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WEBCAST DATE


Thursday, August 28, 2014
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12:15 PM Eastern 11:15 AM Central
10:15 AM Mountain 9:15 AM Pacific

Date

Release date: October 6, 2014
Expiration date: October 3, 2019

WEBCAST DESCRIPTION

Asthma is one of the most common chronic illnesses in children. Recent research shows that obesity is associated with asthma severity and that weight status can help improve some of the clinical symptoms.

The Strong4Life Provider Program is presenting an enduring material on asthma and obesity. This in-depth discussion will cover a range of topics from identifying behaviors that contribute to obesity in asthmatic children and adolescents to implementing strategies. Speakers include Stephanie Walsh, M.D., Anne Fitzpatrick, PhD, CPNP, MSCR and Elizabeth LeDuc, M.D. Continuing medical education (CME) credit is available for physicians.

PRESENTERS

Stephanie Walsh, MD, Medical Director, Child Wellness Children's Healthcare of Atlanta
Stephanie Walsh, MD is an assistant professor of pediatrics and surgery at Emory University. She is a board certified pediatrics and obesity medicine. She leads the clinical efforts of the Strong4Life program and is medical director of the Health4Life clinic.

Elizabeth LeDuc, MD
Dr. Elizabeth LeDuc was born and raised in Tampa, Florida. She received her B.S. in Psychology from Centre College of Kentucky and her M.D. from Eastern Virginia Medical School. Her General Pediatrics Residency training was completed at Emory University School of Medicine.

Dr. LeDuc is a Fellow of the American Academy of Pediatrics and is Board Certified by the American Board of Pediatrics. She has been practicing Pediatrics in the Atlanta area for over 20 years.

She is married with two daughters. Dr. LeDuc completed the Vancouver marathon in 2007, running in memory of her mother. Her growing interest in nutrition and its impact on health was a catalyst for the development of the Center for Pediatric Wellness, P.C.

Elizabeth M. LeDuc, M.D.
Fellow, American Academy of Pediatrics
Diplomate, American Board of Pediatrics
Center for Pediatric Wellness, P.C.

Anne Fitzpatrick, PhD, CPNP, MSCR
Dr. Fitzpatrick is a certified Pediatric Nurse Practitioner with a broad background in clinical and translational pediatric asthma research. Dr. Fitzpatrick currently holds two R01 awards focused on severe asthma in children and she is also the Principal Investigator of the NIH/NHLBI Severe Asthma Research Program and the NIH/NHLBI AsthmaNet Clinical Trials Network at Emory University. Dr. Fitzpatrick has over 50 publications in the asthma field focused on the clinical, molecular and genetic factors underlying asthma and its associated phenotypes.

Anne M. Fitzpatrick, PhD, CPNP, MSCR
Assistant Professor of Pediatrics
Director, Asthma Clinical Research Program
anne.fitzpatrick@emory.edu

References

  1. Papoutsakis C, et al. Childhood overweight/obesity and asthma: is there a link? J AcadNutr Diet 2013.
  2. National asthma education and prevention program expert panel report 3 | guidelines for the diagnosis and management of asthma: summary report. National Heart, Lung and Blood Institute. 2007
  3. Jensen ME, Gibson PG, Collins CE, Hilton JM, Wood LG. Diet-induced weight loss in obese children with asthma: a randomized controlled trial. ClinExp Allergy 2013.
  4. Rance K, O'Laughlen M. Obesity and asthma: a dangerous link in children. An integrative review of the literature. Journal for Nurse Practitioners. 2011;7(4):287-292
  5. Wood LG., Shivappa N., BerthonBS., Gibson PG., Herbert JR. Dietary inflammatory index is related to asthma risk, lung function and systemic inflammation in asthma. ClinExp Allergy 2014.
  6. Wood LG., Garg ML., Gibson PG., A high-fat challenge increases airway inflammation and impairs bronchodilator recovery in asthma. J Allergy ClinImmunol 2011.
  7. Haghi M., Chrzanowski W., Traini D., Wood LG., Oliver B., Young P. The role of dietary fatty acids in transport of salbutamol across calu-3 epithelia 2014.
  8. Chatzi L, Apostolaki G, Bibakis I, Skypala I, Bibaki-Liakou V, Tzanakis T, et al. Protective effect of fruits, vegetables and the Mediterranean diet on asthma and allergies among children in Crete. Thorax 2007;62:677683.
  9. Garcia-Marcos L, Canflanca IM, Garrido JB, Varela AL, Garcia-Hernandez G, Grima FG et al. Relationship of asthma and rhinoconjunctivitis with obesity, exercise and Mediterranean diet in Spanish schoolchildren. Thorax 2007;62:503508.

Additional resources for further study, contact askmedlib@choa.org to contact our Clinical Information Librarian.

Approved Credit

Children's Healthcare of Atlanta is accredited by the Medical Association of Georgia to provide continuing medical education for physicians.

Children's designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

DISCLOSURE

The following speakers, planners or anyone who controls the content of the activity have disclosed that they have no financial relationships with commercial interests:

The following planners and presenters who have control of the content have disclosed an affiliation or financial interest:
Anne Fitzpatrick, PhD, CPNP, MSCR, MedImmune, Merck, GlaxoSmith Kline, Genentech, Boehringer Ingelheim - receives honorarium
Julius Sherwinter, M.D. - Alexion Pharmaceuticals, Inc. - receives honorarium

LEARNING OBJECTIVES

  1. Recognize the relationship between weight and asthma.
  2. Identify behaviors/factors that contribute to weight gain in asthmatic children and adolescents.
  3. Implement strategies to encourage healthy habits in children with asthma.

TARGET AUDIENCE:

Pediatricians, family practitioners, and other primary care physicians involved in the care of childhood obesity and asthma wellness.

DISCLAIMER:

This educational activity does not necessarily reflect the views, opinions, policies or procedures of Children's Healthcare of Atlanta, its staff or representatives. Children's cannot and does not assume any responsibility for the use, misuse or misapplication of the information provided.

CME VALUE:

In order to meet STARK regulatory requirements that allow Children's to provide a limited amount of non-monetary compensation to physicians, we must note your participation in this online CME at a value of $10 per credit. This amount will be applied to your non-monetary compensation allowance. No action is required on your part. Thank you for your interest in the CME opportunities.

PRIVACY POLICY:

This web site has security measures in place to protect loss, misuse and altercation of the information under our control. Personal information collected from participants from our online CME activities will not be shared with any third party. This web site does not use any type of system (e.g., cookies) to track a user's movements throughout the site.

Children's Healthcare of Atlanta CME program will perform periodic basic demographics analysis, such as website user surveys, to determine the greatest needs and interest for future CME activities and events.

WEBCAST REGISTRATION

All attendees must register to earn credit. If you do not register you will not have access to the evaluation and post test which are required in order to earn credit. If you plan to watch the content with a group, make sure to register in advance. After the webcast you will receive an email with the link to the evaluation and post test.

If you are interested in participating in this CME activity, please complete the pre-survey and registration form below. You are required to take the pre-survey. You will not be graded on the pre-survey. The pre-survey is a baseline assessment of the knowledge of our learners. Your pre-survey will not be tracked on an individual basis.

Instructions for Participation and Credit

This activity is designed to be completed within the time designated below; physicians should claim only those credits that reflect the time actually spent in the activity. To successfully earn credit, participants must complete the activity online during the valid credit period that is noted below. To receive AMA PRA Category 1 Credit, you must receive a minimum score of 80% on the post-test.

Follow these steps to earn CME/CE credit*

At the end of the event, registered participants will be able to take the post-event evaluation and test in order to receive a certificate. The certificate will be sent via email.

If you are unable to register online or do not receive your confirmation email after registering (don't forget to check your Junk email folder), please contact our Registration Desk at 866-872-5840 (international callers please dial 617-502-2061). You can also contact us by email Send Email


Pre-Activity Survey



1. Weight loss can improve ______ among obese asthmatic children/adolescent patients.

A) Static lung function
B) Asthma control
C) Both A & B
D) None of the above




2. Asthma symptoms can worsen in the presence of ______?

A) Inhalant allergens
B) Physical activity
C) Irritants
D) All of the above




3. It is not important to use a spacer for administering asthma medications in obese children/adolescent patients.

A) True
B) False




4. How can providers promote physical activity among asthmatic children and adolescents?

A) Counsel families on the benefits of physical activity for asthma control.
B) Recommend indoor physical activity during allergy season.
C) Encourage physical activity in school.
D) All of the above




5. Which of the following is an effective obesity prevention strategy for asthmatic children/adolescents?

A) Prescribing omega 3 fatty acids.
B) Limiting physical activity.
C) Promoting a high quality diet(vegetables, fruits, whole grains, and lean proteins).
D) All of the above.




6. There is an important relationship between weight and asthma.
7. I am confident in my ability to identify behaviors/factors that contribute to weight gain in asthmatic children and adolescents.
8. I am confident in my ability to effectively counsel children/parents to promote healthy habits in children with asthma.
9. I will identify and treat overweight and obese patients with asthma, rather than refer.
10. Have you participated in a Strong4Life Provider Training in Motivational Interviewing?
11. Have you participated in any other Strong4Life Webcast?
12. Sex: (optional)
13. Do you consider yourself to be Hispanic, Latino, or of Spanish origin?
(If YES, skip to 15) (optional)
14. Would you describe yourself as... (optional)
15. Years since medical school completed: (optional)
16. How did you hear about the webcast?
16. blank

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Copyright

Children's owns the copyright for, or has received permissions for use of, materials within this CME activity.

Estimated time to complete activity: 1 hour

For questions related to this activity please email continuinged@choa.org.