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BI(<452 9A L47 8 5:dD4c3#H&<A_"$46(sd"  Pw.Measure of Disordered Weight Control Behaviors Purging: During the past 30 days, did you vomit or take laxatives to lose weight or to keep from gaining weight? Diet Pills: During the past 30 days, did you take diet pills to lose weight or to keep from gaining weight? l $j$ $b$ QvStatistical Analyses   Multivariable regression analyses Goal: Determine if Planet Health reduced girls risk of adopting disordered weight control behavior after two years Excluded girls who were already purging, using diet pills at beginning of study (n=21)L# "$s  W +Sample Characteristics at Baseline (n=480),+&Vy=% Adopting Disordered Weight Control Behaviors at Follow-up*>>"9j!Findings From Planet Health Study""(Preventive ProportionStatistic used to estimate public health importance of preventive effect due to beneficial exposure Interpreted as proportion of new cases of health problem that could be avoided if people received beneficial factor(d$ t$CoTEst. % of New Disordered Weight Control Cases That May Be Prevented by Planet HealthUU$NCaveatsSmall sample size, small number of cases means findings are estimates Further research essential Not able to test some possible factors that may be important Depression, self-esteem`F>F$ =$ !What Have We Learned?Planet Health model may provide a new direction for eating disorders and obesity prevention May be first to protect against both disordered weight control and obesity Sizable estimated preventive impact More than half of new cases might have been prevented by interventionbZFZ\$ K$ $$E  What Have We Learned?7Findings consistent with reduced weight concerns in study by Robinson et al. Clinicians concerned that obesity prevention efforts may worsen eating disorders No evidence that Planet Health increased eating disorder symptoms But potential negative effects of other obesity prevention efforts not yet evaluated lZZZF$$$ Q$  XzPlanet Health StrengthsLong-term, intensive integration of program throughout school curriculum Focus on healthful behavior Nutrition, physical activity, reduced TV No explicit focus on eating disorders, obesity All 6th, 7th grade students participate Did not single out girls or overweight youthfZXZ)Z-ZI$ $X  $ $$ $$- l&Implications for Policy and Prevention@Proliferation of initiatives for obesity prevention and surveillance in schools Health promotion programs like Planet Health  BMI report cards and many other initiatives not yet evaluated Untested initiatives raise concerns Risk of worsening disordered eating, stigma, burdening schoolshPZmZ%Z?ZP$m  $$? &Implications for Policy and PreventionBSafety must be established via evaluation Obesity prevention efforts must test effect on disordered eating, stigma Feasibility, sustainability of interventions in schools requires minimizing burden Cost-effectiveness, time efficiency Linking prevention research may be key to ensuring safety, feasibility, sustainability*ZIZTZ$ZXZ*$I  S$$  W$&Implications for Policy and PreventionvStrategic Plan for NIH Obesity Research Essential to expand support for collaboration across both prevention fields New research initiatives needed to: Establish evaluation guidelines re: disordered eating/stigma for obesity prevention programs Identify protective aspects of Planet Health Test novel strategies for integrating obesity/eating disorders prevention research r(ZLZ%ZZ($L  "$ [{AcknowledgmentsG We would like to thank our collaborators and students and staff at participating schools. 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  } 35mm Slidesi (Times New RomanArialTms RmnArial Unicode MS Arrus BT r_symbol SAMedPresMicrosoft Graph 97 ChartMicrosoft Word DocumentMicrosoft Graph ChartaCan Eating Disorders and Overweight Prevention Initiatives Be Integrated? Notes From the Field Overview of Presentation9Prevalence of Eating Disorders and Obesity Among Females)Health Consequences of Eating DisordersHealth Consequences of Obesity+Eating Disorders Preventive Interventions *Eating Disorders Preventive Interventions*Eating Disorders Preventive Interventions$Overweight Preventive Intervention $Overweight Preventive Intervention Study QuestionPlanet Health StudyPlanet Health Study"Overview of Planet Health Results/Measure of Disordered Weight Control BehaviorsStatistical Analyses ,Sample Characteristics at Baseline (n=480)>% Adopting Disordered Weight Control Behaviors at Follow-up*"Findings From Planet Health StudyPreventive ProportionUEst. % of New Disordered Weight Control Cases That May Be Prevented by Planet HealthCaveatsWhat Have We Learned?What Have We Learned?Planet Health Strengths'Implications for Policy and Prevention'Implications for Policy and Prevention'Implications for Policy and PreventionAcknowledgments'Contact Information for Planet Health  Fonts UsedDesign TemplateEmbedded OLE Servers Slide TitlesH,Xpx_AdHocReviewCycleID_EmailSubject _AuthorEmail_AuthorEmailDisplayName_PreviousAdHocReviewCycleID_ReviewingToolsShownOncea.Powerpoint slides of talk$Bryn.Austin@childrens.harvard.eduAustin, Bryn!"_ 0Marc LerroMarc Lerro  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./012346789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[]^_`abcefghijkpRoot EntrydO)PicturesSCurrent UserdSummaryInformation(5MPowerPoint Document(&DocumentSummaryInformation8\