, Aug 2012

Dietary, Lifestyle, and Health Correlates of Obesity, American Journal of Lifestyle Medicine, Aug 2012

Most Severely Obese Kids Have CV Risk Factors, Heartwire, Aug 2012

Implementation of a low-budget, lifestyle-improvement method in an ordinary primary healthcare setting: a stepwise intervention study. 

BMJ Open. 2012 Aug 8;2(4). pii: e001154. doi: 10.1136/bmjopen-2012-001154. Print 2012. PMID: 22874629 [PubMed - as supplied by publisher]

Sex Hormones and Body Weight
The North American Menopause Society (NAMS), Sept 2012

Sexual, Urological Disorders Linked to Waist Size, Medscape Medical News, Aug 2012

An economic analysis of traditional and technology-based approaches to weight loss.

Am J Prev Med. 2012 Aug;43(2):176-82. PMID:  22813682  [PubMed - in process]

Liraglutide Results in Decreased BMI and Waist Circumference, Medscape Medical News, July 2012

Obesity Fight Is Major Investment Trend: BofA
Reuters Health Information, July 2012

A New Body Shape Index Predicts Mortality Hazard Independently of Body Mass Index.

PLoS One. 2012;7(7):e39504. Epub 2012 Jul 18. PMID: 22815707 [PubMed - in process]

Qsymia Offers 'Really Effective' Weight Loss
Medscape Diabetes & Endocrinology, July 2012

Etonogestrel Implants in Overweight Women
Reuters Health Information, July 2012

FDA Approves Phentermine-Topiramate Combo for Weight Loss, FDA Approvals, July 2012

NYC Ban Effective in Reducing Use of Trans Fatty Acids, Heartwire, July 2012

Diabetes Remission After Gastric Bypass: BMI Not Predictive
Medscape Medical News, July 2012

Waist circumference is better associated with high density lipoprotein (HDL-c) than with body mass index (BMI) in adults with metabolic syndrome.

Nutr Hosp. 2011 Dec;26(6):1328-32. PMID: 22411379

Waist circumference measurement: knowledge, attitudes and barriers in patients and practitioners in a multi-ethnic population.

Fam Pract. 2009 Oct;26(5):365-71. Epub 2009 Jul 9.

Type 2 Diabetes Risk Linked to Abdominal Obesity.

The InterAct Consortium (2012) Long-Term Risk of Incident Type 2 Diabetes and Measures of Overall and Regional Obesity: The EPIC-InterAct Case-Cohort Study. PLoS Med 9(6): e1001230. doi:10.1371/journal.pmed.1001230

Obesity management and continuing medical education in primary care: results of a Swiss survey

BMC Fam Pract. 2011; 12: 140. Published online 2011 December 22.  doi:  10.1186/1471-2296-12-140; PMCID: PMC3268101

Central Obesity Tied to Neurologic Impairment in HIV, Medscape Medical News, March 2012

Relationships between gray matter, body mass index, and waist circumference in healthy adults

Hum Brain Mapp. 2012 Mar 15. doi: 10.1002/hbm.22021. [Epub ahead of print]

'Safe' Obesity Drugs Need to Prove Absence of CV RiskHeartwire, March 30, 2012

Body mass index versus waist circumference as predictors of mortality in Canadian adults.

Int J Obes (Lond). 2012 Jan 17. doi: 10.1038/ijo.2011.268. [Epub ahead of print] PMID: 22249224

Association of Waist Circumference and Body Mass Index With All-cause Mortality in CKD,  Am J Kidney Dis, September 2011

Body mass index, waist circumference and waist:hip ratio as predictors of cardiovascular risk--a review of the literature.

European Journal of Clinical Nutrition 64, 16-22 (January 2010) | doi:10.1038/ejcn.2009.68 

ACC: Bariatric Surgery Beats Standard Therapy in Obese Diabetics, Heartwire, March 26, 2012

Physical activity, abdominal obesity and the risk of coronary heart disease: A Korean national sample study.

Public Health. 2012 Mar 23. [Epub ahead of print] PMID: 22445715

AHA Weighs in on Waist Circumference and BMI in Adiposity, Heartwire, September 2011

Dynapenic Abdominal Obesity and Metabolic Risk Factors in Adults 50 Years of Age and Older.

J Aging Health. 2012 Mar 26. [Epub ahead of print] PMID:2245152

The Association of Education with Body Mass Index and Waist Circumference in the EPIC-PANACEA Study   

Posted: 05/30/2011; BMC Public Health. 2011;11 © 2011 BioMed Central, Ltd.

Central obesity as measured by waist circumference is predictive of severity of lower urinary tract symptoms.

BJU Int. 2012 Jan 13. doi: 10.1111/j.1464-410X.2011.10819.x. [Epub ahead of print] PMID: 22243806

Body Mass Index and the Risk of Obesity in Celiac Disease, Alimentary Pharmacology & Therapeutics, March 27, 2012


Released: Feb 23, 2012

Click image above to access report

Released: April 3, 2012

Click image above to access report

Released: May 8, 2012

Click image above to access report.

Released: May 11, 2012

Click image above to access report

 IOM Obesity Infographic Poster

The Institute of Medicine's recent infographic, Obesity: Complex But Conquerable, visually depicts both the magnitude of the obesity problem in the United States and the compounding effect on our health and economy. The infographic is now available as a 14" by 40" poster in English and Spanish.  Released: August 28, 2012   

Natural “exercise” hormone transforms fat cells June 23, 2012


Reducing Pressure on Children to Eat May Help Prevent Obesity 
Journal of Developmental & Behavioral Pediatrics
Official Journal of the
Society for Developmental and Behavioral Pediatrics
(Sept 4, 2012) An educational program for parents helps to reduce pressure on children to eat—which may reduce the child's risk of obesity, reports a study in the September Journal of Developmental & Behavioral Pediatrics, the official journal of the Society for Developmental and Behavioral Pediatrics. The journal is published by
Lippincott Williams & Wilkins, a part of Wolters Kluwer Health. Read Full Article...

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AACE Video Conference Reporter

2013: A Turning Point for Obesity?

"Obesity Drug Outcome Measures" Report & Webinar


Case-Based Video Vignette: The Obesity Epidemic and T2DM  

Free registration required to access the website.

Achieving Sustained Weight Reduction: Using Tried-and-True Methods of Individualized Diet, Exercise, and Behavioral Therapy


Bringing together the nation’s leading research institutions, THE WEIGHT OF THE NATION is a four-part documentary presentation of HBO and the Institute of Medicine (IOM), in association with the Centers for Disease Control and Prevention (CDC) and the National Institutes of Health (NIH), and in partnership with the Michael & Susan Dell Foundation and Kaiser Permanente.

 23 and 1/2 hours: What is the single best thing we can do for our health?

Where Your Fat is Stored Matters (HBO: The Weight of the Nation)

Weight Loss Surgery:  Overview of Procedures, Risks, and Benefits

MUSC Bariatric Surgery Center of Excellence

Bariatric Surgery in Context: An Obesity Consult

Co-Management of Obesity & T2DM


Obesity and Diabetes 2011: The Twin Epidemics

In this PBS document-ary series, the voices of real Americans tell the story of the biological barriers, cultural habits, and economic realities that contribute to our nation's expanding waistline.

Watch a video demonstration of how to correctly measure waist circumference.

March is National Nutrition Month.  See one of MUSC's Sodexo Dietitans, Nina Crowley, talking on Lowcountry Live about why you need to get a Dietitian in your life!

Free registration and subsequent login to the website is required for access.

Optimal Management of the Obesity Related Co-morbidities Pre and Post Bariatric Surgery


Advances in the Understanding and Treatment of Obesity

Free registration and subsequent login to the website is required for access.

Overweight/Obesity and Cardiovascular Disease in Type 2 Diabetes and the Impact of New Diabetes Therapies  

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 Resources & Education

Waist Circumference Educational Resources

The NHLBI "Aim for a Healthy Weight" Provider Toolkit is free and designed to offer health care providers tools to help them identify, assess, and manage their overweight and obese patients and reduce their risk of cardiovascular disease. Includes retractable tape measure. Order your free toolkit!

How to Measure Waist Circumference (pdf) Graphic demonstration and instructions for healthcare professionals.

How To Self-Measure Waist Circumference (pdf) Graphic demonstration and instructions for patient self-measurement.

Apple vs. Pear (pdf)  Nice graphic comparison of what central obesity does and does not look like. Great visual aid for patient education!

Obesity and Weight Management CME Learning Center

Medscape's online, evidence-based free CME activities on current research and management of obesity and obesity-related disease, including new research on waist circumference as a predictor for metabolic syndrome. Free registration and subsequent login to the Medscape website is required for access.
The philosophy of 'Cut the Waist' is to prevent obesity-related ill health through education resources.

Educational website on the relationships between abdominal obesity, type 2 diabetes and cardiovascular disease. Download free iPad app for health professionals.

Helpful Forms & Tools

Waist Circumference Chart Form (pdf)   

Log and track your individual patient's measurements on this handy chart form.
Food Diary Form (pdf)Easy form for patients to log and track their daily food intake.
Weight Graph (pdf)Graph your patient's weight for an "at-a-glance" trend analysis and effective, visual patient education tool.
Chart Reminders (doc) and Triage Room Reminder (pdf)Print these handy reminders! The Chart Reminders come 30 to a page and print using Avery 5266 labels; once printed they can be stuck onto your paper charts. The Triage Reminder can be printed and posted in your nursing triage or intake room. (Contact your EMR vendor to add electronic reminders to your software system).
Patient Education Flyer (pdf)A good patient handout about waist circumference measurement, compiled by the MUSC Measure Your Health initiative.
Obesity Resources & Education

Obesity Education Network

The Obesity Education Network is a new resource for healthcare providers for medical education and information about the science of obesity.

IOM Obesity Infographic Poster Now Available

The IOM's recent infographic, Obesity: Complex But Conquerable, visually depicts both the magnitude of the obesity problem in the United States and the compounding effect on our health and economy. The infographic is now available as a 14" by 40" poster that can be purchased in English and Spanish. Released August 28, 2012

Buy the Poster >>

Americans In Motion—HealthyInterventions (AIM-HI)

AIM-HI is redefining how family physicians communicate with and care for patients. With proven strategies from the 3-year AIM-HI research study, family physicians are creating healthy offices and communities.

On this site you will find all the tools you need to integrate the AIM-HI approach into your practice and community.
Best Weight: A Practical Guide to Office-Based Obesity Management by Dr. Yoni Freedhoff and Dr. Arya M. Sharma – published by the Canadian Obesity Network – Réseau canadien en obésité (CON-RCO) – is now available as a free PDF download for CON-RCO members. Membership is free and available to US residents.

The Obesity Society is the main scientific and clinical professional association devoted to the study and treatment of obesity.

The Institute of Medicine and HBO Documentary Films provides various resources and educational videos on addressing the obesity epidemic.

Approved diabetes educational resources and community outreach programs for management of diabetes in South Carolina, including weight management tips.

The SC Eat Smart Move More Coalition coordinates obesity prevention efforts across the state and leads the implementation of South Carolina’s Obesity Prevention Plan.

Click here for a brochure. 

Click here for SC Facts on Obesity

National Heart, Lung, and Blood Institute is a National Institutes of Health website addressing obesity and metabolic risk.
American Institute for Cancer Research experts estimate that overall, about 1/3 of cancers in the 1.4 million cancers that occur every year in the US could be prevented through diet and exercise. Access educational resources at this AICR website.
United States Department of Agriculture website featuring information addressing weight and obesity, including healthy recipes and non-diet approaches to healthy living. Download patient education materials or order free, colorful materials to be sent to you (free shipping) from this helpful site.
        South Carolina Department of Health and Environmental Control's Obesity Prevention and Control site offers statistical data and the State's strategic plan to address overweight and obesity.
Other Resources

Weighing In on the Obesity Epidemic

Free registration and subsequent login to the website is required for access

Communication tips from the National Institutes of Health.
DASH For Good Health Southern Style Cookbook

The Dietary Guidelines for Americans recommend the DASH eating plan as a model for healthy eating for everyone! Try DASH with a Southern flair using this healthy cookbook, compiled and edited by the MUSC Stroke Belt Elimination Initiative. Download the PDF for free or purchase the print edition.

Nutrition and Weight Status (pdf)

Healthy People 2020 provides a framework for prevention for the Nation. It is a statement of national health objectives designed to identify the most significant preventable threats to health and to establish national goals to reduce these threats. 
MUSC alumnus and Charleston native, Dr. Ann Kulze is a best-selling author, and renowned authority in the areas of nutrition, healthy lifestyles and disease prevention.  Visit her interactive website for educational videos and wellness resources.
Dr. Cheese and Mr. Potato cartoon clipsWatch Dr. Cheese and the Potato family’s funny videos and learn simple notions about abdominal obesity and related health.

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