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Baillot A, Asselin M, Bernard P, Lapointe J, Bond DS, Romain AJ, Garneau PY, Biertho L, Tchernof A, Blackburn P, Langlois MF, Brunet J. Acceptability and Feasibility of the Telehealth Bariatric Behavioral Intervention to Increase Physical Activity Before Bariatric Surgery: A Single-Case Experimental Study (Part I). Obes Surg 2024; 34:1639-1652. [PMID: 38483742 DOI: 10.1007/s11695-024-07161-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2023] [Revised: 03/04/2024] [Accepted: 03/06/2024] [Indexed: 04/20/2024]
Abstract
BACKGROUND Physical activity (PA) can play an important role in optimizing metabolic/bariatric surgery (MBS) outcomes. However, many MBS patients have difficulty increasing PA, necessitating the development of theory-driven counseling interventions. This study aimed to (1) assess the feasibility and acceptability of the TELEhealth BARIatric behavioral intervention (TELE-BariACTIV) trial protocol/methods and intervention, which was designed to increase moderate-to-vigorous intensity physical activity (MVPA) in adults awaiting MBS and (2) estimate the effect of the intervention on MVPA. METHODS This trial used a repeated single-case experimental design. Twelve insufficiently active adults awaiting MBS received 6 weekly 45-min PA videoconferencing counseling sessions. Feasibility and acceptability data (i.e., refusal, recruitment, retention, attendance, and attrition rates) were tracked and collected via online surveys, and interviews. MVPA was assessed via accelerometry pre-, during, and post-intervention. RESULTS Among the 24 patients referred to the research team; five declined to participate (refusal rate = 20.8%) and seven were ineligible or unreachable. The recruitment rate was 1.2 participants per month between 2021-09 and 2022-07. One participant withdrew during the baseline phase, and one after the intervention (retention rate = 83.3%). No participant dropouts occurred during the intervention and 98.6% of sessions were completed. Participants' anticipated and retrospective acceptability of the intervention was 3.2/4 (IQR, 0.5) and 3.0/4 (IQR, 0.2), respectively. There was a statistically significant increase in MVPA [Tau-U = 0.32(0.11; 0.51)] from pre- to post-intervention. CONCLUSION Despite a low recruitment rate, which could be explained by circumstances (COVID-19 pandemic), results support feasibility, acceptability, and preliminary efficacy of the TELE-Bari-ACTIV intervention for increasing MVPA in patients awaiting MBS.
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Affiliation(s)
- Aurélie Baillot
- École Interdisciplinaire de Santé, Université du Québec en Outaouais, 283 Boul. Alexandre-Taché, Gatineau, Québec, J8X 3X7, Canada.
- Institut du Savoir Montfort, Ottawa, ON, Canada.
- Centre de Recherche en Médecine Psychosociale, Centre Intégré de Santé et Services, Sociaux de L'Outaouais, Gatineau, Québec, Canada.
| | | | - Paquito Bernard
- Department of Physical Activity Sciences, Université du Québec À Montréal, Montréal, Québec, Canada
- Centre de Recherche, Institut Universitaire en Santé Mentale de Montréal, Montréal, Québec, Canada
| | - Josyanne Lapointe
- Department of Physical Activity Sciences, Université du Québec À Montréal, Montréal, Québec, Canada
- Centre de Recherche, Institut Universitaire en Santé Mentale de Montréal, Montréal, Québec, Canada
| | - Dale S Bond
- Department of Surgery, Hartford Hospital/HealthCare, Hartford, CT, USA
| | - Ahmed Jérôme Romain
- Centre de Recherche, Institut Universitaire en Santé Mentale de Montréal, Montréal, Québec, Canada
- School of Kinesiology and Physical Activity Sciences, Faculty of Medicine, Université de Montréal, Montréal, Québec, Canada
| | - Pierre Y Garneau
- Department of Surgery, Université de Montréal, Montréal, Québec, Canada
| | - Laurent Biertho
- Institut Universitaire de Cardiologie et de Pneumologie de Québec et Faculté de Médecine, Université Laval, Québec, Québec, Canada
| | - André Tchernof
- Institut Universitaire de Cardiologie et de Pneumologie de Québec et École de Nutrition, Université Laval, Québec, Québec, Canada
| | - Patricia Blackburn
- Division of Kinesiology, Department of Health Sciences, Université du Québec À Chicoutimi, Chicoutimi, Québec, Canada
| | - Marie-France Langlois
- CHUS Research Center and Division of Endocrinology, Department of Medicine, Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, Québec, Canada
| | - Jennifer Brunet
- Institut du Savoir Montfort, Ottawa, ON, Canada
- Faculty of Health Sciences, School of Human Kinetics, University of Ottawa, Ottawa, ON, Canada
- Cancer Therapeutic Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada
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2
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Rakotoarivelo V, Allam-Ndoul B, Martin C, Biertho L, Di Marzo V, Flamand N, Veilleux A. Investigating the alterations of endocannabinoidome signaling in the human small intestine in the context of obesity and type 2 diabetes. Heliyon 2024; 10:e26968. [PMID: 38515705 PMCID: PMC10955212 DOI: 10.1016/j.heliyon.2024.e26968] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2023] [Revised: 02/19/2024] [Accepted: 02/22/2024] [Indexed: 03/23/2024] Open
Abstract
Background Human studies have linked obesity-related diseases, such as type-2 diabetes (T2D), to the modulation of endocannabinoid signaling. Cannabinoid CB1 and CB2 receptor activation by the endocannabinoids (eCBs) 2-arachidonoylglycerol (2-AG) and N-arachidonoylethanolamine (AEA), both derived from arachidonic acid, play a role in homeostatic regulation. Other long chain fatty acid-derived endocannabinoid-like molecules have extended the metabolic role of this signaling system through other receptors. In this study, we aimed to assess in depth the interactions between the circulating and intestinal tone of this extended eCB system, or endocannabinoidome (eCBome), and their involvement in the pathogenesis of diabetes. Methods Plasma and ileum samples were collected from subjects with obesity and harboring diverse degrees of insulin resistance or T2D, who underwent bariatric surgery. The levels of eCBome mediators and their congeners were then assessed by liquid chromatography coupled to tandem mass spectrometry, while gene expression was screened with qPCR arrays. Findings Intestinal and circulating levels of eCBome mediators were higher in subjects with T2D. We found an inverse correlation between the intestinal and circulating levels of monoacylglycerols (MAGs). Additionally, we identified genes known to be implicated in both lipid metabolism and intestinal function that are altered by the context of obesity and glucose homeostasis. Interpretation Although the impact of glucose metabolism on the eCBome remains poorly understood in subjects with advanced obesity state, our results suggest a strong causative link between altered glucose homeostasis and eCBome signaling in the intestine and the circulation.
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Affiliation(s)
- Volatiana Rakotoarivelo
- Centre de recherche de l’Institut universitaire de cardiologie et de pneumologie de Québec, Département de médecine, Université Laval, Québec City, QC, Canada
- Canada Excellence Research Chair on the Microbiome-Endocannabinoidome Axis in Metabolic Health (CERC-MEND), Université Laval, Québec, QC, Canada
| | - Bénédicte Allam-Ndoul
- Centre de recherche de l’Institut universitaire de cardiologie et de pneumologie de Québec, Département de médecine, Université Laval, Québec City, QC, Canada
- Centre Nutrition, Santé et Société (NUTRISS), INAF, Québec, QC, Canada
| | - Cyril Martin
- Centre de recherche de l’Institut universitaire de cardiologie et de pneumologie de Québec, Département de médecine, Université Laval, Québec City, QC, Canada
- Canada Excellence Research Chair on the Microbiome-Endocannabinoidome Axis in Metabolic Health (CERC-MEND), Université Laval, Québec, QC, Canada
| | - Laurent Biertho
- Centre de recherche de l’Institut universitaire de cardiologie et de pneumologie de Québec, Département de médecine, Université Laval, Québec City, QC, Canada
| | - Vincenzo Di Marzo
- Centre de recherche de l’Institut universitaire de cardiologie et de pneumologie de Québec, Département de médecine, Université Laval, Québec City, QC, Canada
- Canada Excellence Research Chair on the Microbiome-Endocannabinoidome Axis in Metabolic Health (CERC-MEND), Université Laval, Québec, QC, Canada
- Centre Nutrition, Santé et Société (NUTRISS), INAF, Québec, QC, Canada
- Joint International Unit between the CNR of Italy and Université Laval on Chemical and Biomolecular Research on the Microbiome and its Impact on Metabolic Health and Nutrition (UMI-MicroMeNu), Canada
| | - Nicolas Flamand
- Centre de recherche de l’Institut universitaire de cardiologie et de pneumologie de Québec, Département de médecine, Université Laval, Québec City, QC, Canada
- Canada Excellence Research Chair on the Microbiome-Endocannabinoidome Axis in Metabolic Health (CERC-MEND), Université Laval, Québec, QC, Canada
| | - Alain Veilleux
- Canada Excellence Research Chair on the Microbiome-Endocannabinoidome Axis in Metabolic Health (CERC-MEND), Université Laval, Québec, QC, Canada
- Centre Nutrition, Santé et Société (NUTRISS), INAF, Québec, QC, Canada
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3
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Gunes A, Schmitt C, Bilodeau L, Huet C, Belblidia A, Baldwin C, Giard JM, Biertho L, Lafortune A, Couture CY, Cheung A, Nguyen BN, Galun E, Bémeur C, Bilodeau M, Laplante M, Tang A, Faraj M, Estall JL. IL-6 Trans-Signaling Is Increased in Diabetes, Impacted by Glucolipotoxicity, and Associated With Liver Stiffness and Fibrosis in Fatty Liver Disease. Diabetes 2023; 72:1820-1834. [PMID: 37757741 PMCID: PMC10658070 DOI: 10.2337/db23-0171] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/28/2023] [Accepted: 08/31/2023] [Indexed: 09/29/2023]
Abstract
Many people living with diabetes also have nonalcoholic fatty liver disease (NAFLD). Interleukin-6 (IL-6) is involved in both diseases, interacting with both membrane-bound (classical) and circulating (trans-signaling) soluble receptors. We investigated whether secretion of IL-6 trans-signaling coreceptors are altered in NAFLD by diabetes and whether this might associate with the severity of fatty liver disease. Secretion patterns were investigated with use of human hepatocyte, stellate, and monocyte cell lines. Associations with liver pathology were investigated in two patient cohorts: 1) biopsy-confirmed steatohepatitis and 2) class 3 obesity. We found that exposure of stellate cells to high glucose and palmitate increased IL-6 and soluble gp130 (sgp130) secretion. In line with this, plasma sgp130 in both patient cohorts positively correlated with HbA1c, and subjects with diabetes had higher circulating levels of IL-6 and trans-signaling coreceptors. Plasma sgp130 strongly correlated with liver stiffness and was significantly increased in subjects with F4 fibrosis stage. Monocyte activation was associated with reduced sIL-6R secretion. These data suggest that hyperglycemia and hyperlipidemia can directly impact IL-6 trans-signaling and that this may be linked to enhanced severity of NAFLD in patients with concomitant diabetes. ARTICLE HIGHLIGHTS IL-6 and its circulating coreceptor sgp130 are increased in people with fatty liver disease and steatohepatitis. High glucose and lipids stimulated IL-6 and sgp130 secretion from hepatic stellate cells. sgp130 levels correlated with HbA1c, and diabetes concurrent with steatohepatitis further increased circulating levels of all IL-6 trans-signaling mediators. Circulating sgp130 positively correlated with liver stiffness and hepatic fibrosis. Metabolic stress to liver associated with fatty liver disease might shift the balance of IL-6 classical versus trans-signaling, promoting liver fibrosis that is accelerated by diabetes.
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Affiliation(s)
- Aysim Gunes
- Institut de recherches cliniques de Montréal (IRCM), Montreal, Quebec, Canada
- Division of Experimental Medicine, McGill University, Montreal, Quebec, Canada
- Montreal Diabetes Research Centre, Montreal, Quebec, Canada
| | - Clémence Schmitt
- Institut de recherches cliniques de Montréal (IRCM), Montreal, Quebec, Canada
- Programmes de biologie moléculaire, Faculté de médecine, Université de Montréal, Montreal, Quebec, Canada
| | - Laurent Bilodeau
- Département de radiologie, Centre hospitalier de l’Université de Montréal (CHUM), Montreal, Quebec, Canada
| | - Catherine Huet
- Département de radiologie, Centre hospitalier de l’Université de Montréal (CHUM), Montreal, Quebec, Canada
| | - Assia Belblidia
- Département de radiologie, Centre hospitalier de l’Université de Montréal (CHUM), Montreal, Quebec, Canada
| | - Cindy Baldwin
- Institut de recherches cliniques de Montréal (IRCM), Montreal, Quebec, Canada
| | - Jeanne-Marie Giard
- Liver Unit, Centre hospitalier de l’Université de Montréal (CHUM), Département de médecine, Université de Montréal, Montreal, Quebec, Canada
| | - Laurent Biertho
- Centre de recherche de l’Institut universitaire de cardiologie et de pneumologie de Québec, Université Laval, Quebec City, Quebec, Canada
- Département de chirurgie, Faculté de médecine, Université Laval, Quebec City, Quebec, Canada
| | - Annie Lafortune
- Centre de recherche de l’Institut universitaire de cardiologie et de pneumologie de Québec, Université Laval, Quebec City, Quebec, Canada
- Département de chirurgie, Faculté de médecine, Université Laval, Quebec City, Quebec, Canada
| | - Christian Yves Couture
- Centre de recherche de l’Institut universitaire de cardiologie et de pneumologie de Québec, Université Laval, Quebec City, Quebec, Canada
- Département de biologie moléculaire, biochimie médicale et pathologie, Université Laval, Quebec City, Quebec, Canada
| | - Angela Cheung
- Gastroenterology and Hepatology, Department of Medicine, The Ottawa Hospital, Ottawa, Ontario, Canada
| | - Bich N. Nguyen
- Département de pathologie et biologie cellulaire, Université de Montréal, Montreal, Quebec, Canada
| | - Eithan Galun
- Goldyne Savad Institute of Gene Therapy, Hadassah Hebrew University Hospital, Jerusalem, Israel
| | - Chantal Bémeur
- Département de nutrition, Université de Montréal, Montreal, Quebec, Canada
- Labo HépatoNeuro, Centre de recherche du CHUM, Montreal, Quebec, Canada
| | - Marc Bilodeau
- Liver Unit, Centre hospitalier de l’Université de Montréal (CHUM), Département de médecine, Université de Montréal, Montreal, Quebec, Canada
| | - Mathieu Laplante
- Montreal Diabetes Research Centre, Montreal, Quebec, Canada
- Centre de recherche de l’Institut universitaire de cardiologie et de pneumologie de Québec, Université Laval, Quebec City, Quebec, Canada
| | - An Tang
- Département de radiologie, Centre hospitalier de l’Université de Montréal (CHUM), Montreal, Quebec, Canada
| | - May Faraj
- Institut de recherches cliniques de Montréal (IRCM), Montreal, Quebec, Canada
- Division of Experimental Medicine, McGill University, Montreal, Quebec, Canada
- Montreal Diabetes Research Centre, Montreal, Quebec, Canada
- Département de nutrition, Université de Montréal, Montreal, Quebec, Canada
| | - Jennifer L. Estall
- Institut de recherches cliniques de Montréal (IRCM), Montreal, Quebec, Canada
- Division of Experimental Medicine, McGill University, Montreal, Quebec, Canada
- Montreal Diabetes Research Centre, Montreal, Quebec, Canada
- Programmes de biologie moléculaire, Faculté de médecine, Université de Montréal, Montreal, Quebec, Canada
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Lajeunesse-Trempe F, Piché ME, Marceau S, Lebel S, Lafortune A, Dimitriadis GK, Tchernof A, Biertho L. Preoperative predictors of type 2 diabetes remission after bilio-pancreatic diversion with duodenal switch. Surg Obes Relat Dis 2023:S1550-7289(23)00797-9. [PMID: 38172004 DOI: 10.1016/j.soard.2023.11.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2022] [Revised: 09/18/2023] [Accepted: 11/12/2023] [Indexed: 01/05/2024]
Abstract
BACKGROUND Many patients achieve short-term type 2 diabetes (T2D) remission after bariatric surgery, but relapses are common. Diabetes outcomes after bariatric surgery vary across procedures and populations. T2D remission scores are simple clinical tools developed to predict remission after bariatric surgery. However, they have never been tested after Biliopancreatic diversion with duodenal switch (BPD-DS). OBJECTIVES The aim of this study was to compare the predictive value of T2D remission scores and preoperative diabetes characteristics in predicting T2D remission after BPD-DS. SETTING Quebec Heart and Lung Institute - Laval University. METHODS We retrospectively identified 918 patients with preoperative T2D who had undergone BPD-DS. Retrospective chart review was performed and variables used to calculate predictive scores were captured. T2D status was assessed annually for up to 10 years postop. Predictive values for each score (DiarRem, Ad Diarem, and Diabetter) and single preoperative diabetes characteristics used to construct these algorithms were evaluated by area under receiver operating characteristic curves (AUC). RESULTS Diabetter showed greater performance for prediction of durable diabetes remission than other algorithms with acceptable discriminative ability (AUC between .69 and .79), but was not superior to T2D duration as a single predictor (P = .24 and P = .18). At 10 years, T2D duration had a better discriminative ability for the prediction of T2D remission than all 3 predictive models (AUC = .85, P < .05). CONCLUSIONS Better chances for T2D remission following BPD-DS are associated with a shorter duration or T2D before surgery. Duration of T2D alone offers an excellent predictive ability and is a convenient alternative to diabetes remission scores to estimate chances of long-term diabetes remission after BPD-DS.
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Affiliation(s)
- Fannie Lajeunesse-Trempe
- Institut universitaire de cardiologie et de pneumologie de Québec - Université Laval, Quebec City, Quebec, Canada; Faculté de médecine, Université Laval, Quebec City, Quebec, Canada; École de nutrition, Université Laval, Quebec City, Quebec, Canada
| | - Marie-Eve Piché
- Institut universitaire de cardiologie et de pneumologie de Québec - Université Laval, Quebec City, Quebec, Canada; Faculté de médecine, Université Laval, Quebec City, Quebec, Canada
| | - Simon Marceau
- Institut universitaire de cardiologie et de pneumologie de Québec - Université Laval, Quebec City, Quebec, Canada
| | - Stéfane Lebel
- Institut universitaire de cardiologie et de pneumologie de Québec - Université Laval, Quebec City, Quebec, Canada
| | - Annie Lafortune
- Institut universitaire de cardiologie et de pneumologie de Québec - Université Laval, Quebec City, Quebec, Canada
| | - Georgios K Dimitriadis
- Department of Endocrinology ASO/EASO COM, King's College Hospital NHS Foundation Trust, London, UK; Faculty of Life Sciences and Medicine, School of Cardiovascular and Metabolic Medicine & Sciences, Obesity, Type 2 Diabetes and Immunometabolism Research Group, King's College London, London, UK
| | - André Tchernof
- Institut universitaire de cardiologie et de pneumologie de Québec - Université Laval, Quebec City, Quebec, Canada; Faculté de médecine, Université Laval, Quebec City, Quebec, Canada; École de nutrition, Université Laval, Quebec City, Quebec, Canada
| | - Laurent Biertho
- Institut universitaire de cardiologie et de pneumologie de Québec - Université Laval, Quebec City, Quebec, Canada; Faculté de médecine, Université Laval, Quebec City, Quebec, Canada.
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5
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Baillot A, Brunet J, Lemelin L, Gabriel SA, Langlois MF, Tchernof A, Biertho L, Rabasa-Lhoret R, Garneau PY, Aimé A, Bouchard S, Romain AJ, Bernard P. Factors Associated with Excess Skin After Bariatric Surgery: a Mixed-Method Study. Obes Surg 2023; 33:2324-2334. [PMID: 37389805 DOI: 10.1007/s11695-023-06698-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2023] [Revised: 06/08/2023] [Accepted: 06/16/2023] [Indexed: 07/01/2023]
Abstract
PURPOSE After metabolic and bariatric surgery (MBS), many patients have excess skin (ES), which can cause inconveniences. Identifying factors related to ES quantity and inconveniences is crucial to inform interventions. The aim of this study was to identify sociodemographic, physical, psychosocial, and behavioral factors associated with ES quantity and inconveniences. MATERIALS AND METHODS A mixed-method study with a sequential explanatory design was conducted with 124 adults (92% women, Mage 46.5 ± 9.9 years, Mtime post-MBS 34.2 ± 27.6 months). During phase I, ES quantity (arms, abdomen, thighs) and inconveniences and sociodemographic, anthropometric, clinical, and behavioral outcomes were assessed. In phase II, 7 focus groups were performed with 37 participants from phase I. A triangulation protocol was completed to identify convergences, complementarities, and dissonances from quantitative and qualitative data. RESULTS Quantitative data indicate only ES quantity on arms was associated with ES inconveniences on arms (r = .36, p < .01). Total ES quantity was associated with maximal body mass index (BMI) reached pre-MBS (r = .48, p < .05) and current BMI (r = .35, p < .05). Greater ES inconvenience was associated with higher social physique anxiety and age (R2 = .50, p < .01). Qualitative data were summarized into 4 themes: psychosocial experiences living with ES, physical ailments due to ES, essential support and unmet needs, and beliefs of ES quantity causes. CONCLUSION Measured ES quantity is related to higher BMI, but not reported inconveniences. Greater self-reported ES quantity and inconveniences were associated with body image concerns.
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Affiliation(s)
- Aurélie Baillot
- Nursing Department, Université du Québec en Outaouais, 283 Boul. Alexandre-Taché, Gatineau, Québec, J8X 3X7, Canada.
- Centre de Recherche en Médecine Psychosociale, Centre Intégré de Santé Et Services, Sociaux de L'Outaouais, Gatineau, Québec, Canada.
- Institut du Savoir Montfort, Ottawa, ON, Canada.
- Faculty of Health Sciences, School of Human Kinetics, University of Ottawa, Ottawa, ON, Canada.
| | - Jennifer Brunet
- Institut du Savoir Montfort, Ottawa, ON, Canada
- Faculty of Health Sciences, School of Human Kinetics, University of Ottawa, Ottawa, ON, Canada
- Cancer Therapeutic Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada
| | - Lucie Lemelin
- Nursing Department, Université du Québec en Outaouais, 283 Boul. Alexandre-Taché, Gatineau, Québec, J8X 3X7, Canada
| | - Shaina A Gabriel
- Psychoeducation and Psychology Department, Université du Québec en Outaouais, Gatineau, Québec, Canada
| | - Marie-France Langlois
- CHUS Research Center and Division of Endocrinology, Department of Medicine, Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, Québec, Canada
| | - André Tchernof
- Institut Universitaire de Cardiologie et de Pneumologie de Québec Et École de Nutrition, Université Laval, Québec, Québec, Canada
| | - Laurent Biertho
- Institut Universitaire de Cardiologie et de Pneumologie de Québec Et Faculté de Médecine, Université Laval, Québec, Québec, Canada
| | - Rémi Rabasa-Lhoret
- Institut de Recherches Cliniques de Montréal, Department of Nutrition, Faculty of Medicine, Université de Montréal, Montréal, Québec, Canada
| | - Pierre Y Garneau
- Department of Surgery, Université de Montréal, Montréal, Québec, Canada
| | - Annie Aimé
- Psychoeducation and Psychology Department, Université du Québec en Outaouais, Gatineau, Québec, Canada
| | - Stéphane Bouchard
- Centre de Recherche en Médecine Psychosociale, Centre Intégré de Santé Et Services, Sociaux de L'Outaouais, Gatineau, Québec, Canada
- Psychoeducation and Psychology Department, Université du Québec en Outaouais, Gatineau, Québec, Canada
| | - Ahmed J Romain
- School of Kinesiology and Physical Activity Sciences, Faculty of Medicine, Université de Montréal, Montréal, Québec, Canada
- Institut Universitaire en Santé Mentale de Montréal, Montréal, Québec, Canada
| | - Paquito Bernard
- Institut Universitaire en Santé Mentale de Montréal, Montréal, Québec, Canada
- Department of Physical Activity Sciences, Université du Québec À Montréal, Montréal, Québec, Canada
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6
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Baillargeon D, Greenblatt M, Côté M, Nadeau M, Couture CY, Hould FS, Bouvet-Bouchard L, Tchernof A, Biertho L. Prevalence of Helicobacter pylori Infection in Bariatric Surgery Patients. Obes Surg 2023; 33:2132-2138. [PMID: 37202576 DOI: 10.1007/s11695-023-06638-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2021] [Revised: 12/08/2021] [Accepted: 12/13/2021] [Indexed: 05/20/2023]
Abstract
OBJECTIVE To determine the rate of histology-proven Helicobacter pylori (HP) infection in patients undergoing bariatric surgery and to identify risk factors for HP infection. METHODS In a retrospective analysis, patients who underwent bariatric surgery with gastric resection in a single hospital between January 2004 and January 2019 were analyzed. For each patient, a surgical specimen was submitted for anatomopathological examination and analyzed for gastritis or other anomalies. When gastritis was present, HP infection was confirmed by the identification of curvilinear bacilli in conventional histology or by specific immunohistochemical detection of HP antigen. RESULTS A total of 6388 specimens were available for review (4365 women, 2023 men) with a mean age of 44.9 ± 11.2 years and a mean body mass index (BMI) of 49.3 ± 8.2 kg/m2. Histology-proven HP infection rate was 6.3% (n = 405). There was no significant difference in sex, BMI, and body weight between HP + and HP - patients. Logistic regressions identified age as a risk factor for HP infection in this population (OR 1.02, p < 0.0001, CI 95% 1.01-1.03 for every 1-year increase, OR 1.26, p < 0.0001, CI 95% 1.14-1.40 for every 10-year increase). CONCLUSIONS The rate of histology-proven HP infection is low in patients with severe obesity who present for bariatric surgery and is associated with age.
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Affiliation(s)
- David Baillargeon
- Institut Universitaire de Cardiologie Et de Pneumologie de Québec - Université Laval, 2725 Chemin Sainte-Foy, Québec, Québec, G1V 4G5, Canada
| | - Matthew Greenblatt
- Institut Universitaire de Cardiologie Et de Pneumologie de Québec - Université Laval, 2725 Chemin Sainte-Foy, Québec, Québec, G1V 4G5, Canada
| | - Marianne Côté
- Institut Universitaire de Cardiologie Et de Pneumologie de Québec - Université Laval, 2725 Chemin Sainte-Foy, Québec, Québec, G1V 4G5, Canada
- École de Nutrition, Faculté Des Sciences de L'agriculture Et de L'alimentation, Université Laval, Québec, Québec, Canada
| | - Mélanie Nadeau
- Institut Universitaire de Cardiologie Et de Pneumologie de Québec - Université Laval, 2725 Chemin Sainte-Foy, Québec, Québec, G1V 4G5, Canada
| | - Christian-Yves Couture
- Institut Universitaire de Cardiologie Et de Pneumologie de Québec - Université Laval, 2725 Chemin Sainte-Foy, Québec, Québec, G1V 4G5, Canada
- Département de Biologie Moléculaire, Université Laval, Biochimie Médicale Et Pathologie, Québec, Québec, Canada
| | - Frédéric-Simon Hould
- Institut Universitaire de Cardiologie Et de Pneumologie de Québec - Université Laval, 2725 Chemin Sainte-Foy, Québec, Québec, G1V 4G5, Canada
- Département de Chirurgie, Université Laval, Faculté de Médecine, Québec, Québec, Canada
| | - Léonie Bouvet-Bouchard
- Institut Universitaire de Cardiologie Et de Pneumologie de Québec - Université Laval, 2725 Chemin Sainte-Foy, Québec, Québec, G1V 4G5, Canada
- Département de Chirurgie, Université Laval, Faculté de Médecine, Québec, Québec, Canada
| | - André Tchernof
- Institut Universitaire de Cardiologie Et de Pneumologie de Québec - Université Laval, 2725 Chemin Sainte-Foy, Québec, Québec, G1V 4G5, Canada
- École de Nutrition, Faculté Des Sciences de L'agriculture Et de L'alimentation, Université Laval, Québec, Québec, Canada
| | - Laurent Biertho
- Institut Universitaire de Cardiologie Et de Pneumologie de Québec - Université Laval, 2725 Chemin Sainte-Foy, Québec, Québec, G1V 4G5, Canada.
- Département de Chirurgie, Université Laval, Faculté de Médecine, Québec, Québec, Canada.
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Mukorako P, St-Pierre DH, Flamand N, Biertho L, Lebel S, Lemoine N, Plamondon J, Roy MC, Tchernof A, Varin TV, Marette A, Silvestri C, Di Marzo V, Richard D. Hypoabsorptive surgeries cause limb-dependent changes in the gut endocannabinoidome and microbiome in association with beneficial metabolic effects. Int J Obes (Lond) 2023:10.1038/s41366-023-01307-3. [PMID: 37142736 DOI: 10.1038/s41366-023-01307-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/19/2022] [Revised: 03/27/2023] [Accepted: 04/03/2023] [Indexed: 05/06/2023]
Abstract
OBJECTIVE To determine whether the metabolic benefits of hypoabsorptive surgeries are associated with changes in the gut endocannabinoidome (eCBome) and microbiome. METHODS Biliopancreatic diversion with duodenal switch (BPD-DS) and single anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S) were performed in diet-induced obese (DIO) male Wistar rats. Control groups fed a high-fat diet (HF) included sham-operated (SHAM HF) and SHAM HF-pair-weighed to BPD-DS (SHAM HF-PW). Body weight, fat mass gain, fecal energy loss, HOMA-IR, and gut-secreted hormone levels were measured. The levels of eCBome lipid mediators and prostaglandins were quantified in different intestinal segments by LC-MS/MS, while expression levels of genes encoding eCBome metabolic enzymes and receptors were determined by RT-qPCR. Metataxonomic (16S rRNA) analysis was performed on residual distal jejunum, proximal jejunum, and ileum contents. RESULTS BPD-DS and SADI-S reduced fat gain and HOMA-IR, while increasing glucagon-like peptide-1 (GLP-1) and peptide tyrosine tyrosine (PYY) levels in HF-fed rats. Both surgeries induced potent limb-dependent alterations in eCBome mediators and in gut microbial ecology. In response to BPD-DS and SADI-S, changes in gut microbiota were significantly correlated with those of eCBome mediators. Principal component analyses revealed connections between PYY, N-oleoylethanolamine (OEA), N-linoleoylethanolamine (LEA), Clostridium, and Enterobacteriaceae_g_2 in the proximal and distal jejunum and in the ileum. CONCLUSIONS BPD-DS and SADI-S caused limb-dependent changes in the gut eCBome and microbiome. The present results indicate that these variables could significantly influence the beneficial metabolic outcome of hypoabsorptive bariatric surgeries.
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Affiliation(s)
- Paulette Mukorako
- Department of Medicine, Faculty of Medicine, Université Laval, Québec, QC, Canada
- Québec Heart and Lung Institute, Chemin Sainte-Foy, Québec, QC, Canada
| | - David H St-Pierre
- Institute of Nutrition and Functional Foods, Centre NUTRISS, Québec, QC, Canada
- Department of Exercise Sciences, Université du Québec à Montréal (UQAM), Québec, QC, Canada
- School of Nutrition, Faculty of Agriculture and Food Sciences, Québec, QC, Canada
| | - Nicolas Flamand
- Department of Medicine, Faculty of Medicine, Université Laval, Québec, QC, Canada
- Québec Heart and Lung Institute, Chemin Sainte-Foy, Québec, QC, Canada
- Canada Excellence Research Chair on the Microbiome-Endocannabinoidome Axis in Metabolic Health (CERC-MEND), Québec, QC, Canada
| | - Laurent Biertho
- Department of Medicine, Faculty of Medicine, Université Laval, Québec, QC, Canada
- Québec Heart and Lung Institute, Chemin Sainte-Foy, Québec, QC, Canada
| | - Stéfane Lebel
- Department of Medicine, Faculty of Medicine, Université Laval, Québec, QC, Canada
- Québec Heart and Lung Institute, Chemin Sainte-Foy, Québec, QC, Canada
| | - Natacha Lemoine
- Québec Heart and Lung Institute, Chemin Sainte-Foy, Québec, QC, Canada
| | - Julie Plamondon
- Québec Heart and Lung Institute, Chemin Sainte-Foy, Québec, QC, Canada
| | - Marie-Claude Roy
- Québec Heart and Lung Institute, Chemin Sainte-Foy, Québec, QC, Canada
| | - André Tchernof
- Québec Heart and Lung Institute, Chemin Sainte-Foy, Québec, QC, Canada
- School of Nutrition, Faculty of Agriculture and Food Sciences, Québec, QC, Canada
| | - Thibault V Varin
- Institute of Nutrition and Functional Foods, Centre NUTRISS, Québec, QC, Canada
| | - André Marette
- Department of Medicine, Faculty of Medicine, Université Laval, Québec, QC, Canada
- Québec Heart and Lung Institute, Chemin Sainte-Foy, Québec, QC, Canada
- Institute of Nutrition and Functional Foods, Centre NUTRISS, Québec, QC, Canada
| | - Cristoforo Silvestri
- Department of Medicine, Faculty of Medicine, Université Laval, Québec, QC, Canada.
- Québec Heart and Lung Institute, Chemin Sainte-Foy, Québec, QC, Canada.
- Canada Excellence Research Chair on the Microbiome-Endocannabinoidome Axis in Metabolic Health (CERC-MEND), Québec, QC, Canada.
| | - Vincenzo Di Marzo
- Department of Medicine, Faculty of Medicine, Université Laval, Québec, QC, Canada.
- Québec Heart and Lung Institute, Chemin Sainte-Foy, Québec, QC, Canada.
- Institute of Nutrition and Functional Foods, Centre NUTRISS, Québec, QC, Canada.
- School of Nutrition, Faculty of Agriculture and Food Sciences, Québec, QC, Canada.
- Canada Excellence Research Chair on the Microbiome-Endocannabinoidome Axis in Metabolic Health (CERC-MEND), Québec, QC, Canada.
| | - Denis Richard
- Department of Medicine, Faculty of Medicine, Université Laval, Québec, QC, Canada.
- Québec Heart and Lung Institute, Chemin Sainte-Foy, Québec, QC, Canada.
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8
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Belzile D, Auclair A, Roberge J, Piché ME, Lebel A, Pettigrew M, Marceau S, Biertho L, Poirier P. Heart rate variability after bariatric surgery: The add-on value of exercise. Eur J Sport Sci 2023; 23:415-422. [PMID: 34890532 DOI: 10.1080/17461391.2021.2017488] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
PURPOSE To assess the impact of bariatric surgery and an added supervised exercise training programme on heart rate variability (HRV) in patients with severe obesity. METHODS Fifty-nine patients who underwent bariatric surgery were randomised in the post-operative period to a 12-week supervised exercise training programme (moderate intensity combination aerobic/resistance exercise training programme) or a control group. Indices of HRV including time-domain, spectral-domain, and nonlinear parameters were measured preoperatively, and at 3, 6, and 12 months. RESULTS After the surgical procedure, both groups improved anthropometric parameters. Type 2 diabetes, hypertension, and dyslipidemia resolutions were similar between groups. Total body weight loss at 6 and 12 months were also comparable between groups (6 months: 28 ± 6 vs. 30 ± 6%; 12 months: 38 ± 9 vs. 38 ± 10%; control vs. intervention group respectively). Bariatric surgery improved HRV parameters at 12 months compared to the pre-operative values in the intervention group: standard deviation of R-R interval (SDNN) (156.0 ± 46.4 vs. 122.6 ± 33.1 ms), low frequency (LF) (6.3 ± 0.8 vs. 5.8 ± 0.7 ms2), and high frequency (HF) (5.1 ± 0.8 vs. 4.7 ± 0.9 ms2) (all p<0.001). For the control patients, similar improvements in SDNN (150.0 ± 39.4 vs. 118.8 ± 20.1 ms), LF (6.1 ± 0.9 vs. 5.7 ± 0.8 ms2), and HF (5.0 ± 0.9 vs. 4.7 ± 0.9 ms2) were obtained (all p<0.001). However, there was no add-on impact of the supervised exercise training programme on HRV after 12 months (p>0.05 for all HRV parameters). CONCLUSION Bariatric surgery is associated with an improvement in HRV. A supervised exercise training programme in the post-operative period did not modulate further the benefits of bariatric surgery regarding HRV parameters.
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Affiliation(s)
- D Belzile
- Institut Universitaire de Cardiologie et de Pneumologie de Québec-Université Laval, Québec, Canada
| | - A Auclair
- Institut Universitaire de Cardiologie et de Pneumologie de Québec-Université Laval, Québec, Canada
| | - J Roberge
- Institut Universitaire de Cardiologie et de Pneumologie de Québec-Université Laval, Québec, Canada
| | - M E Piché
- Institut Universitaire de Cardiologie et de Pneumologie de Québec-Université Laval, Québec, Canada.,Faculty of medicine, Laval University, Québec, Canada
| | - A Lebel
- Institut Universitaire de Cardiologie et de Pneumologie de Québec-Université Laval, Québec, Canada
| | - M Pettigrew
- Institut Universitaire de Cardiologie et de Pneumologie de Québec-Université Laval, Québec, Canada.,Faculty of pharmacy, Laval University, Québec, Canada
| | - S Marceau
- Institut Universitaire de Cardiologie et de Pneumologie de Québec-Université Laval, Québec, Canada.,Faculty of medicine, Laval University, Québec, Canada
| | - L Biertho
- Institut Universitaire de Cardiologie et de Pneumologie de Québec-Université Laval, Québec, Canada.,Faculty of medicine, Laval University, Québec, Canada
| | - P Poirier
- Institut Universitaire de Cardiologie et de Pneumologie de Québec-Université Laval, Québec, Canada.,Faculty of pharmacy, Laval University, Québec, Canada
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9
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Anhê FF, Zlitni S, Zhang SY, Choi BSY, Chen CY, Foley KP, Barra NG, Surette MG, Biertho L, Richard D, Tchernof A, Lam TKT, Marette A, Schertzer J. Human gut microbiota after bariatric surgery alters intestinal morphology and glucose absorption in mice independently of obesity. Gut 2023; 72:460-471. [PMID: 36008102 PMCID: PMC9933168 DOI: 10.1136/gutjnl-2022-328185] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/01/2022] [Accepted: 08/05/2022] [Indexed: 12/16/2022]
Abstract
OBJECTIVE Bariatric surgery is an effective treatment for type 2 diabetes (T2D) that changes gut microbial composition. We determined whether the gut microbiota in humans after restrictive or malabsorptive bariatric surgery was sufficient to lower blood glucose. DESIGN Women with obesity and T2D had biliopancreatic diversion with duodenal switch (BPD-DS) or laparoscopic sleeve gastrectomy (LSG). Faecal samples from the same patient before and after each surgery were used to colonise rodents, and determinants of blood glucose control were assessed. RESULTS Glucose tolerance was improved in germ-free mice orally colonised for 7 weeks with human microbiota after either BPD-DS or LSG, whereas food intake, fat mass, insulin resistance, secretion and clearance were unchanged. Mice colonised with microbiota post-BPD-DS had lower villus height/width and crypt depth in the distal jejunum and lower intestinal glucose absorption. Inhibition of sodium-glucose cotransporter (Sglt)1 abrogated microbiota-transmissible improvements in blood glucose control in mice. In specific pathogen-free (SPF) rats, intrajejunal colonisation for 4 weeks with microbiota post-BPD-DS was sufficient to improve blood glucose control, which was negated after intrajejunal Sglt-1 inhibition. Higher Parabacteroides and lower Blautia coincided with improvements in blood glucose control after colonisation with human bacteria post-BPD-DS and LSG. CONCLUSION Exposure of rodents to human gut microbiota after restrictive or malabsorptive bariatric surgery improves glycaemic control. The gut microbiota after bariatric surgery is a standalone factor that alters upper gut intestinal morphology and lowers Sglt1-mediated intestinal glucose absorption, which improves blood glucose control independently from changes in obesity, insulin or insulin resistance.
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Affiliation(s)
- Fernando F Anhê
- Department of Biochemistry and Biomedical Sciences, Farncombe Family Digestive Health Research Institute, and Centre for Metabolism, Obesity and Diabetes Research, McMaster University, Hamilton, Ontario, Canada
| | - Soumaya Zlitni
- Department of Genetics and Medicine, Stanford University, Stanford, California, USA
| | - Song-Yang Zhang
- Toronto General Hospital Research Institute, University Health Network, Toronto, Ontario, Canada
| | - Béatrice So-Yun Choi
- Quebec Heart and Lung Institute Research Centre, Laval University, Quebec, Quebec, Canada
| | - Cassandra Y Chen
- Department of Biochemistry and Biomedical Sciences, Farncombe Family Digestive Health Research Institute, and Centre for Metabolism, Obesity and Diabetes Research, McMaster University, Hamilton, Ontario, Canada
| | - Kevin P Foley
- Department of Biochemistry and Biomedical Sciences, Farncombe Family Digestive Health Research Institute, and Centre for Metabolism, Obesity and Diabetes Research, McMaster University, Hamilton, Ontario, Canada
| | - Nicole G Barra
- Department of Biochemistry and Biomedical Sciences, Farncombe Family Digestive Health Research Institute, and Centre for Metabolism, Obesity and Diabetes Research, McMaster University, Hamilton, Ontario, Canada
| | - Michael G Surette
- Department of Medicine, Farncombe Family Digestive Health Research Institute, and Centre for Metabolism, Obesity and Diabetes Research, McMaster University, Hamilton, Ontario, Canada
| | - Laurent Biertho
- Quebec Heart and Lung Institute Research Centre, Laval University, Quebec, Quebec, Canada
| | - Denis Richard
- Quebec Heart and Lung Institute Research Centre, Laval University, Quebec, Quebec, Canada
| | - André Tchernof
- Quebec Heart and Lung Institute Research Centre, Laval University, Quebec, Quebec, Canada.,School of Nutrition, Laval University, Quebec, Quebec, Canada
| | - Tony K T Lam
- Toronto General Hospital Research Institute, University Health Network, Toronto, Ontario, Canada
| | - Andre Marette
- Quebec Heart and Lung Institute Research Centre, Laval University, Quebec, Quebec, Canada
| | - Jonathan Schertzer
- Department of Biochemistry and Biomedical Sciences, Farncombe Family Digestive Health Research Institute, and Centre for Metabolism, Obesity and Diabetes Research, McMaster University, Hamilton, Ontario, Canada
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10
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Maltais-Payette I, Lajeunesse-Trempe F, Pibarot P, Biertho L, Tchernof A. Association between Circulating Amino Acids and COVID-19 Severity. Metabolites 2023; 13:metabo13020201. [PMID: 36837819 PMCID: PMC9959167 DOI: 10.3390/metabo13020201] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2022] [Revised: 01/11/2023] [Accepted: 01/19/2023] [Indexed: 01/31/2023] Open
Abstract
The severity of the symptoms associated with COVID-19 is highly variable, and has been associated with circulating amino acids as a group of analytes in metabolomic studies. However, for each individual amino acid, there are discordant results among studies. The aims of the present study were: (i) to investigate the association between COVID-19-symptom severity and circulating amino-acid concentrations; and (ii) to assess the ability of circulating amino-acid levels to predict adverse outcomes (intensive-care-unit admission or hospital death). We studied a sample of 736 participants from the Biobanque Québécoise COVID-19. All participants tested positive for COVID-19, and the severity of symptoms was determined using the World-Health-Organization criteria. Circulating amino acids were measured by HPLC-MS/MS. We used logistic models to assess the association between circulating amino acids concentrations and the odds of presenting mild vs. severe or mild vs. moderate symptoms, as well as their accuracy in predicting adverse outcomes. Patients with severe COVID-19 symptoms were older on average, and they had a higher prevalence of obesity and type 2 diabetes. Out of 20 amino acids tested, 16 were significantly associated with disease severity, with phenylalanine (positively) and cysteine (inversely) showing the strongest associations. These associations remained significant after adjustment for age, sex and body mass index. Phenylalanine had a fair ability to predict the occurrence of adverse outcomes, similar to traditionally measured laboratory variables. A multivariate model including both circulating amino acids and clinical variables had a 90% accuracy at predicting adverse outcomes in this sample. In conclusion, patients presenting severe COVID-19 symptoms have an altered amino-acid profile, compared to those with mild or moderate symptoms.
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Affiliation(s)
- Ina Maltais-Payette
- Quebec Heart and Lung Institute, Quebec City, QC G1V 4G5, Canada
- School of Nutrition, Faculty of Agriculture and Food Sciences, Laval University, Quebec City, QC G1V 0A6, Canada
| | - Fannie Lajeunesse-Trempe
- Quebec Heart and Lung Institute, Quebec City, QC G1V 4G5, Canada
- School of Nutrition, Faculty of Agriculture and Food Sciences, Laval University, Quebec City, QC G1V 0A6, Canada
| | - Philippe Pibarot
- Quebec Heart and Lung Institute, Quebec City, QC G1V 4G5, Canada
- Department of Medicine, Faculty of Medicine, Laval University, Quebec City, QC G1V 0A6, Canada
| | - Laurent Biertho
- Quebec Heart and Lung Institute, Quebec City, QC G1V 4G5, Canada
- Department of Surgery, Faculty of Medicine, Laval University, Quebec City, QC G1V 0A6, Canada
| | - André Tchernof
- Quebec Heart and Lung Institute, Quebec City, QC G1V 4G5, Canada
- School of Nutrition, Faculty of Agriculture and Food Sciences, Laval University, Quebec City, QC G1V 0A6, Canada
- Correspondence: ; Tel.: +1-418-656-8711
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Selim Y, Di Lena É, Abu-Omar N, Baig Z, Verhoeff K, La J, Purich K, Albacete S, Valji R, Purich K, Safar A, Schellenberg M, Schellenberg M, Schellenberg M, Schellenberg M, Schellenberg M, Schellenberg M, Daza J, Glass LT, Verhoeff K, Johnson G, Guidolin K, Glass LT, Balvardi S, Gawad N, McKechnie T, McKechnie T, Purich K, Henley J, Imbert E, Li C, Skinner S, Lenet T, Lenet T, Metz J, Ahn H(S, Do U, Rouhi A, Greenberg B, Muaddi H, Park L, Vogt K, Bradley N, Deng SX, Murphy P, Alhabboubi M, Lie J, Laplante S, Lie J, Drung J, Nixon T, Allard-Coutu A, Mansouri S, Lee A, Tweedy J, D’Elia MA, Hopkins B, Srivastava A, Alibhai K, Lee C, Moon J(J, How N, Spoyalo K, Lalande A, Baig Z, Schweitzer C, Keogh J, Huo B, Patel YS, Patel YS, Jogiat U, McGuire AL, Jogiat U, Lee Y, Barber E, Akhtar-Danesh GG, Bondzi-Simpson A, Bowker R, Ahmadi N, Abdul SA, Patel P, Harrison L, Shi G, Shi G, Alaichi JA, Kidane B, Qu LC, Alaichi J, Mackay E, Lee J, Purich K, Castelo M, Caycedo-Marulanda A, Caycedo-Marulanda A, Brennan K, Brennan K, Brennan K, Garfinkle R, Sharma S, Candy S, Patel S, LeGal G, Spadafora S, Maclellan S, Trottier D, Jonker D, Asmis T, Mallick R, Ramsay T, Carrier M, McKechnie T, Shojaei D, Motamedi A, Ghuman A, Karimuddin A, Raval M, Brown C, Shojaei D, Wang H, Buie D, Wang H, McKechnie T, Buie D, Al Busaidi N, Rajabiyazdi F, Demian M, Boutros M, Farooq A, Brown C, Phang T, Ghuman A, Karimuddin A, McKechnie T, Raval M, Udwadia F, Marinescu D, Alqahtani M, Pang A, Vasilevsky CA, Boutros M, Oviedo SC, McFadden N, Spence R, Lee L, Hirsch G, Neumann K, Neumann K, Spence R, Johnson G, Singh H, Helewa R, Yilbas A, Netto FS, Katz J, Robitaille S, Sharma B, Khan U, Selzner M, Mocanu V, Dang J, Wilson H, Switzer N, Birch D, Karmali S, Mocanu V, Robitaille S, Jogiat U, Forbes H, Switzer N, Birch D, Karmali S, Verhoeff K, Mocanu V, Kung J, Purich K, Switzer N, Sadri H, Birch D, Karmali S, Tassé N, Tchernof A, Nadeau M, Dawe P, Beckett A, Biertho L, Lin A, Verhoeff K, Selznick S, Mocanu V, Kung JY, Birch DW, Karmali S, Switzer NJ, Fowler-Woods M, Fowler-Woods A, Shingoose G, Hatala A, Daeninck F, Wiseman V, Vergis A, Hardy K, Clouston K, Debru E, Sun W, Dang J, Switzer N, Birch D, Karmali S, De Gara C, Wiseman V, Halasz J, Dang J, Switzer N, Kanji A, Birch D, Modi R, Karmali S, Gu J, Jarrar A, Kolozsvari N, Wiseman V, Samarasinghe Y, Chen L, Hapugall A, Javidan A, McKechnie T, Doumouras A, Hong D, Laplante S, Stogryn S, Maeda A, Brennan K, Jackson T, Okrainec A, Birch D, Karmali S, Kanji A, Switzer N, Balas M, Gee D, Hutter M, Meireles O, Baker L, Jung J, Vergis A, Hardy K, Boudreau V, Hong D, Anvari M, Iranmanesh P, Barlow K, Cookson T, Bolis R, Ichhpuniani S, Shanthanna H, Shiroky J, Deghan S, Zevin B, Cloutier Z, Cookson T, Barlow K, Boudreau V, Anvari M, Brodie J, Johnson G, O’Brien E, Tedman-Aucoin K, Lawlor D, Murphy R, Twells L, Pace D, Ellsmere J, Evans B, Zhang T, Deehan E, Zhang L, Kao D, Hotte N, Birch D, Karmali S, Samarasinghe K, Walter J, Madsen K, Williams E, Kong W, Fundytus A, Holden J, Booth C, Patel S, Caycedo-Marulanda A, Chung W, Nanji S, Merchant S, Hansen B, Paszat L, Baxter N, Scheer A, Moon J(J, Ghezeljeh TN, Lapointe-Gagner M, Nguyen-Powanda P, Elhaj H, Rajabiyazdi F, Lee L, Feldman LS, Fiore J, Sutradhar R, Haas B, Moon J(J, Guttman M, Eskander A, Coburn N, Chesney T, Tillman B, Zuk V, Mahar A, Hsu A, Chan W, Hallet J, Moon J(J, Guidolin K, Servidio-Italiano F, Quereshy F, Sapisochin G, Prisman E, Mitmaker E, Walker R, Wu J, Nguyen A, Wiseman S, Moon J(J, Hong D, Gupta M, Pasternak J, Vergara-Fernandez O, Brar A, Conner J, Kirsch R, Brar M, Kennedy E, Govindarajan A, Paradis T, Gryfe R, MacRae H, Cohen Z, McLeod R, Swallow C, Ghasemi F, Delisle M, Stacey D, Abou-Khalil J, Balaa F, Bayat Z, Bertens K, Dingley B, Martel G, McAlpine K, Nessim C, Tadros S, Carrier M, Auer R, Lim D, Eskander A, Patel S, Coburn N, Sutradhar R, Chan W, Hallet J, Pickard F, Mathieson A, Hogan M, Seal M, Acidi B, Johnston W, Maalouf MF, Callegaro D, Brar S, Gladdy R, Chung P, Catton C, Khalili K, Honore C, Swallow C, Fu N, Kazazian K, Wachtel A, Pacholczyk K, Ng D, Swett-Cosentino J, Savage P, Shibahara Y, Kalimuthu S, Espin-Garcia O, Conner J, Yeung J, Darling G, Baronas V, Swallow C, Mercier F, Barabash V, Law C, Coburn N, Singh S, Myrehaug S, Chan W, Hallet J, Auer RC, Wiseman V, Muhn N, Heller B, Lovrics P, Ng D, Koerber D, Al-Sukhni E, Cyr D, Kazazian K, Swallow C, Apte S, Lie J, Nessim C, Ban J, Chen L, McKevitt E, Warburton R, Pao JS, Dingee C, Kuusk U, Bazzarelli A, Hong NL, Hajjar R, Gagliardi A, Nyhof B, Marfil-Garza B, Sandha G, Cooper D, Dajani K, Bigam D, Anderson B, Kin T, Lam A, Ehlebracht A, O’Gorman D, Senior P, Ricordi C, Shapiro AJ, Moser M, Lam H, Flemming J, Jalink D, Nanji S, Bennett S, Caminsky N, Zhang B, Tywonek K, Meyers B, Serrano P, Lenet T, Shorr R, Abou-Khalil J, Bertens K, Balaa F, Martel G, Caminsky N, Jayaraman S, Wei A, Mahar A, Kaliwal Y, Martel G, Coburn N, Hallet J, Williams P, Claasen M, Ivanics T, Gilbert R, Englesakis M, Gallinger S, Hansen B, Sapisochin G, Ivanics T, Claasen M, Gallinger S, Hansen B, Sapisochin G, Lenet T, Morin G, Abou-Khalil J, Balaa F, Martel G, Brind’Amour A, Bertens K, Balaa F, Bertens K, Martel G, Abou-Khalil J, Collin Y, Auer RC, Ivanics T, Toso C, Adam R, Ijzermans J, Sapisochin G, Polak W, Léveillé M, Lawson C, Collin Y, Tai LH, Phang T, Greene B, Jayaraman S, Tsang M, Al-Arnawoot A, Rajendran L, Lamb T, Turner A, Reid M, Rekman J, Mimeault R, Hopkins J, Abou-Khalil J, Bertens K, Martel G, Balaa F, Zhang C, Lemke M, Glinka J, Leslie K, Skaro A, Tang E, Hopkins J, Greene B, Tsang M, Jayaraman S, Bubis L, Jayaraman S, Tsang ME, Ganescu O, Vanounou T, Pelletier JS, Greene B, Levin Y, Tsang M, Jayaraman S, Ganescu O, Pelletier JS, Vanounou T, Choi WJ, Muaddi H, Ivanics T, Classen MP, Sapisochin G, Alam A, Caminsky N, Mansouri S, Lagace P, Lagace P, El-Kefraoui C, Mainprize M, Melland-Smith M, Verhoeff K, Verhoeff K, Nasser K, Mailloux O, Purich K, Whyte M, Li T, Ahmad MS, Sun W, Ahn H(S, Lee Y, Roach E, Chow A, Trac J, He W, Ramji K, Kouzmina E, Koziak C, Hossain I, Mocanu V, Hanna N, Castelo M, Pook M, Zuckerman J, Choi WJ, Watanabe A, Saravana-Bawan B, Cyr D, Brackstone M, Ivankovic V, Nair AG, Hirpara D, Stockley C, Ng D, Luu S, Meloche-Dumas L, D’Elia MA, Eom A, Tang K, Khan S, Schmitz E, Chen KT, Newman-Bremang J, Verhoeff K, Jette N, Mir Z, Griffiths C, Rajendran L, Zuckerman J, Choi WJ, Choi WJ, Gilbert R, Lenet T, Amhis N, Claasen M, Mansouri S, Workewych A, Lee A, Waugh E, Zhu A, Nabavian H, Roldan J, Lagrotteria A, Roldan J, Rajendran L, Safa N, Rahman S, Kaneva P, Feldman L, Baig Z, Ginther N, Gill D, Sarwar Z, Verdiales C, Moser M, Mocanu V, Fang B, Dang J, Sun W, Switzer N, Birch D, Karmali S, Alqaydi A, Wei X, Digby G, Brogly S, Merchant S, Verhoeff K, Miles A, Kung JY, Shapiro AJ, Bigam DL, Matkin A, Dumestre D, Peiris L, Turner S, Verhoeff K, Mador B, McLennan S, Jastaniah A, Owattanapanich N, Grigorian A, Lam L, Nahmias J, Inaba K, Liasidis P, Inaba K, Demetriades D, Benjamin ER, Cowan S, Owattanapanich N, Wong MD, Inaba K, Demetriades D, Owattanapanich N, Emigh B, Karavites L, Clark DH, Lam L, Inaba K, Benjamin ER, Owattanapanich N, Inaba K, Demetriades D, Anderson GA, Owattanapanich N, Cheng V, Lam L, Inaba K, Myers L, Cuthbertson B, Myles P, Shulman M, Wijeysundera D, Murphy PB, Allen L, Minkhorst K, Bowker D, Tang ES, Leslie K, Hawel JE, Ma O, Purich K, Skinner S, Dhaliwal R, Strickland M, Park J, Vergis A, Gillman L, Rivard J, Lin J, Zorigtbaatar A, Nadeem M, Ibrahim T, Neilson Z, Kim KY(P, Rajendran L, Chadi S, Quereshy F, Davidson M, Friedrich E, Champion C, Semsar-Kazerooni K, Kaneva P, Mueller C, Vassiliou M, Al Mahroos M, Fiore J, Schwartzman K, Feldman L, Purich K, Verhoeff K, Anderson B, Daniel R, Kruse C, Levin M, Lee Y, Doumouras A, Hong D, Eskicioglu C, Povolo C, Lee J, Lee Y, Park L, Doumouras A, Hong D, Bhandari M, Eskicioglu C, Lee E, Verhoeff K, Sydora D, Turner S, Strickland M, Boone D, Roberts S, McGrouther D, Manuel P, Dykstra M, Wang H, Snelgrove R, Verhoeff K, Purich K, Perry T, Strickland M, Dhaliwal R, Skanes S, Tropiano J, McIsaac D, Tinmouth A, Hallet J, Nicholls S, Fergusson D, Martel G, Tropiano J, Skanes S, Ivankovic V, McIsaac D, Tinmouth A, Patey A, Fergusson D, Martel G, Naqvi R, Noppens R, Hawel J, Elnahas A, Schlachta C, Alkhamesi N, Lenet T, Gilbert R, Mallick R, Shaw J, McIsaac D, Martel G, Pook M, Najafi T, Rajabiyazdi F, El-Kefraoui C, Balvardi S, Barone N, Elhaj H, Nguyen-Powanda P, Lee L, Baldini G, Feldman L, Fiore J, Purich K, Jogiat U, Mapiour D, Kim M, Nadler A, Stukel T, De Mestral C, Nathens A, Pautler S, Shayegan B, Hanna W, Schlachta C, Breau R, Hopkins L, Jackson T, Karanicolas P, Griffiths C, Ali S, Archer V, Cloutier Z, Choi D, McKechnie T, Serrano P, McClure JA, Jones P, Mrkobrada M, Flier S, Welk B, Dubois L, Khwaja K, Allen L, Tung L, Hameed M, Spoyalo K, Lampron J, Garcia-Ochoa C, Jastaniah A, Engels P, Talwar G, Cloutier Z, Minor S, Moffat B, Parry N, Vogt K, Ebeye T, Sharma BT, Samman A, Zulfiqar A, Purzner RH, Greene B, Tsang M, Jayaraman S, Allen L, Ball CG, Hameed M, Engels P, Nenshi R, Widder S, Minor S, Parry N, Bradley N, Moffat B, Vogt K, Liberman S, Wong E, Chughtai T, Turner J, Wiseman S, Li J, Mak N, Namazi B, Kiani P, Hashimoto D, Alseidi A, Pasten M, Brunt LM, Gill S, Davis B, Bloom M, Pernar L, Okrainec A, Madani A, Hamilton T, Nabata K, Zhang JW, Zhao D, Dawe P, Hameed M, Allen L, Leslie K, Drung J, Purich K, Verhoeff K, Skinner S, Dhaliwal R, Strickland M, Heller B, Wright V, Cho W, Wong M, Singh K, Comeau É, Collin Y, Oviedo SC, Rajendran L, Lamb T, Reid M, Turner A, Bertens K, Rekman J, Balaa F, Neumann K, Porter G, Teo I, Forse CL, Musselman R, Grozman L, Alshawan N, Fraser S, Bergman S, Pelletier JS, Vanounou T, Wong EG, Nolan B, Qiao L, Jung J, Raîche I, McDonald H, Gawad N, Cheifetz R, Hawley P, Rehany Z, Bakhshi M, Razek T, Grushka J, Boulanger N, Watt L, Vivier A, Clark G, Fata P, Deckelbaum D, Khwaja K, Jastaniah A, Wong E, Ren K, Qiu Y, Hamann K, Lalande A, MacNeill A, Park J, Alexis S, Spoyalo K, Patterson K, Gadhari N, Zhao J, MacNeill A, Ahmed R, Farooq A, Karimuddin A, Wiseman S, Chhor A, Begum H, Akhtar-Danesh N, Finley C, Manos D, Xu Z, Matheson K, Chun S, Fris J, Wallace A, French D, Baste JM, Shargall Y, Waddell TK, Yasufuku K, Machuca TN, Xie F, Thabane L, Hanna WC, Beauchamp MK, Wald J, Mbuagbaw L, Key BL, Green SM, Hanna WC, Behzadi A, Donahoe L, Nasralla A, Poon J, Safieddine N, Seyednejad N, Tavakoli I, Turner S, Sharma S, Hilzenrat RA, McConechy M, Frank I, Hughsman C, Yip S, Choi JJ, Yee J, Sasewich H, Turner S, Baracos V, Eurich D, Filafilo H, Bedard E, Samarasinghe Y, Patel J, Khondker A, McKechnie T, Samarasinghe N, Finley C, Hanna W, Shargall Y, Agzarian J, Whidden M, Aguirre F, Graham A, Chhor A, Begum H, Ewusie J, Mbuagbaw L, Yaron S, Keshishi M, Ademe Y, Tizazu A, Rose M, Uddin S, Ko M, Ddamba J, French D, Wallace A, Safieddine N, Gazala S, Simone C, Wright F, Finley C, Villeneuve PJ, Gilbert S, Sundaresan S, Seely AJ, Maziak DE, Manos D, Wallace A, Plourde M, Turner D, Ringash J, Manuel D, Kidane B, Gupta V, Decker K, Davis L, Darling G, Compton C, Coburn N, Boyes R, Pugliese M, Mahar A, Hsu A, Kokavec A, Ho E, Waterman R, Wang E, Harnden K, Malthaner R, Nayak R, Qiabi M, Malthaner R, Nayak R, Qiabi M, Patel Y, Farrokhyar F, Simunovic M, Hanna WC, Gowing S, Liu R, Srinathan S, Tan L, Malthaner R, Malik P, Patel Y, Hanna W, Fahim U, Hafizi A, Ashrafi AS, McKechnie T, Amin N, Doumouras A, Hong D, Eskicioglu C, Streu C, Wong C, Schiller D, Sue-Chue-Lam C, Paszat L, Scheer A, Hansen B, Kishibe T, Baxter N, Neary E, Ibrahim T, Verschoor C, Patel S, Merchant S, Chadi S, Romagnolo L, Verschoor C, Brown C, Karimuddin A, Raval M, Phang T, Vikis E, Melich G, Patel S, Patel S, Caycedo-Marulanda A, Merchant S, Booth C, Kong W, McClintock C, Bankhead C, Heneghan C, Patel S, McClintock C, Merchant S, Caycedo-Marulanda A, Booth C, Bankhead C, Heneghan C, Zhang L, Flemming J, Djerboua M, Nanji S, Caycedo-Marulanda A, Merchant S, Patel S, Demian M, Sabboobeh S, Moon J, Hulme-Moir M, Liberman AS, Feinberg S, Hayden DM, Chadi SA, Demyttenaere S, Samuel L, Hotakorzian N, Quintin L, Morin N, Ghitulescu G, Faria J, Vasilevsky CA, Boutros M, Mckechnie T, Khamar J, Ichhpuniani S, Eskicioglu C, Patel S, Merchant S, Caycedo-Marulanda A, Bankhead C, Heneghan C, Govind S, Lee J, Lee Y, Hong D, Eskicioglu C, Lu J, Khamar J, Lee Y, Amin N, Hong D, Eskicioglu C, Cardenas L, Schep D, Doumouras A, Hong D, Wong R, Levine O, Eskicioglu C, Mueller C, Stein B, Charlebois P, Liberman S, Fried G, Feldman L, Wang A, Liberman S, Charlebois P, Stein B, Fiore JF, Feldman L, Lee L, Wang A, Liberman S, Charlebois P, Stein B, Fiore JF, Feldman L, Lee L, Barkun A, Levy J, Bogdan R, Hawel J, Elnahas A, Alkhamesi NA, Schlachta CM, Caycedo-Marulanda A, Iaboni N, Hurlbut D, Kaufmann M, Ren KYM, Jamzad A, Mousavi P, Fichtinger G, Nicol CJ, Rudan JF, Brennan K, Caycedo-Marulanda A, Merchant S, McClintock C, Patel SV, McClintock C, Bankhead C, Merchant S, Caycedo-Marulanda A, Booth C, Heneghan C, Zhang L, Huo B, Donaldson A, Flemming J, Nanji S, Caycedo-Marulanda A, Merchant S, Brogly S, Patel S, Lenet T, Park L, Murthy S, Musselman R, McKechnie T, Lee J, Biro J, Lee Y, Park L, Doumouras A, Hong D, Eskicioglu C, Singh H, Helewa R, Reynolds K, Sibley K, Doupe M, Brennan K, Flemming J, Nanji S, Merchant S, Djerboua M, Caycedo-Marulanda A, Patel S, Johnson G, Hochman D, Helewa R, Garfinkle R, Dell’Aniello S, Zelkowitz P, Vasilevsky CA, Brassard P, Boutros M, Zoughlami A, Abibula W, Amar A, Ghitulescu G, Vasilevsky CA, Brassard P, Boutros M, Araji T, Pang A, Vasilevsky CA, Boutros M, Ehlebracht A, Faria J, Ghitulescu G, Morin N, Pang A, Vasilevsky CA, Boutros M, Robitaille S, Oliver M, Charlebois P, Stein B, Liberman S, Feldman LS, Lee L, Kennedy E, Victor C, Govindarajan A, Zhang L, Brennan K, Djerboua M, Nanji S, Merchant SJ, Caycedo-Marulanda A, Flemming J, Robitaille S, Penta R, Pook M, Fiore JF, Feldman L, Lee L, Wong-Chong N, Marinescu D, Bhatnagar S, Morin N, Ghitulescu G, Vasilevsky CA, Faria J, Boutros M, Arif A, Ladua G, Bhang E, Brown C, Donellan F, Stuart H, Loree J, Patel S, Zhang L, MacDonald PH, Merchant S, Barnett KW, Caycedo-Marulanda A, Brown C, Karimuddin A, Stuart H, Ghuman A, Phang T, Raval M, Yoon HM, Fragoso G, Oliero M, Calvé A, Rendos HV, Gonzalez E, Brereton NJ, Cuisiniere T, Gerkins C, Djediai S, Annabi B, Diop K, Routy B, Laplante P, Cailhier JF, Taleb N, Alratrout H, Dagbert F, Loungnarath R, Sebajang H, Schwenter F, Wassef R, Ratelle R, Debroux E, Richard C, Santos MM, Hamad D, Alsulaim H, Monton O, Marinescu D, Pang A, Vasilevsky CA, Boutros M, Marinescu D, Alqahtani M, Pang A, Ghitulescu G, Vasilevsky CA, Boutros M, Marinescu D, Garfinkle R, Boutros M, Zwiep T, Greenberg J, Lenet T, Musselman R, Williams L, Raiche I, McIsaac D, Thavorn K, Fergusson D, Moloo H, Charbonneau J, Paré X, Frigault J, Letarte F, Ott M, Karanicolas P, Brackstone M, Ashmalla S, Weaver J, Tagalakis V, Boutros M, Stotland P, Caycedo-Marulanda A, Moloo H, Jayaraman S. 2022 Canadian Surgery Forum Sept. 15–17, 202201. Operative classification of ventral abdominal hernias: new and practical classification02. Watchful waiting for large primary splenic cysts03. Transversus abdominis plane (TAP) blocks with and without dexamethasone in colorectal surgery04. What factors determine publication of resident research day projects?05. Characterization of near-infrared imaging and indocyanine green use amongst general surgeons06. Variation in opioid prescribing after outpatient breast surgery: Time for a streamlined approach?07. Trends in graduate degree types and research output for Canadian academic general surgeons08. Would you prefer to undergo breast-conserving therapy or a mastectomy for early breast cancer? Comparison of perceptions of general and plastic surgeons09. Lack of representation of women and BIPOC individuals in Canadian academic surgery10. Medical student interest and perspectives on pursuing surgical careers: a multicentre survey evaluating 5-year trends11. Difficult cholecystectomy with cholecystogastric fistula12. Surviving nonsurvivable injuries: patients who elude the “lethal” Abbreviated Injury Scale (AIS) score of six13. Gunshot wounds sustained during legal intervention v. those inflicted by civilians: a comparative analysis14. The impact of delayed time to first head CT on functional outcomes after blunt head trauma with moderately depressed GCS15. Contemporary utility of diagnostic peritoneal aspiration in trauma16. Impact of delayed time to first head CT in traumatic brain injury17. Radiologic predictors of in-hospital mortality after traumatic craniocervical dissociation18. Measurement properties of a patient-reported instrument to evaluate functional status after major surgery19. The safety of venous thromboembolism chemoprophylaxis use in endoscopic retrograde cholangiopancreatography20. Characterizing Canadian rural surgeons: trends over time and 10-year replacement needs21. Contextual interference for skills development and transfer in laparoscopic surgery: a randomized controlled trial22. Evaluating the accuracy and design of visual backgrounds in academic surgical journals23. Defining rural surgery in Canada24. Validity of video-based general and procedure-specific self-assessment tools for surgical trainees in laparoscopic cholecystectomy25. Examining the equity and diversity characteristics of academic general surgeons in Canada26. Video-based coaching for surgical residents: a systematic review and meta-analysis27. Very-low-energy diets prior to nonbariatric surgery: a systematic review and meta-analysis28. Factors associated with resident research success: a descriptive analysis of Canadian general surgery trainees29. Global surgery pilot curriculum in Canadian undergraduate medical education: a novel approach30. How useful is ultrasound in predicting surgical findings of “mild cholecystitis”?31. Implementing a colorectal surgery “virtual hospital”: description of a novel outpatient care pathway to advance surgical care32. Trends in training and workforce planning for Canadian pediatric surgeons: a 10-year model33. Patient perspectives on intraoperative blood transfusion: results of semistructured interviews with perioperative patients34. Understanding intraoperative transfusion decision-making variability: a qualitative study using the Theoretical Domains Framework35. Effectiveness of preoperative oscillating positive expiratory pressure (OPEP) therapy in reduction of postoperative respiratory morbidity in patients undergoing surgery: a systematic review37. Accuracy of point-of-care testing devices for hemoglobin in the operating room: a systematic review and meta-analysis38. Opioid-free analgesia after outpatient general surgery: a qualitative study focused on the perspectives of patients and clinicians involved in a pilot trial39. The impact of the COVID-19 pandemic on general surgery residency: an analysis of operative volumes by residents at a Canadian general surgery residency program40. Postoperative care protocols for elderly emergency surgical patients: a quality improvement initiative42. Adverse events following robotic compared to laparoscopic and open surgery: a population-based analysis43. Is accrual higher for patients randomized to pragmatic v. exploratory randomized clinical trials? A systematic review and meta-analysis44. Effect of preoperative proton-pump inhibitor use on postoperative infectious and renal complications after elective general surgery45. The early burden of COVID-19 in emergency general surgery care across Canada46. Laparoscopic subtotal cholecystectomy for the difficult gallbladder: evolution of technique at a single teaching hospital and retrospective review47. The demand for emergency general surgery in Canada: a public health crisis48. Attitudes of Canadian general surgery staff and residents toward point-of-care ultrasound49. Psychological impact of COVID-19 on Canadian surgical residents50. Validation of an artificial intelligence platform for the guidance of safe laparoscopic cholecystectomy51. Predictors of recurrent appendicitis after nonoperative management: a prospective cohort study52. The effect of the first wave of the COVID-19 pandemic on colorectal and hepatobiliary oncologic outcomes at a tertiary care centre53. Trends in training and workforce representation for Canadian general surgeons working in critical care: a descriptive study54. White presentation: teaching safe opioid prescription and opioid use disorder management in Canadian universities56. How bad is really bad, eh? Impact of the first wave of the COVID-19 pandemic on residents’ operative volume: the experience of a Canadian general surgery program57. Surgeon-specific encounters within a multidisciplinary care pathway: Is there a role for shared care models in surgery?59. A pan-Canadian analysis of approach to treatment for acute appendicitis60. Appendix neoplasm stratified by age: understanding the best treatment for appendicitis61. Predicting acute cholecystitis on final pathology to prioritize surgical urgency: an evaluation of the Tokyo criteria and development of a novel predictive score62. Obesity is an independent predictor of acute renal failure after surgery64. Validation of a clinical decision-making assessment tool in general surgery65. Moral distress in the provision of palliative care delivery for surgical patients in British Columbia: lessons learned from the perspectives of general surgeons66. Delays in presentation and severity of illness predict adverse surgical outcomes among patients transferred from rural Indigenous communities for acute care surgery67. Remote video-based suturing education with smartphones (REVISE): a randomized controlled trial68. Modified Delphi consensus on appropriate use of laboratory investigations in acute care surgery patients72. Impacts of inpatient food at a tertiary care centre on patient satisfaction, nutrition and planetary health73. Racial disparities in health outcomes for oncological surgery in Canada75. Risk of recurrent laryngeal nerve injury from thyroidectomy is lower when intraoperative nerve monitoring (IONM) is used: an analysis of 17 688 patients from the NSQIP database01. The impact of the COVID-19 pandemic on non-smallcell lung cancer pathologic stage and presentation02. Screening criteria evaluation for expansion in pulmonary neoplasias (screen)03. Robotic-assisted lobectomy for early-stage lung cancer provides better patient-reported quality of life than video-assisted lobectomy: early results of the RAVAL trial04. Breathe Anew: designing and testing the feasibility of a novel intervention for lung cancer survivorship05. Learning objectives for thoracic surgery: developing a national standard for undergraduate medical education06. Plasma cell-free DNA as a point-of-care well-being biomarker for early-stage non-small-cell lung cancer patients07. Sarcopenia determined by skeletal muscle index predicts overall survival, disease-free survival and postoperative complications in resectable esophageal cancer: a systematic review and meta-analysis08. The short- and long-term effects of open v. minimally invasive thymectomy in myasthenia gravis patients: a systematic review and meta-analysis09. Optimizing opioid prescribing practices following minimally invasive lung resections through a structured quality improvement process10. Effects of virtual postoperative postdischarge care in patients undergoing lung resection during the COVID-19 pandemic11. Initiating Ethiopia’s first minimally invasive surgery program: a novel approach for collaborations in global surgical education12. Patient outcomes following salvage lung cancer surgery after definitive chemotherapy or radiation13. Replacing chest X-rays after chest tube removal with clinical assessment in postoperative thoracic surgery patients14. Updating the practice of thoracic surgery in Canada: a survey of the Canadian Association of Thoracic Surgeons15. The impact of COVID-19 on the diagnosis and treatment of lung cancer16. Development of a prediction model for survival time in esophageal cancer patients treated with resection17. The development and validation of a mixed reality thoracic surgical anatomy atlas18. Routine placement of feeding tubes should be avoided in esophageal cancer patients undergoing surgery19. Nodal count is no different during robotic segmentectomy compared with robotic lobectomy20. Point-of-care ultrasound-guided percutaneous biopsy of solid masses in the thoracic outpatient clinic: a safe, high-yield procedure to accelerate tissue diagnosis for patients with advanced thoracic malignancy21. Sarcopenia and modified frailty index are not associated with adverse outcomes after esophagectomy for esophageal cancer: a retrospective cohort study22. Near-infrared-guided segmental resection for lung cancer: an analysis of the learning curve23. Routine use of feeding jejunostomy tubes in patients undergoing esophagectomy for esophageal malignancy is safe and associated with low complication rates01. Ghost ileostomy versus loop ileostomy following total mesorectal excision for rectal cancer: a systematic review and meta-analysis02. Analysis of 100 consecutive colorectal cancers presenting at a Canadian tertiary care centre: delayed diagnosis and advanced disease03. Clinical delays and comparative outcomes in younger and older adults with colorectal cancer: a systematic review04. Recurrence rates of rectal cancer after transanal total mesorectal excision (taTME): a systematic review and meta-analysis05. Transanal total mesorectal excision for abdominoperineal resection (taTME-APR) is associated with poor oncological outcomes in rectal cancer patients: a word of caution from a multicentric Canadian cohort study06. Association between survival and receipt of recommended and timely treatment in locally advanced rectal cancer: a population-based study07. Trends and the impact of incomplete preoperative staging in rectal cancer08. Postoperative outcomes after elective colorectal surgery in patients with cirrhosis09. Bowel stimulation before loop ileostomy closure to reduce postoperative ileus: a multicentre, single-blinded, randomized controlled trial10. Recurrence following perineal rectosigmoidectomy ( Altemeier) with levatorplasty: a systematic review and meta-analysis11. Nonmodifiable risk factors and receipt of surveillance investigations following treatment of rectal cancer12. Safety and effectiveness of endoscopic full-thickness resection for the management of colorectal lesions: a systematic review and meta-analysis13. Impact of preoperative carbohydrate loading before colectomy: a systematic review and meta-analysis of randomized controlled trials14. Statin therapy in patients undergoing short-course neoadjuvant radiotherapy for rectal cancer15. Feasibility of targeted lymphadenectomy during complete mesocolic excision for colon cancer using indocyanine green immunofluorescence lymphatic mapping16. Feasibility of expanding an ambulatory colectomy protocol: a retrospective analysis of early discharge following minimally invasive colectomy in an enhanced recovery pathway17. Impact of rectal cancer on bowel dysfunction before treatment and its relationship with post-treatment function18. Canadian cost–utility analysis of artificial-intelligence-assisted colonoscopy for adenoma detection in fecal immunochemical-based colorectal cancer screening19. A comparison of outcomes following intracorporeal and extracorporeal anastomotic techniques in laparoscopic right colectomies20. Assessment of metabolic signatures using desorption electrospray ionization mass spectrometry (DESI) and rapid evaporative ionization mass spectrometry (REIMS) of rectal cancer samples to assist in determining treatment response21. The association between hospital characteristics and minimally invasive rectal cancer surgery: a population-based study22. Cancer centre level designation and the impact on treatment and outcomes in those with rectal cancer: a population-based study23. Oncological outcomes after colorectal cancer in patients with liver cirrhosis: a systematic review and meta-analysis24. Optimal preoperative nutrition for penetrating Crohn disease: a systematic review and meta-analysis25. Lymph node ratio as a predictor of survival for colon cancer: a systematic review and meta-analysis26. Barriers and facilitators for use of new recommendations for optimal endoscopic localization of colorectal neoplasms according to gastroenterologists and surgeons27. Emergency colorectal surgery in patients with cirrhosis: a population-based descriptive study28. Local recurrence rates and associated risk factors after transanal endoscopic microsurgery for benign polyps and adenocarcinomas29. Bowel dysfunction impacts mental health after restorative proctectomy for rectal cancer30. Evolution of psychological morbidity following restorative proctectomy for rectal cancer: a systematic review and meta-analysis31. Frailty predicts LARS and quality of life in rectal cancer survivors after restorative proctectomy32. Low anterior resection syndrome in a reference North American population: prevalence and predictive factors33. The evolution of enhanced recovery: same day discharge after laparoscopic colectomy34. Effect of ERAS protocols on length of stay after colorectal surgery: an interrupted time series analysis35. Practice patterns and outcomes in individuals with cirrhosis and colorectal cancer: a population-based study36. Understanding the impact of bowel function on quality of life after rectal cancer surgery37. Right-sided colectomies for diverticulitis have worse outcomes compared with left-sided colectomies38. Symptom burden and time from symptom onset to cancer diagnosis in patients with early-onset colorectal cancer39. The impact of access to robotic rectal surgery at a tertiary care centre: a Canadian perspective40. Management of rectal neuroendocrine tumours by transanal endoscopic microsurgery41. The gut microbiota modulates colorectal anastomotic healing in patients undergoing surgery for colorectal cancer42. Is there added risk of complications for concomitant procedures during an ileocolic resection for Crohn disease?43. Cost of stoma-related hospital readmissions for rectal cancer patients following restorative proctectomy with a diverting loop ileostomy: a nationwide readmissions database analysis44. Older age associated with quality of rectal cancer care: an ACS-NSQIP database study45. Outcomes of patients undergoing elective bowel resection before and after implementation of an anemia screening and treatment program47. Loop ileostomy closure as a 23-hour stay procedure: a randomized controlled trial48. Extended duration perioperative thromboprophylaxis with low-molecular-weight heparin to improve disease-free survival following surgical resection of colorectal cancer: a multicentre randomized controlled trial (PERIOP-01 Trial)49. Three-stage versus modified 2-stage ileal pouch anal anastomosis: perioperative outcomes, function and quality of life50. Compliance with extended venous thromboembolism prophylaxis in rectal cancer51. Extended-duration venous thromboembolism prophylaxis after diversion in rectal cancer52. Financial and occupational impact of low anterior resection syndrome: a qualitative study53. Nonoperative management for rectal cancer: patient perspectives54. Trends in ileostomy-related emergency department visits for rectal cancer patients55. Long-term implications of treatment of fecal incontinence: a single Canadian centre’s retrospective cohort study: a 17-year follow-up56. Externally benchmarking colorectal resection outcomes in our province against the ACS NSQIP risk calculator: identifying opportunities for improvement57. Externally benchmarking our provincial colectomy outcomes against the ACS NSQIP using the Codman Score: to identify possible opportunities for improvement of outcomes58. Rural v. urban documentation of recommended practices for optimal endoscopic colorectal lesion localization01. Incidence of in-hospital opioid use and pain after inguinal hernia repair02. Ventral hernia repair following liver transplantation: outcome of repair techniques and risk factors for recurrence01. Impact of the COVID-19 pandemic on bariatric surgery in North America: a retrospective analysis of 834 647 patients02. Patient selection and 30-day outcomes of SADI-S compared to RYGB: a retrospective cohort study of 47 375 patients03. New persistent opioid use following bariatric surgery: a systematic review and pooled proportion meta-analysis04. Bariatric surgery should be offered to active-duty military personnel: a retrospective study of the Canadian Armed Forces experience05. Opioid prescribing practices and use following bariatric surgery: a systematic review and pooled summary of data06. Sacred sharing circles: urban Indigenous Manitobans’ experiences with bariatric surgery07. Gastrogastric hernia after laparoscopic gastric great curve plication: a video presentation08. Characterization of comorbidities predictive of bariatric surgery09. Efficacy of preoperative high-dose liraglutide in patients with superobesity10. The effect of linear stapled gastrojejunostomy size in Roux-en-Y gastric bypass11. Fragility of statistically significant outcomes in randomized trials comparing bariatric surgeries12. Weight loss outcomes for patients undergoing conversion to Roux-en-Y gastric bypass after sleeve gastrectomy13. Are long waiting lists for bariatric surgery detrimental to patients? A single-centre experience14. Does upper gastrointestinal swallow study after bariatric surgery lead to earlier detection of leak?15. Pharmaceutical utilization before and after bariatric surgery16. Same-day discharge Roux-en-Y gastric bypass at a Canadian bariatric centre: pathway implementation and early experiences17. Safety and efficiency of performing primary bariatric surgery at an ambulatory site of a tertiary care hospital: a 5-year experience18. Impact of psychiatric diagnosis on weight loss outcomes 3 years after bariatric surgery19. Ursodeoxycholic acid (UDCA) for prevention of gallstone disease after laparoscopic sleeve gastrectomy (LSG): an Atlantic Canada perspective20. Fecal microbial transplantation and fibre supplementation in patients with severe obesity and metabolic syndrome: a randomized double-blind, placebo-controlled phase 2 trial01. Incidence, timing and outcomes of venous thromboembolism in patients undergoing surgery for esophagogastric cancer: a population-based cohort study04. Omission of axillary staging and survival in elderly women with early-stage breast cancer: a population-based cohort study05. Patients’ experiences receiving cancer surgery during the COVID-19 pandemic: a qualitative study06. Cancer surgery outcomes are better at high-volume centres07. Attitudes of Canadian colorectal cancer care providers toward liver transplantation for colorectal liver metastases: a national survey08. Quality of narrative central and lateral neck dissection reports for thyroid cancer treatment suggests need for a national standardized synoptic operative template09. Transoral endoscopic thyroidectomy vestibular approach (TOETVA): indications and technique10. Temporal trends in lymph node assessment as a quality indicator in colorectal cancer patients treated at a high-volume Canadian centre11. Molecular landscape of early-stage breast cancer with nodal metastasis12. Beta testing of a risk-stratified patient decision aid to facilitate shared decision making for postoperative extended thromboprophylaxis in patients undergoing major abdominal surgery for cancer13. Breast reconstruction use and impact on oncologic outcomes among inflammatory breast cancer patients: a systematic review14. Association between patient-reported symptoms and health care resource utilization: a first step to develop patient-centred value measures in cancer care15. Complications after colorectal liver metastases resection in Newfoundland and Labrador16. Why do patients with nonmetastatic primary retroperitoneal sarcoma not undergo resection?17. Loss of FAM46Cexpression predicts inferior postresection survival and induces ion channelopathy in gastric adenocarcinoma18. Liver-directed therapy of neuroendocrine liver metastases19. Neoadjuvant pembrolizumab use in microsatellite instability high (MSI-H) rectal cancer: benefits of its use in lynch syndrome20. MOLLI for excision of nonpalpable breast lesions: a case series22. Patients awaiting mastectomy report increased depression, anxiety, and decreased quality of life compared with patients awaiting lumpectomy for treatment of breast cancer23. Is microscopic margin status important in retroperitoneal sarcoma (RPS) resection? A systematic review and meta-analysis24. Absence of benefit of routine surveillance in very-low-risk and low-risk gastric gastrointestinal stromal tumors25. Effect of intraoperative in-room specimen radiography on margin status in breast-conserving surgery26. Active surveillance for DCIS of the breast: qualitative interviews with patients and physicians01 Outcomes following extrahepatic and intraportal pancreatic islet transplantation: a comparative cohort study02. Cholang-funga-gitis03. Evaluating the effect of a low-calorie prehepatectomy diet on perioperative outcomes: a systematic review and meta-analysis04. Toxicity profiles of systemic therapy for advanced hepatocellular carcinoma: a systematic review to guide neoadjuvant trials05. Should cell salvage be used in liver resection and transplantation? A systematic review and meta-analysis06. The association between surgeon and hospital variation in use of laparoscopic liver resection and short-term outcomes07. Systematic review and meta-analysis of prognostic factors for early recurrence in intrahepatic cholangiocarcinoma after curative-intent resection08. Impact of neoadjuvant chemotherapy on postoperative outcomes of patients undergoing hepatectomy for intrahepatic cholangiocarcinoma: ACS-NSQIP propensity-matched analysis09. The impact of prophylactic negative pressure wound therapy on surgical site infections in pancreatic resection: a systematic review and meta-analysis10. Does hepatic pedicle clamping increase the risk of colonic anastomotic leak after combined hepatectomy and colectomy? Analysis of the ACS NSQIP database11. Development of a culture process to grow a full-liver tissue substitute12. Liver transplantation for fibrolamellar hepatocellular carcinoma: an analysis of the European Liver Transplant Registry13. Arming beneficial viruses to treat pancreatic cancer14. Hepaticoduodenostomy versus hepaticojenunostomy for biliary reconstruction: a retrospective review of a single-centre experience15. Feasibility and safety of a “shared care” model in complex hepatopancreatobiliary surgery: a 5-year analysis of pancreaticoduodenectomy16. Laparoscopic v. open pancreaticoduodenectomy: initial institutional experience and NSQIP-matched analysis17. Laparoscopic spleen-preserving distal pancreatectomy: Why not do a Warshaw?18. The impact of COVID-19 on pancreaticoduodenectomy outcomes in a high-volume hepatopancreatobiliary centre19. Transitioning from open to minimally invasive pancreaticoduodenectomy: the learning curve factor in an academic centre20. Closed-incision negative-pressure wound therapy following pancreaticoduodenectomy for prevention of surgical site infections in high-risk patients21. Robotic Appleby procedure for recurrent pancreatic cancer22. The influence of viral hepatitis status on posthepatectomy complications in patients with hepatocellular carcinoma: a NSQIP analysis. Can J Surg 2022. [DOI: 10.1503/cjs.014322] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/05/2022] Open
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Gagnon G, Carreau AM, Plante AS, Savard C, Lemieux S, Weisnagel SJ, Gagnon C, Veillette J, Michaud A, Marceau S, Biertho L, Tchernof A, Morisset AS. Dietary intakes in pregnant women with previous bariatric surgery. Eat Weight Disord 2022; 27:2063-2071. [PMID: 35060110 DOI: 10.1007/s40519-021-01333-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/15/2021] [Revised: 11/12/2021] [Accepted: 11/16/2021] [Indexed: 11/29/2022] Open
Abstract
PURPOSE To (1) assess dietary intakes of pregnant women with previous bariatric surgery in comparison with Dietary Reference Intakes (DRIs); (2) compare their dietary intakes as well as their diet quality with a control group of pregnant women with no history of bariatric surgery. METHODS Twenty-eight (28) pregnant women with previous surgery (sleeve gastrectomy, n = 7 and biliopancreatic diversion with duodenal switch, n = 21) were matched for pre-pregnancy body mass index with 28 pregnant women with no history of bariatric surgery. In at least one trimester, participants completed a minimum of 2 Web-based 24-h dietary recalls from which energy, macro- and micronutrient intakes as well as the Canadian Healthy Eating Index (C-HEI) were derived. RESULTS No differences were observed for energy intake between groups. All women had protein intakes within the recommended range, but most women with previous surgery had carbohydrate (67%) and dietary fiber intakes (98%) below recommendations. In both groups, mean total fat, saturated fatty acids, free sugars and sodium intakes were above recommendations, as opposed to mean vitamin D, folic acid and iron dietary intakes below recommendations for most women. Compared with the control group, pregnant women with previous bariatric surgery had lower overall C-HEI scores. CONCLUSION These results suggest that pregnant women with previous bariatric surgery would benefit from a nutritional follow-up throughout their pregnancy. LEVEL OF EVIDENCE III: Evidence obtained from well-designed cohort or case-control analytic studies.
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Affiliation(s)
- Geneviève Gagnon
- École de Nutrition, Université Laval, Quebec, QC, Canada.,Axe endocrinologie et de néphrologie, Centre de recherche du CHU de Québec, Université Laval, Quebec, QC, Canada.,Centre Nutrition, santé et société, (NUTRISS), Institut sur la Nutrition et les Aliments Fonctionnels, INAF, Université Laval, Quebec, QC, Canada
| | - Anne-Marie Carreau
- Axe endocrinologie et de néphrologie, Centre de recherche du CHU de Québec, Université Laval, Quebec, QC, Canada.,Département de Médicine, Université Laval, Quebec, QC, Canada
| | - Anne-Sophie Plante
- Axe endocrinologie et de néphrologie, Centre de recherche du CHU de Québec, Université Laval, Quebec, QC, Canada.,Centre Nutrition, santé et société, (NUTRISS), Institut sur la Nutrition et les Aliments Fonctionnels, INAF, Université Laval, Quebec, QC, Canada
| | - Claudia Savard
- École de Nutrition, Université Laval, Quebec, QC, Canada.,Axe endocrinologie et de néphrologie, Centre de recherche du CHU de Québec, Université Laval, Quebec, QC, Canada.,Centre Nutrition, santé et société, (NUTRISS), Institut sur la Nutrition et les Aliments Fonctionnels, INAF, Université Laval, Quebec, QC, Canada
| | - Simone Lemieux
- École de Nutrition, Université Laval, Quebec, QC, Canada.,Centre Nutrition, santé et société, (NUTRISS), Institut sur la Nutrition et les Aliments Fonctionnels, INAF, Université Laval, Quebec, QC, Canada
| | - S John Weisnagel
- Axe endocrinologie et de néphrologie, Centre de recherche du CHU de Québec, Université Laval, Quebec, QC, Canada.,Département de Médicine, Université Laval, Quebec, QC, Canada
| | - Claudia Gagnon
- Axe endocrinologie et de néphrologie, Centre de recherche du CHU de Québec, Université Laval, Quebec, QC, Canada.,Département de Médicine, Université Laval, Quebec, QC, Canada.,Axe obésité, diabète de type 2 et métabolisme, Centre de Recherche de l'Institut Universitaire de Cardiologie et de Pneumologie de Québec, Quebec, QC, Canada
| | - Johanne Veillette
- CHU de Québec- Université Laval, Centre mère-enfant Soleil, Quebec, QC, Canada
| | - Andréanne Michaud
- École de Nutrition, Université Laval, Quebec, QC, Canada.,Centre Nutrition, santé et société, (NUTRISS), Institut sur la Nutrition et les Aliments Fonctionnels, INAF, Université Laval, Quebec, QC, Canada.,Axe obésité, diabète de type 2 et métabolisme, Centre de Recherche de l'Institut Universitaire de Cardiologie et de Pneumologie de Québec, Quebec, QC, Canada
| | - Simon Marceau
- Axe obésité, diabète de type 2 et métabolisme, Centre de Recherche de l'Institut Universitaire de Cardiologie et de Pneumologie de Québec, Quebec, QC, Canada
| | - Laurent Biertho
- Axe obésité, diabète de type 2 et métabolisme, Centre de Recherche de l'Institut Universitaire de Cardiologie et de Pneumologie de Québec, Quebec, QC, Canada
| | - André Tchernof
- École de Nutrition, Université Laval, Quebec, QC, Canada.,Axe obésité, diabète de type 2 et métabolisme, Centre de Recherche de l'Institut Universitaire de Cardiologie et de Pneumologie de Québec, Quebec, QC, Canada
| | - Anne-Sophie Morisset
- École de Nutrition, Université Laval, Quebec, QC, Canada. .,Axe endocrinologie et de néphrologie, Centre de recherche du CHU de Québec, Université Laval, Quebec, QC, Canada. .,Centre Nutrition, santé et société, (NUTRISS), Institut sur la Nutrition et les Aliments Fonctionnels, INAF, Université Laval, Quebec, QC, Canada.
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Zeighami Y, Dadar M, Daoust J, Pelletier M, Biertho L, Bouvet-Bouchard L, Fulton S, Tchernof A, Dagher A, Richard D, Evans A, Michaud A. Impact of Weight Loss on Brain Age: Improved Brain Health Following Bariatric Surgery. Neuroimage 2022; 259:119415. [PMID: 35760293 DOI: 10.1016/j.neuroimage.2022.119415] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2021] [Revised: 06/17/2022] [Accepted: 06/23/2022] [Indexed: 10/17/2022] Open
Abstract
Individuals living with obesity tend to have increased brain age, reflecting poorer brain health likely due to grey and white matter atrophy related to obesity. However, it is unclear if older brain age associated with obesity can be reversed following weight loss and cardiometabolic health improvement. The aim of this study was to assess the impact of weight loss and cardiometabolic improvement following bariatric surgery on brain health, as measured by change in brain age estimated based on voxel-based morphometry (VBM) measurements. We used three distinct datasets to perform this study: 1) CamCAN dataset to train the brain age prediction model, 2) Human Connectome Project (HCP) dataset to investigate whether individuals with obesity have greater brain age than individuals with normal weight, and 3) pre-surgery, as well as 4, 12, and 24 month post-surgery data from participants (n=87, age: 44.0±9.2 years, BMI: 43.9±4.2 kg/m2) who underwent a bariatric surgery to investigate whether weight loss and cardiometabolic improvement as a result of bariatric surgery lowers the brain age. As expected, our results from the HCP dataset showed a higher brain age for individuals with obesity compared to individuals with normal weight (T-value = 7.08, p-value < 0.0001). We also found significant improvement in brain health, indicated by a decrease of 2.9 and 5.6 years in adjusted delta age at 12 and 24 months following bariatric surgery compared to baseline (p-value < 0.0005 for both). While the overall effect seemed to be driven by a global change across all brain regions and not from a specific region, our exploratory analysis showed lower delta age in certain brain regions (mainly in somatomotor, visual, and ventral attention networks) at 24 months. This reduced age was also associated with post-surgery improvements in BMI, systolic/diastolic blood pressure, and HOMA-IR (T-valueBMI=4.29, T-valueSBP=4.67, T-valueDBP=4.12, T-valueHOMA-IR=3.16, all p-values < 0.05). In conclusion, these results suggest that obesity-related brain health abnormalities (as measured by delta age) might be reversed by bariatric surgery-induced weight loss and widespread improvements in cardiometabolic alterations.
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Affiliation(s)
- Yashar Zeighami
- Douglas Research Centre, Department of Psychiatry, McGill University, Montreal, Canada; Montreal Neurological Institute, Department of Neurology and Neurosurgery, McGill University, Montreal, Canada.
| | - Mahsa Dadar
- Douglas Research Centre, Department of Psychiatry, McGill University, Montreal, Canada
| | - Justine Daoust
- Centre de recherche de l'Institut universitaire de cardiologie et de pneumologie de Québec, Université Laval, Québec, Canada
| | - Mélissa Pelletier
- Centre de recherche de l'Institut universitaire de cardiologie et de pneumologie de Québec, Université Laval, Québec, Canada
| | - Laurent Biertho
- Département de chirurgie générale, Institut universitaire de cardiologie et de pneumologie de Québec, Université Laval, Québec, Canada
| | - Léonie Bouvet-Bouchard
- Département de chirurgie générale, Institut universitaire de cardiologie et de pneumologie de Québec, Université Laval, Québec, Canada
| | - Stephanie Fulton
- Centre de Recherche du CHUM, Department of Nutrition, Université de Montréal, Montreal Diabetes Research Center, Montreal, QC, Canada
| | - André Tchernof
- Centre de recherche de l'Institut universitaire de cardiologie et de pneumologie de Québec, Université Laval, Québec, Canada
| | - Alain Dagher
- Montreal Neurological Institute, Department of Neurology and Neurosurgery, McGill University, Montreal, Canada
| | - Denis Richard
- Département de chirurgie générale, Institut universitaire de cardiologie et de pneumologie de Québec, Université Laval, Québec, Canada
| | - Alan Evans
- Montreal Neurological Institute, Department of Neurology and Neurosurgery, McGill University, Montreal, Canada
| | - Andréanne Michaud
- Centre de recherche de l'Institut universitaire de cardiologie et de pneumologie de Québec, Université Laval, Québec, Canada.
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Bouchard-Mercier A, de Toro-Martín J, Nadeau M, Lescelleur O, Lebel S, Richard D, Biertho L, Tchernof A, Vohl MC. Molecular remodeling of adipose tissue is associated with metabolic recovery after weight loss surgery. Lab Invest 2022; 20:283. [PMID: 35739539 PMCID: PMC9219157 DOI: 10.1186/s12967-022-03485-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2022] [Accepted: 06/13/2022] [Indexed: 12/19/2022]
Abstract
BACKGROUND Bariatric surgery is an effective therapy for individuals with severe obesity to achieve sustainable weight loss and to reduce comorbidities. Examining the molecular signature of subcutaneous adipose tissue (SAT) following different types of bariatric surgery may help in gaining further insight into their distinct metabolic impact. RESULTS Subjects undergoing biliopancreatic diversion with duodenal switch (BPD-DS) showed a significantly higher percentage of total weight loss than those undergoing gastric bypass or sleeve gastrectomy (RYGB + SG) (41.7 ± 4.6 vs 28.2 ± 6.8%; p = 0.00005). Individuals losing more weight were also significantly more prone to achieve both type 2 diabetes and dyslipidemia remission (OR = 0.75; 95%CI = 0.51-0.91; p = 0.03). Whole transcriptome and methylome profiling showed that bariatric surgery induced a profound molecular remodeling of SAT at 12 months postoperative, mainly through gene down-regulation and hypermethylation. The extent of changes observed was greater following BPD-DS, with 61.1% and 49.8% of up- and down-regulated genes, as well as 85.7% and 70.4% of hyper- and hypomethylated genes being exclusive to this procedure, and mostly associated with a marked decrease of immune and inflammatory responses. Weight loss was strongly associated with genes being simultaneously differentially expressed and methylated in BPD-DS, with the strongest association being observed for GPD1L (r2 = 0.83; p = 1.4 × 10-6). CONCLUSIONS Present findings point to the greater SAT molecular remodeling following BPD-DS as potentially linked with higher metabolic remission rates. These results will contribute to a better understanding of the metabolic pathways involved in the response to bariatric surgery and will eventually lead to the development of gene targets for the treatment of obesity. Trial registration ClinicalTrials.gov NCT02390973.
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Affiliation(s)
- Annie Bouchard-Mercier
- School of Nutrition and Centre Nutrition, Santé et Société (NUTRISS)-Institut sur la nutrition et les aliments fonctionnels (INAF), Université Laval, Pavillon des Services (suite 2729K), 2440 Hochelaga Blvd, Quebec City, QC, G1V 0A6, Canada
| | - Juan de Toro-Martín
- School of Nutrition and Centre Nutrition, Santé et Société (NUTRISS)-Institut sur la nutrition et les aliments fonctionnels (INAF), Université Laval, Pavillon des Services (suite 2729K), 2440 Hochelaga Blvd, Quebec City, QC, G1V 0A6, Canada
| | - Mélanie Nadeau
- Centre de recherche de l'institut universitaire de cardiologie et de pneumologie de Québec (IUCPQ), 2725 chemin Sainte-Foy, Quebec City, QC, G1V 4G5, Canada
| | - Odette Lescelleur
- Centre de recherche de l'institut universitaire de cardiologie et de pneumologie de Québec (IUCPQ), 2725 chemin Sainte-Foy, Quebec City, QC, G1V 4G5, Canada
| | - Stéfane Lebel
- Centre de recherche de l'institut universitaire de cardiologie et de pneumologie de Québec (IUCPQ), 2725 chemin Sainte-Foy, Quebec City, QC, G1V 4G5, Canada
| | - Denis Richard
- Centre de recherche de l'institut universitaire de cardiologie et de pneumologie de Québec (IUCPQ), 2725 chemin Sainte-Foy, Quebec City, QC, G1V 4G5, Canada
| | - Laurent Biertho
- Centre de recherche de l'institut universitaire de cardiologie et de pneumologie de Québec (IUCPQ), 2725 chemin Sainte-Foy, Quebec City, QC, G1V 4G5, Canada
| | - André Tchernof
- Centre de recherche de l'institut universitaire de cardiologie et de pneumologie de Québec (IUCPQ), 2725 chemin Sainte-Foy, Quebec City, QC, G1V 4G5, Canada
| | - Marie-Claude Vohl
- School of Nutrition and Centre Nutrition, Santé et Société (NUTRISS)-Institut sur la nutrition et les aliments fonctionnels (INAF), Université Laval, Pavillon des Services (suite 2729K), 2440 Hochelaga Blvd, Quebec City, QC, G1V 0A6, Canada.
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Baillot A, St-Pierre M, Lapointe J, Bernard P, Bond D, Romain AJ, Garneau PY, Biertho L, Tchernof A, Blackburn P, Langlois MF, Brunet J. Acceptability and feasibility of the TELEhealth BARIatric behavioural intervention to increase physical ACTIVity (TELE-BariACTIV): A single-case experimental study protocol (Preprint). JMIR Res Protoc 2022; 11:e39633. [PMID: 36173668 PMCID: PMC9562082 DOI: 10.2196/39633] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2022] [Revised: 08/23/2022] [Accepted: 08/29/2022] [Indexed: 12/04/2022] Open
Abstract
Background Regular physical activity (PA) is recommended to optimize weight and health outcomes in patients who have undergone metabolic and bariatric surgery (MBS). However, >70% of patients have low PA levels before MBS that persist after MBS. Although behavioral interventions delivered face-to-face have shown promise for increasing PA among patients who have undergone MBS, many may experience barriers, preventing enrollment into and adherence to such interventions. Delivering PA behavior change interventions via telehealth to patients who have undergone MBS may be an effective strategy to increase accessibility and reach, as well as adherence. Objective This paper reports the protocol for a study that aims to assess the feasibility and acceptability of the protocol or methods and the Telehealth Bariatric Behavioral Intervention (TELE-BariACTIV). The intervention is designed to increase moderate-to-vigorous intensity PA (MVPA) in patients awaiting bariatric surgery and is guided by a multitheory approach and a patient perspective. Another objective is to estimate the effect of the TELE-BariACTIV intervention on presurgical MVPA to determine the appropriate sample size for a multicenter trial. Methods This study is a multicenter trial using a repeated (ABAB’A) single-case experimental design. The A phases are observational phases without intervention (A1=pre-MBS phase; A2=length personalized according to the MBS date; A3=7 months post-MBS phase). The B phases are interventional phases with PA counseling (B1=6 weekly pre-MBS sessions; B2=3 monthly sessions starting 3 months after MBS). The target sample size is set to 12. Participants are inactive adults awaiting sleeve gastrectomy who have access to a computer with internet and an interface with a camera. The participants are randomly allocated to a 1- or 2-week baseline period (A1). Protocol and intervention feasibility and acceptability (primary outcomes) will be assessed by recording missing data, refusal, recruitment, retention, attendance, and attrition rates, as well as via web-based acceptability questionnaires and semistructured interviews. Data collected via accelerometry (7-14 days) on 8 occasions and via questionnaires on 10 occasions will be analyzed to estimate the effect of the intervention on MVPA. Generalization measures assessing the quality of life, anxiety and depressive symptoms, and theory-based constructs (ie, motivational regulations for PA, self-efficacy to overcome barriers to PA, basic psychological needs satisfaction and frustration, PA enjoyment, and social support for PA; secondary outcomes for a future large-scale trial) will be completed via web-based questionnaires on 6-10 occasions. The institutional review board provided ethics approval for the study in June 2021. Results Recruitment began in September 2021, and all the participants were enrolled (n=12). Data collection is expected to end in fall 2023, depending on the MBS date of the recruited participants. Conclusions The TELE-BariACTIV intervention has the potential for implementation across multiple settings owing to its collaborative construction that can be offered remotely. International Registered Report Identifier (IRRID) DERR1-10.2196/39633
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Affiliation(s)
- Aurélie Baillot
- Nursing Department, Université du Québec en Outaouais, Gatineau, QC, Canada
- Institut du savoir de l'hôpital Montfort-recherche, Ottawa, ON, Canada
- Centre de Recherche en Médecine Psychosociale, Centre Intégré de Santé et Services Sociaux de l'Outaouais, Gatineau, QC, Canada
| | - Maxime St-Pierre
- Basic Science Department, Université du Québec à Chicoutimi, Chicoutimi, QC, Canada
| | - Josyanne Lapointe
- Department of Physical Activity Sciences, Université du Québec à Montréal, Montréal, QC, Canada
- Montreal Mental Health University Institute Research Centre, Montreal, QC, Canada
| | - Paquito Bernard
- Department of Physical Activity Sciences, Université du Québec à Montréal, Montréal, QC, Canada
- Montreal Mental Health University Institute Research Centre, Montreal, QC, Canada
| | - Dale Bond
- Department of Surgery, Hartford Hospital/HealthCare, Hartford, CT, United States
| | - Ahmed Jérôme Romain
- Montreal Mental Health University Institute Research Centre, Montreal, QC, Canada
- School of Kinesiology and Physical Activity Sciences, Faculty of Medicine, Université de Montréal, Montréal, QC, Canada
| | - Pierre Y Garneau
- Department of Surgery, Université de Montréal, Montréal, QC, Canada
| | - Laurent Biertho
- Institut universitaire de cardiologie et de pneumologie de Québec, Québec, QC, Canada
| | - André Tchernof
- Institut universitaire de cardiologie et de pneumologie de Québec, Québec, QC, Canada
| | - Patricia Blackburn
- Division of Kinesiology, Department of Health Sciences, Université du Québec à Chicoutimi, Chicoutimi, QC, Canada
| | - Marie-France Langlois
- CHUS Research Center and Division of Endocrinology, Department of Medicine, Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, QC, Canada
| | - Jennifer Brunet
- Institut du savoir de l'hôpital Montfort-recherche, Ottawa, ON, Canada
- Faculty of Health Sciences, School of Human Kinetics, University of Ottawa, Ottawa, ON, Canada
- Cancer Therapeutic Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada
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Garneau P, Glazer S, Jackson T, Sampath S, Reed K, Christou N, Shaban J, Biertho L. Guidelines for Canadian bariatric surgical and medical centres: a statement from the Canadian Association of Bariatric Physicians and Surgeons. Can J Surg 2022; 65:E170-E177. [PMID: 35264444 PMCID: PMC8916020 DOI: 10.1503/cjs.020719] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/08/2021] [Indexed: 11/22/2022] Open
Abstract
The goal of this statement is to offer standardization in bariatric care across Canada, to provide patients with optimal access to obesity treatment and potentially improve outcomes by reducing complications, length of hospital stay and readmission rate. The definition of Canadian standards also aims to promote a comprehensive, multidisciplinary approach to patients with obesity, to define the minimal qualifications for surgical and medical training and to offer credentialling for bariatric surgical and medical centres. In addition, we emphasize the importance of developing a national registry for the assessment of quality of care across the country and to evaluate outcomes of long-term treatment. These recommendations are based on expert opinion as well as the most recent clinical evidence.
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Affiliation(s)
- Pierre Garneau
- CIUSSS du Nord-de-L'Île de Montréal, CIUSSS NIM (Garneau), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; University Institute of Cardiology and Respirology of Quebec (Biertho), Québec, Que.; Richmond General Hospital (Sampath), Richmond, B.C.; University Health Network (Jackson), Toronto, Ont.; Guelph General Hospital (Reed), Guelph, Ont.; McGill University (Christou), Montréal, Que.; the Department of Endocrinology and Metabolism, Western University (Shaban), London, Ont.; and the Regional Bariatric Assessment and Treatment Centre of Windsor (Shaban), Windsor, Ont.
| | - Stephen Glazer
- CIUSSS du Nord-de-L'Île de Montréal, CIUSSS NIM (Garneau), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; University Institute of Cardiology and Respirology of Quebec (Biertho), Québec, Que.; Richmond General Hospital (Sampath), Richmond, B.C.; University Health Network (Jackson), Toronto, Ont.; Guelph General Hospital (Reed), Guelph, Ont.; McGill University (Christou), Montréal, Que.; the Department of Endocrinology and Metabolism, Western University (Shaban), London, Ont.; and the Regional Bariatric Assessment and Treatment Centre of Windsor (Shaban), Windsor, Ont
| | - Timothy Jackson
- CIUSSS du Nord-de-L'Île de Montréal, CIUSSS NIM (Garneau), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; University Institute of Cardiology and Respirology of Quebec (Biertho), Québec, Que.; Richmond General Hospital (Sampath), Richmond, B.C.; University Health Network (Jackson), Toronto, Ont.; Guelph General Hospital (Reed), Guelph, Ont.; McGill University (Christou), Montréal, Que.; the Department of Endocrinology and Metabolism, Western University (Shaban), London, Ont.; and the Regional Bariatric Assessment and Treatment Centre of Windsor (Shaban), Windsor, Ont
| | - Sharadh Sampath
- CIUSSS du Nord-de-L'Île de Montréal, CIUSSS NIM (Garneau), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; University Institute of Cardiology and Respirology of Quebec (Biertho), Québec, Que.; Richmond General Hospital (Sampath), Richmond, B.C.; University Health Network (Jackson), Toronto, Ont.; Guelph General Hospital (Reed), Guelph, Ont.; McGill University (Christou), Montréal, Que.; the Department of Endocrinology and Metabolism, Western University (Shaban), London, Ont.; and the Regional Bariatric Assessment and Treatment Centre of Windsor (Shaban), Windsor, Ont
| | - Kenneth Reed
- CIUSSS du Nord-de-L'Île de Montréal, CIUSSS NIM (Garneau), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; University Institute of Cardiology and Respirology of Quebec (Biertho), Québec, Que.; Richmond General Hospital (Sampath), Richmond, B.C.; University Health Network (Jackson), Toronto, Ont.; Guelph General Hospital (Reed), Guelph, Ont.; McGill University (Christou), Montréal, Que.; the Department of Endocrinology and Metabolism, Western University (Shaban), London, Ont.; and the Regional Bariatric Assessment and Treatment Centre of Windsor (Shaban), Windsor, Ont
| | - Nicolas Christou
- CIUSSS du Nord-de-L'Île de Montréal, CIUSSS NIM (Garneau), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; University Institute of Cardiology and Respirology of Quebec (Biertho), Québec, Que.; Richmond General Hospital (Sampath), Richmond, B.C.; University Health Network (Jackson), Toronto, Ont.; Guelph General Hospital (Reed), Guelph, Ont.; McGill University (Christou), Montréal, Que.; the Department of Endocrinology and Metabolism, Western University (Shaban), London, Ont.; and the Regional Bariatric Assessment and Treatment Centre of Windsor (Shaban), Windsor, Ont
| | - Joseph Shaban
- CIUSSS du Nord-de-L'Île de Montréal, CIUSSS NIM (Garneau), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; University Institute of Cardiology and Respirology of Quebec (Biertho), Québec, Que.; Richmond General Hospital (Sampath), Richmond, B.C.; University Health Network (Jackson), Toronto, Ont.; Guelph General Hospital (Reed), Guelph, Ont.; McGill University (Christou), Montréal, Que.; the Department of Endocrinology and Metabolism, Western University (Shaban), London, Ont.; and the Regional Bariatric Assessment and Treatment Centre of Windsor (Shaban), Windsor, Ont
| | - Laurent Biertho
- CIUSSS du Nord-de-L'Île de Montréal, CIUSSS NIM (Garneau), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; University Institute of Cardiology and Respirology of Quebec (Biertho), Québec, Que.; Richmond General Hospital (Sampath), Richmond, B.C.; University Health Network (Jackson), Toronto, Ont.; Guelph General Hospital (Reed), Guelph, Ont.; McGill University (Christou), Montréal, Que.; the Department of Endocrinology and Metabolism, Western University (Shaban), London, Ont.; and the Regional Bariatric Assessment and Treatment Centre of Windsor (Shaban), Windsor, Ont
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17
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Greenblatt M, Baillargeon D, Cote M, Nadeau M, Couture C, Hould F, Bouvet L, Tchernof A, Biertho L. A254 PREVALENCE OF HELICOBACTER PYLORI INFECTION IN BARIATRIC SURGERY PATIENTS. J Can Assoc Gastroenterol 2022. [DOI: 10.1093/jcag/gwab049.253] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Helicobacter Pylori (HP) infection is the most common chronic infection in humans. Known risk factors include poor socioeconomic status and living conditions, especially at a young age. In Canada, the prevalence is estimated between 23% and 38%. The relationship between BMI and HP infection is controversial. Some data suggests that HP infection occurs less frequently in individuals who are overweight. Other authors endorse that obesity is a risk factor for HP infection, possibly explained by altered innate and adaptive immunity in these patients.
Aims
The objectives were to determine the prevalence of HP infection in patients undergoing bariatric surgery and assess the correlation between HP infection and various patient characteristics.
Methods
All patients who underwent bariatric surgery with a gastric resection in a single hospital between 01/2004 and 01/2019 were analyzed. When gastritis was present, HP immunohistochemical testing was performed. Characteristics of HP-positive (HP+) and HP-negative (HP-) patients were compared using Student’s t-test and χ 2 test.
Results
A total of 6388 specimens were reviewed (4365 women & 2023 men) with a mean age of 44.9±11.2 years and a mean BMI of 49.3±8.2 kg/m2. Histology-proven HP infection rate was 6.3% (n=405). There was no significant difference in sex, BMI and body weight between HP+ and HP- patients. HP+ patients were significantly older than HP– patients (47.4±9.8 vs 44.7±11.3 years, respectively, p<0.0001). Logistic regressions identified age as a risk factor for HP infection in this population (OR 1.26, p<0.0001, CI95% 1.14–1.40 for every 10-year increase).
Conclusions
The rate of histology-proven HP infection is low in patients with severe obesity who present for bariatric surgery and is directly associated with age. The benefits of routine preoperative testing in non-gastric-bypass surgery candidates should be questioned.
Characteristics of study participants
Funding Agencies
This study was performed with support from the Research Chair in Bariatric and Metabolic Surgery at Laval University (L. Biertho and A. Tchernof). MC is the recipient of a studentship from Diabète Québec.
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Affiliation(s)
- M Greenblatt
- Gastroenterology, Queen’s University, Kingston, ON, Canada
| | - D Baillargeon
- Institut universitaire de cardiologie et de pneumologie de Quebec, Quebec, QC, Canada
| | - M Cote
- Institut universitaire de cardiologie et de pneumologie de Quebec, Quebec, QC, Canada
| | - M Nadeau
- Institut universitaire de cardiologie et de pneumologie de Quebec, Quebec, QC, Canada
| | - C Couture
- Institut universitaire de cardiologie et de pneumologie de Quebec, Quebec, QC, Canada
| | - F Hould
- Institut universitaire de cardiologie et de pneumologie de Quebec, Quebec, QC, Canada
| | - L Bouvet
- Institut universitaire de cardiologie et de pneumologie de Quebec, Quebec, QC, Canada
| | - A Tchernof
- Institut universitaire de cardiologie et de pneumologie de Quebec, Quebec, QC, Canada
| | - L Biertho
- Institut universitaire de cardiologie et de pneumologie de Quebec, Quebec, QC, Canada
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18
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Mukorako P, Lemoine N, Biertho L, Lebel S, Roy MC, Plamondon J, Tchernof A, Varin TV, Anhê FF, St-Pierre DH, Marette A, Richard D. Consistent gut bacterial and short-chain fatty acid signatures in hypoabsorptive bariatric surgeries correlate with metabolic benefits in rats. Int J Obes (Lond) 2022; 46:297-306. [PMID: 34686781 DOI: 10.1038/s41366-021-00973-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/12/2020] [Revised: 07/08/2021] [Accepted: 09/16/2021] [Indexed: 01/16/2023]
Abstract
OBJECTIVE The study aimed at comparing how changes in the gut microbiota are associated to the beneficial effects of the most clinically efficient hypoabsorptive bariatric procedures, namely Roux-en-Y gastric bypass (RYGB), biliopancreatic diversion with duodenal switch (BPD-DS) and single anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S). METHODS Diet-induced obese (DIO) male Wistar rats were divided into seven groups. In addition to the groups subjected to RYGB, BPD-DS and SADI-S, the following four control groups were included: SHAM-operated rats fed a high-fat diet (SHAM HF), SHAM fed a low-fat diet (SHAM LF), SHAM HF-pair-weighed to BPD-DS (SHAM HF-PW) and sleeve-gastrectomy (SG) rats. Body weight, food intake, glucose tolerance, insulin sensitivity/resistance, and L-cell secretion were assessed. The gut microbiota (16 S ribosomal RNA gene sequencing) as well as the fecal and cæcal contents of short-chain fatty acids (SCFAs) were also analyzed prior to, and after the surgeries. RESULTS The present study demonstrates the beneficial effect of RYGB, BPD-DS and SADI-S on fat mass gain and glucose metabolism in DIO rats. These benefits were proportional to the effect of the surgeries on food digestibility (BPD-DS > SADI-S > RYGB). Notably, hypoabsorptive surgeries led to consonant microbial signatures characterized by decreased abundance of the Ruminococcaceae (Oscillospira and Ruminococcus), Oscillospiraceae (Oscillibacter) and Christensenellaceae, and increased abundance of the Clostridiaceae (Clostridium), Sutterellaceae (Sutterella) and Enterobacteriaceae. The gut bacteria following hypoabsorptive surgeries were associated with higher fecal levels of propionate, butyrate, isobutyrate and isovalerate. Increases in the fecal SCFAs were in turn positively and strongly correlated with the levels of peptide tyrosine-tyrosine (PYY) and with the beneficial effects of the surgery. CONCLUSION The present study emphasizes the consistency with which the three major hypoabsorptive bariatric procedures RYGB, BPD-DS and SADI-S create a gut microbial environment capable of producing a SCFA profile favorable to the secretion of PYY and to beneficial metabolic effects.
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Affiliation(s)
- Paulette Mukorako
- Department of Medicine, Faculty of Medicine, Université Laval, Québec, QC, Canada.,Québec Heart and Lung Institute, Chemin Sainte-Foy, Québec, QC, Canada
| | - Natacha Lemoine
- Québec Heart and Lung Institute, Chemin Sainte-Foy, Québec, QC, Canada
| | - Laurent Biertho
- Department of Medicine, Faculty of Medicine, Université Laval, Québec, QC, Canada.,Québec Heart and Lung Institute, Chemin Sainte-Foy, Québec, QC, Canada
| | - Stéfane Lebel
- Department of Medicine, Faculty of Medicine, Université Laval, Québec, QC, Canada.,Québec Heart and Lung Institute, Chemin Sainte-Foy, Québec, QC, Canada
| | - Marie-Claude Roy
- Québec Heart and Lung Institute, Chemin Sainte-Foy, Québec, QC, Canada
| | - Julie Plamondon
- Québec Heart and Lung Institute, Chemin Sainte-Foy, Québec, QC, Canada
| | - André Tchernof
- Québec Heart and Lung Institute, Chemin Sainte-Foy, Québec, QC, Canada
| | | | - Fernando F Anhê
- Department of Biochemistry and Biomedical Sciences, Farncombe Family Digestive Health Research Institute and Center for Metabolism Obesity and Diabetes Research, McMaster University, Hamilton, ON, Canada
| | - David H St-Pierre
- Institute of Nutrition and Functional Foods, Québec, QC, Canada.,Department of Exercise Sciences, Université du Québec à Montréal (UQAM), Montreal, QC, Canada
| | - André Marette
- Department of Medicine, Faculty of Medicine, Université Laval, Québec, QC, Canada.,Québec Heart and Lung Institute, Chemin Sainte-Foy, Québec, QC, Canada.,Institute of Nutrition and Functional Foods, Québec, QC, Canada
| | - Denis Richard
- Department of Medicine, Faculty of Medicine, Université Laval, Québec, QC, Canada. .,Québec Heart and Lung Institute, Chemin Sainte-Foy, Québec, QC, Canada.
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19
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Gagnon G, Carreau AM, Cloutier-Langevin C, Plante AS, John Weisnagel S, Marceau S, Biertho L, Simon Hould F, Camirand-Lemyre F, Tchernof A, Morisset AS. Trimester-specific gestational weight gain in women with and without previous bariatric surgeries. Eur J Obstet Gynecol Reprod Biol 2021; 270:252-258. [PMID: 35000759 DOI: 10.1016/j.ejogrb.2021.12.033] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2021] [Accepted: 12/23/2021] [Indexed: 12/16/2022]
Abstract
OBJECTIVES The study aimed 1) to compare trimester-specific and total gestational weight gain (GWG) between mothers who had undergone biliopancreatic diversion with duodenal switch (BPD) and two control groups of unoperated women and 2) to examine the associations between GWG, intrauterine fetal growth and neonatal birthweight. METHODS This retrospective study included data collected in medical records of newborns and mothers from 3 groups: the first control group (PP) included mothers (n = 158) with a pre-pregnancy BMI similar to that of the surgical group (n = 63) and the second one (PS) included mothers (n = 85) with a pre-pregnancy BMI corresponding to that of the surgical group prior to BPD or a BMI > 40 kg/m2. Trimester-specific GWG was obtained using linear interpolation and compared to the recommendations. RESULTS Women exposed to BPD have an increased prevalence of insufficient weight gain in the second and third trimesters as well as for the whole pregnancy in comparison with women in the PP group. The weekly GWG rate in the third trimester was significantly lower in women exposed to BPD, compared to both control groups. Although the newborns of women with previous BPD were significantly smaller during pregnancy and at birth, no association was found with GWG. CONCLUSION Women exposed to BPD are at substantial risk of insufficient GWG, however, mechanisms and long-term impacts require further investigation.
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Affiliation(s)
- Geneviève Gagnon
- School of Nutrition, Laval University, Quebec City, Qc, Canada; Endocrinology and Nephrology Unit, CHU of Quebec-Laval University Research Center, Quebec City, Qc, Canada; Research Center Nutrition, Health and society, (NUTRISS), INAF, Laval University, Quebec City, Qc, Canada
| | - Anne-Marie Carreau
- Endocrinology and Nephrology Unit, CHU of Quebec-Laval University Research Center, Quebec City, Qc, Canada; Department of Medicine, Laval University, Quebec City, Qc, Canada
| | | | - Anne-Sophie Plante
- Endocrinology and Nephrology Unit, CHU of Quebec-Laval University Research Center, Quebec City, Qc, Canada; Research Center Nutrition, Health and society, (NUTRISS), INAF, Laval University, Quebec City, Qc, Canada
| | - S John Weisnagel
- Endocrinology and Nephrology Unit, CHU of Quebec-Laval University Research Center, Quebec City, Qc, Canada; Department of Medicine, Laval University, Quebec City, Qc, Canada
| | - Simon Marceau
- Institute of Cardiology and Pulmonology of Quebec, Laval University, Quebec City, Qc, Canada
| | - Laurent Biertho
- Institute of Cardiology and Pulmonology of Quebec, Laval University, Quebec City, Qc, Canada
| | - Frédéric Simon Hould
- Institute of Cardiology and Pulmonology of Quebec, Laval University, Quebec City, Qc, Canada
| | | | - André Tchernof
- School of Nutrition, Laval University, Quebec City, Qc, Canada; Institute of Cardiology and Pulmonology of Quebec, Laval University, Quebec City, Qc, Canada
| | - Anne-Sophie Morisset
- School of Nutrition, Laval University, Quebec City, Qc, Canada; Endocrinology and Nephrology Unit, CHU of Quebec-Laval University Research Center, Quebec City, Qc, Canada; Research Center Nutrition, Health and society, (NUTRISS), INAF, Laval University, Quebec City, Qc, Canada.
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20
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Lemieux-Simard C, Pettigrew M, Auclair A, Piche ME, Biertho L, Marceau S, Harvey J, Poirier P. Impact of a 12-week supervised exercise program on weight loss trajectory, daily physical activity levels and sedentary behaviors after bariatric surgery. Eur Heart J 2021. [DOI: 10.1093/eurheartj/ehab724.2605] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Background
The evidence suggests that physical activity (PA) following bariatric surgery can enhance weight loss and other metabolic outcomes. However, most individuals with severe obesity are insufficiently active, and without support, fail to make substantial increases in their daily PA levels postoperatively.
Purpose
The aim of this study was to investigate the effectiveness of a 12-week supervised exercise program on daily PA levels, sedentary time, and on maintenance of the weight loss trajectory following bariatric surgery.
Methods
Fifty-nine individuals with severe obesity (body mass index [BMI] ≥40 or ≥35 kg/m2 with comorbidities) eligible for bariatric surgery were randomly assigned (1:2) to either standard of care (CG, n=19) or a 12-week supervised exercise program (ExG, n=40). Daily PA levels and sedentary time were assessed using an armband accelerometer worn over a 3-day period (2 week-day and 1 weekend day). Body weight, body fat and fat-free mass were assessed using bioelectrical impedance balance. The exercise training program (60 min, 3 times per week for 12 weeks) started 3 months after the bariatric surgery and was supervised by a certified clinical exercise physiologist. Daily PA levels, sedentary time and anthropometric measurements were obtained preoperatively, and at 3, 6 and 12 months after bariatric surgery.
Results
Age of participants was 42±12 years, BMI was 46±6 kg/m2, and 76% were women. Before the exercise training program, PA parameters (daily PA levels, sedentary time and moderate to vigorous intensity PA [MVPA] were comparable between groups. Following the exercise training program, the ExG showed a significant reduction in sedentary time (753±113 to 721±88 min/day), an increase in daily PA levels (4544±1863 to 5853±3101 steps/day) and in MVPA levels (18.8±25.1 to 30.5±38.1 min/day). Further increase in daily MVPA levels were observed at the 12 months follow-up visit (p=0.05). In the standard of care group, changes in PA parameters were also comparable to those in the ExG. All anthropometric measurements indicate statistically significant changes postoperatively, after the intervention and up to 12 months follow-up (p<0.001) without showing any difference between groups. Anthropometric changes up to 12 months follow-up show, respectively for CG and ExG, a total weight loss of 37.8±9.3% and 38.4±10.3%, a body fat reduction of 60.4±13.7% and 61.9±15.2% and fat-free mass loss of 16.6±5.4% and 15.1±7.9%.
Conclusion
This study shows that bariatric surgery candidates have low PA levels and rarely engage in MVPA. We found no additional effect to the standard of care treatment of a postoperative 12-week supervised exercise training program on weight loss trajectory, daily PA levels and sedentary behaviors.
Funding Acknowledgement
Type of funding sources: Public grant(s) – National budget only. Main funding source(s): Canadian Institutes of Health Research (CIHR)Institut Universitaire de Cardiologie et de Pneumologie de Québec - Université Laval (IUCPQ - UL)
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Affiliation(s)
- C Lemieux-Simard
- Institut Universitaire de Cardiologie et de Pneumologie de Québec - Université Laval (IUCPQ - UL), Québec, Canada
| | - M Pettigrew
- Institut Universitaire de Cardiologie et de Pneumologie de Québec - Université Laval (IUCPQ - UL), Québec, Canada
| | - A Auclair
- Institut Universitaire de Cardiologie et de Pneumologie de Québec - Université Laval (IUCPQ - UL), Québec, Canada
| | - M E Piche
- Institut Universitaire de Cardiologie et de Pneumologie de Québec - Université Laval (IUCPQ - UL), Québec, Canada
| | - L Biertho
- Institut Universitaire de Cardiologie et de Pneumologie de Québec - Université Laval (IUCPQ - UL), Québec, Canada
| | - S Marceau
- Institut Universitaire de Cardiologie et de Pneumologie de Québec - Université Laval (IUCPQ - UL), Québec, Canada
| | - J Harvey
- Institut Universitaire de Cardiologie et de Pneumologie de Québec - Université Laval (IUCPQ - UL), Québec, Canada
| | - P Poirier
- Institut Universitaire de Cardiologie et de Pneumologie de Québec - Université Laval (IUCPQ - UL), Québec, Canada
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21
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Marzouk M, Baillot R, Kalavrouziotis D, Amhis N, Nader J, Hould FS, Biertho L, Mohammadi S, Malas T. Early to midterm survival of patients with deep sternal wound infection managed with laparoscopically harvested omentum. J Card Surg 2021; 36:4083-4089. [PMID: 34473370 DOI: 10.1111/jocs.15955] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2021] [Revised: 07/26/2021] [Accepted: 08/15/2021] [Indexed: 11/30/2022]
Abstract
OBJECTIVE The optimal management of deep sternal wound infection (DWSI) remains controversial. Our objective was to evaluate outcomes of patients with DSWI managed with transposition of laparoscopically harvested omentum (LHO). METHODS Between 2000 and 2020, a total of 38,623 adult patients who underwent full median sternotomy for cardiac surgery were analyzed retrospectively at our institution. DSWI occurred in 455 (1.2%), of whom 364 (93.2%) were managed with pectoralis myocutaneous flap (PMF) and 33 (7.2%) with LHO. Univariate and multivariate analysis models were used to determine predictors of cumulative late mortality and adjusted survival curves were generated. RESULTS Among patients who received LHO, average age was 65.7 ± 9.7 years and a larger proportion of patients were male. A majority of patients (88%) had coronary bypass surgery, with bilateral internal mammary arteries use in only 21.2%. Mean length of stay (LOS) was 58.90 days and early hospital mortality occurred in 4 patients (12.1%). Patients who received LHO compared to only PMF had larger body mass index and had more heart failure. Furthermore, the hospital LOS was also significantly prolonged in the LHO group (58.9 vs. 27.4 days, p = .002), with a slightly higher in-hospital mortality (12.1% vs. 3.3%, p = .03). Late survival for LHO patients at 5 and 10 years was 71.9% and 44.8%, respectively. CONCLUSION Use of LHO is a safe and viable alternative to traditional myocutaneous flaps to manage complex DSWI. Early and late survival were favorable in this high-risk population.
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Affiliation(s)
- Mohamed Marzouk
- Department of Cardiovascular Surgery, Quebec Heart and Lung Institute, Laval University, Quebec City, Quebec, Canada
| | - Richard Baillot
- Department of Cardiovascular Surgery, Quebec Heart and Lung Institute, Laval University, Quebec City, Quebec, Canada
| | - Dimitris Kalavrouziotis
- Department of Cardiovascular Surgery, Quebec Heart and Lung Institute, Laval University, Quebec City, Quebec, Canada
| | - Nawal Amhis
- Department of Cardiovascular Surgery, Quebec Heart and Lung Institute, Laval University, Quebec City, Quebec, Canada
| | - Joseph Nader
- Department of Cardiovascular Surgery, Quebec Heart and Lung Institute, Laval University, Quebec City, Quebec, Canada
| | - Frederic S Hould
- Department of General Surgery, Laval University, Quebec City, Quebec, Canada
| | - Laurent Biertho
- Department of General Surgery, Laval University, Quebec City, Quebec, Canada
| | - Siamak Mohammadi
- Department of Cardiovascular Surgery, Quebec Heart and Lung Institute, Laval University, Quebec City, Quebec, Canada
| | - Tarek Malas
- Department of Cardiovascular Surgery, Quebec Heart and Lung Institute, Laval University, Quebec City, Quebec, Canada
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Iceta S, Dadar M, Daoust J, Scovronec A, Leblanc V, Pelletier M, Biertho L, Tchernof A, Bégin C, Michaud A. Association between Visceral Adiposity Index, Binge Eating Behavior, and Grey Matter Density in Caudal Anterior Cingulate Cortex in Severe Obesity. Brain Sci 2021; 11:brainsci11091158. [PMID: 34573180 PMCID: PMC8468041 DOI: 10.3390/brainsci11091158] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2021] [Revised: 08/24/2021] [Accepted: 08/25/2021] [Indexed: 01/01/2023] Open
Abstract
Visceral adipose tissue accumulation is an important determinant of metabolic risk and can be estimated by the visceral adiposity index (VAI). Visceral adiposity may impact brain regions involved in eating behavior. We aimed to examine the association between adiposity measurements, binge eating behavior, and grey matter density. In 20 men and 59 women with severe obesity, Grey matter density was measured by voxel-based morphometry for six regions of interest associated with reward, emotion, or self-regulation: insula, orbitofrontal cortex, caudal and rostral anterior cingulate cortex (ACC), ventromedial prefrontal cortex (vmPFC), and dorsolateral prefrontal cortex (DLPFC). Binge eating behavior, depression and impulsivity was assessed by the Binge Eating Scale, Beck Depression Inventory and UPPS Impulsive Behavior Scale, respectively. Men and women were distinctively divided into two subgroups (low-VAI and high-VAI) based on the mean VAI score. Women with high-VAI were characterized by metabolic alterations, higher binge eating score and lower grey matter density in the caudal ACC compared to women with low-VAI. Men with high-VAI were characterized by a higher score for the sensation-seeking subscale of the UPPS–Impulsive Behavior Scale compared to men with low-VAI. Using a moderation–mediation analysis, we found that grey matter density in the caudal ACC mediates the association between VAI and binge eating score. In conclusion, visceral adiposity is associated with higher binge eating severity in women. Decreased grey matter density in the caudal ACC, a region involved in cognition and emotion regulation, may influence this relationship.
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Affiliation(s)
- Sylvain Iceta
- Research Center of the Quebec Heart and Lung Institute, Université Laval, Quebec City, QC G1V 4G5, Canada; (J.D.); (A.S.); (M.P.); (A.T.); (C.B.)
- School of Nutrition, Université Laval, Quebec City, QC G1V 0A6, Canada
- Correspondence: (S.I.); (A.M.)
| | - Mahsa Dadar
- CERVO Brain Research Center, Centre Intégré Universitaire Santé et Services Sociaux de la Capitale Nationale, Université Laval, Quebec City, QC G1E 1T2, Canada;
| | - Justine Daoust
- Research Center of the Quebec Heart and Lung Institute, Université Laval, Quebec City, QC G1V 4G5, Canada; (J.D.); (A.S.); (M.P.); (A.T.); (C.B.)
- School of Nutrition, Université Laval, Quebec City, QC G1V 0A6, Canada
| | - Anais Scovronec
- Research Center of the Quebec Heart and Lung Institute, Université Laval, Quebec City, QC G1V 4G5, Canada; (J.D.); (A.S.); (M.P.); (A.T.); (C.B.)
- School of Nutrition, Université Laval, Quebec City, QC G1V 0A6, Canada
| | - Vicky Leblanc
- Centre Nutrition, Santé et Société (NUTRISS), Institut sur la Nutrition et les Aliments Fonctionnels (INAF), Université Laval, Quebec City, QC G1V 0A6, Canada;
| | - Melissa Pelletier
- Research Center of the Quebec Heart and Lung Institute, Université Laval, Quebec City, QC G1V 4G5, Canada; (J.D.); (A.S.); (M.P.); (A.T.); (C.B.)
| | - Laurent Biertho
- Département de Chirurgie Générale, Quebec Heart and Lung Institute, Université Laval, Quebec City, QC G1V 4G5, Canada;
| | - André Tchernof
- Research Center of the Quebec Heart and Lung Institute, Université Laval, Quebec City, QC G1V 4G5, Canada; (J.D.); (A.S.); (M.P.); (A.T.); (C.B.)
- School of Nutrition, Université Laval, Quebec City, QC G1V 0A6, Canada
| | - Catherine Bégin
- Research Center of the Quebec Heart and Lung Institute, Université Laval, Quebec City, QC G1V 4G5, Canada; (J.D.); (A.S.); (M.P.); (A.T.); (C.B.)
- Centre Nutrition, Santé et Société (NUTRISS), Institut sur la Nutrition et les Aliments Fonctionnels (INAF), Université Laval, Quebec City, QC G1V 0A6, Canada;
- School of Psychology, Université Laval, Quebec City, QC G1V 0A6, Canada
| | - Andreanne Michaud
- Research Center of the Quebec Heart and Lung Institute, Université Laval, Quebec City, QC G1V 4G5, Canada; (J.D.); (A.S.); (M.P.); (A.T.); (C.B.)
- School of Nutrition, Université Laval, Quebec City, QC G1V 0A6, Canada
- Centre Nutrition, Santé et Société (NUTRISS), Institut sur la Nutrition et les Aliments Fonctionnels (INAF), Université Laval, Quebec City, QC G1V 0A6, Canada;
- Correspondence: (S.I.); (A.M.)
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Zeighami Y, Iceta S, Dadar M, Pelletier M, Nadeau M, Biertho L, Lafortune A, Tchernof A, Fulton S, Evans A, Richard D, Dagher A, Michaud A. Spontaneous neural activity changes after bariatric surgery: A resting-state fMRI study. Neuroimage 2021; 241:118419. [PMID: 34302967 DOI: 10.1016/j.neuroimage.2021.118419] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2021] [Revised: 06/24/2021] [Accepted: 07/20/2021] [Indexed: 12/20/2022] Open
Abstract
BACKGROUND Metabolic disorders associated with obesity could lead to alterations in brain structure and function. Whether these changes can be reversed after weight loss is unclear. Bariatric surgery provides a unique opportunity to address these questions because it induces marked weight loss and metabolic improvements which in turn may impact the brain in a longitudinal fashion. Previous studies found widespread changes in grey matter (GM) and white matter (WM) after bariatric surgery. However, findings regarding changes in spontaneous neural activity following surgery, as assessed with the fractional amplitude of low frequency fluctuations (fALFF) and regional homogeneity of neural activity (ReHo), are scarce and heterogenous. In this study, we used a longitudinal design to examine the changes in spontaneous neural activity after bariatric surgery (comparing pre- to post-surgery), and to determine whether these changes are related to cardiometabolic variables. METHODS The study included 57 participants with severe obesity (mean BMI=43.1 ± 4.3 kg/m2) who underwent sleeve gastrectomy (SG), biliopancreatic diversion with duodenal switch (BPD), or Roux-en-Y gastric bypass (RYGB), scanned prior to bariatric surgery and at follow-up visits of 4 months (N = 36), 12 months (N = 29), and 24 months (N = 14) after surgery. We examined fALFF and ReHo measures across 1022 cortical and subcortical regions (based on combined Schaeffer-Xiao parcellations) using a linear mixed effect model. Voxel-based morphometry (VBM) based on T1-weighted images was also used to measure GM density in the same regions. We also used an independent sample from the Human Connectome Project (HCP) to assess regional differences between individuals who had normal-weight (N = 46) or severe obesity (N = 46). RESULTS We found a global increase in the fALFF signal with greater increase within dorsolateral prefrontal cortex, precuneus, inferior temporal gyrus, and visual cortex. This effect was more significant 4 months after surgery. The increase within dorsolateral prefrontal cortex, temporal gyrus, and visual cortex was more limited after 12 months and only present in the visual cortex after 24 months. These increases in neural activity measured by fALFF were also significantly associated with the increase in GM density following surgery. Furthermore, the increase in neural activity was significantly related to post-surgery weight loss and improvement in cardiometabolic variables, such as blood pressure. In the independent HCP sample, normal-weight participants had higher global and regional fALFF signals, mainly in dorsolateral/medial frontal cortex, precuneus and middle/inferior temporal gyrus compared to the obese participants. These BMI-related differences in fALFF were associated with the increase in fALFF 4 months post-surgery especially in regions involved in control, default mode and dorsal attention networks. CONCLUSIONS Bariatric surgery-induced weight loss and improvement in metabolic factors are associated with widespread global and regional increases in neural activity, as measured by fALFF signal. These findings alongside the higher fALFF signal in normal-weight participants compared to participants with severe obesity in an independent dataset suggest an early recovery in the neural activity signal level after the surgery.
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Affiliation(s)
- Yashar Zeighami
- Montreal Neurological Institute, Department of Neurology and Neurosurgery, McGill University, Montreal, Canada; Ludmer Centre for Neuroinformatics and Mental Health, McGill University, Montreal, Canada
| | - Sylvain Iceta
- Centre de recherche de l'Institut universitaire de cardiologie et de pneumologie de Québec, Université Laval, Québec, Canada
| | - Mahsa Dadar
- CERVO Brain Research Center, Centre intégré universitaire santé et services sociaux de la Capitale Nationale, Université Laval, Québec, Canada
| | - Mélissa Pelletier
- Centre de recherche de l'Institut universitaire de cardiologie et de pneumologie de Québec, Université Laval, Québec, Canada
| | - Mélanie Nadeau
- Centre de recherche de l'Institut universitaire de cardiologie et de pneumologie de Québec, Université Laval, Québec, Canada
| | - Laurent Biertho
- Département de chirurgie générale, Institut universitaire de cardiologie et de pneumologie de Québec, Université Laval, Québec, Canada
| | - Annie Lafortune
- Département de chirurgie générale, Institut universitaire de cardiologie et de pneumologie de Québec, Université Laval, Québec, Canada
| | - André Tchernof
- Centre de recherche de l'Institut universitaire de cardiologie et de pneumologie de Québec, Université Laval, Québec, Canada
| | - Stephanie Fulton
- Centre de Recherche du CHUM and Montreal Diabetes Research Center, Montreal, QC, Canada
| | - Alan Evans
- Montreal Neurological Institute, Department of Neurology and Neurosurgery, McGill University, Montreal, Canada; Ludmer Centre for Neuroinformatics and Mental Health, McGill University, Montreal, Canada
| | - Denis Richard
- Centre de recherche de l'Institut universitaire de cardiologie et de pneumologie de Québec, Université Laval, Québec, Canada
| | - Alain Dagher
- Montreal Neurological Institute, Department of Neurology and Neurosurgery, McGill University, Montreal, Canada
| | - Andréanne Michaud
- Centre de recherche de l'Institut universitaire de cardiologie et de pneumologie de Québec, Université Laval, Québec, Canada.
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Wharton S, Lau DCW, Vallis M, Sharma AM, Biertho L, Campbell-Scherer D, Adamo K, Alberga A, Bell R, Boulé N, Boyling E, Brown J, Calam B, Clarke C, Crowshoe L, Divalentino D, Forhan M, Freedhoff Y, Gagner M, Glazer S, Grand C, Green M, Hahn M, Hawa R, Henderson R, Hong D, Hung P, Janssen I, Jacklin K, Johnson-Stoklossa C, Kemp A, Kirk S, Kuk J, Langlois MF, Lear S, McInnes A, Macklin D, Naji L, Manjoo P, Morin MP, Nerenberg K, Patton I, Pedersen S, Pereira L, Piccinini-Vallis H, Poddar M, Poirier P, Prud'homme D, Salas XR, Rueda-Clausen C, Russell-Mayhew S, Shiau J, Sherifali D, Sievenpiper J, Sockalingam S, Taylor V, Toth E, Twells L, Tytus R, Walji S, Walker L, Wicklum S. Obesity in adults: a clinical practice guideline. CMAJ 2021; 192:E875-E891. [PMID: 32753461 DOI: 10.1503/cmaj.191707] [Citation(s) in RCA: 490] [Impact Index Per Article: 163.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022] Open
Affiliation(s)
- Sean Wharton
- Departments of Medicine (Wharton), Endocrinology and Metabolism (Poddar, Sherifali), Family Medicine (Naji, Tytus) and Health Research Methods, Evidence and Impact Canada (Naji), McMaster University, Hamilton, Ont; The Wharton Medical Clinic (Wharton, Poddar), Hamilton, Ont.; Departments of Medicine (Lau, Nerenberg) and Family Medicine (Boyling, Henderson, McInnes, Walji, Wicklum), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Julia McFarlane Diabetes Research Centre and Libin Cardiovascular Institute of Alberta (Lau), Calgary, Alta.; Department of Family Medicine (Vallis, Piccinini-Vallis), Dalhousie University, Halifax, NS; Departments of Medicine (Sharma, Toth), Family Medicine (Campbell-Scherer, Kemp), Agricultural, Food and Nutritional Science (Bell, Pereira), Physical Education and Recreation (Boulé), and Occupational Therapy (Forhan), University of Alberta, Edmonton, Alta.; Adult Bariatric Specialty Clinic (Sharma), Royal Alexandra Hospital, Edmonton, Alta.; Obesity Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Department of Surgery (Biertho), Laval University, Quebec, Que.; School of Human Kinetics (Adamo, Prud'homme), University of Ottawa, Ottawa, Ont.; Department of Health, Kinesiology & Applied Physiology (Alberga), Concordia University, Montréal, Que.; Bariatric Centre of Excellence (Brown), The Ottawa Hospital, Ottawa, Ont.; Departments of Family Practice (Calam) and Endocrinology (Manjoo), University of British Columbia, Vancouver, BC; UBC Family Practice Residency Program (Calam) and Pfizer/Heart and Stroke Foundation Chair in Cardiovascular Prevention Research (Lear), St. Paul's Hospital, Vancouver, BC; nutrition consultant (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, University of Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Department of Family Medicine (Freedhoff) and Division of Endocrinology and Metabolism (Shiau), Department of Medicine, University of Ottawa, Ottawa, Ont.; Herbert Wertheim School of Medicine (Gagner), Florida International University, Miami, Fla.; Hôpital du Sacre Coeur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division of Endocrinology and Metabolism (Glazer), Queen's University, Kingston, Ont.; Departments of Internal Medicine (Glazer), Psychiatry (Hawa, Sockalingam), Family and Community Medicine (Macklin) and Nutritional Sciences (Sievenpiper), University of Toronto, Toronto, Ont.; Alberta Health Services (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Departments of Family Medicine and Public Health Sciences and Policy Studies (Green), Queen's University, Kingston, Ont.; Kingston Health Sciences Centre (Green), Kingston, Ont.; Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam), Toronto, Ont.; University Health Network (Hawa, Sockalingam), Toronto, Ont.; Division of General Surgery (Hong), McMaster University, Hamilton, Ont.; Department of Family Medicine and Biobehavioral Health (Jacklin), University of Minnesota Medical School Duluth Campus, Duluth, Minn.; School of Kinesiology and Health Studies (Janssen), Queen's University, Kingston, Ont.; School of Health and Human Performance (Kirk), Dalhousie University, Halifax, NS; School of Kinesiology and Health Science (Wharton, Kuk), York University, Toronto, Ont.; Division of Endocrinology (Langlois), Université de Sherbrooke, Sherbrooke, Que.; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Que.; School of Kinesiology (Lear), Simon Fraser University, Vancouver, BC; Medcan Clinic (Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Vancouver Island Health Authority, Victoria, BC; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Laval University, Québec, Que.; Foothills Medical Centre (Nerenberg), Calgary, Alta.; C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology ( Poddar), Toronto, Ont.; Department of Medicine (Rueda-Clausen), University of Saskatchewan, Regina, Sask.; Regina General Hospital (Rueda-Clausen), Regina, Sask.; Education Psychology (Russell-Mayhew), Werklund School of Education, University of Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Heather M. Arthur Population Health Research Institute/Hamilton Health Sciences Chair in Interprofessional Health Research, School of Nursing (Sherifali), McMaster University, Hamilton, Ont.; Division of Endocrinology & Metabolism (Sievenpiper), St. Michael's Hospital, Toronto, Ont.; Department of Psychiatry (Taylor), University of Calgary, Calgary, Alta.; School of Pharmacy (Twells), Memorial University, St. John's, NL; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; School of Population and Public Health (Walker), University of British Columbia, Vancouver, BC; Centre for Excellence in Indigenous Health (Walker), University of British Columbia, Vancouver, BC.; O'Brien Institute of Public Health (Wicklum), University of Calgary, Calgary, Alta.
| | - David C W Lau
- Departments of Medicine (Wharton), Endocrinology and Metabolism (Poddar, Sherifali), Family Medicine (Naji, Tytus) and Health Research Methods, Evidence and Impact Canada (Naji), McMaster University, Hamilton, Ont; The Wharton Medical Clinic (Wharton, Poddar), Hamilton, Ont.; Departments of Medicine (Lau, Nerenberg) and Family Medicine (Boyling, Henderson, McInnes, Walji, Wicklum), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Julia McFarlane Diabetes Research Centre and Libin Cardiovascular Institute of Alberta (Lau), Calgary, Alta.; Department of Family Medicine (Vallis, Piccinini-Vallis), Dalhousie University, Halifax, NS; Departments of Medicine (Sharma, Toth), Family Medicine (Campbell-Scherer, Kemp), Agricultural, Food and Nutritional Science (Bell, Pereira), Physical Education and Recreation (Boulé), and Occupational Therapy (Forhan), University of Alberta, Edmonton, Alta.; Adult Bariatric Specialty Clinic (Sharma), Royal Alexandra Hospital, Edmonton, Alta.; Obesity Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Department of Surgery (Biertho), Laval University, Quebec, Que.; School of Human Kinetics (Adamo, Prud'homme), University of Ottawa, Ottawa, Ont.; Department of Health, Kinesiology & Applied Physiology (Alberga), Concordia University, Montréal, Que.; Bariatric Centre of Excellence (Brown), The Ottawa Hospital, Ottawa, Ont.; Departments of Family Practice (Calam) and Endocrinology (Manjoo), University of British Columbia, Vancouver, BC; UBC Family Practice Residency Program (Calam) and Pfizer/Heart and Stroke Foundation Chair in Cardiovascular Prevention Research (Lear), St. Paul's Hospital, Vancouver, BC; nutrition consultant (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, University of Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Department of Family Medicine (Freedhoff) and Division of Endocrinology and Metabolism (Shiau), Department of Medicine, University of Ottawa, Ottawa, Ont.; Herbert Wertheim School of Medicine (Gagner), Florida International University, Miami, Fla.; Hôpital du Sacre Coeur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division of Endocrinology and Metabolism (Glazer), Queen's University, Kingston, Ont.; Departments of Internal Medicine (Glazer), Psychiatry (Hawa, Sockalingam), Family and Community Medicine (Macklin) and Nutritional Sciences (Sievenpiper), University of Toronto, Toronto, Ont.; Alberta Health Services (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Departments of Family Medicine and Public Health Sciences and Policy Studies (Green), Queen's University, Kingston, Ont.; Kingston Health Sciences Centre (Green), Kingston, Ont.; Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam), Toronto, Ont.; University Health Network (Hawa, Sockalingam), Toronto, Ont.; Division of General Surgery (Hong), McMaster University, Hamilton, Ont.; Department of Family Medicine and Biobehavioral Health (Jacklin), University of Minnesota Medical School Duluth Campus, Duluth, Minn.; School of Kinesiology and Health Studies (Janssen), Queen's University, Kingston, Ont.; School of Health and Human Performance (Kirk), Dalhousie University, Halifax, NS; School of Kinesiology and Health Science (Wharton, Kuk), York University, Toronto, Ont.; Division of Endocrinology (Langlois), Université de Sherbrooke, Sherbrooke, Que.; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Que.; School of Kinesiology (Lear), Simon Fraser University, Vancouver, BC; Medcan Clinic (Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Vancouver Island Health Authority, Victoria, BC; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Laval University, Québec, Que.; Foothills Medical Centre (Nerenberg), Calgary, Alta.; C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology ( Poddar), Toronto, Ont.; Department of Medicine (Rueda-Clausen), University of Saskatchewan, Regina, Sask.; Regina General Hospital (Rueda-Clausen), Regina, Sask.; Education Psychology (Russell-Mayhew), Werklund School of Education, University of Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Heather M. Arthur Population Health Research Institute/Hamilton Health Sciences Chair in Interprofessional Health Research, School of Nursing (Sherifali), McMaster University, Hamilton, Ont.; Division of Endocrinology & Metabolism (Sievenpiper), St. Michael's Hospital, Toronto, Ont.; Department of Psychiatry (Taylor), University of Calgary, Calgary, Alta.; School of Pharmacy (Twells), Memorial University, St. John's, NL; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; School of Population and Public Health (Walker), University of British Columbia, Vancouver, BC; Centre for Excellence in Indigenous Health (Walker), University of British Columbia, Vancouver, BC.; O'Brien Institute of Public Health (Wicklum), University of Calgary, Calgary, Alta
| | - Michael Vallis
- Departments of Medicine (Wharton), Endocrinology and Metabolism (Poddar, Sherifali), Family Medicine (Naji, Tytus) and Health Research Methods, Evidence and Impact Canada (Naji), McMaster University, Hamilton, Ont; The Wharton Medical Clinic (Wharton, Poddar), Hamilton, Ont.; Departments of Medicine (Lau, Nerenberg) and Family Medicine (Boyling, Henderson, McInnes, Walji, Wicklum), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Julia McFarlane Diabetes Research Centre and Libin Cardiovascular Institute of Alberta (Lau), Calgary, Alta.; Department of Family Medicine (Vallis, Piccinini-Vallis), Dalhousie University, Halifax, NS; Departments of Medicine (Sharma, Toth), Family Medicine (Campbell-Scherer, Kemp), Agricultural, Food and Nutritional Science (Bell, Pereira), Physical Education and Recreation (Boulé), and Occupational Therapy (Forhan), University of Alberta, Edmonton, Alta.; Adult Bariatric Specialty Clinic (Sharma), Royal Alexandra Hospital, Edmonton, Alta.; Obesity Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Department of Surgery (Biertho), Laval University, Quebec, Que.; School of Human Kinetics (Adamo, Prud'homme), University of Ottawa, Ottawa, Ont.; Department of Health, Kinesiology & Applied Physiology (Alberga), Concordia University, Montréal, Que.; Bariatric Centre of Excellence (Brown), The Ottawa Hospital, Ottawa, Ont.; Departments of Family Practice (Calam) and Endocrinology (Manjoo), University of British Columbia, Vancouver, BC; UBC Family Practice Residency Program (Calam) and Pfizer/Heart and Stroke Foundation Chair in Cardiovascular Prevention Research (Lear), St. Paul's Hospital, Vancouver, BC; nutrition consultant (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, University of Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Department of Family Medicine (Freedhoff) and Division of Endocrinology and Metabolism (Shiau), Department of Medicine, University of Ottawa, Ottawa, Ont.; Herbert Wertheim School of Medicine (Gagner), Florida International University, Miami, Fla.; Hôpital du Sacre Coeur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division of Endocrinology and Metabolism (Glazer), Queen's University, Kingston, Ont.; Departments of Internal Medicine (Glazer), Psychiatry (Hawa, Sockalingam), Family and Community Medicine (Macklin) and Nutritional Sciences (Sievenpiper), University of Toronto, Toronto, Ont.; Alberta Health Services (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Departments of Family Medicine and Public Health Sciences and Policy Studies (Green), Queen's University, Kingston, Ont.; Kingston Health Sciences Centre (Green), Kingston, Ont.; Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam), Toronto, Ont.; University Health Network (Hawa, Sockalingam), Toronto, Ont.; Division of General Surgery (Hong), McMaster University, Hamilton, Ont.; Department of Family Medicine and Biobehavioral Health (Jacklin), University of Minnesota Medical School Duluth Campus, Duluth, Minn.; School of Kinesiology and Health Studies (Janssen), Queen's University, Kingston, Ont.; School of Health and Human Performance (Kirk), Dalhousie University, Halifax, NS; School of Kinesiology and Health Science (Wharton, Kuk), York University, Toronto, Ont.; Division of Endocrinology (Langlois), Université de Sherbrooke, Sherbrooke, Que.; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Que.; School of Kinesiology (Lear), Simon Fraser University, Vancouver, BC; Medcan Clinic (Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Vancouver Island Health Authority, Victoria, BC; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Laval University, Québec, Que.; Foothills Medical Centre (Nerenberg), Calgary, Alta.; C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology ( Poddar), Toronto, Ont.; Department of Medicine (Rueda-Clausen), University of Saskatchewan, Regina, Sask.; Regina General Hospital (Rueda-Clausen), Regina, Sask.; Education Psychology (Russell-Mayhew), Werklund School of Education, University of Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Heather M. Arthur Population Health Research Institute/Hamilton Health Sciences Chair in Interprofessional Health Research, School of Nursing (Sherifali), McMaster University, Hamilton, Ont.; Division of Endocrinology & Metabolism (Sievenpiper), St. Michael's Hospital, Toronto, Ont.; Department of Psychiatry (Taylor), University of Calgary, Calgary, Alta.; School of Pharmacy (Twells), Memorial University, St. John's, NL; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; School of Population and Public Health (Walker), University of British Columbia, Vancouver, BC; Centre for Excellence in Indigenous Health (Walker), University of British Columbia, Vancouver, BC.; O'Brien Institute of Public Health (Wicklum), University of Calgary, Calgary, Alta
| | - Arya M Sharma
- Departments of Medicine (Wharton), Endocrinology and Metabolism (Poddar, Sherifali), Family Medicine (Naji, Tytus) and Health Research Methods, Evidence and Impact Canada (Naji), McMaster University, Hamilton, Ont; The Wharton Medical Clinic (Wharton, Poddar), Hamilton, Ont.; Departments of Medicine (Lau, Nerenberg) and Family Medicine (Boyling, Henderson, McInnes, Walji, Wicklum), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Julia McFarlane Diabetes Research Centre and Libin Cardiovascular Institute of Alberta (Lau), Calgary, Alta.; Department of Family Medicine (Vallis, Piccinini-Vallis), Dalhousie University, Halifax, NS; Departments of Medicine (Sharma, Toth), Family Medicine (Campbell-Scherer, Kemp), Agricultural, Food and Nutritional Science (Bell, Pereira), Physical Education and Recreation (Boulé), and Occupational Therapy (Forhan), University of Alberta, Edmonton, Alta.; Adult Bariatric Specialty Clinic (Sharma), Royal Alexandra Hospital, Edmonton, Alta.; Obesity Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Department of Surgery (Biertho), Laval University, Quebec, Que.; School of Human Kinetics (Adamo, Prud'homme), University of Ottawa, Ottawa, Ont.; Department of Health, Kinesiology & Applied Physiology (Alberga), Concordia University, Montréal, Que.; Bariatric Centre of Excellence (Brown), The Ottawa Hospital, Ottawa, Ont.; Departments of Family Practice (Calam) and Endocrinology (Manjoo), University of British Columbia, Vancouver, BC; UBC Family Practice Residency Program (Calam) and Pfizer/Heart and Stroke Foundation Chair in Cardiovascular Prevention Research (Lear), St. Paul's Hospital, Vancouver, BC; nutrition consultant (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, University of Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Department of Family Medicine (Freedhoff) and Division of Endocrinology and Metabolism (Shiau), Department of Medicine, University of Ottawa, Ottawa, Ont.; Herbert Wertheim School of Medicine (Gagner), Florida International University, Miami, Fla.; Hôpital du Sacre Coeur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division of Endocrinology and Metabolism (Glazer), Queen's University, Kingston, Ont.; Departments of Internal Medicine (Glazer), Psychiatry (Hawa, Sockalingam), Family and Community Medicine (Macklin) and Nutritional Sciences (Sievenpiper), University of Toronto, Toronto, Ont.; Alberta Health Services (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Departments of Family Medicine and Public Health Sciences and Policy Studies (Green), Queen's University, Kingston, Ont.; Kingston Health Sciences Centre (Green), Kingston, Ont.; Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam), Toronto, Ont.; University Health Network (Hawa, Sockalingam), Toronto, Ont.; Division of General Surgery (Hong), McMaster University, Hamilton, Ont.; Department of Family Medicine and Biobehavioral Health (Jacklin), University of Minnesota Medical School Duluth Campus, Duluth, Minn.; School of Kinesiology and Health Studies (Janssen), Queen's University, Kingston, Ont.; School of Health and Human Performance (Kirk), Dalhousie University, Halifax, NS; School of Kinesiology and Health Science (Wharton, Kuk), York University, Toronto, Ont.; Division of Endocrinology (Langlois), Université de Sherbrooke, Sherbrooke, Que.; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Que.; School of Kinesiology (Lear), Simon Fraser University, Vancouver, BC; Medcan Clinic (Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Vancouver Island Health Authority, Victoria, BC; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Laval University, Québec, Que.; Foothills Medical Centre (Nerenberg), Calgary, Alta.; C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology ( Poddar), Toronto, Ont.; Department of Medicine (Rueda-Clausen), University of Saskatchewan, Regina, Sask.; Regina General Hospital (Rueda-Clausen), Regina, Sask.; Education Psychology (Russell-Mayhew), Werklund School of Education, University of Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Heather M. Arthur Population Health Research Institute/Hamilton Health Sciences Chair in Interprofessional Health Research, School of Nursing (Sherifali), McMaster University, Hamilton, Ont.; Division of Endocrinology & Metabolism (Sievenpiper), St. Michael's Hospital, Toronto, Ont.; Department of Psychiatry (Taylor), University of Calgary, Calgary, Alta.; School of Pharmacy (Twells), Memorial University, St. John's, NL; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; School of Population and Public Health (Walker), University of British Columbia, Vancouver, BC; Centre for Excellence in Indigenous Health (Walker), University of British Columbia, Vancouver, BC.; O'Brien Institute of Public Health (Wicklum), University of Calgary, Calgary, Alta
| | - Laurent Biertho
- Departments of Medicine (Wharton), Endocrinology and Metabolism (Poddar, Sherifali), Family Medicine (Naji, Tytus) and Health Research Methods, Evidence and Impact Canada (Naji), McMaster University, Hamilton, Ont; The Wharton Medical Clinic (Wharton, Poddar), Hamilton, Ont.; Departments of Medicine (Lau, Nerenberg) and Family Medicine (Boyling, Henderson, McInnes, Walji, Wicklum), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Julia McFarlane Diabetes Research Centre and Libin Cardiovascular Institute of Alberta (Lau), Calgary, Alta.; Department of Family Medicine (Vallis, Piccinini-Vallis), Dalhousie University, Halifax, NS; Departments of Medicine (Sharma, Toth), Family Medicine (Campbell-Scherer, Kemp), Agricultural, Food and Nutritional Science (Bell, Pereira), Physical Education and Recreation (Boulé), and Occupational Therapy (Forhan), University of Alberta, Edmonton, Alta.; Adult Bariatric Specialty Clinic (Sharma), Royal Alexandra Hospital, Edmonton, Alta.; Obesity Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Department of Surgery (Biertho), Laval University, Quebec, Que.; School of Human Kinetics (Adamo, Prud'homme), University of Ottawa, Ottawa, Ont.; Department of Health, Kinesiology & Applied Physiology (Alberga), Concordia University, Montréal, Que.; Bariatric Centre of Excellence (Brown), The Ottawa Hospital, Ottawa, Ont.; Departments of Family Practice (Calam) and Endocrinology (Manjoo), University of British Columbia, Vancouver, BC; UBC Family Practice Residency Program (Calam) and Pfizer/Heart and Stroke Foundation Chair in Cardiovascular Prevention Research (Lear), St. Paul's Hospital, Vancouver, BC; nutrition consultant (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, University of Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Department of Family Medicine (Freedhoff) and Division of Endocrinology and Metabolism (Shiau), Department of Medicine, University of Ottawa, Ottawa, Ont.; Herbert Wertheim School of Medicine (Gagner), Florida International University, Miami, Fla.; Hôpital du Sacre Coeur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division of Endocrinology and Metabolism (Glazer), Queen's University, Kingston, Ont.; Departments of Internal Medicine (Glazer), Psychiatry (Hawa, Sockalingam), Family and Community Medicine (Macklin) and Nutritional Sciences (Sievenpiper), University of Toronto, Toronto, Ont.; Alberta Health Services (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Departments of Family Medicine and Public Health Sciences and Policy Studies (Green), Queen's University, Kingston, Ont.; Kingston Health Sciences Centre (Green), Kingston, Ont.; Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam), Toronto, Ont.; University Health Network (Hawa, Sockalingam), Toronto, Ont.; Division of General Surgery (Hong), McMaster University, Hamilton, Ont.; Department of Family Medicine and Biobehavioral Health (Jacklin), University of Minnesota Medical School Duluth Campus, Duluth, Minn.; School of Kinesiology and Health Studies (Janssen), Queen's University, Kingston, Ont.; School of Health and Human Performance (Kirk), Dalhousie University, Halifax, NS; School of Kinesiology and Health Science (Wharton, Kuk), York University, Toronto, Ont.; Division of Endocrinology (Langlois), Université de Sherbrooke, Sherbrooke, Que.; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Que.; School of Kinesiology (Lear), Simon Fraser University, Vancouver, BC; Medcan Clinic (Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Vancouver Island Health Authority, Victoria, BC; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Laval University, Québec, Que.; Foothills Medical Centre (Nerenberg), Calgary, Alta.; C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology ( Poddar), Toronto, Ont.; Department of Medicine (Rueda-Clausen), University of Saskatchewan, Regina, Sask.; Regina General Hospital (Rueda-Clausen), Regina, Sask.; Education Psychology (Russell-Mayhew), Werklund School of Education, University of Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Heather M. Arthur Population Health Research Institute/Hamilton Health Sciences Chair in Interprofessional Health Research, School of Nursing (Sherifali), McMaster University, Hamilton, Ont.; Division of Endocrinology & Metabolism (Sievenpiper), St. Michael's Hospital, Toronto, Ont.; Department of Psychiatry (Taylor), University of Calgary, Calgary, Alta.; School of Pharmacy (Twells), Memorial University, St. John's, NL; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; School of Population and Public Health (Walker), University of British Columbia, Vancouver, BC; Centre for Excellence in Indigenous Health (Walker), University of British Columbia, Vancouver, BC.; O'Brien Institute of Public Health (Wicklum), University of Calgary, Calgary, Alta
| | - Denise Campbell-Scherer
- Departments of Medicine (Wharton), Endocrinology and Metabolism (Poddar, Sherifali), Family Medicine (Naji, Tytus) and Health Research Methods, Evidence and Impact Canada (Naji), McMaster University, Hamilton, Ont; The Wharton Medical Clinic (Wharton, Poddar), Hamilton, Ont.; Departments of Medicine (Lau, Nerenberg) and Family Medicine (Boyling, Henderson, McInnes, Walji, Wicklum), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Julia McFarlane Diabetes Research Centre and Libin Cardiovascular Institute of Alberta (Lau), Calgary, Alta.; Department of Family Medicine (Vallis, Piccinini-Vallis), Dalhousie University, Halifax, NS; Departments of Medicine (Sharma, Toth), Family Medicine (Campbell-Scherer, Kemp), Agricultural, Food and Nutritional Science (Bell, Pereira), Physical Education and Recreation (Boulé), and Occupational Therapy (Forhan), University of Alberta, Edmonton, Alta.; Adult Bariatric Specialty Clinic (Sharma), Royal Alexandra Hospital, Edmonton, Alta.; Obesity Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Department of Surgery (Biertho), Laval University, Quebec, Que.; School of Human Kinetics (Adamo, Prud'homme), University of Ottawa, Ottawa, Ont.; Department of Health, Kinesiology & Applied Physiology (Alberga), Concordia University, Montréal, Que.; Bariatric Centre of Excellence (Brown), The Ottawa Hospital, Ottawa, Ont.; Departments of Family Practice (Calam) and Endocrinology (Manjoo), University of British Columbia, Vancouver, BC; UBC Family Practice Residency Program (Calam) and Pfizer/Heart and Stroke Foundation Chair in Cardiovascular Prevention Research (Lear), St. Paul's Hospital, Vancouver, BC; nutrition consultant (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, University of Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Department of Family Medicine (Freedhoff) and Division of Endocrinology and Metabolism (Shiau), Department of Medicine, University of Ottawa, Ottawa, Ont.; Herbert Wertheim School of Medicine (Gagner), Florida International University, Miami, Fla.; Hôpital du Sacre Coeur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division of Endocrinology and Metabolism (Glazer), Queen's University, Kingston, Ont.; Departments of Internal Medicine (Glazer), Psychiatry (Hawa, Sockalingam), Family and Community Medicine (Macklin) and Nutritional Sciences (Sievenpiper), University of Toronto, Toronto, Ont.; Alberta Health Services (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Departments of Family Medicine and Public Health Sciences and Policy Studies (Green), Queen's University, Kingston, Ont.; Kingston Health Sciences Centre (Green), Kingston, Ont.; Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam), Toronto, Ont.; University Health Network (Hawa, Sockalingam), Toronto, Ont.; Division of General Surgery (Hong), McMaster University, Hamilton, Ont.; Department of Family Medicine and Biobehavioral Health (Jacklin), University of Minnesota Medical School Duluth Campus, Duluth, Minn.; School of Kinesiology and Health Studies (Janssen), Queen's University, Kingston, Ont.; School of Health and Human Performance (Kirk), Dalhousie University, Halifax, NS; School of Kinesiology and Health Science (Wharton, Kuk), York University, Toronto, Ont.; Division of Endocrinology (Langlois), Université de Sherbrooke, Sherbrooke, Que.; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Que.; School of Kinesiology (Lear), Simon Fraser University, Vancouver, BC; Medcan Clinic (Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Vancouver Island Health Authority, Victoria, BC; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Laval University, Québec, Que.; Foothills Medical Centre (Nerenberg), Calgary, Alta.; C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology ( Poddar), Toronto, Ont.; Department of Medicine (Rueda-Clausen), University of Saskatchewan, Regina, Sask.; Regina General Hospital (Rueda-Clausen), Regina, Sask.; Education Psychology (Russell-Mayhew), Werklund School of Education, University of Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Heather M. Arthur Population Health Research Institute/Hamilton Health Sciences Chair in Interprofessional Health Research, School of Nursing (Sherifali), McMaster University, Hamilton, Ont.; Division of Endocrinology & Metabolism (Sievenpiper), St. Michael's Hospital, Toronto, Ont.; Department of Psychiatry (Taylor), University of Calgary, Calgary, Alta.; School of Pharmacy (Twells), Memorial University, St. John's, NL; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; School of Population and Public Health (Walker), University of British Columbia, Vancouver, BC; Centre for Excellence in Indigenous Health (Walker), University of British Columbia, Vancouver, BC.; O'Brien Institute of Public Health (Wicklum), University of Calgary, Calgary, Alta
| | - Kristi Adamo
- Departments of Medicine (Wharton), Endocrinology and Metabolism (Poddar, Sherifali), Family Medicine (Naji, Tytus) and Health Research Methods, Evidence and Impact Canada (Naji), McMaster University, Hamilton, Ont; The Wharton Medical Clinic (Wharton, Poddar), Hamilton, Ont.; Departments of Medicine (Lau, Nerenberg) and Family Medicine (Boyling, Henderson, McInnes, Walji, Wicklum), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Julia McFarlane Diabetes Research Centre and Libin Cardiovascular Institute of Alberta (Lau), Calgary, Alta.; Department of Family Medicine (Vallis, Piccinini-Vallis), Dalhousie University, Halifax, NS; Departments of Medicine (Sharma, Toth), Family Medicine (Campbell-Scherer, Kemp), Agricultural, Food and Nutritional Science (Bell, Pereira), Physical Education and Recreation (Boulé), and Occupational Therapy (Forhan), University of Alberta, Edmonton, Alta.; Adult Bariatric Specialty Clinic (Sharma), Royal Alexandra Hospital, Edmonton, Alta.; Obesity Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Department of Surgery (Biertho), Laval University, Quebec, Que.; School of Human Kinetics (Adamo, Prud'homme), University of Ottawa, Ottawa, Ont.; Department of Health, Kinesiology & Applied Physiology (Alberga), Concordia University, Montréal, Que.; Bariatric Centre of Excellence (Brown), The Ottawa Hospital, Ottawa, Ont.; Departments of Family Practice (Calam) and Endocrinology (Manjoo), University of British Columbia, Vancouver, BC; UBC Family Practice Residency Program (Calam) and Pfizer/Heart and Stroke Foundation Chair in Cardiovascular Prevention Research (Lear), St. Paul's Hospital, Vancouver, BC; nutrition consultant (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, University of Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Department of Family Medicine (Freedhoff) and Division of Endocrinology and Metabolism (Shiau), Department of Medicine, University of Ottawa, Ottawa, Ont.; Herbert Wertheim School of Medicine (Gagner), Florida International University, Miami, Fla.; Hôpital du Sacre Coeur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division of Endocrinology and Metabolism (Glazer), Queen's University, Kingston, Ont.; Departments of Internal Medicine (Glazer), Psychiatry (Hawa, Sockalingam), Family and Community Medicine (Macklin) and Nutritional Sciences (Sievenpiper), University of Toronto, Toronto, Ont.; Alberta Health Services (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Departments of Family Medicine and Public Health Sciences and Policy Studies (Green), Queen's University, Kingston, Ont.; Kingston Health Sciences Centre (Green), Kingston, Ont.; Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam), Toronto, Ont.; University Health Network (Hawa, Sockalingam), Toronto, Ont.; Division of General Surgery (Hong), McMaster University, Hamilton, Ont.; Department of Family Medicine and Biobehavioral Health (Jacklin), University of Minnesota Medical School Duluth Campus, Duluth, Minn.; School of Kinesiology and Health Studies (Janssen), Queen's University, Kingston, Ont.; School of Health and Human Performance (Kirk), Dalhousie University, Halifax, NS; School of Kinesiology and Health Science (Wharton, Kuk), York University, Toronto, Ont.; Division of Endocrinology (Langlois), Université de Sherbrooke, Sherbrooke, Que.; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Que.; School of Kinesiology (Lear), Simon Fraser University, Vancouver, BC; Medcan Clinic (Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Vancouver Island Health Authority, Victoria, BC; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Laval University, Québec, Que.; Foothills Medical Centre (Nerenberg), Calgary, Alta.; C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology ( Poddar), Toronto, Ont.; Department of Medicine (Rueda-Clausen), University of Saskatchewan, Regina, Sask.; Regina General Hospital (Rueda-Clausen), Regina, Sask.; Education Psychology (Russell-Mayhew), Werklund School of Education, University of Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Heather M. Arthur Population Health Research Institute/Hamilton Health Sciences Chair in Interprofessional Health Research, School of Nursing (Sherifali), McMaster University, Hamilton, Ont.; Division of Endocrinology & Metabolism (Sievenpiper), St. Michael's Hospital, Toronto, Ont.; Department of Psychiatry (Taylor), University of Calgary, Calgary, Alta.; School of Pharmacy (Twells), Memorial University, St. John's, NL; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; School of Population and Public Health (Walker), University of British Columbia, Vancouver, BC; Centre for Excellence in Indigenous Health (Walker), University of British Columbia, Vancouver, BC.; O'Brien Institute of Public Health (Wicklum), University of Calgary, Calgary, Alta
| | - Angela Alberga
- Departments of Medicine (Wharton), Endocrinology and Metabolism (Poddar, Sherifali), Family Medicine (Naji, Tytus) and Health Research Methods, Evidence and Impact Canada (Naji), McMaster University, Hamilton, Ont; The Wharton Medical Clinic (Wharton, Poddar), Hamilton, Ont.; Departments of Medicine (Lau, Nerenberg) and Family Medicine (Boyling, Henderson, McInnes, Walji, Wicklum), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Julia McFarlane Diabetes Research Centre and Libin Cardiovascular Institute of Alberta (Lau), Calgary, Alta.; Department of Family Medicine (Vallis, Piccinini-Vallis), Dalhousie University, Halifax, NS; Departments of Medicine (Sharma, Toth), Family Medicine (Campbell-Scherer, Kemp), Agricultural, Food and Nutritional Science (Bell, Pereira), Physical Education and Recreation (Boulé), and Occupational Therapy (Forhan), University of Alberta, Edmonton, Alta.; Adult Bariatric Specialty Clinic (Sharma), Royal Alexandra Hospital, Edmonton, Alta.; Obesity Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Department of Surgery (Biertho), Laval University, Quebec, Que.; School of Human Kinetics (Adamo, Prud'homme), University of Ottawa, Ottawa, Ont.; Department of Health, Kinesiology & Applied Physiology (Alberga), Concordia University, Montréal, Que.; Bariatric Centre of Excellence (Brown), The Ottawa Hospital, Ottawa, Ont.; Departments of Family Practice (Calam) and Endocrinology (Manjoo), University of British Columbia, Vancouver, BC; UBC Family Practice Residency Program (Calam) and Pfizer/Heart and Stroke Foundation Chair in Cardiovascular Prevention Research (Lear), St. Paul's Hospital, Vancouver, BC; nutrition consultant (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, University of Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Department of Family Medicine (Freedhoff) and Division of Endocrinology and Metabolism (Shiau), Department of Medicine, University of Ottawa, Ottawa, Ont.; Herbert Wertheim School of Medicine (Gagner), Florida International University, Miami, Fla.; Hôpital du Sacre Coeur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division of Endocrinology and Metabolism (Glazer), Queen's University, Kingston, Ont.; Departments of Internal Medicine (Glazer), Psychiatry (Hawa, Sockalingam), Family and Community Medicine (Macklin) and Nutritional Sciences (Sievenpiper), University of Toronto, Toronto, Ont.; Alberta Health Services (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Departments of Family Medicine and Public Health Sciences and Policy Studies (Green), Queen's University, Kingston, Ont.; Kingston Health Sciences Centre (Green), Kingston, Ont.; Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam), Toronto, Ont.; University Health Network (Hawa, Sockalingam), Toronto, Ont.; Division of General Surgery (Hong), McMaster University, Hamilton, Ont.; Department of Family Medicine and Biobehavioral Health (Jacklin), University of Minnesota Medical School Duluth Campus, Duluth, Minn.; School of Kinesiology and Health Studies (Janssen), Queen's University, Kingston, Ont.; School of Health and Human Performance (Kirk), Dalhousie University, Halifax, NS; School of Kinesiology and Health Science (Wharton, Kuk), York University, Toronto, Ont.; Division of Endocrinology (Langlois), Université de Sherbrooke, Sherbrooke, Que.; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Que.; School of Kinesiology (Lear), Simon Fraser University, Vancouver, BC; Medcan Clinic (Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Vancouver Island Health Authority, Victoria, BC; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Laval University, Québec, Que.; Foothills Medical Centre (Nerenberg), Calgary, Alta.; C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology ( Poddar), Toronto, Ont.; Department of Medicine (Rueda-Clausen), University of Saskatchewan, Regina, Sask.; Regina General Hospital (Rueda-Clausen), Regina, Sask.; Education Psychology (Russell-Mayhew), Werklund School of Education, University of Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Heather M. Arthur Population Health Research Institute/Hamilton Health Sciences Chair in Interprofessional Health Research, School of Nursing (Sherifali), McMaster University, Hamilton, Ont.; Division of Endocrinology & Metabolism (Sievenpiper), St. Michael's Hospital, Toronto, Ont.; Department of Psychiatry (Taylor), University of Calgary, Calgary, Alta.; School of Pharmacy (Twells), Memorial University, St. John's, NL; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; School of Population and Public Health (Walker), University of British Columbia, Vancouver, BC; Centre for Excellence in Indigenous Health (Walker), University of British Columbia, Vancouver, BC.; O'Brien Institute of Public Health (Wicklum), University of Calgary, Calgary, Alta
| | - Rhonda Bell
- Departments of Medicine (Wharton), Endocrinology and Metabolism (Poddar, Sherifali), Family Medicine (Naji, Tytus) and Health Research Methods, Evidence and Impact Canada (Naji), McMaster University, Hamilton, Ont; The Wharton Medical Clinic (Wharton, Poddar), Hamilton, Ont.; Departments of Medicine (Lau, Nerenberg) and Family Medicine (Boyling, Henderson, McInnes, Walji, Wicklum), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Julia McFarlane Diabetes Research Centre and Libin Cardiovascular Institute of Alberta (Lau), Calgary, Alta.; Department of Family Medicine (Vallis, Piccinini-Vallis), Dalhousie University, Halifax, NS; Departments of Medicine (Sharma, Toth), Family Medicine (Campbell-Scherer, Kemp), Agricultural, Food and Nutritional Science (Bell, Pereira), Physical Education and Recreation (Boulé), and Occupational Therapy (Forhan), University of Alberta, Edmonton, Alta.; Adult Bariatric Specialty Clinic (Sharma), Royal Alexandra Hospital, Edmonton, Alta.; Obesity Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Department of Surgery (Biertho), Laval University, Quebec, Que.; School of Human Kinetics (Adamo, Prud'homme), University of Ottawa, Ottawa, Ont.; Department of Health, Kinesiology & Applied Physiology (Alberga), Concordia University, Montréal, Que.; Bariatric Centre of Excellence (Brown), The Ottawa Hospital, Ottawa, Ont.; Departments of Family Practice (Calam) and Endocrinology (Manjoo), University of British Columbia, Vancouver, BC; UBC Family Practice Residency Program (Calam) and Pfizer/Heart and Stroke Foundation Chair in Cardiovascular Prevention Research (Lear), St. Paul's Hospital, Vancouver, BC; nutrition consultant (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, University of Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Department of Family Medicine (Freedhoff) and Division of Endocrinology and Metabolism (Shiau), Department of Medicine, University of Ottawa, Ottawa, Ont.; Herbert Wertheim School of Medicine (Gagner), Florida International University, Miami, Fla.; Hôpital du Sacre Coeur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division of Endocrinology and Metabolism (Glazer), Queen's University, Kingston, Ont.; Departments of Internal Medicine (Glazer), Psychiatry (Hawa, Sockalingam), Family and Community Medicine (Macklin) and Nutritional Sciences (Sievenpiper), University of Toronto, Toronto, Ont.; Alberta Health Services (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Departments of Family Medicine and Public Health Sciences and Policy Studies (Green), Queen's University, Kingston, Ont.; Kingston Health Sciences Centre (Green), Kingston, Ont.; Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam), Toronto, Ont.; University Health Network (Hawa, Sockalingam), Toronto, Ont.; Division of General Surgery (Hong), McMaster University, Hamilton, Ont.; Department of Family Medicine and Biobehavioral Health (Jacklin), University of Minnesota Medical School Duluth Campus, Duluth, Minn.; School of Kinesiology and Health Studies (Janssen), Queen's University, Kingston, Ont.; School of Health and Human Performance (Kirk), Dalhousie University, Halifax, NS; School of Kinesiology and Health Science (Wharton, Kuk), York University, Toronto, Ont.; Division of Endocrinology (Langlois), Université de Sherbrooke, Sherbrooke, Que.; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Que.; School of Kinesiology (Lear), Simon Fraser University, Vancouver, BC; Medcan Clinic (Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Vancouver Island Health Authority, Victoria, BC; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Laval University, Québec, Que.; Foothills Medical Centre (Nerenberg), Calgary, Alta.; C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology ( Poddar), Toronto, Ont.; Department of Medicine (Rueda-Clausen), University of Saskatchewan, Regina, Sask.; Regina General Hospital (Rueda-Clausen), Regina, Sask.; Education Psychology (Russell-Mayhew), Werklund School of Education, University of Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Heather M. Arthur Population Health Research Institute/Hamilton Health Sciences Chair in Interprofessional Health Research, School of Nursing (Sherifali), McMaster University, Hamilton, Ont.; Division of Endocrinology & Metabolism (Sievenpiper), St. Michael's Hospital, Toronto, Ont.; Department of Psychiatry (Taylor), University of Calgary, Calgary, Alta.; School of Pharmacy (Twells), Memorial University, St. John's, NL; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; School of Population and Public Health (Walker), University of British Columbia, Vancouver, BC; Centre for Excellence in Indigenous Health (Walker), University of British Columbia, Vancouver, BC.; O'Brien Institute of Public Health (Wicklum), University of Calgary, Calgary, Alta
| | - Normand Boulé
- Departments of Medicine (Wharton), Endocrinology and Metabolism (Poddar, Sherifali), Family Medicine (Naji, Tytus) and Health Research Methods, Evidence and Impact Canada (Naji), McMaster University, Hamilton, Ont; The Wharton Medical Clinic (Wharton, Poddar), Hamilton, Ont.; Departments of Medicine (Lau, Nerenberg) and Family Medicine (Boyling, Henderson, McInnes, Walji, Wicklum), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Julia McFarlane Diabetes Research Centre and Libin Cardiovascular Institute of Alberta (Lau), Calgary, Alta.; Department of Family Medicine (Vallis, Piccinini-Vallis), Dalhousie University, Halifax, NS; Departments of Medicine (Sharma, Toth), Family Medicine (Campbell-Scherer, Kemp), Agricultural, Food and Nutritional Science (Bell, Pereira), Physical Education and Recreation (Boulé), and Occupational Therapy (Forhan), University of Alberta, Edmonton, Alta.; Adult Bariatric Specialty Clinic (Sharma), Royal Alexandra Hospital, Edmonton, Alta.; Obesity Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Department of Surgery (Biertho), Laval University, Quebec, Que.; School of Human Kinetics (Adamo, Prud'homme), University of Ottawa, Ottawa, Ont.; Department of Health, Kinesiology & Applied Physiology (Alberga), Concordia University, Montréal, Que.; Bariatric Centre of Excellence (Brown), The Ottawa Hospital, Ottawa, Ont.; Departments of Family Practice (Calam) and Endocrinology (Manjoo), University of British Columbia, Vancouver, BC; UBC Family Practice Residency Program (Calam) and Pfizer/Heart and Stroke Foundation Chair in Cardiovascular Prevention Research (Lear), St. Paul's Hospital, Vancouver, BC; nutrition consultant (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, University of Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Department of Family Medicine (Freedhoff) and Division of Endocrinology and Metabolism (Shiau), Department of Medicine, University of Ottawa, Ottawa, Ont.; Herbert Wertheim School of Medicine (Gagner), Florida International University, Miami, Fla.; Hôpital du Sacre Coeur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division of Endocrinology and Metabolism (Glazer), Queen's University, Kingston, Ont.; Departments of Internal Medicine (Glazer), Psychiatry (Hawa, Sockalingam), Family and Community Medicine (Macklin) and Nutritional Sciences (Sievenpiper), University of Toronto, Toronto, Ont.; Alberta Health Services (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Departments of Family Medicine and Public Health Sciences and Policy Studies (Green), Queen's University, Kingston, Ont.; Kingston Health Sciences Centre (Green), Kingston, Ont.; Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam), Toronto, Ont.; University Health Network (Hawa, Sockalingam), Toronto, Ont.; Division of General Surgery (Hong), McMaster University, Hamilton, Ont.; Department of Family Medicine and Biobehavioral Health (Jacklin), University of Minnesota Medical School Duluth Campus, Duluth, Minn.; School of Kinesiology and Health Studies (Janssen), Queen's University, Kingston, Ont.; School of Health and Human Performance (Kirk), Dalhousie University, Halifax, NS; School of Kinesiology and Health Science (Wharton, Kuk), York University, Toronto, Ont.; Division of Endocrinology (Langlois), Université de Sherbrooke, Sherbrooke, Que.; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Que.; School of Kinesiology (Lear), Simon Fraser University, Vancouver, BC; Medcan Clinic (Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Vancouver Island Health Authority, Victoria, BC; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Laval University, Québec, Que.; Foothills Medical Centre (Nerenberg), Calgary, Alta.; C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology ( Poddar), Toronto, Ont.; Department of Medicine (Rueda-Clausen), University of Saskatchewan, Regina, Sask.; Regina General Hospital (Rueda-Clausen), Regina, Sask.; Education Psychology (Russell-Mayhew), Werklund School of Education, University of Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Heather M. Arthur Population Health Research Institute/Hamilton Health Sciences Chair in Interprofessional Health Research, School of Nursing (Sherifali), McMaster University, Hamilton, Ont.; Division of Endocrinology & Metabolism (Sievenpiper), St. Michael's Hospital, Toronto, Ont.; Department of Psychiatry (Taylor), University of Calgary, Calgary, Alta.; School of Pharmacy (Twells), Memorial University, St. John's, NL; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; School of Population and Public Health (Walker), University of British Columbia, Vancouver, BC; Centre for Excellence in Indigenous Health (Walker), University of British Columbia, Vancouver, BC.; O'Brien Institute of Public Health (Wicklum), University of Calgary, Calgary, Alta
| | - Elaine Boyling
- Departments of Medicine (Wharton), Endocrinology and Metabolism (Poddar, Sherifali), Family Medicine (Naji, Tytus) and Health Research Methods, Evidence and Impact Canada (Naji), McMaster University, Hamilton, Ont; The Wharton Medical Clinic (Wharton, Poddar), Hamilton, Ont.; Departments of Medicine (Lau, Nerenberg) and Family Medicine (Boyling, Henderson, McInnes, Walji, Wicklum), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Julia McFarlane Diabetes Research Centre and Libin Cardiovascular Institute of Alberta (Lau), Calgary, Alta.; Department of Family Medicine (Vallis, Piccinini-Vallis), Dalhousie University, Halifax, NS; Departments of Medicine (Sharma, Toth), Family Medicine (Campbell-Scherer, Kemp), Agricultural, Food and Nutritional Science (Bell, Pereira), Physical Education and Recreation (Boulé), and Occupational Therapy (Forhan), University of Alberta, Edmonton, Alta.; Adult Bariatric Specialty Clinic (Sharma), Royal Alexandra Hospital, Edmonton, Alta.; Obesity Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Department of Surgery (Biertho), Laval University, Quebec, Que.; School of Human Kinetics (Adamo, Prud'homme), University of Ottawa, Ottawa, Ont.; Department of Health, Kinesiology & Applied Physiology (Alberga), Concordia University, Montréal, Que.; Bariatric Centre of Excellence (Brown), The Ottawa Hospital, Ottawa, Ont.; Departments of Family Practice (Calam) and Endocrinology (Manjoo), University of British Columbia, Vancouver, BC; UBC Family Practice Residency Program (Calam) and Pfizer/Heart and Stroke Foundation Chair in Cardiovascular Prevention Research (Lear), St. Paul's Hospital, Vancouver, BC; nutrition consultant (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, University of Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Department of Family Medicine (Freedhoff) and Division of Endocrinology and Metabolism (Shiau), Department of Medicine, University of Ottawa, Ottawa, Ont.; Herbert Wertheim School of Medicine (Gagner), Florida International University, Miami, Fla.; Hôpital du Sacre Coeur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division of Endocrinology and Metabolism (Glazer), Queen's University, Kingston, Ont.; Departments of Internal Medicine (Glazer), Psychiatry (Hawa, Sockalingam), Family and Community Medicine (Macklin) and Nutritional Sciences (Sievenpiper), University of Toronto, Toronto, Ont.; Alberta Health Services (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Departments of Family Medicine and Public Health Sciences and Policy Studies (Green), Queen's University, Kingston, Ont.; Kingston Health Sciences Centre (Green), Kingston, Ont.; Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam), Toronto, Ont.; University Health Network (Hawa, Sockalingam), Toronto, Ont.; Division of General Surgery (Hong), McMaster University, Hamilton, Ont.; Department of Family Medicine and Biobehavioral Health (Jacklin), University of Minnesota Medical School Duluth Campus, Duluth, Minn.; School of Kinesiology and Health Studies (Janssen), Queen's University, Kingston, Ont.; School of Health and Human Performance (Kirk), Dalhousie University, Halifax, NS; School of Kinesiology and Health Science (Wharton, Kuk), York University, Toronto, Ont.; Division of Endocrinology (Langlois), Université de Sherbrooke, Sherbrooke, Que.; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Que.; School of Kinesiology (Lear), Simon Fraser University, Vancouver, BC; Medcan Clinic (Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Vancouver Island Health Authority, Victoria, BC; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Laval University, Québec, Que.; Foothills Medical Centre (Nerenberg), Calgary, Alta.; C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology ( Poddar), Toronto, Ont.; Department of Medicine (Rueda-Clausen), University of Saskatchewan, Regina, Sask.; Regina General Hospital (Rueda-Clausen), Regina, Sask.; Education Psychology (Russell-Mayhew), Werklund School of Education, University of Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Heather M. Arthur Population Health Research Institute/Hamilton Health Sciences Chair in Interprofessional Health Research, School of Nursing (Sherifali), McMaster University, Hamilton, Ont.; Division of Endocrinology & Metabolism (Sievenpiper), St. Michael's Hospital, Toronto, Ont.; Department of Psychiatry (Taylor), University of Calgary, Calgary, Alta.; School of Pharmacy (Twells), Memorial University, St. John's, NL; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; School of Population and Public Health (Walker), University of British Columbia, Vancouver, BC; Centre for Excellence in Indigenous Health (Walker), University of British Columbia, Vancouver, BC.; O'Brien Institute of Public Health (Wicklum), University of Calgary, Calgary, Alta
| | - Jennifer Brown
- Departments of Medicine (Wharton), Endocrinology and Metabolism (Poddar, Sherifali), Family Medicine (Naji, Tytus) and Health Research Methods, Evidence and Impact Canada (Naji), McMaster University, Hamilton, Ont; The Wharton Medical Clinic (Wharton, Poddar), Hamilton, Ont.; Departments of Medicine (Lau, Nerenberg) and Family Medicine (Boyling, Henderson, McInnes, Walji, Wicklum), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Julia McFarlane Diabetes Research Centre and Libin Cardiovascular Institute of Alberta (Lau), Calgary, Alta.; Department of Family Medicine (Vallis, Piccinini-Vallis), Dalhousie University, Halifax, NS; Departments of Medicine (Sharma, Toth), Family Medicine (Campbell-Scherer, Kemp), Agricultural, Food and Nutritional Science (Bell, Pereira), Physical Education and Recreation (Boulé), and Occupational Therapy (Forhan), University of Alberta, Edmonton, Alta.; Adult Bariatric Specialty Clinic (Sharma), Royal Alexandra Hospital, Edmonton, Alta.; Obesity Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Department of Surgery (Biertho), Laval University, Quebec, Que.; School of Human Kinetics (Adamo, Prud'homme), University of Ottawa, Ottawa, Ont.; Department of Health, Kinesiology & Applied Physiology (Alberga), Concordia University, Montréal, Que.; Bariatric Centre of Excellence (Brown), The Ottawa Hospital, Ottawa, Ont.; Departments of Family Practice (Calam) and Endocrinology (Manjoo), University of British Columbia, Vancouver, BC; UBC Family Practice Residency Program (Calam) and Pfizer/Heart and Stroke Foundation Chair in Cardiovascular Prevention Research (Lear), St. Paul's Hospital, Vancouver, BC; nutrition consultant (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, University of Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Department of Family Medicine (Freedhoff) and Division of Endocrinology and Metabolism (Shiau), Department of Medicine, University of Ottawa, Ottawa, Ont.; Herbert Wertheim School of Medicine (Gagner), Florida International University, Miami, Fla.; Hôpital du Sacre Coeur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division of Endocrinology and Metabolism (Glazer), Queen's University, Kingston, Ont.; Departments of Internal Medicine (Glazer), Psychiatry (Hawa, Sockalingam), Family and Community Medicine (Macklin) and Nutritional Sciences (Sievenpiper), University of Toronto, Toronto, Ont.; Alberta Health Services (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Departments of Family Medicine and Public Health Sciences and Policy Studies (Green), Queen's University, Kingston, Ont.; Kingston Health Sciences Centre (Green), Kingston, Ont.; Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam), Toronto, Ont.; University Health Network (Hawa, Sockalingam), Toronto, Ont.; Division of General Surgery (Hong), McMaster University, Hamilton, Ont.; Department of Family Medicine and Biobehavioral Health (Jacklin), University of Minnesota Medical School Duluth Campus, Duluth, Minn.; School of Kinesiology and Health Studies (Janssen), Queen's University, Kingston, Ont.; School of Health and Human Performance (Kirk), Dalhousie University, Halifax, NS; School of Kinesiology and Health Science (Wharton, Kuk), York University, Toronto, Ont.; Division of Endocrinology (Langlois), Université de Sherbrooke, Sherbrooke, Que.; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Que.; School of Kinesiology (Lear), Simon Fraser University, Vancouver, BC; Medcan Clinic (Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Vancouver Island Health Authority, Victoria, BC; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Laval University, Québec, Que.; Foothills Medical Centre (Nerenberg), Calgary, Alta.; C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology ( Poddar), Toronto, Ont.; Department of Medicine (Rueda-Clausen), University of Saskatchewan, Regina, Sask.; Regina General Hospital (Rueda-Clausen), Regina, Sask.; Education Psychology (Russell-Mayhew), Werklund School of Education, University of Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Heather M. Arthur Population Health Research Institute/Hamilton Health Sciences Chair in Interprofessional Health Research, School of Nursing (Sherifali), McMaster University, Hamilton, Ont.; Division of Endocrinology & Metabolism (Sievenpiper), St. Michael's Hospital, Toronto, Ont.; Department of Psychiatry (Taylor), University of Calgary, Calgary, Alta.; School of Pharmacy (Twells), Memorial University, St. John's, NL; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; School of Population and Public Health (Walker), University of British Columbia, Vancouver, BC; Centre for Excellence in Indigenous Health (Walker), University of British Columbia, Vancouver, BC.; O'Brien Institute of Public Health (Wicklum), University of Calgary, Calgary, Alta
| | - Betty Calam
- Departments of Medicine (Wharton), Endocrinology and Metabolism (Poddar, Sherifali), Family Medicine (Naji, Tytus) and Health Research Methods, Evidence and Impact Canada (Naji), McMaster University, Hamilton, Ont; The Wharton Medical Clinic (Wharton, Poddar), Hamilton, Ont.; Departments of Medicine (Lau, Nerenberg) and Family Medicine (Boyling, Henderson, McInnes, Walji, Wicklum), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Julia McFarlane Diabetes Research Centre and Libin Cardiovascular Institute of Alberta (Lau), Calgary, Alta.; Department of Family Medicine (Vallis, Piccinini-Vallis), Dalhousie University, Halifax, NS; Departments of Medicine (Sharma, Toth), Family Medicine (Campbell-Scherer, Kemp), Agricultural, Food and Nutritional Science (Bell, Pereira), Physical Education and Recreation (Boulé), and Occupational Therapy (Forhan), University of Alberta, Edmonton, Alta.; Adult Bariatric Specialty Clinic (Sharma), Royal Alexandra Hospital, Edmonton, Alta.; Obesity Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Department of Surgery (Biertho), Laval University, Quebec, Que.; School of Human Kinetics (Adamo, Prud'homme), University of Ottawa, Ottawa, Ont.; Department of Health, Kinesiology & Applied Physiology (Alberga), Concordia University, Montréal, Que.; Bariatric Centre of Excellence (Brown), The Ottawa Hospital, Ottawa, Ont.; Departments of Family Practice (Calam) and Endocrinology (Manjoo), University of British Columbia, Vancouver, BC; UBC Family Practice Residency Program (Calam) and Pfizer/Heart and Stroke Foundation Chair in Cardiovascular Prevention Research (Lear), St. Paul's Hospital, Vancouver, BC; nutrition consultant (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, University of Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Department of Family Medicine (Freedhoff) and Division of Endocrinology and Metabolism (Shiau), Department of Medicine, University of Ottawa, Ottawa, Ont.; Herbert Wertheim School of Medicine (Gagner), Florida International University, Miami, Fla.; Hôpital du Sacre Coeur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division of Endocrinology and Metabolism (Glazer), Queen's University, Kingston, Ont.; Departments of Internal Medicine (Glazer), Psychiatry (Hawa, Sockalingam), Family and Community Medicine (Macklin) and Nutritional Sciences (Sievenpiper), University of Toronto, Toronto, Ont.; Alberta Health Services (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Departments of Family Medicine and Public Health Sciences and Policy Studies (Green), Queen's University, Kingston, Ont.; Kingston Health Sciences Centre (Green), Kingston, Ont.; Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam), Toronto, Ont.; University Health Network (Hawa, Sockalingam), Toronto, Ont.; Division of General Surgery (Hong), McMaster University, Hamilton, Ont.; Department of Family Medicine and Biobehavioral Health (Jacklin), University of Minnesota Medical School Duluth Campus, Duluth, Minn.; School of Kinesiology and Health Studies (Janssen), Queen's University, Kingston, Ont.; School of Health and Human Performance (Kirk), Dalhousie University, Halifax, NS; School of Kinesiology and Health Science (Wharton, Kuk), York University, Toronto, Ont.; Division of Endocrinology (Langlois), Université de Sherbrooke, Sherbrooke, Que.; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Que.; School of Kinesiology (Lear), Simon Fraser University, Vancouver, BC; Medcan Clinic (Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Vancouver Island Health Authority, Victoria, BC; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Laval University, Québec, Que.; Foothills Medical Centre (Nerenberg), Calgary, Alta.; C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology ( Poddar), Toronto, Ont.; Department of Medicine (Rueda-Clausen), University of Saskatchewan, Regina, Sask.; Regina General Hospital (Rueda-Clausen), Regina, Sask.; Education Psychology (Russell-Mayhew), Werklund School of Education, University of Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Heather M. Arthur Population Health Research Institute/Hamilton Health Sciences Chair in Interprofessional Health Research, School of Nursing (Sherifali), McMaster University, Hamilton, Ont.; Division of Endocrinology & Metabolism (Sievenpiper), St. Michael's Hospital, Toronto, Ont.; Department of Psychiatry (Taylor), University of Calgary, Calgary, Alta.; School of Pharmacy (Twells), Memorial University, St. John's, NL; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; School of Population and Public Health (Walker), University of British Columbia, Vancouver, BC; Centre for Excellence in Indigenous Health (Walker), University of British Columbia, Vancouver, BC.; O'Brien Institute of Public Health (Wicklum), University of Calgary, Calgary, Alta
| | - Carol Clarke
- Departments of Medicine (Wharton), Endocrinology and Metabolism (Poddar, Sherifali), Family Medicine (Naji, Tytus) and Health Research Methods, Evidence and Impact Canada (Naji), McMaster University, Hamilton, Ont; The Wharton Medical Clinic (Wharton, Poddar), Hamilton, Ont.; Departments of Medicine (Lau, Nerenberg) and Family Medicine (Boyling, Henderson, McInnes, Walji, Wicklum), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Julia McFarlane Diabetes Research Centre and Libin Cardiovascular Institute of Alberta (Lau), Calgary, Alta.; Department of Family Medicine (Vallis, Piccinini-Vallis), Dalhousie University, Halifax, NS; Departments of Medicine (Sharma, Toth), Family Medicine (Campbell-Scherer, Kemp), Agricultural, Food and Nutritional Science (Bell, Pereira), Physical Education and Recreation (Boulé), and Occupational Therapy (Forhan), University of Alberta, Edmonton, Alta.; Adult Bariatric Specialty Clinic (Sharma), Royal Alexandra Hospital, Edmonton, Alta.; Obesity Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Department of Surgery (Biertho), Laval University, Quebec, Que.; School of Human Kinetics (Adamo, Prud'homme), University of Ottawa, Ottawa, Ont.; Department of Health, Kinesiology & Applied Physiology (Alberga), Concordia University, Montréal, Que.; Bariatric Centre of Excellence (Brown), The Ottawa Hospital, Ottawa, Ont.; Departments of Family Practice (Calam) and Endocrinology (Manjoo), University of British Columbia, Vancouver, BC; UBC Family Practice Residency Program (Calam) and Pfizer/Heart and Stroke Foundation Chair in Cardiovascular Prevention Research (Lear), St. Paul's Hospital, Vancouver, BC; nutrition consultant (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, University of Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Department of Family Medicine (Freedhoff) and Division of Endocrinology and Metabolism (Shiau), Department of Medicine, University of Ottawa, Ottawa, Ont.; Herbert Wertheim School of Medicine (Gagner), Florida International University, Miami, Fla.; Hôpital du Sacre Coeur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division of Endocrinology and Metabolism (Glazer), Queen's University, Kingston, Ont.; Departments of Internal Medicine (Glazer), Psychiatry (Hawa, Sockalingam), Family and Community Medicine (Macklin) and Nutritional Sciences (Sievenpiper), University of Toronto, Toronto, Ont.; Alberta Health Services (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Departments of Family Medicine and Public Health Sciences and Policy Studies (Green), Queen's University, Kingston, Ont.; Kingston Health Sciences Centre (Green), Kingston, Ont.; Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam), Toronto, Ont.; University Health Network (Hawa, Sockalingam), Toronto, Ont.; Division of General Surgery (Hong), McMaster University, Hamilton, Ont.; Department of Family Medicine and Biobehavioral Health (Jacklin), University of Minnesota Medical School Duluth Campus, Duluth, Minn.; School of Kinesiology and Health Studies (Janssen), Queen's University, Kingston, Ont.; School of Health and Human Performance (Kirk), Dalhousie University, Halifax, NS; School of Kinesiology and Health Science (Wharton, Kuk), York University, Toronto, Ont.; Division of Endocrinology (Langlois), Université de Sherbrooke, Sherbrooke, Que.; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Que.; School of Kinesiology (Lear), Simon Fraser University, Vancouver, BC; Medcan Clinic (Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Vancouver Island Health Authority, Victoria, BC; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Laval University, Québec, Que.; Foothills Medical Centre (Nerenberg), Calgary, Alta.; C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology ( Poddar), Toronto, Ont.; Department of Medicine (Rueda-Clausen), University of Saskatchewan, Regina, Sask.; Regina General Hospital (Rueda-Clausen), Regina, Sask.; Education Psychology (Russell-Mayhew), Werklund School of Education, University of Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Heather M. Arthur Population Health Research Institute/Hamilton Health Sciences Chair in Interprofessional Health Research, School of Nursing (Sherifali), McMaster University, Hamilton, Ont.; Division of Endocrinology & Metabolism (Sievenpiper), St. Michael's Hospital, Toronto, Ont.; Department of Psychiatry (Taylor), University of Calgary, Calgary, Alta.; School of Pharmacy (Twells), Memorial University, St. John's, NL; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; School of Population and Public Health (Walker), University of British Columbia, Vancouver, BC; Centre for Excellence in Indigenous Health (Walker), University of British Columbia, Vancouver, BC.; O'Brien Institute of Public Health (Wicklum), University of Calgary, Calgary, Alta
| | - Lindsay Crowshoe
- Departments of Medicine (Wharton), Endocrinology and Metabolism (Poddar, Sherifali), Family Medicine (Naji, Tytus) and Health Research Methods, Evidence and Impact Canada (Naji), McMaster University, Hamilton, Ont; The Wharton Medical Clinic (Wharton, Poddar), Hamilton, Ont.; Departments of Medicine (Lau, Nerenberg) and Family Medicine (Boyling, Henderson, McInnes, Walji, Wicklum), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Julia McFarlane Diabetes Research Centre and Libin Cardiovascular Institute of Alberta (Lau), Calgary, Alta.; Department of Family Medicine (Vallis, Piccinini-Vallis), Dalhousie University, Halifax, NS; Departments of Medicine (Sharma, Toth), Family Medicine (Campbell-Scherer, Kemp), Agricultural, Food and Nutritional Science (Bell, Pereira), Physical Education and Recreation (Boulé), and Occupational Therapy (Forhan), University of Alberta, Edmonton, Alta.; Adult Bariatric Specialty Clinic (Sharma), Royal Alexandra Hospital, Edmonton, Alta.; Obesity Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Department of Surgery (Biertho), Laval University, Quebec, Que.; School of Human Kinetics (Adamo, Prud'homme), University of Ottawa, Ottawa, Ont.; Department of Health, Kinesiology & Applied Physiology (Alberga), Concordia University, Montréal, Que.; Bariatric Centre of Excellence (Brown), The Ottawa Hospital, Ottawa, Ont.; Departments of Family Practice (Calam) and Endocrinology (Manjoo), University of British Columbia, Vancouver, BC; UBC Family Practice Residency Program (Calam) and Pfizer/Heart and Stroke Foundation Chair in Cardiovascular Prevention Research (Lear), St. Paul's Hospital, Vancouver, BC; nutrition consultant (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, University of Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Department of Family Medicine (Freedhoff) and Division of Endocrinology and Metabolism (Shiau), Department of Medicine, University of Ottawa, Ottawa, Ont.; Herbert Wertheim School of Medicine (Gagner), Florida International University, Miami, Fla.; Hôpital du Sacre Coeur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division of Endocrinology and Metabolism (Glazer), Queen's University, Kingston, Ont.; Departments of Internal Medicine (Glazer), Psychiatry (Hawa, Sockalingam), Family and Community Medicine (Macklin) and Nutritional Sciences (Sievenpiper), University of Toronto, Toronto, Ont.; Alberta Health Services (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Departments of Family Medicine and Public Health Sciences and Policy Studies (Green), Queen's University, Kingston, Ont.; Kingston Health Sciences Centre (Green), Kingston, Ont.; Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam), Toronto, Ont.; University Health Network (Hawa, Sockalingam), Toronto, Ont.; Division of General Surgery (Hong), McMaster University, Hamilton, Ont.; Department of Family Medicine and Biobehavioral Health (Jacklin), University of Minnesota Medical School Duluth Campus, Duluth, Minn.; School of Kinesiology and Health Studies (Janssen), Queen's University, Kingston, Ont.; School of Health and Human Performance (Kirk), Dalhousie University, Halifax, NS; School of Kinesiology and Health Science (Wharton, Kuk), York University, Toronto, Ont.; Division of Endocrinology (Langlois), Université de Sherbrooke, Sherbrooke, Que.; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Que.; School of Kinesiology (Lear), Simon Fraser University, Vancouver, BC; Medcan Clinic (Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Vancouver Island Health Authority, Victoria, BC; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Laval University, Québec, Que.; Foothills Medical Centre (Nerenberg), Calgary, Alta.; C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology ( Poddar), Toronto, Ont.; Department of Medicine (Rueda-Clausen), University of Saskatchewan, Regina, Sask.; Regina General Hospital (Rueda-Clausen), Regina, Sask.; Education Psychology (Russell-Mayhew), Werklund School of Education, University of Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Heather M. Arthur Population Health Research Institute/Hamilton Health Sciences Chair in Interprofessional Health Research, School of Nursing (Sherifali), McMaster University, Hamilton, Ont.; Division of Endocrinology & Metabolism (Sievenpiper), St. Michael's Hospital, Toronto, Ont.; Department of Psychiatry (Taylor), University of Calgary, Calgary, Alta.; School of Pharmacy (Twells), Memorial University, St. John's, NL; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; School of Population and Public Health (Walker), University of British Columbia, Vancouver, BC; Centre for Excellence in Indigenous Health (Walker), University of British Columbia, Vancouver, BC.; O'Brien Institute of Public Health (Wicklum), University of Calgary, Calgary, Alta
| | - Dennis Divalentino
- Departments of Medicine (Wharton), Endocrinology and Metabolism (Poddar, Sherifali), Family Medicine (Naji, Tytus) and Health Research Methods, Evidence and Impact Canada (Naji), McMaster University, Hamilton, Ont; The Wharton Medical Clinic (Wharton, Poddar), Hamilton, Ont.; Departments of Medicine (Lau, Nerenberg) and Family Medicine (Boyling, Henderson, McInnes, Walji, Wicklum), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Julia McFarlane Diabetes Research Centre and Libin Cardiovascular Institute of Alberta (Lau), Calgary, Alta.; Department of Family Medicine (Vallis, Piccinini-Vallis), Dalhousie University, Halifax, NS; Departments of Medicine (Sharma, Toth), Family Medicine (Campbell-Scherer, Kemp), Agricultural, Food and Nutritional Science (Bell, Pereira), Physical Education and Recreation (Boulé), and Occupational Therapy (Forhan), University of Alberta, Edmonton, Alta.; Adult Bariatric Specialty Clinic (Sharma), Royal Alexandra Hospital, Edmonton, Alta.; Obesity Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Department of Surgery (Biertho), Laval University, Quebec, Que.; School of Human Kinetics (Adamo, Prud'homme), University of Ottawa, Ottawa, Ont.; Department of Health, Kinesiology & Applied Physiology (Alberga), Concordia University, Montréal, Que.; Bariatric Centre of Excellence (Brown), The Ottawa Hospital, Ottawa, Ont.; Departments of Family Practice (Calam) and Endocrinology (Manjoo), University of British Columbia, Vancouver, BC; UBC Family Practice Residency Program (Calam) and Pfizer/Heart and Stroke Foundation Chair in Cardiovascular Prevention Research (Lear), St. Paul's Hospital, Vancouver, BC; nutrition consultant (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, University of Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Department of Family Medicine (Freedhoff) and Division of Endocrinology and Metabolism (Shiau), Department of Medicine, University of Ottawa, Ottawa, Ont.; Herbert Wertheim School of Medicine (Gagner), Florida International University, Miami, Fla.; Hôpital du Sacre Coeur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division of Endocrinology and Metabolism (Glazer), Queen's University, Kingston, Ont.; Departments of Internal Medicine (Glazer), Psychiatry (Hawa, Sockalingam), Family and Community Medicine (Macklin) and Nutritional Sciences (Sievenpiper), University of Toronto, Toronto, Ont.; Alberta Health Services (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Departments of Family Medicine and Public Health Sciences and Policy Studies (Green), Queen's University, Kingston, Ont.; Kingston Health Sciences Centre (Green), Kingston, Ont.; Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam), Toronto, Ont.; University Health Network (Hawa, Sockalingam), Toronto, Ont.; Division of General Surgery (Hong), McMaster University, Hamilton, Ont.; Department of Family Medicine and Biobehavioral Health (Jacklin), University of Minnesota Medical School Duluth Campus, Duluth, Minn.; School of Kinesiology and Health Studies (Janssen), Queen's University, Kingston, Ont.; School of Health and Human Performance (Kirk), Dalhousie University, Halifax, NS; School of Kinesiology and Health Science (Wharton, Kuk), York University, Toronto, Ont.; Division of Endocrinology (Langlois), Université de Sherbrooke, Sherbrooke, Que.; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Que.; School of Kinesiology (Lear), Simon Fraser University, Vancouver, BC; Medcan Clinic (Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Vancouver Island Health Authority, Victoria, BC; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Laval University, Québec, Que.; Foothills Medical Centre (Nerenberg), Calgary, Alta.; C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology ( Poddar), Toronto, Ont.; Department of Medicine (Rueda-Clausen), University of Saskatchewan, Regina, Sask.; Regina General Hospital (Rueda-Clausen), Regina, Sask.; Education Psychology (Russell-Mayhew), Werklund School of Education, University of Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Heather M. Arthur Population Health Research Institute/Hamilton Health Sciences Chair in Interprofessional Health Research, School of Nursing (Sherifali), McMaster University, Hamilton, Ont.; Division of Endocrinology & Metabolism (Sievenpiper), St. Michael's Hospital, Toronto, Ont.; Department of Psychiatry (Taylor), University of Calgary, Calgary, Alta.; School of Pharmacy (Twells), Memorial University, St. John's, NL; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; School of Population and Public Health (Walker), University of British Columbia, Vancouver, BC; Centre for Excellence in Indigenous Health (Walker), University of British Columbia, Vancouver, BC.; O'Brien Institute of Public Health (Wicklum), University of Calgary, Calgary, Alta
| | - Mary Forhan
- Departments of Medicine (Wharton), Endocrinology and Metabolism (Poddar, Sherifali), Family Medicine (Naji, Tytus) and Health Research Methods, Evidence and Impact Canada (Naji), McMaster University, Hamilton, Ont; The Wharton Medical Clinic (Wharton, Poddar), Hamilton, Ont.; Departments of Medicine (Lau, Nerenberg) and Family Medicine (Boyling, Henderson, McInnes, Walji, Wicklum), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Julia McFarlane Diabetes Research Centre and Libin Cardiovascular Institute of Alberta (Lau), Calgary, Alta.; Department of Family Medicine (Vallis, Piccinini-Vallis), Dalhousie University, Halifax, NS; Departments of Medicine (Sharma, Toth), Family Medicine (Campbell-Scherer, Kemp), Agricultural, Food and Nutritional Science (Bell, Pereira), Physical Education and Recreation (Boulé), and Occupational Therapy (Forhan), University of Alberta, Edmonton, Alta.; Adult Bariatric Specialty Clinic (Sharma), Royal Alexandra Hospital, Edmonton, Alta.; Obesity Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Department of Surgery (Biertho), Laval University, Quebec, Que.; School of Human Kinetics (Adamo, Prud'homme), University of Ottawa, Ottawa, Ont.; Department of Health, Kinesiology & Applied Physiology (Alberga), Concordia University, Montréal, Que.; Bariatric Centre of Excellence (Brown), The Ottawa Hospital, Ottawa, Ont.; Departments of Family Practice (Calam) and Endocrinology (Manjoo), University of British Columbia, Vancouver, BC; UBC Family Practice Residency Program (Calam) and Pfizer/Heart and Stroke Foundation Chair in Cardiovascular Prevention Research (Lear), St. Paul's Hospital, Vancouver, BC; nutrition consultant (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, University of Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Department of Family Medicine (Freedhoff) and Division of Endocrinology and Metabolism (Shiau), Department of Medicine, University of Ottawa, Ottawa, Ont.; Herbert Wertheim School of Medicine (Gagner), Florida International University, Miami, Fla.; Hôpital du Sacre Coeur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division of Endocrinology and Metabolism (Glazer), Queen's University, Kingston, Ont.; Departments of Internal Medicine (Glazer), Psychiatry (Hawa, Sockalingam), Family and Community Medicine (Macklin) and Nutritional Sciences (Sievenpiper), University of Toronto, Toronto, Ont.; Alberta Health Services (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Departments of Family Medicine and Public Health Sciences and Policy Studies (Green), Queen's University, Kingston, Ont.; Kingston Health Sciences Centre (Green), Kingston, Ont.; Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam), Toronto, Ont.; University Health Network (Hawa, Sockalingam), Toronto, Ont.; Division of General Surgery (Hong), McMaster University, Hamilton, Ont.; Department of Family Medicine and Biobehavioral Health (Jacklin), University of Minnesota Medical School Duluth Campus, Duluth, Minn.; School of Kinesiology and Health Studies (Janssen), Queen's University, Kingston, Ont.; School of Health and Human Performance (Kirk), Dalhousie University, Halifax, NS; School of Kinesiology and Health Science (Wharton, Kuk), York University, Toronto, Ont.; Division of Endocrinology (Langlois), Université de Sherbrooke, Sherbrooke, Que.; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Que.; School of Kinesiology (Lear), Simon Fraser University, Vancouver, BC; Medcan Clinic (Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Vancouver Island Health Authority, Victoria, BC; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Laval University, Québec, Que.; Foothills Medical Centre (Nerenberg), Calgary, Alta.; C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology ( Poddar), Toronto, Ont.; Department of Medicine (Rueda-Clausen), University of Saskatchewan, Regina, Sask.; Regina General Hospital (Rueda-Clausen), Regina, Sask.; Education Psychology (Russell-Mayhew), Werklund School of Education, University of Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Heather M. Arthur Population Health Research Institute/Hamilton Health Sciences Chair in Interprofessional Health Research, School of Nursing (Sherifali), McMaster University, Hamilton, Ont.; Division of Endocrinology & Metabolism (Sievenpiper), St. Michael's Hospital, Toronto, Ont.; Department of Psychiatry (Taylor), University of Calgary, Calgary, Alta.; School of Pharmacy (Twells), Memorial University, St. John's, NL; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; School of Population and Public Health (Walker), University of British Columbia, Vancouver, BC; Centre for Excellence in Indigenous Health (Walker), University of British Columbia, Vancouver, BC.; O'Brien Institute of Public Health (Wicklum), University of Calgary, Calgary, Alta
| | - Yoni Freedhoff
- Departments of Medicine (Wharton), Endocrinology and Metabolism (Poddar, Sherifali), Family Medicine (Naji, Tytus) and Health Research Methods, Evidence and Impact Canada (Naji), McMaster University, Hamilton, Ont; The Wharton Medical Clinic (Wharton, Poddar), Hamilton, Ont.; Departments of Medicine (Lau, Nerenberg) and Family Medicine (Boyling, Henderson, McInnes, Walji, Wicklum), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Julia McFarlane Diabetes Research Centre and Libin Cardiovascular Institute of Alberta (Lau), Calgary, Alta.; Department of Family Medicine (Vallis, Piccinini-Vallis), Dalhousie University, Halifax, NS; Departments of Medicine (Sharma, Toth), Family Medicine (Campbell-Scherer, Kemp), Agricultural, Food and Nutritional Science (Bell, Pereira), Physical Education and Recreation (Boulé), and Occupational Therapy (Forhan), University of Alberta, Edmonton, Alta.; Adult Bariatric Specialty Clinic (Sharma), Royal Alexandra Hospital, Edmonton, Alta.; Obesity Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Department of Surgery (Biertho), Laval University, Quebec, Que.; School of Human Kinetics (Adamo, Prud'homme), University of Ottawa, Ottawa, Ont.; Department of Health, Kinesiology & Applied Physiology (Alberga), Concordia University, Montréal, Que.; Bariatric Centre of Excellence (Brown), The Ottawa Hospital, Ottawa, Ont.; Departments of Family Practice (Calam) and Endocrinology (Manjoo), University of British Columbia, Vancouver, BC; UBC Family Practice Residency Program (Calam) and Pfizer/Heart and Stroke Foundation Chair in Cardiovascular Prevention Research (Lear), St. Paul's Hospital, Vancouver, BC; nutrition consultant (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, University of Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Department of Family Medicine (Freedhoff) and Division of Endocrinology and Metabolism (Shiau), Department of Medicine, University of Ottawa, Ottawa, Ont.; Herbert Wertheim School of Medicine (Gagner), Florida International University, Miami, Fla.; Hôpital du Sacre Coeur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division of Endocrinology and Metabolism (Glazer), Queen's University, Kingston, Ont.; Departments of Internal Medicine (Glazer), Psychiatry (Hawa, Sockalingam), Family and Community Medicine (Macklin) and Nutritional Sciences (Sievenpiper), University of Toronto, Toronto, Ont.; Alberta Health Services (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Departments of Family Medicine and Public Health Sciences and Policy Studies (Green), Queen's University, Kingston, Ont.; Kingston Health Sciences Centre (Green), Kingston, Ont.; Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam), Toronto, Ont.; University Health Network (Hawa, Sockalingam), Toronto, Ont.; Division of General Surgery (Hong), McMaster University, Hamilton, Ont.; Department of Family Medicine and Biobehavioral Health (Jacklin), University of Minnesota Medical School Duluth Campus, Duluth, Minn.; School of Kinesiology and Health Studies (Janssen), Queen's University, Kingston, Ont.; School of Health and Human Performance (Kirk), Dalhousie University, Halifax, NS; School of Kinesiology and Health Science (Wharton, Kuk), York University, Toronto, Ont.; Division of Endocrinology (Langlois), Université de Sherbrooke, Sherbrooke, Que.; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Que.; School of Kinesiology (Lear), Simon Fraser University, Vancouver, BC; Medcan Clinic (Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Vancouver Island Health Authority, Victoria, BC; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Laval University, Québec, Que.; Foothills Medical Centre (Nerenberg), Calgary, Alta.; C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology ( Poddar), Toronto, Ont.; Department of Medicine (Rueda-Clausen), University of Saskatchewan, Regina, Sask.; Regina General Hospital (Rueda-Clausen), Regina, Sask.; Education Psychology (Russell-Mayhew), Werklund School of Education, University of Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Heather M. Arthur Population Health Research Institute/Hamilton Health Sciences Chair in Interprofessional Health Research, School of Nursing (Sherifali), McMaster University, Hamilton, Ont.; Division of Endocrinology & Metabolism (Sievenpiper), St. Michael's Hospital, Toronto, Ont.; Department of Psychiatry (Taylor), University of Calgary, Calgary, Alta.; School of Pharmacy (Twells), Memorial University, St. John's, NL; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; School of Population and Public Health (Walker), University of British Columbia, Vancouver, BC; Centre for Excellence in Indigenous Health (Walker), University of British Columbia, Vancouver, BC.; O'Brien Institute of Public Health (Wicklum), University of Calgary, Calgary, Alta
| | - Michel Gagner
- Departments of Medicine (Wharton), Endocrinology and Metabolism (Poddar, Sherifali), Family Medicine (Naji, Tytus) and Health Research Methods, Evidence and Impact Canada (Naji), McMaster University, Hamilton, Ont; The Wharton Medical Clinic (Wharton, Poddar), Hamilton, Ont.; Departments of Medicine (Lau, Nerenberg) and Family Medicine (Boyling, Henderson, McInnes, Walji, Wicklum), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Julia McFarlane Diabetes Research Centre and Libin Cardiovascular Institute of Alberta (Lau), Calgary, Alta.; Department of Family Medicine (Vallis, Piccinini-Vallis), Dalhousie University, Halifax, NS; Departments of Medicine (Sharma, Toth), Family Medicine (Campbell-Scherer, Kemp), Agricultural, Food and Nutritional Science (Bell, Pereira), Physical Education and Recreation (Boulé), and Occupational Therapy (Forhan), University of Alberta, Edmonton, Alta.; Adult Bariatric Specialty Clinic (Sharma), Royal Alexandra Hospital, Edmonton, Alta.; Obesity Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Department of Surgery (Biertho), Laval University, Quebec, Que.; School of Human Kinetics (Adamo, Prud'homme), University of Ottawa, Ottawa, Ont.; Department of Health, Kinesiology & Applied Physiology (Alberga), Concordia University, Montréal, Que.; Bariatric Centre of Excellence (Brown), The Ottawa Hospital, Ottawa, Ont.; Departments of Family Practice (Calam) and Endocrinology (Manjoo), University of British Columbia, Vancouver, BC; UBC Family Practice Residency Program (Calam) and Pfizer/Heart and Stroke Foundation Chair in Cardiovascular Prevention Research (Lear), St. Paul's Hospital, Vancouver, BC; nutrition consultant (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, University of Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Department of Family Medicine (Freedhoff) and Division of Endocrinology and Metabolism (Shiau), Department of Medicine, University of Ottawa, Ottawa, Ont.; Herbert Wertheim School of Medicine (Gagner), Florida International University, Miami, Fla.; Hôpital du Sacre Coeur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division of Endocrinology and Metabolism (Glazer), Queen's University, Kingston, Ont.; Departments of Internal Medicine (Glazer), Psychiatry (Hawa, Sockalingam), Family and Community Medicine (Macklin) and Nutritional Sciences (Sievenpiper), University of Toronto, Toronto, Ont.; Alberta Health Services (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Departments of Family Medicine and Public Health Sciences and Policy Studies (Green), Queen's University, Kingston, Ont.; Kingston Health Sciences Centre (Green), Kingston, Ont.; Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam), Toronto, Ont.; University Health Network (Hawa, Sockalingam), Toronto, Ont.; Division of General Surgery (Hong), McMaster University, Hamilton, Ont.; Department of Family Medicine and Biobehavioral Health (Jacklin), University of Minnesota Medical School Duluth Campus, Duluth, Minn.; School of Kinesiology and Health Studies (Janssen), Queen's University, Kingston, Ont.; School of Health and Human Performance (Kirk), Dalhousie University, Halifax, NS; School of Kinesiology and Health Science (Wharton, Kuk), York University, Toronto, Ont.; Division of Endocrinology (Langlois), Université de Sherbrooke, Sherbrooke, Que.; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Que.; School of Kinesiology (Lear), Simon Fraser University, Vancouver, BC; Medcan Clinic (Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Vancouver Island Health Authority, Victoria, BC; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Laval University, Québec, Que.; Foothills Medical Centre (Nerenberg), Calgary, Alta.; C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology ( Poddar), Toronto, Ont.; Department of Medicine (Rueda-Clausen), University of Saskatchewan, Regina, Sask.; Regina General Hospital (Rueda-Clausen), Regina, Sask.; Education Psychology (Russell-Mayhew), Werklund School of Education, University of Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Heather M. Arthur Population Health Research Institute/Hamilton Health Sciences Chair in Interprofessional Health Research, School of Nursing (Sherifali), McMaster University, Hamilton, Ont.; Division of Endocrinology & Metabolism (Sievenpiper), St. Michael's Hospital, Toronto, Ont.; Department of Psychiatry (Taylor), University of Calgary, Calgary, Alta.; School of Pharmacy (Twells), Memorial University, St. John's, NL; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; School of Population and Public Health (Walker), University of British Columbia, Vancouver, BC; Centre for Excellence in Indigenous Health (Walker), University of British Columbia, Vancouver, BC.; O'Brien Institute of Public Health (Wicklum), University of Calgary, Calgary, Alta
| | - Stephen Glazer
- Departments of Medicine (Wharton), Endocrinology and Metabolism (Poddar, Sherifali), Family Medicine (Naji, Tytus) and Health Research Methods, Evidence and Impact Canada (Naji), McMaster University, Hamilton, Ont; The Wharton Medical Clinic (Wharton, Poddar), Hamilton, Ont.; Departments of Medicine (Lau, Nerenberg) and Family Medicine (Boyling, Henderson, McInnes, Walji, Wicklum), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Julia McFarlane Diabetes Research Centre and Libin Cardiovascular Institute of Alberta (Lau), Calgary, Alta.; Department of Family Medicine (Vallis, Piccinini-Vallis), Dalhousie University, Halifax, NS; Departments of Medicine (Sharma, Toth), Family Medicine (Campbell-Scherer, Kemp), Agricultural, Food and Nutritional Science (Bell, Pereira), Physical Education and Recreation (Boulé), and Occupational Therapy (Forhan), University of Alberta, Edmonton, Alta.; Adult Bariatric Specialty Clinic (Sharma), Royal Alexandra Hospital, Edmonton, Alta.; Obesity Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Department of Surgery (Biertho), Laval University, Quebec, Que.; School of Human Kinetics (Adamo, Prud'homme), University of Ottawa, Ottawa, Ont.; Department of Health, Kinesiology & Applied Physiology (Alberga), Concordia University, Montréal, Que.; Bariatric Centre of Excellence (Brown), The Ottawa Hospital, Ottawa, Ont.; Departments of Family Practice (Calam) and Endocrinology (Manjoo), University of British Columbia, Vancouver, BC; UBC Family Practice Residency Program (Calam) and Pfizer/Heart and Stroke Foundation Chair in Cardiovascular Prevention Research (Lear), St. Paul's Hospital, Vancouver, BC; nutrition consultant (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, University of Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Department of Family Medicine (Freedhoff) and Division of Endocrinology and Metabolism (Shiau), Department of Medicine, University of Ottawa, Ottawa, Ont.; Herbert Wertheim School of Medicine (Gagner), Florida International University, Miami, Fla.; Hôpital du Sacre Coeur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division of Endocrinology and Metabolism (Glazer), Queen's University, Kingston, Ont.; Departments of Internal Medicine (Glazer), Psychiatry (Hawa, Sockalingam), Family and Community Medicine (Macklin) and Nutritional Sciences (Sievenpiper), University of Toronto, Toronto, Ont.; Alberta Health Services (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Departments of Family Medicine and Public Health Sciences and Policy Studies (Green), Queen's University, Kingston, Ont.; Kingston Health Sciences Centre (Green), Kingston, Ont.; Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam), Toronto, Ont.; University Health Network (Hawa, Sockalingam), Toronto, Ont.; Division of General Surgery (Hong), McMaster University, Hamilton, Ont.; Department of Family Medicine and Biobehavioral Health (Jacklin), University of Minnesota Medical School Duluth Campus, Duluth, Minn.; School of Kinesiology and Health Studies (Janssen), Queen's University, Kingston, Ont.; School of Health and Human Performance (Kirk), Dalhousie University, Halifax, NS; School of Kinesiology and Health Science (Wharton, Kuk), York University, Toronto, Ont.; Division of Endocrinology (Langlois), Université de Sherbrooke, Sherbrooke, Que.; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Que.; School of Kinesiology (Lear), Simon Fraser University, Vancouver, BC; Medcan Clinic (Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Vancouver Island Health Authority, Victoria, BC; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Laval University, Québec, Que.; Foothills Medical Centre (Nerenberg), Calgary, Alta.; C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology ( Poddar), Toronto, Ont.; Department of Medicine (Rueda-Clausen), University of Saskatchewan, Regina, Sask.; Regina General Hospital (Rueda-Clausen), Regina, Sask.; Education Psychology (Russell-Mayhew), Werklund School of Education, University of Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Heather M. Arthur Population Health Research Institute/Hamilton Health Sciences Chair in Interprofessional Health Research, School of Nursing (Sherifali), McMaster University, Hamilton, Ont.; Division of Endocrinology & Metabolism (Sievenpiper), St. Michael's Hospital, Toronto, Ont.; Department of Psychiatry (Taylor), University of Calgary, Calgary, Alta.; School of Pharmacy (Twells), Memorial University, St. John's, NL; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; School of Population and Public Health (Walker), University of British Columbia, Vancouver, BC; Centre for Excellence in Indigenous Health (Walker), University of British Columbia, Vancouver, BC.; O'Brien Institute of Public Health (Wicklum), University of Calgary, Calgary, Alta
| | - Cindy Grand
- Departments of Medicine (Wharton), Endocrinology and Metabolism (Poddar, Sherifali), Family Medicine (Naji, Tytus) and Health Research Methods, Evidence and Impact Canada (Naji), McMaster University, Hamilton, Ont; The Wharton Medical Clinic (Wharton, Poddar), Hamilton, Ont.; Departments of Medicine (Lau, Nerenberg) and Family Medicine (Boyling, Henderson, McInnes, Walji, Wicklum), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Julia McFarlane Diabetes Research Centre and Libin Cardiovascular Institute of Alberta (Lau), Calgary, Alta.; Department of Family Medicine (Vallis, Piccinini-Vallis), Dalhousie University, Halifax, NS; Departments of Medicine (Sharma, Toth), Family Medicine (Campbell-Scherer, Kemp), Agricultural, Food and Nutritional Science (Bell, Pereira), Physical Education and Recreation (Boulé), and Occupational Therapy (Forhan), University of Alberta, Edmonton, Alta.; Adult Bariatric Specialty Clinic (Sharma), Royal Alexandra Hospital, Edmonton, Alta.; Obesity Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Department of Surgery (Biertho), Laval University, Quebec, Que.; School of Human Kinetics (Adamo, Prud'homme), University of Ottawa, Ottawa, Ont.; Department of Health, Kinesiology & Applied Physiology (Alberga), Concordia University, Montréal, Que.; Bariatric Centre of Excellence (Brown), The Ottawa Hospital, Ottawa, Ont.; Departments of Family Practice (Calam) and Endocrinology (Manjoo), University of British Columbia, Vancouver, BC; UBC Family Practice Residency Program (Calam) and Pfizer/Heart and Stroke Foundation Chair in Cardiovascular Prevention Research (Lear), St. Paul's Hospital, Vancouver, BC; nutrition consultant (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, University of Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Department of Family Medicine (Freedhoff) and Division of Endocrinology and Metabolism (Shiau), Department of Medicine, University of Ottawa, Ottawa, Ont.; Herbert Wertheim School of Medicine (Gagner), Florida International University, Miami, Fla.; Hôpital du Sacre Coeur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division of Endocrinology and Metabolism (Glazer), Queen's University, Kingston, Ont.; Departments of Internal Medicine (Glazer), Psychiatry (Hawa, Sockalingam), Family and Community Medicine (Macklin) and Nutritional Sciences (Sievenpiper), University of Toronto, Toronto, Ont.; Alberta Health Services (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Departments of Family Medicine and Public Health Sciences and Policy Studies (Green), Queen's University, Kingston, Ont.; Kingston Health Sciences Centre (Green), Kingston, Ont.; Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam), Toronto, Ont.; University Health Network (Hawa, Sockalingam), Toronto, Ont.; Division of General Surgery (Hong), McMaster University, Hamilton, Ont.; Department of Family Medicine and Biobehavioral Health (Jacklin), University of Minnesota Medical School Duluth Campus, Duluth, Minn.; School of Kinesiology and Health Studies (Janssen), Queen's University, Kingston, Ont.; School of Health and Human Performance (Kirk), Dalhousie University, Halifax, NS; School of Kinesiology and Health Science (Wharton, Kuk), York University, Toronto, Ont.; Division of Endocrinology (Langlois), Université de Sherbrooke, Sherbrooke, Que.; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Que.; School of Kinesiology (Lear), Simon Fraser University, Vancouver, BC; Medcan Clinic (Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Vancouver Island Health Authority, Victoria, BC; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Laval University, Québec, Que.; Foothills Medical Centre (Nerenberg), Calgary, Alta.; C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology ( Poddar), Toronto, Ont.; Department of Medicine (Rueda-Clausen), University of Saskatchewan, Regina, Sask.; Regina General Hospital (Rueda-Clausen), Regina, Sask.; Education Psychology (Russell-Mayhew), Werklund School of Education, University of Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Heather M. Arthur Population Health Research Institute/Hamilton Health Sciences Chair in Interprofessional Health Research, School of Nursing (Sherifali), McMaster University, Hamilton, Ont.; Division of Endocrinology & Metabolism (Sievenpiper), St. Michael's Hospital, Toronto, Ont.; Department of Psychiatry (Taylor), University of Calgary, Calgary, Alta.; School of Pharmacy (Twells), Memorial University, St. John's, NL; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; School of Population and Public Health (Walker), University of British Columbia, Vancouver, BC; Centre for Excellence in Indigenous Health (Walker), University of British Columbia, Vancouver, BC.; O'Brien Institute of Public Health (Wicklum), University of Calgary, Calgary, Alta
| | - Michael Green
- Departments of Medicine (Wharton), Endocrinology and Metabolism (Poddar, Sherifali), Family Medicine (Naji, Tytus) and Health Research Methods, Evidence and Impact Canada (Naji), McMaster University, Hamilton, Ont; The Wharton Medical Clinic (Wharton, Poddar), Hamilton, Ont.; Departments of Medicine (Lau, Nerenberg) and Family Medicine (Boyling, Henderson, McInnes, Walji, Wicklum), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Julia McFarlane Diabetes Research Centre and Libin Cardiovascular Institute of Alberta (Lau), Calgary, Alta.; Department of Family Medicine (Vallis, Piccinini-Vallis), Dalhousie University, Halifax, NS; Departments of Medicine (Sharma, Toth), Family Medicine (Campbell-Scherer, Kemp), Agricultural, Food and Nutritional Science (Bell, Pereira), Physical Education and Recreation (Boulé), and Occupational Therapy (Forhan), University of Alberta, Edmonton, Alta.; Adult Bariatric Specialty Clinic (Sharma), Royal Alexandra Hospital, Edmonton, Alta.; Obesity Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Department of Surgery (Biertho), Laval University, Quebec, Que.; School of Human Kinetics (Adamo, Prud'homme), University of Ottawa, Ottawa, Ont.; Department of Health, Kinesiology & Applied Physiology (Alberga), Concordia University, Montréal, Que.; Bariatric Centre of Excellence (Brown), The Ottawa Hospital, Ottawa, Ont.; Departments of Family Practice (Calam) and Endocrinology (Manjoo), University of British Columbia, Vancouver, BC; UBC Family Practice Residency Program (Calam) and Pfizer/Heart and Stroke Foundation Chair in Cardiovascular Prevention Research (Lear), St. Paul's Hospital, Vancouver, BC; nutrition consultant (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, University of Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Department of Family Medicine (Freedhoff) and Division of Endocrinology and Metabolism (Shiau), Department of Medicine, University of Ottawa, Ottawa, Ont.; Herbert Wertheim School of Medicine (Gagner), Florida International University, Miami, Fla.; Hôpital du Sacre Coeur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division of Endocrinology and Metabolism (Glazer), Queen's University, Kingston, Ont.; Departments of Internal Medicine (Glazer), Psychiatry (Hawa, Sockalingam), Family and Community Medicine (Macklin) and Nutritional Sciences (Sievenpiper), University of Toronto, Toronto, Ont.; Alberta Health Services (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Departments of Family Medicine and Public Health Sciences and Policy Studies (Green), Queen's University, Kingston, Ont.; Kingston Health Sciences Centre (Green), Kingston, Ont.; Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam), Toronto, Ont.; University Health Network (Hawa, Sockalingam), Toronto, Ont.; Division of General Surgery (Hong), McMaster University, Hamilton, Ont.; Department of Family Medicine and Biobehavioral Health (Jacklin), University of Minnesota Medical School Duluth Campus, Duluth, Minn.; School of Kinesiology and Health Studies (Janssen), Queen's University, Kingston, Ont.; School of Health and Human Performance (Kirk), Dalhousie University, Halifax, NS; School of Kinesiology and Health Science (Wharton, Kuk), York University, Toronto, Ont.; Division of Endocrinology (Langlois), Université de Sherbrooke, Sherbrooke, Que.; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Que.; School of Kinesiology (Lear), Simon Fraser University, Vancouver, BC; Medcan Clinic (Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Vancouver Island Health Authority, Victoria, BC; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Laval University, Québec, Que.; Foothills Medical Centre (Nerenberg), Calgary, Alta.; C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology ( Poddar), Toronto, Ont.; Department of Medicine (Rueda-Clausen), University of Saskatchewan, Regina, Sask.; Regina General Hospital (Rueda-Clausen), Regina, Sask.; Education Psychology (Russell-Mayhew), Werklund School of Education, University of Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Heather M. Arthur Population Health Research Institute/Hamilton Health Sciences Chair in Interprofessional Health Research, School of Nursing (Sherifali), McMaster University, Hamilton, Ont.; Division of Endocrinology & Metabolism (Sievenpiper), St. Michael's Hospital, Toronto, Ont.; Department of Psychiatry (Taylor), University of Calgary, Calgary, Alta.; School of Pharmacy (Twells), Memorial University, St. John's, NL; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; School of Population and Public Health (Walker), University of British Columbia, Vancouver, BC; Centre for Excellence in Indigenous Health (Walker), University of British Columbia, Vancouver, BC.; O'Brien Institute of Public Health (Wicklum), University of Calgary, Calgary, Alta
| | - Margaret Hahn
- Departments of Medicine (Wharton), Endocrinology and Metabolism (Poddar, Sherifali), Family Medicine (Naji, Tytus) and Health Research Methods, Evidence and Impact Canada (Naji), McMaster University, Hamilton, Ont; The Wharton Medical Clinic (Wharton, Poddar), Hamilton, Ont.; Departments of Medicine (Lau, Nerenberg) and Family Medicine (Boyling, Henderson, McInnes, Walji, Wicklum), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Julia McFarlane Diabetes Research Centre and Libin Cardiovascular Institute of Alberta (Lau), Calgary, Alta.; Department of Family Medicine (Vallis, Piccinini-Vallis), Dalhousie University, Halifax, NS; Departments of Medicine (Sharma, Toth), Family Medicine (Campbell-Scherer, Kemp), Agricultural, Food and Nutritional Science (Bell, Pereira), Physical Education and Recreation (Boulé), and Occupational Therapy (Forhan), University of Alberta, Edmonton, Alta.; Adult Bariatric Specialty Clinic (Sharma), Royal Alexandra Hospital, Edmonton, Alta.; Obesity Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Department of Surgery (Biertho), Laval University, Quebec, Que.; School of Human Kinetics (Adamo, Prud'homme), University of Ottawa, Ottawa, Ont.; Department of Health, Kinesiology & Applied Physiology (Alberga), Concordia University, Montréal, Que.; Bariatric Centre of Excellence (Brown), The Ottawa Hospital, Ottawa, Ont.; Departments of Family Practice (Calam) and Endocrinology (Manjoo), University of British Columbia, Vancouver, BC; UBC Family Practice Residency Program (Calam) and Pfizer/Heart and Stroke Foundation Chair in Cardiovascular Prevention Research (Lear), St. Paul's Hospital, Vancouver, BC; nutrition consultant (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, University of Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Department of Family Medicine (Freedhoff) and Division of Endocrinology and Metabolism (Shiau), Department of Medicine, University of Ottawa, Ottawa, Ont.; Herbert Wertheim School of Medicine (Gagner), Florida International University, Miami, Fla.; Hôpital du Sacre Coeur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division of Endocrinology and Metabolism (Glazer), Queen's University, Kingston, Ont.; Departments of Internal Medicine (Glazer), Psychiatry (Hawa, Sockalingam), Family and Community Medicine (Macklin) and Nutritional Sciences (Sievenpiper), University of Toronto, Toronto, Ont.; Alberta Health Services (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Departments of Family Medicine and Public Health Sciences and Policy Studies (Green), Queen's University, Kingston, Ont.; Kingston Health Sciences Centre (Green), Kingston, Ont.; Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam), Toronto, Ont.; University Health Network (Hawa, Sockalingam), Toronto, Ont.; Division of General Surgery (Hong), McMaster University, Hamilton, Ont.; Department of Family Medicine and Biobehavioral Health (Jacklin), University of Minnesota Medical School Duluth Campus, Duluth, Minn.; School of Kinesiology and Health Studies (Janssen), Queen's University, Kingston, Ont.; School of Health and Human Performance (Kirk), Dalhousie University, Halifax, NS; School of Kinesiology and Health Science (Wharton, Kuk), York University, Toronto, Ont.; Division of Endocrinology (Langlois), Université de Sherbrooke, Sherbrooke, Que.; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Que.; School of Kinesiology (Lear), Simon Fraser University, Vancouver, BC; Medcan Clinic (Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Vancouver Island Health Authority, Victoria, BC; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Laval University, Québec, Que.; Foothills Medical Centre (Nerenberg), Calgary, Alta.; C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology ( Poddar), Toronto, Ont.; Department of Medicine (Rueda-Clausen), University of Saskatchewan, Regina, Sask.; Regina General Hospital (Rueda-Clausen), Regina, Sask.; Education Psychology (Russell-Mayhew), Werklund School of Education, University of Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Heather M. Arthur Population Health Research Institute/Hamilton Health Sciences Chair in Interprofessional Health Research, School of Nursing (Sherifali), McMaster University, Hamilton, Ont.; Division of Endocrinology & Metabolism (Sievenpiper), St. Michael's Hospital, Toronto, Ont.; Department of Psychiatry (Taylor), University of Calgary, Calgary, Alta.; School of Pharmacy (Twells), Memorial University, St. John's, NL; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; School of Population and Public Health (Walker), University of British Columbia, Vancouver, BC; Centre for Excellence in Indigenous Health (Walker), University of British Columbia, Vancouver, BC.; O'Brien Institute of Public Health (Wicklum), University of Calgary, Calgary, Alta
| | - Raed Hawa
- Departments of Medicine (Wharton), Endocrinology and Metabolism (Poddar, Sherifali), Family Medicine (Naji, Tytus) and Health Research Methods, Evidence and Impact Canada (Naji), McMaster University, Hamilton, Ont; The Wharton Medical Clinic (Wharton, Poddar), Hamilton, Ont.; Departments of Medicine (Lau, Nerenberg) and Family Medicine (Boyling, Henderson, McInnes, Walji, Wicklum), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Julia McFarlane Diabetes Research Centre and Libin Cardiovascular Institute of Alberta (Lau), Calgary, Alta.; Department of Family Medicine (Vallis, Piccinini-Vallis), Dalhousie University, Halifax, NS; Departments of Medicine (Sharma, Toth), Family Medicine (Campbell-Scherer, Kemp), Agricultural, Food and Nutritional Science (Bell, Pereira), Physical Education and Recreation (Boulé), and Occupational Therapy (Forhan), University of Alberta, Edmonton, Alta.; Adult Bariatric Specialty Clinic (Sharma), Royal Alexandra Hospital, Edmonton, Alta.; Obesity Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Department of Surgery (Biertho), Laval University, Quebec, Que.; School of Human Kinetics (Adamo, Prud'homme), University of Ottawa, Ottawa, Ont.; Department of Health, Kinesiology & Applied Physiology (Alberga), Concordia University, Montréal, Que.; Bariatric Centre of Excellence (Brown), The Ottawa Hospital, Ottawa, Ont.; Departments of Family Practice (Calam) and Endocrinology (Manjoo), University of British Columbia, Vancouver, BC; UBC Family Practice Residency Program (Calam) and Pfizer/Heart and Stroke Foundation Chair in Cardiovascular Prevention Research (Lear), St. Paul's Hospital, Vancouver, BC; nutrition consultant (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, University of Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Department of Family Medicine (Freedhoff) and Division of Endocrinology and Metabolism (Shiau), Department of Medicine, University of Ottawa, Ottawa, Ont.; Herbert Wertheim School of Medicine (Gagner), Florida International University, Miami, Fla.; Hôpital du Sacre Coeur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division of Endocrinology and Metabolism (Glazer), Queen's University, Kingston, Ont.; Departments of Internal Medicine (Glazer), Psychiatry (Hawa, Sockalingam), Family and Community Medicine (Macklin) and Nutritional Sciences (Sievenpiper), University of Toronto, Toronto, Ont.; Alberta Health Services (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Departments of Family Medicine and Public Health Sciences and Policy Studies (Green), Queen's University, Kingston, Ont.; Kingston Health Sciences Centre (Green), Kingston, Ont.; Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam), Toronto, Ont.; University Health Network (Hawa, Sockalingam), Toronto, Ont.; Division of General Surgery (Hong), McMaster University, Hamilton, Ont.; Department of Family Medicine and Biobehavioral Health (Jacklin), University of Minnesota Medical School Duluth Campus, Duluth, Minn.; School of Kinesiology and Health Studies (Janssen), Queen's University, Kingston, Ont.; School of Health and Human Performance (Kirk), Dalhousie University, Halifax, NS; School of Kinesiology and Health Science (Wharton, Kuk), York University, Toronto, Ont.; Division of Endocrinology (Langlois), Université de Sherbrooke, Sherbrooke, Que.; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Que.; School of Kinesiology (Lear), Simon Fraser University, Vancouver, BC; Medcan Clinic (Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Vancouver Island Health Authority, Victoria, BC; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Laval University, Québec, Que.; Foothills Medical Centre (Nerenberg), Calgary, Alta.; C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology ( Poddar), Toronto, Ont.; Department of Medicine (Rueda-Clausen), University of Saskatchewan, Regina, Sask.; Regina General Hospital (Rueda-Clausen), Regina, Sask.; Education Psychology (Russell-Mayhew), Werklund School of Education, University of Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Heather M. Arthur Population Health Research Institute/Hamilton Health Sciences Chair in Interprofessional Health Research, School of Nursing (Sherifali), McMaster University, Hamilton, Ont.; Division of Endocrinology & Metabolism (Sievenpiper), St. Michael's Hospital, Toronto, Ont.; Department of Psychiatry (Taylor), University of Calgary, Calgary, Alta.; School of Pharmacy (Twells), Memorial University, St. John's, NL; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; School of Population and Public Health (Walker), University of British Columbia, Vancouver, BC; Centre for Excellence in Indigenous Health (Walker), University of British Columbia, Vancouver, BC.; O'Brien Institute of Public Health (Wicklum), University of Calgary, Calgary, Alta
| | - Rita Henderson
- Departments of Medicine (Wharton), Endocrinology and Metabolism (Poddar, Sherifali), Family Medicine (Naji, Tytus) and Health Research Methods, Evidence and Impact Canada (Naji), McMaster University, Hamilton, Ont; The Wharton Medical Clinic (Wharton, Poddar), Hamilton, Ont.; Departments of Medicine (Lau, Nerenberg) and Family Medicine (Boyling, Henderson, McInnes, Walji, Wicklum), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Julia McFarlane Diabetes Research Centre and Libin Cardiovascular Institute of Alberta (Lau), Calgary, Alta.; Department of Family Medicine (Vallis, Piccinini-Vallis), Dalhousie University, Halifax, NS; Departments of Medicine (Sharma, Toth), Family Medicine (Campbell-Scherer, Kemp), Agricultural, Food and Nutritional Science (Bell, Pereira), Physical Education and Recreation (Boulé), and Occupational Therapy (Forhan), University of Alberta, Edmonton, Alta.; Adult Bariatric Specialty Clinic (Sharma), Royal Alexandra Hospital, Edmonton, Alta.; Obesity Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Department of Surgery (Biertho), Laval University, Quebec, Que.; School of Human Kinetics (Adamo, Prud'homme), University of Ottawa, Ottawa, Ont.; Department of Health, Kinesiology & Applied Physiology (Alberga), Concordia University, Montréal, Que.; Bariatric Centre of Excellence (Brown), The Ottawa Hospital, Ottawa, Ont.; Departments of Family Practice (Calam) and Endocrinology (Manjoo), University of British Columbia, Vancouver, BC; UBC Family Practice Residency Program (Calam) and Pfizer/Heart and Stroke Foundation Chair in Cardiovascular Prevention Research (Lear), St. Paul's Hospital, Vancouver, BC; nutrition consultant (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, University of Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Department of Family Medicine (Freedhoff) and Division of Endocrinology and Metabolism (Shiau), Department of Medicine, University of Ottawa, Ottawa, Ont.; Herbert Wertheim School of Medicine (Gagner), Florida International University, Miami, Fla.; Hôpital du Sacre Coeur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division of Endocrinology and Metabolism (Glazer), Queen's University, Kingston, Ont.; Departments of Internal Medicine (Glazer), Psychiatry (Hawa, Sockalingam), Family and Community Medicine (Macklin) and Nutritional Sciences (Sievenpiper), University of Toronto, Toronto, Ont.; Alberta Health Services (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Departments of Family Medicine and Public Health Sciences and Policy Studies (Green), Queen's University, Kingston, Ont.; Kingston Health Sciences Centre (Green), Kingston, Ont.; Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam), Toronto, Ont.; University Health Network (Hawa, Sockalingam), Toronto, Ont.; Division of General Surgery (Hong), McMaster University, Hamilton, Ont.; Department of Family Medicine and Biobehavioral Health (Jacklin), University of Minnesota Medical School Duluth Campus, Duluth, Minn.; School of Kinesiology and Health Studies (Janssen), Queen's University, Kingston, Ont.; School of Health and Human Performance (Kirk), Dalhousie University, Halifax, NS; School of Kinesiology and Health Science (Wharton, Kuk), York University, Toronto, Ont.; Division of Endocrinology (Langlois), Université de Sherbrooke, Sherbrooke, Que.; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Que.; School of Kinesiology (Lear), Simon Fraser University, Vancouver, BC; Medcan Clinic (Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Vancouver Island Health Authority, Victoria, BC; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Laval University, Québec, Que.; Foothills Medical Centre (Nerenberg), Calgary, Alta.; C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology ( Poddar), Toronto, Ont.; Department of Medicine (Rueda-Clausen), University of Saskatchewan, Regina, Sask.; Regina General Hospital (Rueda-Clausen), Regina, Sask.; Education Psychology (Russell-Mayhew), Werklund School of Education, University of Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Heather M. Arthur Population Health Research Institute/Hamilton Health Sciences Chair in Interprofessional Health Research, School of Nursing (Sherifali), McMaster University, Hamilton, Ont.; Division of Endocrinology & Metabolism (Sievenpiper), St. Michael's Hospital, Toronto, Ont.; Department of Psychiatry (Taylor), University of Calgary, Calgary, Alta.; School of Pharmacy (Twells), Memorial University, St. John's, NL; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; School of Population and Public Health (Walker), University of British Columbia, Vancouver, BC; Centre for Excellence in Indigenous Health (Walker), University of British Columbia, Vancouver, BC.; O'Brien Institute of Public Health (Wicklum), University of Calgary, Calgary, Alta
| | - Dennis Hong
- Departments of Medicine (Wharton), Endocrinology and Metabolism (Poddar, Sherifali), Family Medicine (Naji, Tytus) and Health Research Methods, Evidence and Impact Canada (Naji), McMaster University, Hamilton, Ont; The Wharton Medical Clinic (Wharton, Poddar), Hamilton, Ont.; Departments of Medicine (Lau, Nerenberg) and Family Medicine (Boyling, Henderson, McInnes, Walji, Wicklum), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Julia McFarlane Diabetes Research Centre and Libin Cardiovascular Institute of Alberta (Lau), Calgary, Alta.; Department of Family Medicine (Vallis, Piccinini-Vallis), Dalhousie University, Halifax, NS; Departments of Medicine (Sharma, Toth), Family Medicine (Campbell-Scherer, Kemp), Agricultural, Food and Nutritional Science (Bell, Pereira), Physical Education and Recreation (Boulé), and Occupational Therapy (Forhan), University of Alberta, Edmonton, Alta.; Adult Bariatric Specialty Clinic (Sharma), Royal Alexandra Hospital, Edmonton, Alta.; Obesity Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Department of Surgery (Biertho), Laval University, Quebec, Que.; School of Human Kinetics (Adamo, Prud'homme), University of Ottawa, Ottawa, Ont.; Department of Health, Kinesiology & Applied Physiology (Alberga), Concordia University, Montréal, Que.; Bariatric Centre of Excellence (Brown), The Ottawa Hospital, Ottawa, Ont.; Departments of Family Practice (Calam) and Endocrinology (Manjoo), University of British Columbia, Vancouver, BC; UBC Family Practice Residency Program (Calam) and Pfizer/Heart and Stroke Foundation Chair in Cardiovascular Prevention Research (Lear), St. Paul's Hospital, Vancouver, BC; nutrition consultant (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, University of Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Department of Family Medicine (Freedhoff) and Division of Endocrinology and Metabolism (Shiau), Department of Medicine, University of Ottawa, Ottawa, Ont.; Herbert Wertheim School of Medicine (Gagner), Florida International University, Miami, Fla.; Hôpital du Sacre Coeur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division of Endocrinology and Metabolism (Glazer), Queen's University, Kingston, Ont.; Departments of Internal Medicine (Glazer), Psychiatry (Hawa, Sockalingam), Family and Community Medicine (Macklin) and Nutritional Sciences (Sievenpiper), University of Toronto, Toronto, Ont.; Alberta Health Services (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Departments of Family Medicine and Public Health Sciences and Policy Studies (Green), Queen's University, Kingston, Ont.; Kingston Health Sciences Centre (Green), Kingston, Ont.; Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam), Toronto, Ont.; University Health Network (Hawa, Sockalingam), Toronto, Ont.; Division of General Surgery (Hong), McMaster University, Hamilton, Ont.; Department of Family Medicine and Biobehavioral Health (Jacklin), University of Minnesota Medical School Duluth Campus, Duluth, Minn.; School of Kinesiology and Health Studies (Janssen), Queen's University, Kingston, Ont.; School of Health and Human Performance (Kirk), Dalhousie University, Halifax, NS; School of Kinesiology and Health Science (Wharton, Kuk), York University, Toronto, Ont.; Division of Endocrinology (Langlois), Université de Sherbrooke, Sherbrooke, Que.; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Que.; School of Kinesiology (Lear), Simon Fraser University, Vancouver, BC; Medcan Clinic (Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Vancouver Island Health Authority, Victoria, BC; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Laval University, Québec, Que.; Foothills Medical Centre (Nerenberg), Calgary, Alta.; C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology ( Poddar), Toronto, Ont.; Department of Medicine (Rueda-Clausen), University of Saskatchewan, Regina, Sask.; Regina General Hospital (Rueda-Clausen), Regina, Sask.; Education Psychology (Russell-Mayhew), Werklund School of Education, University of Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Heather M. Arthur Population Health Research Institute/Hamilton Health Sciences Chair in Interprofessional Health Research, School of Nursing (Sherifali), McMaster University, Hamilton, Ont.; Division of Endocrinology & Metabolism (Sievenpiper), St. Michael's Hospital, Toronto, Ont.; Department of Psychiatry (Taylor), University of Calgary, Calgary, Alta.; School of Pharmacy (Twells), Memorial University, St. John's, NL; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; School of Population and Public Health (Walker), University of British Columbia, Vancouver, BC; Centre for Excellence in Indigenous Health (Walker), University of British Columbia, Vancouver, BC.; O'Brien Institute of Public Health (Wicklum), University of Calgary, Calgary, Alta
| | - Pam Hung
- Departments of Medicine (Wharton), Endocrinology and Metabolism (Poddar, Sherifali), Family Medicine (Naji, Tytus) and Health Research Methods, Evidence and Impact Canada (Naji), McMaster University, Hamilton, Ont; The Wharton Medical Clinic (Wharton, Poddar), Hamilton, Ont.; Departments of Medicine (Lau, Nerenberg) and Family Medicine (Boyling, Henderson, McInnes, Walji, Wicklum), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Julia McFarlane Diabetes Research Centre and Libin Cardiovascular Institute of Alberta (Lau), Calgary, Alta.; Department of Family Medicine (Vallis, Piccinini-Vallis), Dalhousie University, Halifax, NS; Departments of Medicine (Sharma, Toth), Family Medicine (Campbell-Scherer, Kemp), Agricultural, Food and Nutritional Science (Bell, Pereira), Physical Education and Recreation (Boulé), and Occupational Therapy (Forhan), University of Alberta, Edmonton, Alta.; Adult Bariatric Specialty Clinic (Sharma), Royal Alexandra Hospital, Edmonton, Alta.; Obesity Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Department of Surgery (Biertho), Laval University, Quebec, Que.; School of Human Kinetics (Adamo, Prud'homme), University of Ottawa, Ottawa, Ont.; Department of Health, Kinesiology & Applied Physiology (Alberga), Concordia University, Montréal, Que.; Bariatric Centre of Excellence (Brown), The Ottawa Hospital, Ottawa, Ont.; Departments of Family Practice (Calam) and Endocrinology (Manjoo), University of British Columbia, Vancouver, BC; UBC Family Practice Residency Program (Calam) and Pfizer/Heart and Stroke Foundation Chair in Cardiovascular Prevention Research (Lear), St. Paul's Hospital, Vancouver, BC; nutrition consultant (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, University of Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Department of Family Medicine (Freedhoff) and Division of Endocrinology and Metabolism (Shiau), Department of Medicine, University of Ottawa, Ottawa, Ont.; Herbert Wertheim School of Medicine (Gagner), Florida International University, Miami, Fla.; Hôpital du Sacre Coeur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division of Endocrinology and Metabolism (Glazer), Queen's University, Kingston, Ont.; Departments of Internal Medicine (Glazer), Psychiatry (Hawa, Sockalingam), Family and Community Medicine (Macklin) and Nutritional Sciences (Sievenpiper), University of Toronto, Toronto, Ont.; Alberta Health Services (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Departments of Family Medicine and Public Health Sciences and Policy Studies (Green), Queen's University, Kingston, Ont.; Kingston Health Sciences Centre (Green), Kingston, Ont.; Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam), Toronto, Ont.; University Health Network (Hawa, Sockalingam), Toronto, Ont.; Division of General Surgery (Hong), McMaster University, Hamilton, Ont.; Department of Family Medicine and Biobehavioral Health (Jacklin), University of Minnesota Medical School Duluth Campus, Duluth, Minn.; School of Kinesiology and Health Studies (Janssen), Queen's University, Kingston, Ont.; School of Health and Human Performance (Kirk), Dalhousie University, Halifax, NS; School of Kinesiology and Health Science (Wharton, Kuk), York University, Toronto, Ont.; Division of Endocrinology (Langlois), Université de Sherbrooke, Sherbrooke, Que.; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Que.; School of Kinesiology (Lear), Simon Fraser University, Vancouver, BC; Medcan Clinic (Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Vancouver Island Health Authority, Victoria, BC; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Laval University, Québec, Que.; Foothills Medical Centre (Nerenberg), Calgary, Alta.; C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology ( Poddar), Toronto, Ont.; Department of Medicine (Rueda-Clausen), University of Saskatchewan, Regina, Sask.; Regina General Hospital (Rueda-Clausen), Regina, Sask.; Education Psychology (Russell-Mayhew), Werklund School of Education, University of Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Heather M. Arthur Population Health Research Institute/Hamilton Health Sciences Chair in Interprofessional Health Research, School of Nursing (Sherifali), McMaster University, Hamilton, Ont.; Division of Endocrinology & Metabolism (Sievenpiper), St. Michael's Hospital, Toronto, Ont.; Department of Psychiatry (Taylor), University of Calgary, Calgary, Alta.; School of Pharmacy (Twells), Memorial University, St. John's, NL; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; School of Population and Public Health (Walker), University of British Columbia, Vancouver, BC; Centre for Excellence in Indigenous Health (Walker), University of British Columbia, Vancouver, BC.; O'Brien Institute of Public Health (Wicklum), University of Calgary, Calgary, Alta
| | - Ian Janssen
- Departments of Medicine (Wharton), Endocrinology and Metabolism (Poddar, Sherifali), Family Medicine (Naji, Tytus) and Health Research Methods, Evidence and Impact Canada (Naji), McMaster University, Hamilton, Ont; The Wharton Medical Clinic (Wharton, Poddar), Hamilton, Ont.; Departments of Medicine (Lau, Nerenberg) and Family Medicine (Boyling, Henderson, McInnes, Walji, Wicklum), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Julia McFarlane Diabetes Research Centre and Libin Cardiovascular Institute of Alberta (Lau), Calgary, Alta.; Department of Family Medicine (Vallis, Piccinini-Vallis), Dalhousie University, Halifax, NS; Departments of Medicine (Sharma, Toth), Family Medicine (Campbell-Scherer, Kemp), Agricultural, Food and Nutritional Science (Bell, Pereira), Physical Education and Recreation (Boulé), and Occupational Therapy (Forhan), University of Alberta, Edmonton, Alta.; Adult Bariatric Specialty Clinic (Sharma), Royal Alexandra Hospital, Edmonton, Alta.; Obesity Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Department of Surgery (Biertho), Laval University, Quebec, Que.; School of Human Kinetics (Adamo, Prud'homme), University of Ottawa, Ottawa, Ont.; Department of Health, Kinesiology & Applied Physiology (Alberga), Concordia University, Montréal, Que.; Bariatric Centre of Excellence (Brown), The Ottawa Hospital, Ottawa, Ont.; Departments of Family Practice (Calam) and Endocrinology (Manjoo), University of British Columbia, Vancouver, BC; UBC Family Practice Residency Program (Calam) and Pfizer/Heart and Stroke Foundation Chair in Cardiovascular Prevention Research (Lear), St. Paul's Hospital, Vancouver, BC; nutrition consultant (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, University of Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Department of Family Medicine (Freedhoff) and Division of Endocrinology and Metabolism (Shiau), Department of Medicine, University of Ottawa, Ottawa, Ont.; Herbert Wertheim School of Medicine (Gagner), Florida International University, Miami, Fla.; Hôpital du Sacre Coeur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division of Endocrinology and Metabolism (Glazer), Queen's University, Kingston, Ont.; Departments of Internal Medicine (Glazer), Psychiatry (Hawa, Sockalingam), Family and Community Medicine (Macklin) and Nutritional Sciences (Sievenpiper), University of Toronto, Toronto, Ont.; Alberta Health Services (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Departments of Family Medicine and Public Health Sciences and Policy Studies (Green), Queen's University, Kingston, Ont.; Kingston Health Sciences Centre (Green), Kingston, Ont.; Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam), Toronto, Ont.; University Health Network (Hawa, Sockalingam), Toronto, Ont.; Division of General Surgery (Hong), McMaster University, Hamilton, Ont.; Department of Family Medicine and Biobehavioral Health (Jacklin), University of Minnesota Medical School Duluth Campus, Duluth, Minn.; School of Kinesiology and Health Studies (Janssen), Queen's University, Kingston, Ont.; School of Health and Human Performance (Kirk), Dalhousie University, Halifax, NS; School of Kinesiology and Health Science (Wharton, Kuk), York University, Toronto, Ont.; Division of Endocrinology (Langlois), Université de Sherbrooke, Sherbrooke, Que.; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Que.; School of Kinesiology (Lear), Simon Fraser University, Vancouver, BC; Medcan Clinic (Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Vancouver Island Health Authority, Victoria, BC; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Laval University, Québec, Que.; Foothills Medical Centre (Nerenberg), Calgary, Alta.; C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology ( Poddar), Toronto, Ont.; Department of Medicine (Rueda-Clausen), University of Saskatchewan, Regina, Sask.; Regina General Hospital (Rueda-Clausen), Regina, Sask.; Education Psychology (Russell-Mayhew), Werklund School of Education, University of Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Heather M. Arthur Population Health Research Institute/Hamilton Health Sciences Chair in Interprofessional Health Research, School of Nursing (Sherifali), McMaster University, Hamilton, Ont.; Division of Endocrinology & Metabolism (Sievenpiper), St. Michael's Hospital, Toronto, Ont.; Department of Psychiatry (Taylor), University of Calgary, Calgary, Alta.; School of Pharmacy (Twells), Memorial University, St. John's, NL; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; School of Population and Public Health (Walker), University of British Columbia, Vancouver, BC; Centre for Excellence in Indigenous Health (Walker), University of British Columbia, Vancouver, BC.; O'Brien Institute of Public Health (Wicklum), University of Calgary, Calgary, Alta
| | - Kristen Jacklin
- Departments of Medicine (Wharton), Endocrinology and Metabolism (Poddar, Sherifali), Family Medicine (Naji, Tytus) and Health Research Methods, Evidence and Impact Canada (Naji), McMaster University, Hamilton, Ont; The Wharton Medical Clinic (Wharton, Poddar), Hamilton, Ont.; Departments of Medicine (Lau, Nerenberg) and Family Medicine (Boyling, Henderson, McInnes, Walji, Wicklum), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Julia McFarlane Diabetes Research Centre and Libin Cardiovascular Institute of Alberta (Lau), Calgary, Alta.; Department of Family Medicine (Vallis, Piccinini-Vallis), Dalhousie University, Halifax, NS; Departments of Medicine (Sharma, Toth), Family Medicine (Campbell-Scherer, Kemp), Agricultural, Food and Nutritional Science (Bell, Pereira), Physical Education and Recreation (Boulé), and Occupational Therapy (Forhan), University of Alberta, Edmonton, Alta.; Adult Bariatric Specialty Clinic (Sharma), Royal Alexandra Hospital, Edmonton, Alta.; Obesity Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Department of Surgery (Biertho), Laval University, Quebec, Que.; School of Human Kinetics (Adamo, Prud'homme), University of Ottawa, Ottawa, Ont.; Department of Health, Kinesiology & Applied Physiology (Alberga), Concordia University, Montréal, Que.; Bariatric Centre of Excellence (Brown), The Ottawa Hospital, Ottawa, Ont.; Departments of Family Practice (Calam) and Endocrinology (Manjoo), University of British Columbia, Vancouver, BC; UBC Family Practice Residency Program (Calam) and Pfizer/Heart and Stroke Foundation Chair in Cardiovascular Prevention Research (Lear), St. Paul's Hospital, Vancouver, BC; nutrition consultant (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, University of Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Department of Family Medicine (Freedhoff) and Division of Endocrinology and Metabolism (Shiau), Department of Medicine, University of Ottawa, Ottawa, Ont.; Herbert Wertheim School of Medicine (Gagner), Florida International University, Miami, Fla.; Hôpital du Sacre Coeur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division of Endocrinology and Metabolism (Glazer), Queen's University, Kingston, Ont.; Departments of Internal Medicine (Glazer), Psychiatry (Hawa, Sockalingam), Family and Community Medicine (Macklin) and Nutritional Sciences (Sievenpiper), University of Toronto, Toronto, Ont.; Alberta Health Services (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Departments of Family Medicine and Public Health Sciences and Policy Studies (Green), Queen's University, Kingston, Ont.; Kingston Health Sciences Centre (Green), Kingston, Ont.; Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam), Toronto, Ont.; University Health Network (Hawa, Sockalingam), Toronto, Ont.; Division of General Surgery (Hong), McMaster University, Hamilton, Ont.; Department of Family Medicine and Biobehavioral Health (Jacklin), University of Minnesota Medical School Duluth Campus, Duluth, Minn.; School of Kinesiology and Health Studies (Janssen), Queen's University, Kingston, Ont.; School of Health and Human Performance (Kirk), Dalhousie University, Halifax, NS; School of Kinesiology and Health Science (Wharton, Kuk), York University, Toronto, Ont.; Division of Endocrinology (Langlois), Université de Sherbrooke, Sherbrooke, Que.; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Que.; School of Kinesiology (Lear), Simon Fraser University, Vancouver, BC; Medcan Clinic (Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Vancouver Island Health Authority, Victoria, BC; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Laval University, Québec, Que.; Foothills Medical Centre (Nerenberg), Calgary, Alta.; C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology ( Poddar), Toronto, Ont.; Department of Medicine (Rueda-Clausen), University of Saskatchewan, Regina, Sask.; Regina General Hospital (Rueda-Clausen), Regina, Sask.; Education Psychology (Russell-Mayhew), Werklund School of Education, University of Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Heather M. Arthur Population Health Research Institute/Hamilton Health Sciences Chair in Interprofessional Health Research, School of Nursing (Sherifali), McMaster University, Hamilton, Ont.; Division of Endocrinology & Metabolism (Sievenpiper), St. Michael's Hospital, Toronto, Ont.; Department of Psychiatry (Taylor), University of Calgary, Calgary, Alta.; School of Pharmacy (Twells), Memorial University, St. John's, NL; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; School of Population and Public Health (Walker), University of British Columbia, Vancouver, BC; Centre for Excellence in Indigenous Health (Walker), University of British Columbia, Vancouver, BC.; O'Brien Institute of Public Health (Wicklum), University of Calgary, Calgary, Alta
| | - Carlene Johnson-Stoklossa
- Departments of Medicine (Wharton), Endocrinology and Metabolism (Poddar, Sherifali), Family Medicine (Naji, Tytus) and Health Research Methods, Evidence and Impact Canada (Naji), McMaster University, Hamilton, Ont; The Wharton Medical Clinic (Wharton, Poddar), Hamilton, Ont.; Departments of Medicine (Lau, Nerenberg) and Family Medicine (Boyling, Henderson, McInnes, Walji, Wicklum), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Julia McFarlane Diabetes Research Centre and Libin Cardiovascular Institute of Alberta (Lau), Calgary, Alta.; Department of Family Medicine (Vallis, Piccinini-Vallis), Dalhousie University, Halifax, NS; Departments of Medicine (Sharma, Toth), Family Medicine (Campbell-Scherer, Kemp), Agricultural, Food and Nutritional Science (Bell, Pereira), Physical Education and Recreation (Boulé), and Occupational Therapy (Forhan), University of Alberta, Edmonton, Alta.; Adult Bariatric Specialty Clinic (Sharma), Royal Alexandra Hospital, Edmonton, Alta.; Obesity Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Department of Surgery (Biertho), Laval University, Quebec, Que.; School of Human Kinetics (Adamo, Prud'homme), University of Ottawa, Ottawa, Ont.; Department of Health, Kinesiology & Applied Physiology (Alberga), Concordia University, Montréal, Que.; Bariatric Centre of Excellence (Brown), The Ottawa Hospital, Ottawa, Ont.; Departments of Family Practice (Calam) and Endocrinology (Manjoo), University of British Columbia, Vancouver, BC; UBC Family Practice Residency Program (Calam) and Pfizer/Heart and Stroke Foundation Chair in Cardiovascular Prevention Research (Lear), St. Paul's Hospital, Vancouver, BC; nutrition consultant (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, University of Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Department of Family Medicine (Freedhoff) and Division of Endocrinology and Metabolism (Shiau), Department of Medicine, University of Ottawa, Ottawa, Ont.; Herbert Wertheim School of Medicine (Gagner), Florida International University, Miami, Fla.; Hôpital du Sacre Coeur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division of Endocrinology and Metabolism (Glazer), Queen's University, Kingston, Ont.; Departments of Internal Medicine (Glazer), Psychiatry (Hawa, Sockalingam), Family and Community Medicine (Macklin) and Nutritional Sciences (Sievenpiper), University of Toronto, Toronto, Ont.; Alberta Health Services (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Departments of Family Medicine and Public Health Sciences and Policy Studies (Green), Queen's University, Kingston, Ont.; Kingston Health Sciences Centre (Green), Kingston, Ont.; Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam), Toronto, Ont.; University Health Network (Hawa, Sockalingam), Toronto, Ont.; Division of General Surgery (Hong), McMaster University, Hamilton, Ont.; Department of Family Medicine and Biobehavioral Health (Jacklin), University of Minnesota Medical School Duluth Campus, Duluth, Minn.; School of Kinesiology and Health Studies (Janssen), Queen's University, Kingston, Ont.; School of Health and Human Performance (Kirk), Dalhousie University, Halifax, NS; School of Kinesiology and Health Science (Wharton, Kuk), York University, Toronto, Ont.; Division of Endocrinology (Langlois), Université de Sherbrooke, Sherbrooke, Que.; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Que.; School of Kinesiology (Lear), Simon Fraser University, Vancouver, BC; Medcan Clinic (Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Vancouver Island Health Authority, Victoria, BC; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Laval University, Québec, Que.; Foothills Medical Centre (Nerenberg), Calgary, Alta.; C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology ( Poddar), Toronto, Ont.; Department of Medicine (Rueda-Clausen), University of Saskatchewan, Regina, Sask.; Regina General Hospital (Rueda-Clausen), Regina, Sask.; Education Psychology (Russell-Mayhew), Werklund School of Education, University of Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Heather M. Arthur Population Health Research Institute/Hamilton Health Sciences Chair in Interprofessional Health Research, School of Nursing (Sherifali), McMaster University, Hamilton, Ont.; Division of Endocrinology & Metabolism (Sievenpiper), St. Michael's Hospital, Toronto, Ont.; Department of Psychiatry (Taylor), University of Calgary, Calgary, Alta.; School of Pharmacy (Twells), Memorial University, St. John's, NL; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; School of Population and Public Health (Walker), University of British Columbia, Vancouver, BC; Centre for Excellence in Indigenous Health (Walker), University of British Columbia, Vancouver, BC.; O'Brien Institute of Public Health (Wicklum), University of Calgary, Calgary, Alta
| | - Amy Kemp
- Departments of Medicine (Wharton), Endocrinology and Metabolism (Poddar, Sherifali), Family Medicine (Naji, Tytus) and Health Research Methods, Evidence and Impact Canada (Naji), McMaster University, Hamilton, Ont; The Wharton Medical Clinic (Wharton, Poddar), Hamilton, Ont.; Departments of Medicine (Lau, Nerenberg) and Family Medicine (Boyling, Henderson, McInnes, Walji, Wicklum), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Julia McFarlane Diabetes Research Centre and Libin Cardiovascular Institute of Alberta (Lau), Calgary, Alta.; Department of Family Medicine (Vallis, Piccinini-Vallis), Dalhousie University, Halifax, NS; Departments of Medicine (Sharma, Toth), Family Medicine (Campbell-Scherer, Kemp), Agricultural, Food and Nutritional Science (Bell, Pereira), Physical Education and Recreation (Boulé), and Occupational Therapy (Forhan), University of Alberta, Edmonton, Alta.; Adult Bariatric Specialty Clinic (Sharma), Royal Alexandra Hospital, Edmonton, Alta.; Obesity Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Department of Surgery (Biertho), Laval University, Quebec, Que.; School of Human Kinetics (Adamo, Prud'homme), University of Ottawa, Ottawa, Ont.; Department of Health, Kinesiology & Applied Physiology (Alberga), Concordia University, Montréal, Que.; Bariatric Centre of Excellence (Brown), The Ottawa Hospital, Ottawa, Ont.; Departments of Family Practice (Calam) and Endocrinology (Manjoo), University of British Columbia, Vancouver, BC; UBC Family Practice Residency Program (Calam) and Pfizer/Heart and Stroke Foundation Chair in Cardiovascular Prevention Research (Lear), St. Paul's Hospital, Vancouver, BC; nutrition consultant (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, University of Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Department of Family Medicine (Freedhoff) and Division of Endocrinology and Metabolism (Shiau), Department of Medicine, University of Ottawa, Ottawa, Ont.; Herbert Wertheim School of Medicine (Gagner), Florida International University, Miami, Fla.; Hôpital du Sacre Coeur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division of Endocrinology and Metabolism (Glazer), Queen's University, Kingston, Ont.; Departments of Internal Medicine (Glazer), Psychiatry (Hawa, Sockalingam), Family and Community Medicine (Macklin) and Nutritional Sciences (Sievenpiper), University of Toronto, Toronto, Ont.; Alberta Health Services (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Departments of Family Medicine and Public Health Sciences and Policy Studies (Green), Queen's University, Kingston, Ont.; Kingston Health Sciences Centre (Green), Kingston, Ont.; Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam), Toronto, Ont.; University Health Network (Hawa, Sockalingam), Toronto, Ont.; Division of General Surgery (Hong), McMaster University, Hamilton, Ont.; Department of Family Medicine and Biobehavioral Health (Jacklin), University of Minnesota Medical School Duluth Campus, Duluth, Minn.; School of Kinesiology and Health Studies (Janssen), Queen's University, Kingston, Ont.; School of Health and Human Performance (Kirk), Dalhousie University, Halifax, NS; School of Kinesiology and Health Science (Wharton, Kuk), York University, Toronto, Ont.; Division of Endocrinology (Langlois), Université de Sherbrooke, Sherbrooke, Que.; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Que.; School of Kinesiology (Lear), Simon Fraser University, Vancouver, BC; Medcan Clinic (Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Vancouver Island Health Authority, Victoria, BC; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Laval University, Québec, Que.; Foothills Medical Centre (Nerenberg), Calgary, Alta.; C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology ( Poddar), Toronto, Ont.; Department of Medicine (Rueda-Clausen), University of Saskatchewan, Regina, Sask.; Regina General Hospital (Rueda-Clausen), Regina, Sask.; Education Psychology (Russell-Mayhew), Werklund School of Education, University of Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Heather M. Arthur Population Health Research Institute/Hamilton Health Sciences Chair in Interprofessional Health Research, School of Nursing (Sherifali), McMaster University, Hamilton, Ont.; Division of Endocrinology & Metabolism (Sievenpiper), St. Michael's Hospital, Toronto, Ont.; Department of Psychiatry (Taylor), University of Calgary, Calgary, Alta.; School of Pharmacy (Twells), Memorial University, St. John's, NL; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; School of Population and Public Health (Walker), University of British Columbia, Vancouver, BC; Centre for Excellence in Indigenous Health (Walker), University of British Columbia, Vancouver, BC.; O'Brien Institute of Public Health (Wicklum), University of Calgary, Calgary, Alta
| | - Sara Kirk
- Departments of Medicine (Wharton), Endocrinology and Metabolism (Poddar, Sherifali), Family Medicine (Naji, Tytus) and Health Research Methods, Evidence and Impact Canada (Naji), McMaster University, Hamilton, Ont; The Wharton Medical Clinic (Wharton, Poddar), Hamilton, Ont.; Departments of Medicine (Lau, Nerenberg) and Family Medicine (Boyling, Henderson, McInnes, Walji, Wicklum), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Julia McFarlane Diabetes Research Centre and Libin Cardiovascular Institute of Alberta (Lau), Calgary, Alta.; Department of Family Medicine (Vallis, Piccinini-Vallis), Dalhousie University, Halifax, NS; Departments of Medicine (Sharma, Toth), Family Medicine (Campbell-Scherer, Kemp), Agricultural, Food and Nutritional Science (Bell, Pereira), Physical Education and Recreation (Boulé), and Occupational Therapy (Forhan), University of Alberta, Edmonton, Alta.; Adult Bariatric Specialty Clinic (Sharma), Royal Alexandra Hospital, Edmonton, Alta.; Obesity Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Department of Surgery (Biertho), Laval University, Quebec, Que.; School of Human Kinetics (Adamo, Prud'homme), University of Ottawa, Ottawa, Ont.; Department of Health, Kinesiology & Applied Physiology (Alberga), Concordia University, Montréal, Que.; Bariatric Centre of Excellence (Brown), The Ottawa Hospital, Ottawa, Ont.; Departments of Family Practice (Calam) and Endocrinology (Manjoo), University of British Columbia, Vancouver, BC; UBC Family Practice Residency Program (Calam) and Pfizer/Heart and Stroke Foundation Chair in Cardiovascular Prevention Research (Lear), St. Paul's Hospital, Vancouver, BC; nutrition consultant (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, University of Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Department of Family Medicine (Freedhoff) and Division of Endocrinology and Metabolism (Shiau), Department of Medicine, University of Ottawa, Ottawa, Ont.; Herbert Wertheim School of Medicine (Gagner), Florida International University, Miami, Fla.; Hôpital du Sacre Coeur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division of Endocrinology and Metabolism (Glazer), Queen's University, Kingston, Ont.; Departments of Internal Medicine (Glazer), Psychiatry (Hawa, Sockalingam), Family and Community Medicine (Macklin) and Nutritional Sciences (Sievenpiper), University of Toronto, Toronto, Ont.; Alberta Health Services (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Departments of Family Medicine and Public Health Sciences and Policy Studies (Green), Queen's University, Kingston, Ont.; Kingston Health Sciences Centre (Green), Kingston, Ont.; Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam), Toronto, Ont.; University Health Network (Hawa, Sockalingam), Toronto, Ont.; Division of General Surgery (Hong), McMaster University, Hamilton, Ont.; Department of Family Medicine and Biobehavioral Health (Jacklin), University of Minnesota Medical School Duluth Campus, Duluth, Minn.; School of Kinesiology and Health Studies (Janssen), Queen's University, Kingston, Ont.; School of Health and Human Performance (Kirk), Dalhousie University, Halifax, NS; School of Kinesiology and Health Science (Wharton, Kuk), York University, Toronto, Ont.; Division of Endocrinology (Langlois), Université de Sherbrooke, Sherbrooke, Que.; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Que.; School of Kinesiology (Lear), Simon Fraser University, Vancouver, BC; Medcan Clinic (Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Vancouver Island Health Authority, Victoria, BC; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Laval University, Québec, Que.; Foothills Medical Centre (Nerenberg), Calgary, Alta.; C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology ( Poddar), Toronto, Ont.; Department of Medicine (Rueda-Clausen), University of Saskatchewan, Regina, Sask.; Regina General Hospital (Rueda-Clausen), Regina, Sask.; Education Psychology (Russell-Mayhew), Werklund School of Education, University of Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Heather M. Arthur Population Health Research Institute/Hamilton Health Sciences Chair in Interprofessional Health Research, School of Nursing (Sherifali), McMaster University, Hamilton, Ont.; Division of Endocrinology & Metabolism (Sievenpiper), St. Michael's Hospital, Toronto, Ont.; Department of Psychiatry (Taylor), University of Calgary, Calgary, Alta.; School of Pharmacy (Twells), Memorial University, St. John's, NL; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; School of Population and Public Health (Walker), University of British Columbia, Vancouver, BC; Centre for Excellence in Indigenous Health (Walker), University of British Columbia, Vancouver, BC.; O'Brien Institute of Public Health (Wicklum), University of Calgary, Calgary, Alta
| | - Jennifer Kuk
- Departments of Medicine (Wharton), Endocrinology and Metabolism (Poddar, Sherifali), Family Medicine (Naji, Tytus) and Health Research Methods, Evidence and Impact Canada (Naji), McMaster University, Hamilton, Ont; The Wharton Medical Clinic (Wharton, Poddar), Hamilton, Ont.; Departments of Medicine (Lau, Nerenberg) and Family Medicine (Boyling, Henderson, McInnes, Walji, Wicklum), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Julia McFarlane Diabetes Research Centre and Libin Cardiovascular Institute of Alberta (Lau), Calgary, Alta.; Department of Family Medicine (Vallis, Piccinini-Vallis), Dalhousie University, Halifax, NS; Departments of Medicine (Sharma, Toth), Family Medicine (Campbell-Scherer, Kemp), Agricultural, Food and Nutritional Science (Bell, Pereira), Physical Education and Recreation (Boulé), and Occupational Therapy (Forhan), University of Alberta, Edmonton, Alta.; Adult Bariatric Specialty Clinic (Sharma), Royal Alexandra Hospital, Edmonton, Alta.; Obesity Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Department of Surgery (Biertho), Laval University, Quebec, Que.; School of Human Kinetics (Adamo, Prud'homme), University of Ottawa, Ottawa, Ont.; Department of Health, Kinesiology & Applied Physiology (Alberga), Concordia University, Montréal, Que.; Bariatric Centre of Excellence (Brown), The Ottawa Hospital, Ottawa, Ont.; Departments of Family Practice (Calam) and Endocrinology (Manjoo), University of British Columbia, Vancouver, BC; UBC Family Practice Residency Program (Calam) and Pfizer/Heart and Stroke Foundation Chair in Cardiovascular Prevention Research (Lear), St. Paul's Hospital, Vancouver, BC; nutrition consultant (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, University of Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Department of Family Medicine (Freedhoff) and Division of Endocrinology and Metabolism (Shiau), Department of Medicine, University of Ottawa, Ottawa, Ont.; Herbert Wertheim School of Medicine (Gagner), Florida International University, Miami, Fla.; Hôpital du Sacre Coeur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division of Endocrinology and Metabolism (Glazer), Queen's University, Kingston, Ont.; Departments of Internal Medicine (Glazer), Psychiatry (Hawa, Sockalingam), Family and Community Medicine (Macklin) and Nutritional Sciences (Sievenpiper), University of Toronto, Toronto, Ont.; Alberta Health Services (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Departments of Family Medicine and Public Health Sciences and Policy Studies (Green), Queen's University, Kingston, Ont.; Kingston Health Sciences Centre (Green), Kingston, Ont.; Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam), Toronto, Ont.; University Health Network (Hawa, Sockalingam), Toronto, Ont.; Division of General Surgery (Hong), McMaster University, Hamilton, Ont.; Department of Family Medicine and Biobehavioral Health (Jacklin), University of Minnesota Medical School Duluth Campus, Duluth, Minn.; School of Kinesiology and Health Studies (Janssen), Queen's University, Kingston, Ont.; School of Health and Human Performance (Kirk), Dalhousie University, Halifax, NS; School of Kinesiology and Health Science (Wharton, Kuk), York University, Toronto, Ont.; Division of Endocrinology (Langlois), Université de Sherbrooke, Sherbrooke, Que.; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Que.; School of Kinesiology (Lear), Simon Fraser University, Vancouver, BC; Medcan Clinic (Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Vancouver Island Health Authority, Victoria, BC; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Laval University, Québec, Que.; Foothills Medical Centre (Nerenberg), Calgary, Alta.; C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology ( Poddar), Toronto, Ont.; Department of Medicine (Rueda-Clausen), University of Saskatchewan, Regina, Sask.; Regina General Hospital (Rueda-Clausen), Regina, Sask.; Education Psychology (Russell-Mayhew), Werklund School of Education, University of Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Heather M. Arthur Population Health Research Institute/Hamilton Health Sciences Chair in Interprofessional Health Research, School of Nursing (Sherifali), McMaster University, Hamilton, Ont.; Division of Endocrinology & Metabolism (Sievenpiper), St. Michael's Hospital, Toronto, Ont.; Department of Psychiatry (Taylor), University of Calgary, Calgary, Alta.; School of Pharmacy (Twells), Memorial University, St. John's, NL; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; School of Population and Public Health (Walker), University of British Columbia, Vancouver, BC; Centre for Excellence in Indigenous Health (Walker), University of British Columbia, Vancouver, BC.; O'Brien Institute of Public Health (Wicklum), University of Calgary, Calgary, Alta
| | - Marie-France Langlois
- Departments of Medicine (Wharton), Endocrinology and Metabolism (Poddar, Sherifali), Family Medicine (Naji, Tytus) and Health Research Methods, Evidence and Impact Canada (Naji), McMaster University, Hamilton, Ont; The Wharton Medical Clinic (Wharton, Poddar), Hamilton, Ont.; Departments of Medicine (Lau, Nerenberg) and Family Medicine (Boyling, Henderson, McInnes, Walji, Wicklum), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Julia McFarlane Diabetes Research Centre and Libin Cardiovascular Institute of Alberta (Lau), Calgary, Alta.; Department of Family Medicine (Vallis, Piccinini-Vallis), Dalhousie University, Halifax, NS; Departments of Medicine (Sharma, Toth), Family Medicine (Campbell-Scherer, Kemp), Agricultural, Food and Nutritional Science (Bell, Pereira), Physical Education and Recreation (Boulé), and Occupational Therapy (Forhan), University of Alberta, Edmonton, Alta.; Adult Bariatric Specialty Clinic (Sharma), Royal Alexandra Hospital, Edmonton, Alta.; Obesity Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Department of Surgery (Biertho), Laval University, Quebec, Que.; School of Human Kinetics (Adamo, Prud'homme), University of Ottawa, Ottawa, Ont.; Department of Health, Kinesiology & Applied Physiology (Alberga), Concordia University, Montréal, Que.; Bariatric Centre of Excellence (Brown), The Ottawa Hospital, Ottawa, Ont.; Departments of Family Practice (Calam) and Endocrinology (Manjoo), University of British Columbia, Vancouver, BC; UBC Family Practice Residency Program (Calam) and Pfizer/Heart and Stroke Foundation Chair in Cardiovascular Prevention Research (Lear), St. Paul's Hospital, Vancouver, BC; nutrition consultant (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, University of Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Department of Family Medicine (Freedhoff) and Division of Endocrinology and Metabolism (Shiau), Department of Medicine, University of Ottawa, Ottawa, Ont.; Herbert Wertheim School of Medicine (Gagner), Florida International University, Miami, Fla.; Hôpital du Sacre Coeur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division of Endocrinology and Metabolism (Glazer), Queen's University, Kingston, Ont.; Departments of Internal Medicine (Glazer), Psychiatry (Hawa, Sockalingam), Family and Community Medicine (Macklin) and Nutritional Sciences (Sievenpiper), University of Toronto, Toronto, Ont.; Alberta Health Services (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Departments of Family Medicine and Public Health Sciences and Policy Studies (Green), Queen's University, Kingston, Ont.; Kingston Health Sciences Centre (Green), Kingston, Ont.; Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam), Toronto, Ont.; University Health Network (Hawa, Sockalingam), Toronto, Ont.; Division of General Surgery (Hong), McMaster University, Hamilton, Ont.; Department of Family Medicine and Biobehavioral Health (Jacklin), University of Minnesota Medical School Duluth Campus, Duluth, Minn.; School of Kinesiology and Health Studies (Janssen), Queen's University, Kingston, Ont.; School of Health and Human Performance (Kirk), Dalhousie University, Halifax, NS; School of Kinesiology and Health Science (Wharton, Kuk), York University, Toronto, Ont.; Division of Endocrinology (Langlois), Université de Sherbrooke, Sherbrooke, Que.; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Que.; School of Kinesiology (Lear), Simon Fraser University, Vancouver, BC; Medcan Clinic (Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Vancouver Island Health Authority, Victoria, BC; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Laval University, Québec, Que.; Foothills Medical Centre (Nerenberg), Calgary, Alta.; C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology ( Poddar), Toronto, Ont.; Department of Medicine (Rueda-Clausen), University of Saskatchewan, Regina, Sask.; Regina General Hospital (Rueda-Clausen), Regina, Sask.; Education Psychology (Russell-Mayhew), Werklund School of Education, University of Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Heather M. Arthur Population Health Research Institute/Hamilton Health Sciences Chair in Interprofessional Health Research, School of Nursing (Sherifali), McMaster University, Hamilton, Ont.; Division of Endocrinology & Metabolism (Sievenpiper), St. Michael's Hospital, Toronto, Ont.; Department of Psychiatry (Taylor), University of Calgary, Calgary, Alta.; School of Pharmacy (Twells), Memorial University, St. John's, NL; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; School of Population and Public Health (Walker), University of British Columbia, Vancouver, BC; Centre for Excellence in Indigenous Health (Walker), University of British Columbia, Vancouver, BC.; O'Brien Institute of Public Health (Wicklum), University of Calgary, Calgary, Alta
| | - Scott Lear
- Departments of Medicine (Wharton), Endocrinology and Metabolism (Poddar, Sherifali), Family Medicine (Naji, Tytus) and Health Research Methods, Evidence and Impact Canada (Naji), McMaster University, Hamilton, Ont; The Wharton Medical Clinic (Wharton, Poddar), Hamilton, Ont.; Departments of Medicine (Lau, Nerenberg) and Family Medicine (Boyling, Henderson, McInnes, Walji, Wicklum), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Julia McFarlane Diabetes Research Centre and Libin Cardiovascular Institute of Alberta (Lau), Calgary, Alta.; Department of Family Medicine (Vallis, Piccinini-Vallis), Dalhousie University, Halifax, NS; Departments of Medicine (Sharma, Toth), Family Medicine (Campbell-Scherer, Kemp), Agricultural, Food and Nutritional Science (Bell, Pereira), Physical Education and Recreation (Boulé), and Occupational Therapy (Forhan), University of Alberta, Edmonton, Alta.; Adult Bariatric Specialty Clinic (Sharma), Royal Alexandra Hospital, Edmonton, Alta.; Obesity Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Department of Surgery (Biertho), Laval University, Quebec, Que.; School of Human Kinetics (Adamo, Prud'homme), University of Ottawa, Ottawa, Ont.; Department of Health, Kinesiology & Applied Physiology (Alberga), Concordia University, Montréal, Que.; Bariatric Centre of Excellence (Brown), The Ottawa Hospital, Ottawa, Ont.; Departments of Family Practice (Calam) and Endocrinology (Manjoo), University of British Columbia, Vancouver, BC; UBC Family Practice Residency Program (Calam) and Pfizer/Heart and Stroke Foundation Chair in Cardiovascular Prevention Research (Lear), St. Paul's Hospital, Vancouver, BC; nutrition consultant (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, University of Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Department of Family Medicine (Freedhoff) and Division of Endocrinology and Metabolism (Shiau), Department of Medicine, University of Ottawa, Ottawa, Ont.; Herbert Wertheim School of Medicine (Gagner), Florida International University, Miami, Fla.; Hôpital du Sacre Coeur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division of Endocrinology and Metabolism (Glazer), Queen's University, Kingston, Ont.; Departments of Internal Medicine (Glazer), Psychiatry (Hawa, Sockalingam), Family and Community Medicine (Macklin) and Nutritional Sciences (Sievenpiper), University of Toronto, Toronto, Ont.; Alberta Health Services (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Departments of Family Medicine and Public Health Sciences and Policy Studies (Green), Queen's University, Kingston, Ont.; Kingston Health Sciences Centre (Green), Kingston, Ont.; Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam), Toronto, Ont.; University Health Network (Hawa, Sockalingam), Toronto, Ont.; Division of General Surgery (Hong), McMaster University, Hamilton, Ont.; Department of Family Medicine and Biobehavioral Health (Jacklin), University of Minnesota Medical School Duluth Campus, Duluth, Minn.; School of Kinesiology and Health Studies (Janssen), Queen's University, Kingston, Ont.; School of Health and Human Performance (Kirk), Dalhousie University, Halifax, NS; School of Kinesiology and Health Science (Wharton, Kuk), York University, Toronto, Ont.; Division of Endocrinology (Langlois), Université de Sherbrooke, Sherbrooke, Que.; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Que.; School of Kinesiology (Lear), Simon Fraser University, Vancouver, BC; Medcan Clinic (Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Vancouver Island Health Authority, Victoria, BC; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Laval University, Québec, Que.; Foothills Medical Centre (Nerenberg), Calgary, Alta.; C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology ( Poddar), Toronto, Ont.; Department of Medicine (Rueda-Clausen), University of Saskatchewan, Regina, Sask.; Regina General Hospital (Rueda-Clausen), Regina, Sask.; Education Psychology (Russell-Mayhew), Werklund School of Education, University of Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Heather M. Arthur Population Health Research Institute/Hamilton Health Sciences Chair in Interprofessional Health Research, School of Nursing (Sherifali), McMaster University, Hamilton, Ont.; Division of Endocrinology & Metabolism (Sievenpiper), St. Michael's Hospital, Toronto, Ont.; Department of Psychiatry (Taylor), University of Calgary, Calgary, Alta.; School of Pharmacy (Twells), Memorial University, St. John's, NL; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; School of Population and Public Health (Walker), University of British Columbia, Vancouver, BC; Centre for Excellence in Indigenous Health (Walker), University of British Columbia, Vancouver, BC.; O'Brien Institute of Public Health (Wicklum), University of Calgary, Calgary, Alta
| | - Ashley McInnes
- Departments of Medicine (Wharton), Endocrinology and Metabolism (Poddar, Sherifali), Family Medicine (Naji, Tytus) and Health Research Methods, Evidence and Impact Canada (Naji), McMaster University, Hamilton, Ont; The Wharton Medical Clinic (Wharton, Poddar), Hamilton, Ont.; Departments of Medicine (Lau, Nerenberg) and Family Medicine (Boyling, Henderson, McInnes, Walji, Wicklum), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Julia McFarlane Diabetes Research Centre and Libin Cardiovascular Institute of Alberta (Lau), Calgary, Alta.; Department of Family Medicine (Vallis, Piccinini-Vallis), Dalhousie University, Halifax, NS; Departments of Medicine (Sharma, Toth), Family Medicine (Campbell-Scherer, Kemp), Agricultural, Food and Nutritional Science (Bell, Pereira), Physical Education and Recreation (Boulé), and Occupational Therapy (Forhan), University of Alberta, Edmonton, Alta.; Adult Bariatric Specialty Clinic (Sharma), Royal Alexandra Hospital, Edmonton, Alta.; Obesity Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Department of Surgery (Biertho), Laval University, Quebec, Que.; School of Human Kinetics (Adamo, Prud'homme), University of Ottawa, Ottawa, Ont.; Department of Health, Kinesiology & Applied Physiology (Alberga), Concordia University, Montréal, Que.; Bariatric Centre of Excellence (Brown), The Ottawa Hospital, Ottawa, Ont.; Departments of Family Practice (Calam) and Endocrinology (Manjoo), University of British Columbia, Vancouver, BC; UBC Family Practice Residency Program (Calam) and Pfizer/Heart and Stroke Foundation Chair in Cardiovascular Prevention Research (Lear), St. Paul's Hospital, Vancouver, BC; nutrition consultant (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, University of Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Department of Family Medicine (Freedhoff) and Division of Endocrinology and Metabolism (Shiau), Department of Medicine, University of Ottawa, Ottawa, Ont.; Herbert Wertheim School of Medicine (Gagner), Florida International University, Miami, Fla.; Hôpital du Sacre Coeur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division of Endocrinology and Metabolism (Glazer), Queen's University, Kingston, Ont.; Departments of Internal Medicine (Glazer), Psychiatry (Hawa, Sockalingam), Family and Community Medicine (Macklin) and Nutritional Sciences (Sievenpiper), University of Toronto, Toronto, Ont.; Alberta Health Services (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Departments of Family Medicine and Public Health Sciences and Policy Studies (Green), Queen's University, Kingston, Ont.; Kingston Health Sciences Centre (Green), Kingston, Ont.; Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam), Toronto, Ont.; University Health Network (Hawa, Sockalingam), Toronto, Ont.; Division of General Surgery (Hong), McMaster University, Hamilton, Ont.; Department of Family Medicine and Biobehavioral Health (Jacklin), University of Minnesota Medical School Duluth Campus, Duluth, Minn.; School of Kinesiology and Health Studies (Janssen), Queen's University, Kingston, Ont.; School of Health and Human Performance (Kirk), Dalhousie University, Halifax, NS; School of Kinesiology and Health Science (Wharton, Kuk), York University, Toronto, Ont.; Division of Endocrinology (Langlois), Université de Sherbrooke, Sherbrooke, Que.; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Que.; School of Kinesiology (Lear), Simon Fraser University, Vancouver, BC; Medcan Clinic (Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Vancouver Island Health Authority, Victoria, BC; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Laval University, Québec, Que.; Foothills Medical Centre (Nerenberg), Calgary, Alta.; C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology ( Poddar), Toronto, Ont.; Department of Medicine (Rueda-Clausen), University of Saskatchewan, Regina, Sask.; Regina General Hospital (Rueda-Clausen), Regina, Sask.; Education Psychology (Russell-Mayhew), Werklund School of Education, University of Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Heather M. Arthur Population Health Research Institute/Hamilton Health Sciences Chair in Interprofessional Health Research, School of Nursing (Sherifali), McMaster University, Hamilton, Ont.; Division of Endocrinology & Metabolism (Sievenpiper), St. Michael's Hospital, Toronto, Ont.; Department of Psychiatry (Taylor), University of Calgary, Calgary, Alta.; School of Pharmacy (Twells), Memorial University, St. John's, NL; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; School of Population and Public Health (Walker), University of British Columbia, Vancouver, BC; Centre for Excellence in Indigenous Health (Walker), University of British Columbia, Vancouver, BC.; O'Brien Institute of Public Health (Wicklum), University of Calgary, Calgary, Alta
| | - David Macklin
- Departments of Medicine (Wharton), Endocrinology and Metabolism (Poddar, Sherifali), Family Medicine (Naji, Tytus) and Health Research Methods, Evidence and Impact Canada (Naji), McMaster University, Hamilton, Ont; The Wharton Medical Clinic (Wharton, Poddar), Hamilton, Ont.; Departments of Medicine (Lau, Nerenberg) and Family Medicine (Boyling, Henderson, McInnes, Walji, Wicklum), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Julia McFarlane Diabetes Research Centre and Libin Cardiovascular Institute of Alberta (Lau), Calgary, Alta.; Department of Family Medicine (Vallis, Piccinini-Vallis), Dalhousie University, Halifax, NS; Departments of Medicine (Sharma, Toth), Family Medicine (Campbell-Scherer, Kemp), Agricultural, Food and Nutritional Science (Bell, Pereira), Physical Education and Recreation (Boulé), and Occupational Therapy (Forhan), University of Alberta, Edmonton, Alta.; Adult Bariatric Specialty Clinic (Sharma), Royal Alexandra Hospital, Edmonton, Alta.; Obesity Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Department of Surgery (Biertho), Laval University, Quebec, Que.; School of Human Kinetics (Adamo, Prud'homme), University of Ottawa, Ottawa, Ont.; Department of Health, Kinesiology & Applied Physiology (Alberga), Concordia University, Montréal, Que.; Bariatric Centre of Excellence (Brown), The Ottawa Hospital, Ottawa, Ont.; Departments of Family Practice (Calam) and Endocrinology (Manjoo), University of British Columbia, Vancouver, BC; UBC Family Practice Residency Program (Calam) and Pfizer/Heart and Stroke Foundation Chair in Cardiovascular Prevention Research (Lear), St. Paul's Hospital, Vancouver, BC; nutrition consultant (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, University of Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Department of Family Medicine (Freedhoff) and Division of Endocrinology and Metabolism (Shiau), Department of Medicine, University of Ottawa, Ottawa, Ont.; Herbert Wertheim School of Medicine (Gagner), Florida International University, Miami, Fla.; Hôpital du Sacre Coeur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division of Endocrinology and Metabolism (Glazer), Queen's University, Kingston, Ont.; Departments of Internal Medicine (Glazer), Psychiatry (Hawa, Sockalingam), Family and Community Medicine (Macklin) and Nutritional Sciences (Sievenpiper), University of Toronto, Toronto, Ont.; Alberta Health Services (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Departments of Family Medicine and Public Health Sciences and Policy Studies (Green), Queen's University, Kingston, Ont.; Kingston Health Sciences Centre (Green), Kingston, Ont.; Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam), Toronto, Ont.; University Health Network (Hawa, Sockalingam), Toronto, Ont.; Division of General Surgery (Hong), McMaster University, Hamilton, Ont.; Department of Family Medicine and Biobehavioral Health (Jacklin), University of Minnesota Medical School Duluth Campus, Duluth, Minn.; School of Kinesiology and Health Studies (Janssen), Queen's University, Kingston, Ont.; School of Health and Human Performance (Kirk), Dalhousie University, Halifax, NS; School of Kinesiology and Health Science (Wharton, Kuk), York University, Toronto, Ont.; Division of Endocrinology (Langlois), Université de Sherbrooke, Sherbrooke, Que.; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Que.; School of Kinesiology (Lear), Simon Fraser University, Vancouver, BC; Medcan Clinic (Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Vancouver Island Health Authority, Victoria, BC; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Laval University, Québec, Que.; Foothills Medical Centre (Nerenberg), Calgary, Alta.; C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology ( Poddar), Toronto, Ont.; Department of Medicine (Rueda-Clausen), University of Saskatchewan, Regina, Sask.; Regina General Hospital (Rueda-Clausen), Regina, Sask.; Education Psychology (Russell-Mayhew), Werklund School of Education, University of Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Heather M. Arthur Population Health Research Institute/Hamilton Health Sciences Chair in Interprofessional Health Research, School of Nursing (Sherifali), McMaster University, Hamilton, Ont.; Division of Endocrinology & Metabolism (Sievenpiper), St. Michael's Hospital, Toronto, Ont.; Department of Psychiatry (Taylor), University of Calgary, Calgary, Alta.; School of Pharmacy (Twells), Memorial University, St. John's, NL; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; School of Population and Public Health (Walker), University of British Columbia, Vancouver, BC; Centre for Excellence in Indigenous Health (Walker), University of British Columbia, Vancouver, BC.; O'Brien Institute of Public Health (Wicklum), University of Calgary, Calgary, Alta
| | - Leen Naji
- Departments of Medicine (Wharton), Endocrinology and Metabolism (Poddar, Sherifali), Family Medicine (Naji, Tytus) and Health Research Methods, Evidence and Impact Canada (Naji), McMaster University, Hamilton, Ont; The Wharton Medical Clinic (Wharton, Poddar), Hamilton, Ont.; Departments of Medicine (Lau, Nerenberg) and Family Medicine (Boyling, Henderson, McInnes, Walji, Wicklum), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Julia McFarlane Diabetes Research Centre and Libin Cardiovascular Institute of Alberta (Lau), Calgary, Alta.; Department of Family Medicine (Vallis, Piccinini-Vallis), Dalhousie University, Halifax, NS; Departments of Medicine (Sharma, Toth), Family Medicine (Campbell-Scherer, Kemp), Agricultural, Food and Nutritional Science (Bell, Pereira), Physical Education and Recreation (Boulé), and Occupational Therapy (Forhan), University of Alberta, Edmonton, Alta.; Adult Bariatric Specialty Clinic (Sharma), Royal Alexandra Hospital, Edmonton, Alta.; Obesity Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Department of Surgery (Biertho), Laval University, Quebec, Que.; School of Human Kinetics (Adamo, Prud'homme), University of Ottawa, Ottawa, Ont.; Department of Health, Kinesiology & Applied Physiology (Alberga), Concordia University, Montréal, Que.; Bariatric Centre of Excellence (Brown), The Ottawa Hospital, Ottawa, Ont.; Departments of Family Practice (Calam) and Endocrinology (Manjoo), University of British Columbia, Vancouver, BC; UBC Family Practice Residency Program (Calam) and Pfizer/Heart and Stroke Foundation Chair in Cardiovascular Prevention Research (Lear), St. Paul's Hospital, Vancouver, BC; nutrition consultant (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, University of Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Department of Family Medicine (Freedhoff) and Division of Endocrinology and Metabolism (Shiau), Department of Medicine, University of Ottawa, Ottawa, Ont.; Herbert Wertheim School of Medicine (Gagner), Florida International University, Miami, Fla.; Hôpital du Sacre Coeur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division of Endocrinology and Metabolism (Glazer), Queen's University, Kingston, Ont.; Departments of Internal Medicine (Glazer), Psychiatry (Hawa, Sockalingam), Family and Community Medicine (Macklin) and Nutritional Sciences (Sievenpiper), University of Toronto, Toronto, Ont.; Alberta Health Services (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Departments of Family Medicine and Public Health Sciences and Policy Studies (Green), Queen's University, Kingston, Ont.; Kingston Health Sciences Centre (Green), Kingston, Ont.; Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam), Toronto, Ont.; University Health Network (Hawa, Sockalingam), Toronto, Ont.; Division of General Surgery (Hong), McMaster University, Hamilton, Ont.; Department of Family Medicine and Biobehavioral Health (Jacklin), University of Minnesota Medical School Duluth Campus, Duluth, Minn.; School of Kinesiology and Health Studies (Janssen), Queen's University, Kingston, Ont.; School of Health and Human Performance (Kirk), Dalhousie University, Halifax, NS; School of Kinesiology and Health Science (Wharton, Kuk), York University, Toronto, Ont.; Division of Endocrinology (Langlois), Université de Sherbrooke, Sherbrooke, Que.; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Que.; School of Kinesiology (Lear), Simon Fraser University, Vancouver, BC; Medcan Clinic (Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Vancouver Island Health Authority, Victoria, BC; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Laval University, Québec, Que.; Foothills Medical Centre (Nerenberg), Calgary, Alta.; C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology ( Poddar), Toronto, Ont.; Department of Medicine (Rueda-Clausen), University of Saskatchewan, Regina, Sask.; Regina General Hospital (Rueda-Clausen), Regina, Sask.; Education Psychology (Russell-Mayhew), Werklund School of Education, University of Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Heather M. Arthur Population Health Research Institute/Hamilton Health Sciences Chair in Interprofessional Health Research, School of Nursing (Sherifali), McMaster University, Hamilton, Ont.; Division of Endocrinology & Metabolism (Sievenpiper), St. Michael's Hospital, Toronto, Ont.; Department of Psychiatry (Taylor), University of Calgary, Calgary, Alta.; School of Pharmacy (Twells), Memorial University, St. John's, NL; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; School of Population and Public Health (Walker), University of British Columbia, Vancouver, BC; Centre for Excellence in Indigenous Health (Walker), University of British Columbia, Vancouver, BC.; O'Brien Institute of Public Health (Wicklum), University of Calgary, Calgary, Alta
| | - Priya Manjoo
- Departments of Medicine (Wharton), Endocrinology and Metabolism (Poddar, Sherifali), Family Medicine (Naji, Tytus) and Health Research Methods, Evidence and Impact Canada (Naji), McMaster University, Hamilton, Ont; The Wharton Medical Clinic (Wharton, Poddar), Hamilton, Ont.; Departments of Medicine (Lau, Nerenberg) and Family Medicine (Boyling, Henderson, McInnes, Walji, Wicklum), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Julia McFarlane Diabetes Research Centre and Libin Cardiovascular Institute of Alberta (Lau), Calgary, Alta.; Department of Family Medicine (Vallis, Piccinini-Vallis), Dalhousie University, Halifax, NS; Departments of Medicine (Sharma, Toth), Family Medicine (Campbell-Scherer, Kemp), Agricultural, Food and Nutritional Science (Bell, Pereira), Physical Education and Recreation (Boulé), and Occupational Therapy (Forhan), University of Alberta, Edmonton, Alta.; Adult Bariatric Specialty Clinic (Sharma), Royal Alexandra Hospital, Edmonton, Alta.; Obesity Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Department of Surgery (Biertho), Laval University, Quebec, Que.; School of Human Kinetics (Adamo, Prud'homme), University of Ottawa, Ottawa, Ont.; Department of Health, Kinesiology & Applied Physiology (Alberga), Concordia University, Montréal, Que.; Bariatric Centre of Excellence (Brown), The Ottawa Hospital, Ottawa, Ont.; Departments of Family Practice (Calam) and Endocrinology (Manjoo), University of British Columbia, Vancouver, BC; UBC Family Practice Residency Program (Calam) and Pfizer/Heart and Stroke Foundation Chair in Cardiovascular Prevention Research (Lear), St. Paul's Hospital, Vancouver, BC; nutrition consultant (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, University of Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Department of Family Medicine (Freedhoff) and Division of Endocrinology and Metabolism (Shiau), Department of Medicine, University of Ottawa, Ottawa, Ont.; Herbert Wertheim School of Medicine (Gagner), Florida International University, Miami, Fla.; Hôpital du Sacre Coeur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division of Endocrinology and Metabolism (Glazer), Queen's University, Kingston, Ont.; Departments of Internal Medicine (Glazer), Psychiatry (Hawa, Sockalingam), Family and Community Medicine (Macklin) and Nutritional Sciences (Sievenpiper), University of Toronto, Toronto, Ont.; Alberta Health Services (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Departments of Family Medicine and Public Health Sciences and Policy Studies (Green), Queen's University, Kingston, Ont.; Kingston Health Sciences Centre (Green), Kingston, Ont.; Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam), Toronto, Ont.; University Health Network (Hawa, Sockalingam), Toronto, Ont.; Division of General Surgery (Hong), McMaster University, Hamilton, Ont.; Department of Family Medicine and Biobehavioral Health (Jacklin), University of Minnesota Medical School Duluth Campus, Duluth, Minn.; School of Kinesiology and Health Studies (Janssen), Queen's University, Kingston, Ont.; School of Health and Human Performance (Kirk), Dalhousie University, Halifax, NS; School of Kinesiology and Health Science (Wharton, Kuk), York University, Toronto, Ont.; Division of Endocrinology (Langlois), Université de Sherbrooke, Sherbrooke, Que.; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Que.; School of Kinesiology (Lear), Simon Fraser University, Vancouver, BC; Medcan Clinic (Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Vancouver Island Health Authority, Victoria, BC; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Laval University, Québec, Que.; Foothills Medical Centre (Nerenberg), Calgary, Alta.; C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology ( Poddar), Toronto, Ont.; Department of Medicine (Rueda-Clausen), University of Saskatchewan, Regina, Sask.; Regina General Hospital (Rueda-Clausen), Regina, Sask.; Education Psychology (Russell-Mayhew), Werklund School of Education, University of Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Heather M. Arthur Population Health Research Institute/Hamilton Health Sciences Chair in Interprofessional Health Research, School of Nursing (Sherifali), McMaster University, Hamilton, Ont.; Division of Endocrinology & Metabolism (Sievenpiper), St. Michael's Hospital, Toronto, Ont.; Department of Psychiatry (Taylor), University of Calgary, Calgary, Alta.; School of Pharmacy (Twells), Memorial University, St. John's, NL; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; School of Population and Public Health (Walker), University of British Columbia, Vancouver, BC; Centre for Excellence in Indigenous Health (Walker), University of British Columbia, Vancouver, BC.; O'Brien Institute of Public Health (Wicklum), University of Calgary, Calgary, Alta
| | - Marie-Philippe Morin
- Departments of Medicine (Wharton), Endocrinology and Metabolism (Poddar, Sherifali), Family Medicine (Naji, Tytus) and Health Research Methods, Evidence and Impact Canada (Naji), McMaster University, Hamilton, Ont; The Wharton Medical Clinic (Wharton, Poddar), Hamilton, Ont.; Departments of Medicine (Lau, Nerenberg) and Family Medicine (Boyling, Henderson, McInnes, Walji, Wicklum), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Julia McFarlane Diabetes Research Centre and Libin Cardiovascular Institute of Alberta (Lau), Calgary, Alta.; Department of Family Medicine (Vallis, Piccinini-Vallis), Dalhousie University, Halifax, NS; Departments of Medicine (Sharma, Toth), Family Medicine (Campbell-Scherer, Kemp), Agricultural, Food and Nutritional Science (Bell, Pereira), Physical Education and Recreation (Boulé), and Occupational Therapy (Forhan), University of Alberta, Edmonton, Alta.; Adult Bariatric Specialty Clinic (Sharma), Royal Alexandra Hospital, Edmonton, Alta.; Obesity Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Department of Surgery (Biertho), Laval University, Quebec, Que.; School of Human Kinetics (Adamo, Prud'homme), University of Ottawa, Ottawa, Ont.; Department of Health, Kinesiology & Applied Physiology (Alberga), Concordia University, Montréal, Que.; Bariatric Centre of Excellence (Brown), The Ottawa Hospital, Ottawa, Ont.; Departments of Family Practice (Calam) and Endocrinology (Manjoo), University of British Columbia, Vancouver, BC; UBC Family Practice Residency Program (Calam) and Pfizer/Heart and Stroke Foundation Chair in Cardiovascular Prevention Research (Lear), St. Paul's Hospital, Vancouver, BC; nutrition consultant (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, University of Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Department of Family Medicine (Freedhoff) and Division of Endocrinology and Metabolism (Shiau), Department of Medicine, University of Ottawa, Ottawa, Ont.; Herbert Wertheim School of Medicine (Gagner), Florida International University, Miami, Fla.; Hôpital du Sacre Coeur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division of Endocrinology and Metabolism (Glazer), Queen's University, Kingston, Ont.; Departments of Internal Medicine (Glazer), Psychiatry (Hawa, Sockalingam), Family and Community Medicine (Macklin) and Nutritional Sciences (Sievenpiper), University of Toronto, Toronto, Ont.; Alberta Health Services (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Departments of Family Medicine and Public Health Sciences and Policy Studies (Green), Queen's University, Kingston, Ont.; Kingston Health Sciences Centre (Green), Kingston, Ont.; Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam), Toronto, Ont.; University Health Network (Hawa, Sockalingam), Toronto, Ont.; Division of General Surgery (Hong), McMaster University, Hamilton, Ont.; Department of Family Medicine and Biobehavioral Health (Jacklin), University of Minnesota Medical School Duluth Campus, Duluth, Minn.; School of Kinesiology and Health Studies (Janssen), Queen's University, Kingston, Ont.; School of Health and Human Performance (Kirk), Dalhousie University, Halifax, NS; School of Kinesiology and Health Science (Wharton, Kuk), York University, Toronto, Ont.; Division of Endocrinology (Langlois), Université de Sherbrooke, Sherbrooke, Que.; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Que.; School of Kinesiology (Lear), Simon Fraser University, Vancouver, BC; Medcan Clinic (Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Vancouver Island Health Authority, Victoria, BC; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Laval University, Québec, Que.; Foothills Medical Centre (Nerenberg), Calgary, Alta.; C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology ( Poddar), Toronto, Ont.; Department of Medicine (Rueda-Clausen), University of Saskatchewan, Regina, Sask.; Regina General Hospital (Rueda-Clausen), Regina, Sask.; Education Psychology (Russell-Mayhew), Werklund School of Education, University of Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Heather M. Arthur Population Health Research Institute/Hamilton Health Sciences Chair in Interprofessional Health Research, School of Nursing (Sherifali), McMaster University, Hamilton, Ont.; Division of Endocrinology & Metabolism (Sievenpiper), St. Michael's Hospital, Toronto, Ont.; Department of Psychiatry (Taylor), University of Calgary, Calgary, Alta.; School of Pharmacy (Twells), Memorial University, St. John's, NL; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; School of Population and Public Health (Walker), University of British Columbia, Vancouver, BC; Centre for Excellence in Indigenous Health (Walker), University of British Columbia, Vancouver, BC.; O'Brien Institute of Public Health (Wicklum), University of Calgary, Calgary, Alta
| | - Kara Nerenberg
- Departments of Medicine (Wharton), Endocrinology and Metabolism (Poddar, Sherifali), Family Medicine (Naji, Tytus) and Health Research Methods, Evidence and Impact Canada (Naji), McMaster University, Hamilton, Ont; The Wharton Medical Clinic (Wharton, Poddar), Hamilton, Ont.; Departments of Medicine (Lau, Nerenberg) and Family Medicine (Boyling, Henderson, McInnes, Walji, Wicklum), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Julia McFarlane Diabetes Research Centre and Libin Cardiovascular Institute of Alberta (Lau), Calgary, Alta.; Department of Family Medicine (Vallis, Piccinini-Vallis), Dalhousie University, Halifax, NS; Departments of Medicine (Sharma, Toth), Family Medicine (Campbell-Scherer, Kemp), Agricultural, Food and Nutritional Science (Bell, Pereira), Physical Education and Recreation (Boulé), and Occupational Therapy (Forhan), University of Alberta, Edmonton, Alta.; Adult Bariatric Specialty Clinic (Sharma), Royal Alexandra Hospital, Edmonton, Alta.; Obesity Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Department of Surgery (Biertho), Laval University, Quebec, Que.; School of Human Kinetics (Adamo, Prud'homme), University of Ottawa, Ottawa, Ont.; Department of Health, Kinesiology & Applied Physiology (Alberga), Concordia University, Montréal, Que.; Bariatric Centre of Excellence (Brown), The Ottawa Hospital, Ottawa, Ont.; Departments of Family Practice (Calam) and Endocrinology (Manjoo), University of British Columbia, Vancouver, BC; UBC Family Practice Residency Program (Calam) and Pfizer/Heart and Stroke Foundation Chair in Cardiovascular Prevention Research (Lear), St. Paul's Hospital, Vancouver, BC; nutrition consultant (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, University of Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Department of Family Medicine (Freedhoff) and Division of Endocrinology and Metabolism (Shiau), Department of Medicine, University of Ottawa, Ottawa, Ont.; Herbert Wertheim School of Medicine (Gagner), Florida International University, Miami, Fla.; Hôpital du Sacre Coeur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division of Endocrinology and Metabolism (Glazer), Queen's University, Kingston, Ont.; Departments of Internal Medicine (Glazer), Psychiatry (Hawa, Sockalingam), Family and Community Medicine (Macklin) and Nutritional Sciences (Sievenpiper), University of Toronto, Toronto, Ont.; Alberta Health Services (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Departments of Family Medicine and Public Health Sciences and Policy Studies (Green), Queen's University, Kingston, Ont.; Kingston Health Sciences Centre (Green), Kingston, Ont.; Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam), Toronto, Ont.; University Health Network (Hawa, Sockalingam), Toronto, Ont.; Division of General Surgery (Hong), McMaster University, Hamilton, Ont.; Department of Family Medicine and Biobehavioral Health (Jacklin), University of Minnesota Medical School Duluth Campus, Duluth, Minn.; School of Kinesiology and Health Studies (Janssen), Queen's University, Kingston, Ont.; School of Health and Human Performance (Kirk), Dalhousie University, Halifax, NS; School of Kinesiology and Health Science (Wharton, Kuk), York University, Toronto, Ont.; Division of Endocrinology (Langlois), Université de Sherbrooke, Sherbrooke, Que.; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Que.; School of Kinesiology (Lear), Simon Fraser University, Vancouver, BC; Medcan Clinic (Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Vancouver Island Health Authority, Victoria, BC; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Laval University, Québec, Que.; Foothills Medical Centre (Nerenberg), Calgary, Alta.; C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology ( Poddar), Toronto, Ont.; Department of Medicine (Rueda-Clausen), University of Saskatchewan, Regina, Sask.; Regina General Hospital (Rueda-Clausen), Regina, Sask.; Education Psychology (Russell-Mayhew), Werklund School of Education, University of Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Heather M. Arthur Population Health Research Institute/Hamilton Health Sciences Chair in Interprofessional Health Research, School of Nursing (Sherifali), McMaster University, Hamilton, Ont.; Division of Endocrinology & Metabolism (Sievenpiper), St. Michael's Hospital, Toronto, Ont.; Department of Psychiatry (Taylor), University of Calgary, Calgary, Alta.; School of Pharmacy (Twells), Memorial University, St. John's, NL; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; School of Population and Public Health (Walker), University of British Columbia, Vancouver, BC; Centre for Excellence in Indigenous Health (Walker), University of British Columbia, Vancouver, BC.; O'Brien Institute of Public Health (Wicklum), University of Calgary, Calgary, Alta
| | - Ian Patton
- Departments of Medicine (Wharton), Endocrinology and Metabolism (Poddar, Sherifali), Family Medicine (Naji, Tytus) and Health Research Methods, Evidence and Impact Canada (Naji), McMaster University, Hamilton, Ont; The Wharton Medical Clinic (Wharton, Poddar), Hamilton, Ont.; Departments of Medicine (Lau, Nerenberg) and Family Medicine (Boyling, Henderson, McInnes, Walji, Wicklum), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Julia McFarlane Diabetes Research Centre and Libin Cardiovascular Institute of Alberta (Lau), Calgary, Alta.; Department of Family Medicine (Vallis, Piccinini-Vallis), Dalhousie University, Halifax, NS; Departments of Medicine (Sharma, Toth), Family Medicine (Campbell-Scherer, Kemp), Agricultural, Food and Nutritional Science (Bell, Pereira), Physical Education and Recreation (Boulé), and Occupational Therapy (Forhan), University of Alberta, Edmonton, Alta.; Adult Bariatric Specialty Clinic (Sharma), Royal Alexandra Hospital, Edmonton, Alta.; Obesity Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Department of Surgery (Biertho), Laval University, Quebec, Que.; School of Human Kinetics (Adamo, Prud'homme), University of Ottawa, Ottawa, Ont.; Department of Health, Kinesiology & Applied Physiology (Alberga), Concordia University, Montréal, Que.; Bariatric Centre of Excellence (Brown), The Ottawa Hospital, Ottawa, Ont.; Departments of Family Practice (Calam) and Endocrinology (Manjoo), University of British Columbia, Vancouver, BC; UBC Family Practice Residency Program (Calam) and Pfizer/Heart and Stroke Foundation Chair in Cardiovascular Prevention Research (Lear), St. Paul's Hospital, Vancouver, BC; nutrition consultant (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, University of Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Department of Family Medicine (Freedhoff) and Division of Endocrinology and Metabolism (Shiau), Department of Medicine, University of Ottawa, Ottawa, Ont.; Herbert Wertheim School of Medicine (Gagner), Florida International University, Miami, Fla.; Hôpital du Sacre Coeur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division of Endocrinology and Metabolism (Glazer), Queen's University, Kingston, Ont.; Departments of Internal Medicine (Glazer), Psychiatry (Hawa, Sockalingam), Family and Community Medicine (Macklin) and Nutritional Sciences (Sievenpiper), University of Toronto, Toronto, Ont.; Alberta Health Services (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Departments of Family Medicine and Public Health Sciences and Policy Studies (Green), Queen's University, Kingston, Ont.; Kingston Health Sciences Centre (Green), Kingston, Ont.; Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam), Toronto, Ont.; University Health Network (Hawa, Sockalingam), Toronto, Ont.; Division of General Surgery (Hong), McMaster University, Hamilton, Ont.; Department of Family Medicine and Biobehavioral Health (Jacklin), University of Minnesota Medical School Duluth Campus, Duluth, Minn.; School of Kinesiology and Health Studies (Janssen), Queen's University, Kingston, Ont.; School of Health and Human Performance (Kirk), Dalhousie University, Halifax, NS; School of Kinesiology and Health Science (Wharton, Kuk), York University, Toronto, Ont.; Division of Endocrinology (Langlois), Université de Sherbrooke, Sherbrooke, Que.; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Que.; School of Kinesiology (Lear), Simon Fraser University, Vancouver, BC; Medcan Clinic (Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Vancouver Island Health Authority, Victoria, BC; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Laval University, Québec, Que.; Foothills Medical Centre (Nerenberg), Calgary, Alta.; C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology ( Poddar), Toronto, Ont.; Department of Medicine (Rueda-Clausen), University of Saskatchewan, Regina, Sask.; Regina General Hospital (Rueda-Clausen), Regina, Sask.; Education Psychology (Russell-Mayhew), Werklund School of Education, University of Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Heather M. Arthur Population Health Research Institute/Hamilton Health Sciences Chair in Interprofessional Health Research, School of Nursing (Sherifali), McMaster University, Hamilton, Ont.; Division of Endocrinology & Metabolism (Sievenpiper), St. Michael's Hospital, Toronto, Ont.; Department of Psychiatry (Taylor), University of Calgary, Calgary, Alta.; School of Pharmacy (Twells), Memorial University, St. John's, NL; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; School of Population and Public Health (Walker), University of British Columbia, Vancouver, BC; Centre for Excellence in Indigenous Health (Walker), University of British Columbia, Vancouver, BC.; O'Brien Institute of Public Health (Wicklum), University of Calgary, Calgary, Alta
| | - Sue Pedersen
- Departments of Medicine (Wharton), Endocrinology and Metabolism (Poddar, Sherifali), Family Medicine (Naji, Tytus) and Health Research Methods, Evidence and Impact Canada (Naji), McMaster University, Hamilton, Ont; The Wharton Medical Clinic (Wharton, Poddar), Hamilton, Ont.; Departments of Medicine (Lau, Nerenberg) and Family Medicine (Boyling, Henderson, McInnes, Walji, Wicklum), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Julia McFarlane Diabetes Research Centre and Libin Cardiovascular Institute of Alberta (Lau), Calgary, Alta.; Department of Family Medicine (Vallis, Piccinini-Vallis), Dalhousie University, Halifax, NS; Departments of Medicine (Sharma, Toth), Family Medicine (Campbell-Scherer, Kemp), Agricultural, Food and Nutritional Science (Bell, Pereira), Physical Education and Recreation (Boulé), and Occupational Therapy (Forhan), University of Alberta, Edmonton, Alta.; Adult Bariatric Specialty Clinic (Sharma), Royal Alexandra Hospital, Edmonton, Alta.; Obesity Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Department of Surgery (Biertho), Laval University, Quebec, Que.; School of Human Kinetics (Adamo, Prud'homme), University of Ottawa, Ottawa, Ont.; Department of Health, Kinesiology & Applied Physiology (Alberga), Concordia University, Montréal, Que.; Bariatric Centre of Excellence (Brown), The Ottawa Hospital, Ottawa, Ont.; Departments of Family Practice (Calam) and Endocrinology (Manjoo), University of British Columbia, Vancouver, BC; UBC Family Practice Residency Program (Calam) and Pfizer/Heart and Stroke Foundation Chair in Cardiovascular Prevention Research (Lear), St. Paul's Hospital, Vancouver, BC; nutrition consultant (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, University of Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Department of Family Medicine (Freedhoff) and Division of Endocrinology and Metabolism (Shiau), Department of Medicine, University of Ottawa, Ottawa, Ont.; Herbert Wertheim School of Medicine (Gagner), Florida International University, Miami, Fla.; Hôpital du Sacre Coeur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division of Endocrinology and Metabolism (Glazer), Queen's University, Kingston, Ont.; Departments of Internal Medicine (Glazer), Psychiatry (Hawa, Sockalingam), Family and Community Medicine (Macklin) and Nutritional Sciences (Sievenpiper), University of Toronto, Toronto, Ont.; Alberta Health Services (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Departments of Family Medicine and Public Health Sciences and Policy Studies (Green), Queen's University, Kingston, Ont.; Kingston Health Sciences Centre (Green), Kingston, Ont.; Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam), Toronto, Ont.; University Health Network (Hawa, Sockalingam), Toronto, Ont.; Division of General Surgery (Hong), McMaster University, Hamilton, Ont.; Department of Family Medicine and Biobehavioral Health (Jacklin), University of Minnesota Medical School Duluth Campus, Duluth, Minn.; School of Kinesiology and Health Studies (Janssen), Queen's University, Kingston, Ont.; School of Health and Human Performance (Kirk), Dalhousie University, Halifax, NS; School of Kinesiology and Health Science (Wharton, Kuk), York University, Toronto, Ont.; Division of Endocrinology (Langlois), Université de Sherbrooke, Sherbrooke, Que.; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Que.; School of Kinesiology (Lear), Simon Fraser University, Vancouver, BC; Medcan Clinic (Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Vancouver Island Health Authority, Victoria, BC; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Laval University, Québec, Que.; Foothills Medical Centre (Nerenberg), Calgary, Alta.; C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology ( Poddar), Toronto, Ont.; Department of Medicine (Rueda-Clausen), University of Saskatchewan, Regina, Sask.; Regina General Hospital (Rueda-Clausen), Regina, Sask.; Education Psychology (Russell-Mayhew), Werklund School of Education, University of Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Heather M. Arthur Population Health Research Institute/Hamilton Health Sciences Chair in Interprofessional Health Research, School of Nursing (Sherifali), McMaster University, Hamilton, Ont.; Division of Endocrinology & Metabolism (Sievenpiper), St. Michael's Hospital, Toronto, Ont.; Department of Psychiatry (Taylor), University of Calgary, Calgary, Alta.; School of Pharmacy (Twells), Memorial University, St. John's, NL; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; School of Population and Public Health (Walker), University of British Columbia, Vancouver, BC; Centre for Excellence in Indigenous Health (Walker), University of British Columbia, Vancouver, BC.; O'Brien Institute of Public Health (Wicklum), University of Calgary, Calgary, Alta
| | - Leticia Pereira
- Departments of Medicine (Wharton), Endocrinology and Metabolism (Poddar, Sherifali), Family Medicine (Naji, Tytus) and Health Research Methods, Evidence and Impact Canada (Naji), McMaster University, Hamilton, Ont; The Wharton Medical Clinic (Wharton, Poddar), Hamilton, Ont.; Departments of Medicine (Lau, Nerenberg) and Family Medicine (Boyling, Henderson, McInnes, Walji, Wicklum), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Julia McFarlane Diabetes Research Centre and Libin Cardiovascular Institute of Alberta (Lau), Calgary, Alta.; Department of Family Medicine (Vallis, Piccinini-Vallis), Dalhousie University, Halifax, NS; Departments of Medicine (Sharma, Toth), Family Medicine (Campbell-Scherer, Kemp), Agricultural, Food and Nutritional Science (Bell, Pereira), Physical Education and Recreation (Boulé), and Occupational Therapy (Forhan), University of Alberta, Edmonton, Alta.; Adult Bariatric Specialty Clinic (Sharma), Royal Alexandra Hospital, Edmonton, Alta.; Obesity Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Department of Surgery (Biertho), Laval University, Quebec, Que.; School of Human Kinetics (Adamo, Prud'homme), University of Ottawa, Ottawa, Ont.; Department of Health, Kinesiology & Applied Physiology (Alberga), Concordia University, Montréal, Que.; Bariatric Centre of Excellence (Brown), The Ottawa Hospital, Ottawa, Ont.; Departments of Family Practice (Calam) and Endocrinology (Manjoo), University of British Columbia, Vancouver, BC; UBC Family Practice Residency Program (Calam) and Pfizer/Heart and Stroke Foundation Chair in Cardiovascular Prevention Research (Lear), St. Paul's Hospital, Vancouver, BC; nutrition consultant (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, University of Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Department of Family Medicine (Freedhoff) and Division of Endocrinology and Metabolism (Shiau), Department of Medicine, University of Ottawa, Ottawa, Ont.; Herbert Wertheim School of Medicine (Gagner), Florida International University, Miami, Fla.; Hôpital du Sacre Coeur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division of Endocrinology and Metabolism (Glazer), Queen's University, Kingston, Ont.; Departments of Internal Medicine (Glazer), Psychiatry (Hawa, Sockalingam), Family and Community Medicine (Macklin) and Nutritional Sciences (Sievenpiper), University of Toronto, Toronto, Ont.; Alberta Health Services (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Departments of Family Medicine and Public Health Sciences and Policy Studies (Green), Queen's University, Kingston, Ont.; Kingston Health Sciences Centre (Green), Kingston, Ont.; Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam), Toronto, Ont.; University Health Network (Hawa, Sockalingam), Toronto, Ont.; Division of General Surgery (Hong), McMaster University, Hamilton, Ont.; Department of Family Medicine and Biobehavioral Health (Jacklin), University of Minnesota Medical School Duluth Campus, Duluth, Minn.; School of Kinesiology and Health Studies (Janssen), Queen's University, Kingston, Ont.; School of Health and Human Performance (Kirk), Dalhousie University, Halifax, NS; School of Kinesiology and Health Science (Wharton, Kuk), York University, Toronto, Ont.; Division of Endocrinology (Langlois), Université de Sherbrooke, Sherbrooke, Que.; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Que.; School of Kinesiology (Lear), Simon Fraser University, Vancouver, BC; Medcan Clinic (Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Vancouver Island Health Authority, Victoria, BC; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Laval University, Québec, Que.; Foothills Medical Centre (Nerenberg), Calgary, Alta.; C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology ( Poddar), Toronto, Ont.; Department of Medicine (Rueda-Clausen), University of Saskatchewan, Regina, Sask.; Regina General Hospital (Rueda-Clausen), Regina, Sask.; Education Psychology (Russell-Mayhew), Werklund School of Education, University of Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Heather M. Arthur Population Health Research Institute/Hamilton Health Sciences Chair in Interprofessional Health Research, School of Nursing (Sherifali), McMaster University, Hamilton, Ont.; Division of Endocrinology & Metabolism (Sievenpiper), St. Michael's Hospital, Toronto, Ont.; Department of Psychiatry (Taylor), University of Calgary, Calgary, Alta.; School of Pharmacy (Twells), Memorial University, St. John's, NL; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; School of Population and Public Health (Walker), University of British Columbia, Vancouver, BC; Centre for Excellence in Indigenous Health (Walker), University of British Columbia, Vancouver, BC.; O'Brien Institute of Public Health (Wicklum), University of Calgary, Calgary, Alta
| | - Helena Piccinini-Vallis
- Departments of Medicine (Wharton), Endocrinology and Metabolism (Poddar, Sherifali), Family Medicine (Naji, Tytus) and Health Research Methods, Evidence and Impact Canada (Naji), McMaster University, Hamilton, Ont; The Wharton Medical Clinic (Wharton, Poddar), Hamilton, Ont.; Departments of Medicine (Lau, Nerenberg) and Family Medicine (Boyling, Henderson, McInnes, Walji, Wicklum), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Julia McFarlane Diabetes Research Centre and Libin Cardiovascular Institute of Alberta (Lau), Calgary, Alta.; Department of Family Medicine (Vallis, Piccinini-Vallis), Dalhousie University, Halifax, NS; Departments of Medicine (Sharma, Toth), Family Medicine (Campbell-Scherer, Kemp), Agricultural, Food and Nutritional Science (Bell, Pereira), Physical Education and Recreation (Boulé), and Occupational Therapy (Forhan), University of Alberta, Edmonton, Alta.; Adult Bariatric Specialty Clinic (Sharma), Royal Alexandra Hospital, Edmonton, Alta.; Obesity Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Department of Surgery (Biertho), Laval University, Quebec, Que.; School of Human Kinetics (Adamo, Prud'homme), University of Ottawa, Ottawa, Ont.; Department of Health, Kinesiology & Applied Physiology (Alberga), Concordia University, Montréal, Que.; Bariatric Centre of Excellence (Brown), The Ottawa Hospital, Ottawa, Ont.; Departments of Family Practice (Calam) and Endocrinology (Manjoo), University of British Columbia, Vancouver, BC; UBC Family Practice Residency Program (Calam) and Pfizer/Heart and Stroke Foundation Chair in Cardiovascular Prevention Research (Lear), St. Paul's Hospital, Vancouver, BC; nutrition consultant (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, University of Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Department of Family Medicine (Freedhoff) and Division of Endocrinology and Metabolism (Shiau), Department of Medicine, University of Ottawa, Ottawa, Ont.; Herbert Wertheim School of Medicine (Gagner), Florida International University, Miami, Fla.; Hôpital du Sacre Coeur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division of Endocrinology and Metabolism (Glazer), Queen's University, Kingston, Ont.; Departments of Internal Medicine (Glazer), Psychiatry (Hawa, Sockalingam), Family and Community Medicine (Macklin) and Nutritional Sciences (Sievenpiper), University of Toronto, Toronto, Ont.; Alberta Health Services (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Departments of Family Medicine and Public Health Sciences and Policy Studies (Green), Queen's University, Kingston, Ont.; Kingston Health Sciences Centre (Green), Kingston, Ont.; Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam), Toronto, Ont.; University Health Network (Hawa, Sockalingam), Toronto, Ont.; Division of General Surgery (Hong), McMaster University, Hamilton, Ont.; Department of Family Medicine and Biobehavioral Health (Jacklin), University of Minnesota Medical School Duluth Campus, Duluth, Minn.; School of Kinesiology and Health Studies (Janssen), Queen's University, Kingston, Ont.; School of Health and Human Performance (Kirk), Dalhousie University, Halifax, NS; School of Kinesiology and Health Science (Wharton, Kuk), York University, Toronto, Ont.; Division of Endocrinology (Langlois), Université de Sherbrooke, Sherbrooke, Que.; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Que.; School of Kinesiology (Lear), Simon Fraser University, Vancouver, BC; Medcan Clinic (Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Vancouver Island Health Authority, Victoria, BC; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Laval University, Québec, Que.; Foothills Medical Centre (Nerenberg), Calgary, Alta.; C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology ( Poddar), Toronto, Ont.; Department of Medicine (Rueda-Clausen), University of Saskatchewan, Regina, Sask.; Regina General Hospital (Rueda-Clausen), Regina, Sask.; Education Psychology (Russell-Mayhew), Werklund School of Education, University of Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Heather M. Arthur Population Health Research Institute/Hamilton Health Sciences Chair in Interprofessional Health Research, School of Nursing (Sherifali), McMaster University, Hamilton, Ont.; Division of Endocrinology & Metabolism (Sievenpiper), St. Michael's Hospital, Toronto, Ont.; Department of Psychiatry (Taylor), University of Calgary, Calgary, Alta.; School of Pharmacy (Twells), Memorial University, St. John's, NL; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; School of Population and Public Health (Walker), University of British Columbia, Vancouver, BC; Centre for Excellence in Indigenous Health (Walker), University of British Columbia, Vancouver, BC.; O'Brien Institute of Public Health (Wicklum), University of Calgary, Calgary, Alta
| | - Megha Poddar
- Departments of Medicine (Wharton), Endocrinology and Metabolism (Poddar, Sherifali), Family Medicine (Naji, Tytus) and Health Research Methods, Evidence and Impact Canada (Naji), McMaster University, Hamilton, Ont; The Wharton Medical Clinic (Wharton, Poddar), Hamilton, Ont.; Departments of Medicine (Lau, Nerenberg) and Family Medicine (Boyling, Henderson, McInnes, Walji, Wicklum), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Julia McFarlane Diabetes Research Centre and Libin Cardiovascular Institute of Alberta (Lau), Calgary, Alta.; Department of Family Medicine (Vallis, Piccinini-Vallis), Dalhousie University, Halifax, NS; Departments of Medicine (Sharma, Toth), Family Medicine (Campbell-Scherer, Kemp), Agricultural, Food and Nutritional Science (Bell, Pereira), Physical Education and Recreation (Boulé), and Occupational Therapy (Forhan), University of Alberta, Edmonton, Alta.; Adult Bariatric Specialty Clinic (Sharma), Royal Alexandra Hospital, Edmonton, Alta.; Obesity Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Department of Surgery (Biertho), Laval University, Quebec, Que.; School of Human Kinetics (Adamo, Prud'homme), University of Ottawa, Ottawa, Ont.; Department of Health, Kinesiology & Applied Physiology (Alberga), Concordia University, Montréal, Que.; Bariatric Centre of Excellence (Brown), The Ottawa Hospital, Ottawa, Ont.; Departments of Family Practice (Calam) and Endocrinology (Manjoo), University of British Columbia, Vancouver, BC; UBC Family Practice Residency Program (Calam) and Pfizer/Heart and Stroke Foundation Chair in Cardiovascular Prevention Research (Lear), St. Paul's Hospital, Vancouver, BC; nutrition consultant (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, University of Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Department of Family Medicine (Freedhoff) and Division of Endocrinology and Metabolism (Shiau), Department of Medicine, University of Ottawa, Ottawa, Ont.; Herbert Wertheim School of Medicine (Gagner), Florida International University, Miami, Fla.; Hôpital du Sacre Coeur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division of Endocrinology and Metabolism (Glazer), Queen's University, Kingston, Ont.; Departments of Internal Medicine (Glazer), Psychiatry (Hawa, Sockalingam), Family and Community Medicine (Macklin) and Nutritional Sciences (Sievenpiper), University of Toronto, Toronto, Ont.; Alberta Health Services (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Departments of Family Medicine and Public Health Sciences and Policy Studies (Green), Queen's University, Kingston, Ont.; Kingston Health Sciences Centre (Green), Kingston, Ont.; Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam), Toronto, Ont.; University Health Network (Hawa, Sockalingam), Toronto, Ont.; Division of General Surgery (Hong), McMaster University, Hamilton, Ont.; Department of Family Medicine and Biobehavioral Health (Jacklin), University of Minnesota Medical School Duluth Campus, Duluth, Minn.; School of Kinesiology and Health Studies (Janssen), Queen's University, Kingston, Ont.; School of Health and Human Performance (Kirk), Dalhousie University, Halifax, NS; School of Kinesiology and Health Science (Wharton, Kuk), York University, Toronto, Ont.; Division of Endocrinology (Langlois), Université de Sherbrooke, Sherbrooke, Que.; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Que.; School of Kinesiology (Lear), Simon Fraser University, Vancouver, BC; Medcan Clinic (Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Vancouver Island Health Authority, Victoria, BC; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Laval University, Québec, Que.; Foothills Medical Centre (Nerenberg), Calgary, Alta.; C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology ( Poddar), Toronto, Ont.; Department of Medicine (Rueda-Clausen), University of Saskatchewan, Regina, Sask.; Regina General Hospital (Rueda-Clausen), Regina, Sask.; Education Psychology (Russell-Mayhew), Werklund School of Education, University of Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Heather M. Arthur Population Health Research Institute/Hamilton Health Sciences Chair in Interprofessional Health Research, School of Nursing (Sherifali), McMaster University, Hamilton, Ont.; Division of Endocrinology & Metabolism (Sievenpiper), St. Michael's Hospital, Toronto, Ont.; Department of Psychiatry (Taylor), University of Calgary, Calgary, Alta.; School of Pharmacy (Twells), Memorial University, St. John's, NL; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; School of Population and Public Health (Walker), University of British Columbia, Vancouver, BC; Centre for Excellence in Indigenous Health (Walker), University of British Columbia, Vancouver, BC.; O'Brien Institute of Public Health (Wicklum), University of Calgary, Calgary, Alta
| | - Paul Poirier
- Departments of Medicine (Wharton), Endocrinology and Metabolism (Poddar, Sherifali), Family Medicine (Naji, Tytus) and Health Research Methods, Evidence and Impact Canada (Naji), McMaster University, Hamilton, Ont; The Wharton Medical Clinic (Wharton, Poddar), Hamilton, Ont.; Departments of Medicine (Lau, Nerenberg) and Family Medicine (Boyling, Henderson, McInnes, Walji, Wicklum), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Julia McFarlane Diabetes Research Centre and Libin Cardiovascular Institute of Alberta (Lau), Calgary, Alta.; Department of Family Medicine (Vallis, Piccinini-Vallis), Dalhousie University, Halifax, NS; Departments of Medicine (Sharma, Toth), Family Medicine (Campbell-Scherer, Kemp), Agricultural, Food and Nutritional Science (Bell, Pereira), Physical Education and Recreation (Boulé), and Occupational Therapy (Forhan), University of Alberta, Edmonton, Alta.; Adult Bariatric Specialty Clinic (Sharma), Royal Alexandra Hospital, Edmonton, Alta.; Obesity Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Department of Surgery (Biertho), Laval University, Quebec, Que.; School of Human Kinetics (Adamo, Prud'homme), University of Ottawa, Ottawa, Ont.; Department of Health, Kinesiology & Applied Physiology (Alberga), Concordia University, Montréal, Que.; Bariatric Centre of Excellence (Brown), The Ottawa Hospital, Ottawa, Ont.; Departments of Family Practice (Calam) and Endocrinology (Manjoo), University of British Columbia, Vancouver, BC; UBC Family Practice Residency Program (Calam) and Pfizer/Heart and Stroke Foundation Chair in Cardiovascular Prevention Research (Lear), St. Paul's Hospital, Vancouver, BC; nutrition consultant (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, University of Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Department of Family Medicine (Freedhoff) and Division of Endocrinology and Metabolism (Shiau), Department of Medicine, University of Ottawa, Ottawa, Ont.; Herbert Wertheim School of Medicine (Gagner), Florida International University, Miami, Fla.; Hôpital du Sacre Coeur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division of Endocrinology and Metabolism (Glazer), Queen's University, Kingston, Ont.; Departments of Internal Medicine (Glazer), Psychiatry (Hawa, Sockalingam), Family and Community Medicine (Macklin) and Nutritional Sciences (Sievenpiper), University of Toronto, Toronto, Ont.; Alberta Health Services (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Departments of Family Medicine and Public Health Sciences and Policy Studies (Green), Queen's University, Kingston, Ont.; Kingston Health Sciences Centre (Green), Kingston, Ont.; Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam), Toronto, Ont.; University Health Network (Hawa, Sockalingam), Toronto, Ont.; Division of General Surgery (Hong), McMaster University, Hamilton, Ont.; Department of Family Medicine and Biobehavioral Health (Jacklin), University of Minnesota Medical School Duluth Campus, Duluth, Minn.; School of Kinesiology and Health Studies (Janssen), Queen's University, Kingston, Ont.; School of Health and Human Performance (Kirk), Dalhousie University, Halifax, NS; School of Kinesiology and Health Science (Wharton, Kuk), York University, Toronto, Ont.; Division of Endocrinology (Langlois), Université de Sherbrooke, Sherbrooke, Que.; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Que.; School of Kinesiology (Lear), Simon Fraser University, Vancouver, BC; Medcan Clinic (Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Vancouver Island Health Authority, Victoria, BC; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Laval University, Québec, Que.; Foothills Medical Centre (Nerenberg), Calgary, Alta.; C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology ( Poddar), Toronto, Ont.; Department of Medicine (Rueda-Clausen), University of Saskatchewan, Regina, Sask.; Regina General Hospital (Rueda-Clausen), Regina, Sask.; Education Psychology (Russell-Mayhew), Werklund School of Education, University of Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Heather M. Arthur Population Health Research Institute/Hamilton Health Sciences Chair in Interprofessional Health Research, School of Nursing (Sherifali), McMaster University, Hamilton, Ont.; Division of Endocrinology & Metabolism (Sievenpiper), St. Michael's Hospital, Toronto, Ont.; Department of Psychiatry (Taylor), University of Calgary, Calgary, Alta.; School of Pharmacy (Twells), Memorial University, St. John's, NL; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; School of Population and Public Health (Walker), University of British Columbia, Vancouver, BC; Centre for Excellence in Indigenous Health (Walker), University of British Columbia, Vancouver, BC.; O'Brien Institute of Public Health (Wicklum), University of Calgary, Calgary, Alta
| | - Denis Prud'homme
- Departments of Medicine (Wharton), Endocrinology and Metabolism (Poddar, Sherifali), Family Medicine (Naji, Tytus) and Health Research Methods, Evidence and Impact Canada (Naji), McMaster University, Hamilton, Ont; The Wharton Medical Clinic (Wharton, Poddar), Hamilton, Ont.; Departments of Medicine (Lau, Nerenberg) and Family Medicine (Boyling, Henderson, McInnes, Walji, Wicklum), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Julia McFarlane Diabetes Research Centre and Libin Cardiovascular Institute of Alberta (Lau), Calgary, Alta.; Department of Family Medicine (Vallis, Piccinini-Vallis), Dalhousie University, Halifax, NS; Departments of Medicine (Sharma, Toth), Family Medicine (Campbell-Scherer, Kemp), Agricultural, Food and Nutritional Science (Bell, Pereira), Physical Education and Recreation (Boulé), and Occupational Therapy (Forhan), University of Alberta, Edmonton, Alta.; Adult Bariatric Specialty Clinic (Sharma), Royal Alexandra Hospital, Edmonton, Alta.; Obesity Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Department of Surgery (Biertho), Laval University, Quebec, Que.; School of Human Kinetics (Adamo, Prud'homme), University of Ottawa, Ottawa, Ont.; Department of Health, Kinesiology & Applied Physiology (Alberga), Concordia University, Montréal, Que.; Bariatric Centre of Excellence (Brown), The Ottawa Hospital, Ottawa, Ont.; Departments of Family Practice (Calam) and Endocrinology (Manjoo), University of British Columbia, Vancouver, BC; UBC Family Practice Residency Program (Calam) and Pfizer/Heart and Stroke Foundation Chair in Cardiovascular Prevention Research (Lear), St. Paul's Hospital, Vancouver, BC; nutrition consultant (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, University of Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Department of Family Medicine (Freedhoff) and Division of Endocrinology and Metabolism (Shiau), Department of Medicine, University of Ottawa, Ottawa, Ont.; Herbert Wertheim School of Medicine (Gagner), Florida International University, Miami, Fla.; Hôpital du Sacre Coeur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division of Endocrinology and Metabolism (Glazer), Queen's University, Kingston, Ont.; Departments of Internal Medicine (Glazer), Psychiatry (Hawa, Sockalingam), Family and Community Medicine (Macklin) and Nutritional Sciences (Sievenpiper), University of Toronto, Toronto, Ont.; Alberta Health Services (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Departments of Family Medicine and Public Health Sciences and Policy Studies (Green), Queen's University, Kingston, Ont.; Kingston Health Sciences Centre (Green), Kingston, Ont.; Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam), Toronto, Ont.; University Health Network (Hawa, Sockalingam), Toronto, Ont.; Division of General Surgery (Hong), McMaster University, Hamilton, Ont.; Department of Family Medicine and Biobehavioral Health (Jacklin), University of Minnesota Medical School Duluth Campus, Duluth, Minn.; School of Kinesiology and Health Studies (Janssen), Queen's University, Kingston, Ont.; School of Health and Human Performance (Kirk), Dalhousie University, Halifax, NS; School of Kinesiology and Health Science (Wharton, Kuk), York University, Toronto, Ont.; Division of Endocrinology (Langlois), Université de Sherbrooke, Sherbrooke, Que.; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Que.; School of Kinesiology (Lear), Simon Fraser University, Vancouver, BC; Medcan Clinic (Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Vancouver Island Health Authority, Victoria, BC; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Laval University, Québec, Que.; Foothills Medical Centre (Nerenberg), Calgary, Alta.; C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology ( Poddar), Toronto, Ont.; Department of Medicine (Rueda-Clausen), University of Saskatchewan, Regina, Sask.; Regina General Hospital (Rueda-Clausen), Regina, Sask.; Education Psychology (Russell-Mayhew), Werklund School of Education, University of Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Heather M. Arthur Population Health Research Institute/Hamilton Health Sciences Chair in Interprofessional Health Research, School of Nursing (Sherifali), McMaster University, Hamilton, Ont.; Division of Endocrinology & Metabolism (Sievenpiper), St. Michael's Hospital, Toronto, Ont.; Department of Psychiatry (Taylor), University of Calgary, Calgary, Alta.; School of Pharmacy (Twells), Memorial University, St. John's, NL; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; School of Population and Public Health (Walker), University of British Columbia, Vancouver, BC; Centre for Excellence in Indigenous Health (Walker), University of British Columbia, Vancouver, BC.; O'Brien Institute of Public Health (Wicklum), University of Calgary, Calgary, Alta
| | - Ximena Ramos Salas
- Departments of Medicine (Wharton), Endocrinology and Metabolism (Poddar, Sherifali), Family Medicine (Naji, Tytus) and Health Research Methods, Evidence and Impact Canada (Naji), McMaster University, Hamilton, Ont; The Wharton Medical Clinic (Wharton, Poddar), Hamilton, Ont.; Departments of Medicine (Lau, Nerenberg) and Family Medicine (Boyling, Henderson, McInnes, Walji, Wicklum), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Julia McFarlane Diabetes Research Centre and Libin Cardiovascular Institute of Alberta (Lau), Calgary, Alta.; Department of Family Medicine (Vallis, Piccinini-Vallis), Dalhousie University, Halifax, NS; Departments of Medicine (Sharma, Toth), Family Medicine (Campbell-Scherer, Kemp), Agricultural, Food and Nutritional Science (Bell, Pereira), Physical Education and Recreation (Boulé), and Occupational Therapy (Forhan), University of Alberta, Edmonton, Alta.; Adult Bariatric Specialty Clinic (Sharma), Royal Alexandra Hospital, Edmonton, Alta.; Obesity Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Department of Surgery (Biertho), Laval University, Quebec, Que.; School of Human Kinetics (Adamo, Prud'homme), University of Ottawa, Ottawa, Ont.; Department of Health, Kinesiology & Applied Physiology (Alberga), Concordia University, Montréal, Que.; Bariatric Centre of Excellence (Brown), The Ottawa Hospital, Ottawa, Ont.; Departments of Family Practice (Calam) and Endocrinology (Manjoo), University of British Columbia, Vancouver, BC; UBC Family Practice Residency Program (Calam) and Pfizer/Heart and Stroke Foundation Chair in Cardiovascular Prevention Research (Lear), St. Paul's Hospital, Vancouver, BC; nutrition consultant (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, University of Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Department of Family Medicine (Freedhoff) and Division of Endocrinology and Metabolism (Shiau), Department of Medicine, University of Ottawa, Ottawa, Ont.; Herbert Wertheim School of Medicine (Gagner), Florida International University, Miami, Fla.; Hôpital du Sacre Coeur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division of Endocrinology and Metabolism (Glazer), Queen's University, Kingston, Ont.; Departments of Internal Medicine (Glazer), Psychiatry (Hawa, Sockalingam), Family and Community Medicine (Macklin) and Nutritional Sciences (Sievenpiper), University of Toronto, Toronto, Ont.; Alberta Health Services (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Departments of Family Medicine and Public Health Sciences and Policy Studies (Green), Queen's University, Kingston, Ont.; Kingston Health Sciences Centre (Green), Kingston, Ont.; Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam), Toronto, Ont.; University Health Network (Hawa, Sockalingam), Toronto, Ont.; Division of General Surgery (Hong), McMaster University, Hamilton, Ont.; Department of Family Medicine and Biobehavioral Health (Jacklin), University of Minnesota Medical School Duluth Campus, Duluth, Minn.; School of Kinesiology and Health Studies (Janssen), Queen's University, Kingston, Ont.; School of Health and Human Performance (Kirk), Dalhousie University, Halifax, NS; School of Kinesiology and Health Science (Wharton, Kuk), York University, Toronto, Ont.; Division of Endocrinology (Langlois), Université de Sherbrooke, Sherbrooke, Que.; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Que.; School of Kinesiology (Lear), Simon Fraser University, Vancouver, BC; Medcan Clinic (Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Vancouver Island Health Authority, Victoria, BC; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Laval University, Québec, Que.; Foothills Medical Centre (Nerenberg), Calgary, Alta.; C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology ( Poddar), Toronto, Ont.; Department of Medicine (Rueda-Clausen), University of Saskatchewan, Regina, Sask.; Regina General Hospital (Rueda-Clausen), Regina, Sask.; Education Psychology (Russell-Mayhew), Werklund School of Education, University of Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Heather M. Arthur Population Health Research Institute/Hamilton Health Sciences Chair in Interprofessional Health Research, School of Nursing (Sherifali), McMaster University, Hamilton, Ont.; Division of Endocrinology & Metabolism (Sievenpiper), St. Michael's Hospital, Toronto, Ont.; Department of Psychiatry (Taylor), University of Calgary, Calgary, Alta.; School of Pharmacy (Twells), Memorial University, St. John's, NL; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; School of Population and Public Health (Walker), University of British Columbia, Vancouver, BC; Centre for Excellence in Indigenous Health (Walker), University of British Columbia, Vancouver, BC.; O'Brien Institute of Public Health (Wicklum), University of Calgary, Calgary, Alta
| | - Christian Rueda-Clausen
- Departments of Medicine (Wharton), Endocrinology and Metabolism (Poddar, Sherifali), Family Medicine (Naji, Tytus) and Health Research Methods, Evidence and Impact Canada (Naji), McMaster University, Hamilton, Ont; The Wharton Medical Clinic (Wharton, Poddar), Hamilton, Ont.; Departments of Medicine (Lau, Nerenberg) and Family Medicine (Boyling, Henderson, McInnes, Walji, Wicklum), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Julia McFarlane Diabetes Research Centre and Libin Cardiovascular Institute of Alberta (Lau), Calgary, Alta.; Department of Family Medicine (Vallis, Piccinini-Vallis), Dalhousie University, Halifax, NS; Departments of Medicine (Sharma, Toth), Family Medicine (Campbell-Scherer, Kemp), Agricultural, Food and Nutritional Science (Bell, Pereira), Physical Education and Recreation (Boulé), and Occupational Therapy (Forhan), University of Alberta, Edmonton, Alta.; Adult Bariatric Specialty Clinic (Sharma), Royal Alexandra Hospital, Edmonton, Alta.; Obesity Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Department of Surgery (Biertho), Laval University, Quebec, Que.; School of Human Kinetics (Adamo, Prud'homme), University of Ottawa, Ottawa, Ont.; Department of Health, Kinesiology & Applied Physiology (Alberga), Concordia University, Montréal, Que.; Bariatric Centre of Excellence (Brown), The Ottawa Hospital, Ottawa, Ont.; Departments of Family Practice (Calam) and Endocrinology (Manjoo), University of British Columbia, Vancouver, BC; UBC Family Practice Residency Program (Calam) and Pfizer/Heart and Stroke Foundation Chair in Cardiovascular Prevention Research (Lear), St. Paul's Hospital, Vancouver, BC; nutrition consultant (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, University of Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Department of Family Medicine (Freedhoff) and Division of Endocrinology and Metabolism (Shiau), Department of Medicine, University of Ottawa, Ottawa, Ont.; Herbert Wertheim School of Medicine (Gagner), Florida International University, Miami, Fla.; Hôpital du Sacre Coeur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division of Endocrinology and Metabolism (Glazer), Queen's University, Kingston, Ont.; Departments of Internal Medicine (Glazer), Psychiatry (Hawa, Sockalingam), Family and Community Medicine (Macklin) and Nutritional Sciences (Sievenpiper), University of Toronto, Toronto, Ont.; Alberta Health Services (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Departments of Family Medicine and Public Health Sciences and Policy Studies (Green), Queen's University, Kingston, Ont.; Kingston Health Sciences Centre (Green), Kingston, Ont.; Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam), Toronto, Ont.; University Health Network (Hawa, Sockalingam), Toronto, Ont.; Division of General Surgery (Hong), McMaster University, Hamilton, Ont.; Department of Family Medicine and Biobehavioral Health (Jacklin), University of Minnesota Medical School Duluth Campus, Duluth, Minn.; School of Kinesiology and Health Studies (Janssen), Queen's University, Kingston, Ont.; School of Health and Human Performance (Kirk), Dalhousie University, Halifax, NS; School of Kinesiology and Health Science (Wharton, Kuk), York University, Toronto, Ont.; Division of Endocrinology (Langlois), Université de Sherbrooke, Sherbrooke, Que.; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Que.; School of Kinesiology (Lear), Simon Fraser University, Vancouver, BC; Medcan Clinic (Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Vancouver Island Health Authority, Victoria, BC; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Laval University, Québec, Que.; Foothills Medical Centre (Nerenberg), Calgary, Alta.; C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology ( Poddar), Toronto, Ont.; Department of Medicine (Rueda-Clausen), University of Saskatchewan, Regina, Sask.; Regina General Hospital (Rueda-Clausen), Regina, Sask.; Education Psychology (Russell-Mayhew), Werklund School of Education, University of Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Heather M. Arthur Population Health Research Institute/Hamilton Health Sciences Chair in Interprofessional Health Research, School of Nursing (Sherifali), McMaster University, Hamilton, Ont.; Division of Endocrinology & Metabolism (Sievenpiper), St. Michael's Hospital, Toronto, Ont.; Department of Psychiatry (Taylor), University of Calgary, Calgary, Alta.; School of Pharmacy (Twells), Memorial University, St. John's, NL; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; School of Population and Public Health (Walker), University of British Columbia, Vancouver, BC; Centre for Excellence in Indigenous Health (Walker), University of British Columbia, Vancouver, BC.; O'Brien Institute of Public Health (Wicklum), University of Calgary, Calgary, Alta
| | - Shelly Russell-Mayhew
- Departments of Medicine (Wharton), Endocrinology and Metabolism (Poddar, Sherifali), Family Medicine (Naji, Tytus) and Health Research Methods, Evidence and Impact Canada (Naji), McMaster University, Hamilton, Ont; The Wharton Medical Clinic (Wharton, Poddar), Hamilton, Ont.; Departments of Medicine (Lau, Nerenberg) and Family Medicine (Boyling, Henderson, McInnes, Walji, Wicklum), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Julia McFarlane Diabetes Research Centre and Libin Cardiovascular Institute of Alberta (Lau), Calgary, Alta.; Department of Family Medicine (Vallis, Piccinini-Vallis), Dalhousie University, Halifax, NS; Departments of Medicine (Sharma, Toth), Family Medicine (Campbell-Scherer, Kemp), Agricultural, Food and Nutritional Science (Bell, Pereira), Physical Education and Recreation (Boulé), and Occupational Therapy (Forhan), University of Alberta, Edmonton, Alta.; Adult Bariatric Specialty Clinic (Sharma), Royal Alexandra Hospital, Edmonton, Alta.; Obesity Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Department of Surgery (Biertho), Laval University, Quebec, Que.; School of Human Kinetics (Adamo, Prud'homme), University of Ottawa, Ottawa, Ont.; Department of Health, Kinesiology & Applied Physiology (Alberga), Concordia University, Montréal, Que.; Bariatric Centre of Excellence (Brown), The Ottawa Hospital, Ottawa, Ont.; Departments of Family Practice (Calam) and Endocrinology (Manjoo), University of British Columbia, Vancouver, BC; UBC Family Practice Residency Program (Calam) and Pfizer/Heart and Stroke Foundation Chair in Cardiovascular Prevention Research (Lear), St. Paul's Hospital, Vancouver, BC; nutrition consultant (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, University of Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Department of Family Medicine (Freedhoff) and Division of Endocrinology and Metabolism (Shiau), Department of Medicine, University of Ottawa, Ottawa, Ont.; Herbert Wertheim School of Medicine (Gagner), Florida International University, Miami, Fla.; Hôpital du Sacre Coeur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division of Endocrinology and Metabolism (Glazer), Queen's University, Kingston, Ont.; Departments of Internal Medicine (Glazer), Psychiatry (Hawa, Sockalingam), Family and Community Medicine (Macklin) and Nutritional Sciences (Sievenpiper), University of Toronto, Toronto, Ont.; Alberta Health Services (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Departments of Family Medicine and Public Health Sciences and Policy Studies (Green), Queen's University, Kingston, Ont.; Kingston Health Sciences Centre (Green), Kingston, Ont.; Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam), Toronto, Ont.; University Health Network (Hawa, Sockalingam), Toronto, Ont.; Division of General Surgery (Hong), McMaster University, Hamilton, Ont.; Department of Family Medicine and Biobehavioral Health (Jacklin), University of Minnesota Medical School Duluth Campus, Duluth, Minn.; School of Kinesiology and Health Studies (Janssen), Queen's University, Kingston, Ont.; School of Health and Human Performance (Kirk), Dalhousie University, Halifax, NS; School of Kinesiology and Health Science (Wharton, Kuk), York University, Toronto, Ont.; Division of Endocrinology (Langlois), Université de Sherbrooke, Sherbrooke, Que.; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Que.; School of Kinesiology (Lear), Simon Fraser University, Vancouver, BC; Medcan Clinic (Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Vancouver Island Health Authority, Victoria, BC; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Laval University, Québec, Que.; Foothills Medical Centre (Nerenberg), Calgary, Alta.; C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology ( Poddar), Toronto, Ont.; Department of Medicine (Rueda-Clausen), University of Saskatchewan, Regina, Sask.; Regina General Hospital (Rueda-Clausen), Regina, Sask.; Education Psychology (Russell-Mayhew), Werklund School of Education, University of Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Heather M. Arthur Population Health Research Institute/Hamilton Health Sciences Chair in Interprofessional Health Research, School of Nursing (Sherifali), McMaster University, Hamilton, Ont.; Division of Endocrinology & Metabolism (Sievenpiper), St. Michael's Hospital, Toronto, Ont.; Department of Psychiatry (Taylor), University of Calgary, Calgary, Alta.; School of Pharmacy (Twells), Memorial University, St. John's, NL; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; School of Population and Public Health (Walker), University of British Columbia, Vancouver, BC; Centre for Excellence in Indigenous Health (Walker), University of British Columbia, Vancouver, BC.; O'Brien Institute of Public Health (Wicklum), University of Calgary, Calgary, Alta
| | - Judy Shiau
- Departments of Medicine (Wharton), Endocrinology and Metabolism (Poddar, Sherifali), Family Medicine (Naji, Tytus) and Health Research Methods, Evidence and Impact Canada (Naji), McMaster University, Hamilton, Ont; The Wharton Medical Clinic (Wharton, Poddar), Hamilton, Ont.; Departments of Medicine (Lau, Nerenberg) and Family Medicine (Boyling, Henderson, McInnes, Walji, Wicklum), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Julia McFarlane Diabetes Research Centre and Libin Cardiovascular Institute of Alberta (Lau), Calgary, Alta.; Department of Family Medicine (Vallis, Piccinini-Vallis), Dalhousie University, Halifax, NS; Departments of Medicine (Sharma, Toth), Family Medicine (Campbell-Scherer, Kemp), Agricultural, Food and Nutritional Science (Bell, Pereira), Physical Education and Recreation (Boulé), and Occupational Therapy (Forhan), University of Alberta, Edmonton, Alta.; Adult Bariatric Specialty Clinic (Sharma), Royal Alexandra Hospital, Edmonton, Alta.; Obesity Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Department of Surgery (Biertho), Laval University, Quebec, Que.; School of Human Kinetics (Adamo, Prud'homme), University of Ottawa, Ottawa, Ont.; Department of Health, Kinesiology & Applied Physiology (Alberga), Concordia University, Montréal, Que.; Bariatric Centre of Excellence (Brown), The Ottawa Hospital, Ottawa, Ont.; Departments of Family Practice (Calam) and Endocrinology (Manjoo), University of British Columbia, Vancouver, BC; UBC Family Practice Residency Program (Calam) and Pfizer/Heart and Stroke Foundation Chair in Cardiovascular Prevention Research (Lear), St. Paul's Hospital, Vancouver, BC; nutrition consultant (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, University of Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Department of Family Medicine (Freedhoff) and Division of Endocrinology and Metabolism (Shiau), Department of Medicine, University of Ottawa, Ottawa, Ont.; Herbert Wertheim School of Medicine (Gagner), Florida International University, Miami, Fla.; Hôpital du Sacre Coeur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division of Endocrinology and Metabolism (Glazer), Queen's University, Kingston, Ont.; Departments of Internal Medicine (Glazer), Psychiatry (Hawa, Sockalingam), Family and Community Medicine (Macklin) and Nutritional Sciences (Sievenpiper), University of Toronto, Toronto, Ont.; Alberta Health Services (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Departments of Family Medicine and Public Health Sciences and Policy Studies (Green), Queen's University, Kingston, Ont.; Kingston Health Sciences Centre (Green), Kingston, Ont.; Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam), Toronto, Ont.; University Health Network (Hawa, Sockalingam), Toronto, Ont.; Division of General Surgery (Hong), McMaster University, Hamilton, Ont.; Department of Family Medicine and Biobehavioral Health (Jacklin), University of Minnesota Medical School Duluth Campus, Duluth, Minn.; School of Kinesiology and Health Studies (Janssen), Queen's University, Kingston, Ont.; School of Health and Human Performance (Kirk), Dalhousie University, Halifax, NS; School of Kinesiology and Health Science (Wharton, Kuk), York University, Toronto, Ont.; Division of Endocrinology (Langlois), Université de Sherbrooke, Sherbrooke, Que.; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Que.; School of Kinesiology (Lear), Simon Fraser University, Vancouver, BC; Medcan Clinic (Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Vancouver Island Health Authority, Victoria, BC; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Laval University, Québec, Que.; Foothills Medical Centre (Nerenberg), Calgary, Alta.; C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology ( Poddar), Toronto, Ont.; Department of Medicine (Rueda-Clausen), University of Saskatchewan, Regina, Sask.; Regina General Hospital (Rueda-Clausen), Regina, Sask.; Education Psychology (Russell-Mayhew), Werklund School of Education, University of Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Heather M. Arthur Population Health Research Institute/Hamilton Health Sciences Chair in Interprofessional Health Research, School of Nursing (Sherifali), McMaster University, Hamilton, Ont.; Division of Endocrinology & Metabolism (Sievenpiper), St. Michael's Hospital, Toronto, Ont.; Department of Psychiatry (Taylor), University of Calgary, Calgary, Alta.; School of Pharmacy (Twells), Memorial University, St. John's, NL; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; School of Population and Public Health (Walker), University of British Columbia, Vancouver, BC; Centre for Excellence in Indigenous Health (Walker), University of British Columbia, Vancouver, BC.; O'Brien Institute of Public Health (Wicklum), University of Calgary, Calgary, Alta
| | - Diana Sherifali
- Departments of Medicine (Wharton), Endocrinology and Metabolism (Poddar, Sherifali), Family Medicine (Naji, Tytus) and Health Research Methods, Evidence and Impact Canada (Naji), McMaster University, Hamilton, Ont; The Wharton Medical Clinic (Wharton, Poddar), Hamilton, Ont.; Departments of Medicine (Lau, Nerenberg) and Family Medicine (Boyling, Henderson, McInnes, Walji, Wicklum), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Julia McFarlane Diabetes Research Centre and Libin Cardiovascular Institute of Alberta (Lau), Calgary, Alta.; Department of Family Medicine (Vallis, Piccinini-Vallis), Dalhousie University, Halifax, NS; Departments of Medicine (Sharma, Toth), Family Medicine (Campbell-Scherer, Kemp), Agricultural, Food and Nutritional Science (Bell, Pereira), Physical Education and Recreation (Boulé), and Occupational Therapy (Forhan), University of Alberta, Edmonton, Alta.; Adult Bariatric Specialty Clinic (Sharma), Royal Alexandra Hospital, Edmonton, Alta.; Obesity Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Department of Surgery (Biertho), Laval University, Quebec, Que.; School of Human Kinetics (Adamo, Prud'homme), University of Ottawa, Ottawa, Ont.; Department of Health, Kinesiology & Applied Physiology (Alberga), Concordia University, Montréal, Que.; Bariatric Centre of Excellence (Brown), The Ottawa Hospital, Ottawa, Ont.; Departments of Family Practice (Calam) and Endocrinology (Manjoo), University of British Columbia, Vancouver, BC; UBC Family Practice Residency Program (Calam) and Pfizer/Heart and Stroke Foundation Chair in Cardiovascular Prevention Research (Lear), St. Paul's Hospital, Vancouver, BC; nutrition consultant (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, University of Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Department of Family Medicine (Freedhoff) and Division of Endocrinology and Metabolism (Shiau), Department of Medicine, University of Ottawa, Ottawa, Ont.; Herbert Wertheim School of Medicine (Gagner), Florida International University, Miami, Fla.; Hôpital du Sacre Coeur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division of Endocrinology and Metabolism (Glazer), Queen's University, Kingston, Ont.; Departments of Internal Medicine (Glazer), Psychiatry (Hawa, Sockalingam), Family and Community Medicine (Macklin) and Nutritional Sciences (Sievenpiper), University of Toronto, Toronto, Ont.; Alberta Health Services (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Departments of Family Medicine and Public Health Sciences and Policy Studies (Green), Queen's University, Kingston, Ont.; Kingston Health Sciences Centre (Green), Kingston, Ont.; Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam), Toronto, Ont.; University Health Network (Hawa, Sockalingam), Toronto, Ont.; Division of General Surgery (Hong), McMaster University, Hamilton, Ont.; Department of Family Medicine and Biobehavioral Health (Jacklin), University of Minnesota Medical School Duluth Campus, Duluth, Minn.; School of Kinesiology and Health Studies (Janssen), Queen's University, Kingston, Ont.; School of Health and Human Performance (Kirk), Dalhousie University, Halifax, NS; School of Kinesiology and Health Science (Wharton, Kuk), York University, Toronto, Ont.; Division of Endocrinology (Langlois), Université de Sherbrooke, Sherbrooke, Que.; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Que.; School of Kinesiology (Lear), Simon Fraser University, Vancouver, BC; Medcan Clinic (Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Vancouver Island Health Authority, Victoria, BC; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Laval University, Québec, Que.; Foothills Medical Centre (Nerenberg), Calgary, Alta.; C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology ( Poddar), Toronto, Ont.; Department of Medicine (Rueda-Clausen), University of Saskatchewan, Regina, Sask.; Regina General Hospital (Rueda-Clausen), Regina, Sask.; Education Psychology (Russell-Mayhew), Werklund School of Education, University of Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Heather M. Arthur Population Health Research Institute/Hamilton Health Sciences Chair in Interprofessional Health Research, School of Nursing (Sherifali), McMaster University, Hamilton, Ont.; Division of Endocrinology & Metabolism (Sievenpiper), St. Michael's Hospital, Toronto, Ont.; Department of Psychiatry (Taylor), University of Calgary, Calgary, Alta.; School of Pharmacy (Twells), Memorial University, St. John's, NL; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; School of Population and Public Health (Walker), University of British Columbia, Vancouver, BC; Centre for Excellence in Indigenous Health (Walker), University of British Columbia, Vancouver, BC.; O'Brien Institute of Public Health (Wicklum), University of Calgary, Calgary, Alta
| | - John Sievenpiper
- Departments of Medicine (Wharton), Endocrinology and Metabolism (Poddar, Sherifali), Family Medicine (Naji, Tytus) and Health Research Methods, Evidence and Impact Canada (Naji), McMaster University, Hamilton, Ont; The Wharton Medical Clinic (Wharton, Poddar), Hamilton, Ont.; Departments of Medicine (Lau, Nerenberg) and Family Medicine (Boyling, Henderson, McInnes, Walji, Wicklum), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Julia McFarlane Diabetes Research Centre and Libin Cardiovascular Institute of Alberta (Lau), Calgary, Alta.; Department of Family Medicine (Vallis, Piccinini-Vallis), Dalhousie University, Halifax, NS; Departments of Medicine (Sharma, Toth), Family Medicine (Campbell-Scherer, Kemp), Agricultural, Food and Nutritional Science (Bell, Pereira), Physical Education and Recreation (Boulé), and Occupational Therapy (Forhan), University of Alberta, Edmonton, Alta.; Adult Bariatric Specialty Clinic (Sharma), Royal Alexandra Hospital, Edmonton, Alta.; Obesity Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Department of Surgery (Biertho), Laval University, Quebec, Que.; School of Human Kinetics (Adamo, Prud'homme), University of Ottawa, Ottawa, Ont.; Department of Health, Kinesiology & Applied Physiology (Alberga), Concordia University, Montréal, Que.; Bariatric Centre of Excellence (Brown), The Ottawa Hospital, Ottawa, Ont.; Departments of Family Practice (Calam) and Endocrinology (Manjoo), University of British Columbia, Vancouver, BC; UBC Family Practice Residency Program (Calam) and Pfizer/Heart and Stroke Foundation Chair in Cardiovascular Prevention Research (Lear), St. Paul's Hospital, Vancouver, BC; nutrition consultant (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, University of Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Department of Family Medicine (Freedhoff) and Division of Endocrinology and Metabolism (Shiau), Department of Medicine, University of Ottawa, Ottawa, Ont.; Herbert Wertheim School of Medicine (Gagner), Florida International University, Miami, Fla.; Hôpital du Sacre Coeur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division of Endocrinology and Metabolism (Glazer), Queen's University, Kingston, Ont.; Departments of Internal Medicine (Glazer), Psychiatry (Hawa, Sockalingam), Family and Community Medicine (Macklin) and Nutritional Sciences (Sievenpiper), University of Toronto, Toronto, Ont.; Alberta Health Services (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Departments of Family Medicine and Public Health Sciences and Policy Studies (Green), Queen's University, Kingston, Ont.; Kingston Health Sciences Centre (Green), Kingston, Ont.; Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam), Toronto, Ont.; University Health Network (Hawa, Sockalingam), Toronto, Ont.; Division of General Surgery (Hong), McMaster University, Hamilton, Ont.; Department of Family Medicine and Biobehavioral Health (Jacklin), University of Minnesota Medical School Duluth Campus, Duluth, Minn.; School of Kinesiology and Health Studies (Janssen), Queen's University, Kingston, Ont.; School of Health and Human Performance (Kirk), Dalhousie University, Halifax, NS; School of Kinesiology and Health Science (Wharton, Kuk), York University, Toronto, Ont.; Division of Endocrinology (Langlois), Université de Sherbrooke, Sherbrooke, Que.; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Que.; School of Kinesiology (Lear), Simon Fraser University, Vancouver, BC; Medcan Clinic (Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Vancouver Island Health Authority, Victoria, BC; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Laval University, Québec, Que.; Foothills Medical Centre (Nerenberg), Calgary, Alta.; C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology ( Poddar), Toronto, Ont.; Department of Medicine (Rueda-Clausen), University of Saskatchewan, Regina, Sask.; Regina General Hospital (Rueda-Clausen), Regina, Sask.; Education Psychology (Russell-Mayhew), Werklund School of Education, University of Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Heather M. Arthur Population Health Research Institute/Hamilton Health Sciences Chair in Interprofessional Health Research, School of Nursing (Sherifali), McMaster University, Hamilton, Ont.; Division of Endocrinology & Metabolism (Sievenpiper), St. Michael's Hospital, Toronto, Ont.; Department of Psychiatry (Taylor), University of Calgary, Calgary, Alta.; School of Pharmacy (Twells), Memorial University, St. John's, NL; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; School of Population and Public Health (Walker), University of British Columbia, Vancouver, BC; Centre for Excellence in Indigenous Health (Walker), University of British Columbia, Vancouver, BC.; O'Brien Institute of Public Health (Wicklum), University of Calgary, Calgary, Alta
| | - Sanjeev Sockalingam
- Departments of Medicine (Wharton), Endocrinology and Metabolism (Poddar, Sherifali), Family Medicine (Naji, Tytus) and Health Research Methods, Evidence and Impact Canada (Naji), McMaster University, Hamilton, Ont; The Wharton Medical Clinic (Wharton, Poddar), Hamilton, Ont.; Departments of Medicine (Lau, Nerenberg) and Family Medicine (Boyling, Henderson, McInnes, Walji, Wicklum), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Julia McFarlane Diabetes Research Centre and Libin Cardiovascular Institute of Alberta (Lau), Calgary, Alta.; Department of Family Medicine (Vallis, Piccinini-Vallis), Dalhousie University, Halifax, NS; Departments of Medicine (Sharma, Toth), Family Medicine (Campbell-Scherer, Kemp), Agricultural, Food and Nutritional Science (Bell, Pereira), Physical Education and Recreation (Boulé), and Occupational Therapy (Forhan), University of Alberta, Edmonton, Alta.; Adult Bariatric Specialty Clinic (Sharma), Royal Alexandra Hospital, Edmonton, Alta.; Obesity Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Department of Surgery (Biertho), Laval University, Quebec, Que.; School of Human Kinetics (Adamo, Prud'homme), University of Ottawa, Ottawa, Ont.; Department of Health, Kinesiology & Applied Physiology (Alberga), Concordia University, Montréal, Que.; Bariatric Centre of Excellence (Brown), The Ottawa Hospital, Ottawa, Ont.; Departments of Family Practice (Calam) and Endocrinology (Manjoo), University of British Columbia, Vancouver, BC; UBC Family Practice Residency Program (Calam) and Pfizer/Heart and Stroke Foundation Chair in Cardiovascular Prevention Research (Lear), St. Paul's Hospital, Vancouver, BC; nutrition consultant (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, University of Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Department of Family Medicine (Freedhoff) and Division of Endocrinology and Metabolism (Shiau), Department of Medicine, University of Ottawa, Ottawa, Ont.; Herbert Wertheim School of Medicine (Gagner), Florida International University, Miami, Fla.; Hôpital du Sacre Coeur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division of Endocrinology and Metabolism (Glazer), Queen's University, Kingston, Ont.; Departments of Internal Medicine (Glazer), Psychiatry (Hawa, Sockalingam), Family and Community Medicine (Macklin) and Nutritional Sciences (Sievenpiper), University of Toronto, Toronto, Ont.; Alberta Health Services (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Departments of Family Medicine and Public Health Sciences and Policy Studies (Green), Queen's University, Kingston, Ont.; Kingston Health Sciences Centre (Green), Kingston, Ont.; Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam), Toronto, Ont.; University Health Network (Hawa, Sockalingam), Toronto, Ont.; Division of General Surgery (Hong), McMaster University, Hamilton, Ont.; Department of Family Medicine and Biobehavioral Health (Jacklin), University of Minnesota Medical School Duluth Campus, Duluth, Minn.; School of Kinesiology and Health Studies (Janssen), Queen's University, Kingston, Ont.; School of Health and Human Performance (Kirk), Dalhousie University, Halifax, NS; School of Kinesiology and Health Science (Wharton, Kuk), York University, Toronto, Ont.; Division of Endocrinology (Langlois), Université de Sherbrooke, Sherbrooke, Que.; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Que.; School of Kinesiology (Lear), Simon Fraser University, Vancouver, BC; Medcan Clinic (Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Vancouver Island Health Authority, Victoria, BC; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Laval University, Québec, Que.; Foothills Medical Centre (Nerenberg), Calgary, Alta.; C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology ( Poddar), Toronto, Ont.; Department of Medicine (Rueda-Clausen), University of Saskatchewan, Regina, Sask.; Regina General Hospital (Rueda-Clausen), Regina, Sask.; Education Psychology (Russell-Mayhew), Werklund School of Education, University of Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Heather M. Arthur Population Health Research Institute/Hamilton Health Sciences Chair in Interprofessional Health Research, School of Nursing (Sherifali), McMaster University, Hamilton, Ont.; Division of Endocrinology & Metabolism (Sievenpiper), St. Michael's Hospital, Toronto, Ont.; Department of Psychiatry (Taylor), University of Calgary, Calgary, Alta.; School of Pharmacy (Twells), Memorial University, St. John's, NL; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; School of Population and Public Health (Walker), University of British Columbia, Vancouver, BC; Centre for Excellence in Indigenous Health (Walker), University of British Columbia, Vancouver, BC.; O'Brien Institute of Public Health (Wicklum), University of Calgary, Calgary, Alta
| | - Valerie Taylor
- Departments of Medicine (Wharton), Endocrinology and Metabolism (Poddar, Sherifali), Family Medicine (Naji, Tytus) and Health Research Methods, Evidence and Impact Canada (Naji), McMaster University, Hamilton, Ont; The Wharton Medical Clinic (Wharton, Poddar), Hamilton, Ont.; Departments of Medicine (Lau, Nerenberg) and Family Medicine (Boyling, Henderson, McInnes, Walji, Wicklum), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Julia McFarlane Diabetes Research Centre and Libin Cardiovascular Institute of Alberta (Lau), Calgary, Alta.; Department of Family Medicine (Vallis, Piccinini-Vallis), Dalhousie University, Halifax, NS; Departments of Medicine (Sharma, Toth), Family Medicine (Campbell-Scherer, Kemp), Agricultural, Food and Nutritional Science (Bell, Pereira), Physical Education and Recreation (Boulé), and Occupational Therapy (Forhan), University of Alberta, Edmonton, Alta.; Adult Bariatric Specialty Clinic (Sharma), Royal Alexandra Hospital, Edmonton, Alta.; Obesity Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Department of Surgery (Biertho), Laval University, Quebec, Que.; School of Human Kinetics (Adamo, Prud'homme), University of Ottawa, Ottawa, Ont.; Department of Health, Kinesiology & Applied Physiology (Alberga), Concordia University, Montréal, Que.; Bariatric Centre of Excellence (Brown), The Ottawa Hospital, Ottawa, Ont.; Departments of Family Practice (Calam) and Endocrinology (Manjoo), University of British Columbia, Vancouver, BC; UBC Family Practice Residency Program (Calam) and Pfizer/Heart and Stroke Foundation Chair in Cardiovascular Prevention Research (Lear), St. Paul's Hospital, Vancouver, BC; nutrition consultant (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, University of Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Department of Family Medicine (Freedhoff) and Division of Endocrinology and Metabolism (Shiau), Department of Medicine, University of Ottawa, Ottawa, Ont.; Herbert Wertheim School of Medicine (Gagner), Florida International University, Miami, Fla.; Hôpital du Sacre Coeur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division of Endocrinology and Metabolism (Glazer), Queen's University, Kingston, Ont.; Departments of Internal Medicine (Glazer), Psychiatry (Hawa, Sockalingam), Family and Community Medicine (Macklin) and Nutritional Sciences (Sievenpiper), University of Toronto, Toronto, Ont.; Alberta Health Services (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Departments of Family Medicine and Public Health Sciences and Policy Studies (Green), Queen's University, Kingston, Ont.; Kingston Health Sciences Centre (Green), Kingston, Ont.; Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam), Toronto, Ont.; University Health Network (Hawa, Sockalingam), Toronto, Ont.; Division of General Surgery (Hong), McMaster University, Hamilton, Ont.; Department of Family Medicine and Biobehavioral Health (Jacklin), University of Minnesota Medical School Duluth Campus, Duluth, Minn.; School of Kinesiology and Health Studies (Janssen), Queen's University, Kingston, Ont.; School of Health and Human Performance (Kirk), Dalhousie University, Halifax, NS; School of Kinesiology and Health Science (Wharton, Kuk), York University, Toronto, Ont.; Division of Endocrinology (Langlois), Université de Sherbrooke, Sherbrooke, Que.; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Que.; School of Kinesiology (Lear), Simon Fraser University, Vancouver, BC; Medcan Clinic (Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Vancouver Island Health Authority, Victoria, BC; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Laval University, Québec, Que.; Foothills Medical Centre (Nerenberg), Calgary, Alta.; C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology ( Poddar), Toronto, Ont.; Department of Medicine (Rueda-Clausen), University of Saskatchewan, Regina, Sask.; Regina General Hospital (Rueda-Clausen), Regina, Sask.; Education Psychology (Russell-Mayhew), Werklund School of Education, University of Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Heather M. Arthur Population Health Research Institute/Hamilton Health Sciences Chair in Interprofessional Health Research, School of Nursing (Sherifali), McMaster University, Hamilton, Ont.; Division of Endocrinology & Metabolism (Sievenpiper), St. Michael's Hospital, Toronto, Ont.; Department of Psychiatry (Taylor), University of Calgary, Calgary, Alta.; School of Pharmacy (Twells), Memorial University, St. John's, NL; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; School of Population and Public Health (Walker), University of British Columbia, Vancouver, BC; Centre for Excellence in Indigenous Health (Walker), University of British Columbia, Vancouver, BC.; O'Brien Institute of Public Health (Wicklum), University of Calgary, Calgary, Alta
| | - Ellen Toth
- Departments of Medicine (Wharton), Endocrinology and Metabolism (Poddar, Sherifali), Family Medicine (Naji, Tytus) and Health Research Methods, Evidence and Impact Canada (Naji), McMaster University, Hamilton, Ont; The Wharton Medical Clinic (Wharton, Poddar), Hamilton, Ont.; Departments of Medicine (Lau, Nerenberg) and Family Medicine (Boyling, Henderson, McInnes, Walji, Wicklum), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Julia McFarlane Diabetes Research Centre and Libin Cardiovascular Institute of Alberta (Lau), Calgary, Alta.; Department of Family Medicine (Vallis, Piccinini-Vallis), Dalhousie University, Halifax, NS; Departments of Medicine (Sharma, Toth), Family Medicine (Campbell-Scherer, Kemp), Agricultural, Food and Nutritional Science (Bell, Pereira), Physical Education and Recreation (Boulé), and Occupational Therapy (Forhan), University of Alberta, Edmonton, Alta.; Adult Bariatric Specialty Clinic (Sharma), Royal Alexandra Hospital, Edmonton, Alta.; Obesity Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Department of Surgery (Biertho), Laval University, Quebec, Que.; School of Human Kinetics (Adamo, Prud'homme), University of Ottawa, Ottawa, Ont.; Department of Health, Kinesiology & Applied Physiology (Alberga), Concordia University, Montréal, Que.; Bariatric Centre of Excellence (Brown), The Ottawa Hospital, Ottawa, Ont.; Departments of Family Practice (Calam) and Endocrinology (Manjoo), University of British Columbia, Vancouver, BC; UBC Family Practice Residency Program (Calam) and Pfizer/Heart and Stroke Foundation Chair in Cardiovascular Prevention Research (Lear), St. Paul's Hospital, Vancouver, BC; nutrition consultant (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, University of Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Department of Family Medicine (Freedhoff) and Division of Endocrinology and Metabolism (Shiau), Department of Medicine, University of Ottawa, Ottawa, Ont.; Herbert Wertheim School of Medicine (Gagner), Florida International University, Miami, Fla.; Hôpital du Sacre Coeur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division of Endocrinology and Metabolism (Glazer), Queen's University, Kingston, Ont.; Departments of Internal Medicine (Glazer), Psychiatry (Hawa, Sockalingam), Family and Community Medicine (Macklin) and Nutritional Sciences (Sievenpiper), University of Toronto, Toronto, Ont.; Alberta Health Services (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Departments of Family Medicine and Public Health Sciences and Policy Studies (Green), Queen's University, Kingston, Ont.; Kingston Health Sciences Centre (Green), Kingston, Ont.; Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam), Toronto, Ont.; University Health Network (Hawa, Sockalingam), Toronto, Ont.; Division of General Surgery (Hong), McMaster University, Hamilton, Ont.; Department of Family Medicine and Biobehavioral Health (Jacklin), University of Minnesota Medical School Duluth Campus, Duluth, Minn.; School of Kinesiology and Health Studies (Janssen), Queen's University, Kingston, Ont.; School of Health and Human Performance (Kirk), Dalhousie University, Halifax, NS; School of Kinesiology and Health Science (Wharton, Kuk), York University, Toronto, Ont.; Division of Endocrinology (Langlois), Université de Sherbrooke, Sherbrooke, Que.; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Que.; School of Kinesiology (Lear), Simon Fraser University, Vancouver, BC; Medcan Clinic (Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Vancouver Island Health Authority, Victoria, BC; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Laval University, Québec, Que.; Foothills Medical Centre (Nerenberg), Calgary, Alta.; C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology ( Poddar), Toronto, Ont.; Department of Medicine (Rueda-Clausen), University of Saskatchewan, Regina, Sask.; Regina General Hospital (Rueda-Clausen), Regina, Sask.; Education Psychology (Russell-Mayhew), Werklund School of Education, University of Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Heather M. Arthur Population Health Research Institute/Hamilton Health Sciences Chair in Interprofessional Health Research, School of Nursing (Sherifali), McMaster University, Hamilton, Ont.; Division of Endocrinology & Metabolism (Sievenpiper), St. Michael's Hospital, Toronto, Ont.; Department of Psychiatry (Taylor), University of Calgary, Calgary, Alta.; School of Pharmacy (Twells), Memorial University, St. John's, NL; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; School of Population and Public Health (Walker), University of British Columbia, Vancouver, BC; Centre for Excellence in Indigenous Health (Walker), University of British Columbia, Vancouver, BC.; O'Brien Institute of Public Health (Wicklum), University of Calgary, Calgary, Alta
| | - Laurie Twells
- Departments of Medicine (Wharton), Endocrinology and Metabolism (Poddar, Sherifali), Family Medicine (Naji, Tytus) and Health Research Methods, Evidence and Impact Canada (Naji), McMaster University, Hamilton, Ont; The Wharton Medical Clinic (Wharton, Poddar), Hamilton, Ont.; Departments of Medicine (Lau, Nerenberg) and Family Medicine (Boyling, Henderson, McInnes, Walji, Wicklum), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Julia McFarlane Diabetes Research Centre and Libin Cardiovascular Institute of Alberta (Lau), Calgary, Alta.; Department of Family Medicine (Vallis, Piccinini-Vallis), Dalhousie University, Halifax, NS; Departments of Medicine (Sharma, Toth), Family Medicine (Campbell-Scherer, Kemp), Agricultural, Food and Nutritional Science (Bell, Pereira), Physical Education and Recreation (Boulé), and Occupational Therapy (Forhan), University of Alberta, Edmonton, Alta.; Adult Bariatric Specialty Clinic (Sharma), Royal Alexandra Hospital, Edmonton, Alta.; Obesity Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Department of Surgery (Biertho), Laval University, Quebec, Que.; School of Human Kinetics (Adamo, Prud'homme), University of Ottawa, Ottawa, Ont.; Department of Health, Kinesiology & Applied Physiology (Alberga), Concordia University, Montréal, Que.; Bariatric Centre of Excellence (Brown), The Ottawa Hospital, Ottawa, Ont.; Departments of Family Practice (Calam) and Endocrinology (Manjoo), University of British Columbia, Vancouver, BC; UBC Family Practice Residency Program (Calam) and Pfizer/Heart and Stroke Foundation Chair in Cardiovascular Prevention Research (Lear), St. Paul's Hospital, Vancouver, BC; nutrition consultant (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, University of Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Department of Family Medicine (Freedhoff) and Division of Endocrinology and Metabolism (Shiau), Department of Medicine, University of Ottawa, Ottawa, Ont.; Herbert Wertheim School of Medicine (Gagner), Florida International University, Miami, Fla.; Hôpital du Sacre Coeur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division of Endocrinology and Metabolism (Glazer), Queen's University, Kingston, Ont.; Departments of Internal Medicine (Glazer), Psychiatry (Hawa, Sockalingam), Family and Community Medicine (Macklin) and Nutritional Sciences (Sievenpiper), University of Toronto, Toronto, Ont.; Alberta Health Services (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Departments of Family Medicine and Public Health Sciences and Policy Studies (Green), Queen's University, Kingston, Ont.; Kingston Health Sciences Centre (Green), Kingston, Ont.; Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam), Toronto, Ont.; University Health Network (Hawa, Sockalingam), Toronto, Ont.; Division of General Surgery (Hong), McMaster University, Hamilton, Ont.; Department of Family Medicine and Biobehavioral Health (Jacklin), University of Minnesota Medical School Duluth Campus, Duluth, Minn.; School of Kinesiology and Health Studies (Janssen), Queen's University, Kingston, Ont.; School of Health and Human Performance (Kirk), Dalhousie University, Halifax, NS; School of Kinesiology and Health Science (Wharton, Kuk), York University, Toronto, Ont.; Division of Endocrinology (Langlois), Université de Sherbrooke, Sherbrooke, Que.; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Que.; School of Kinesiology (Lear), Simon Fraser University, Vancouver, BC; Medcan Clinic (Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Vancouver Island Health Authority, Victoria, BC; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Laval University, Québec, Que.; Foothills Medical Centre (Nerenberg), Calgary, Alta.; C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology ( Poddar), Toronto, Ont.; Department of Medicine (Rueda-Clausen), University of Saskatchewan, Regina, Sask.; Regina General Hospital (Rueda-Clausen), Regina, Sask.; Education Psychology (Russell-Mayhew), Werklund School of Education, University of Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Heather M. Arthur Population Health Research Institute/Hamilton Health Sciences Chair in Interprofessional Health Research, School of Nursing (Sherifali), McMaster University, Hamilton, Ont.; Division of Endocrinology & Metabolism (Sievenpiper), St. Michael's Hospital, Toronto, Ont.; Department of Psychiatry (Taylor), University of Calgary, Calgary, Alta.; School of Pharmacy (Twells), Memorial University, St. John's, NL; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; School of Population and Public Health (Walker), University of British Columbia, Vancouver, BC; Centre for Excellence in Indigenous Health (Walker), University of British Columbia, Vancouver, BC.; O'Brien Institute of Public Health (Wicklum), University of Calgary, Calgary, Alta
| | - Richard Tytus
- Departments of Medicine (Wharton), Endocrinology and Metabolism (Poddar, Sherifali), Family Medicine (Naji, Tytus) and Health Research Methods, Evidence and Impact Canada (Naji), McMaster University, Hamilton, Ont; The Wharton Medical Clinic (Wharton, Poddar), Hamilton, Ont.; Departments of Medicine (Lau, Nerenberg) and Family Medicine (Boyling, Henderson, McInnes, Walji, Wicklum), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Julia McFarlane Diabetes Research Centre and Libin Cardiovascular Institute of Alberta (Lau), Calgary, Alta.; Department of Family Medicine (Vallis, Piccinini-Vallis), Dalhousie University, Halifax, NS; Departments of Medicine (Sharma, Toth), Family Medicine (Campbell-Scherer, Kemp), Agricultural, Food and Nutritional Science (Bell, Pereira), Physical Education and Recreation (Boulé), and Occupational Therapy (Forhan), University of Alberta, Edmonton, Alta.; Adult Bariatric Specialty Clinic (Sharma), Royal Alexandra Hospital, Edmonton, Alta.; Obesity Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Department of Surgery (Biertho), Laval University, Quebec, Que.; School of Human Kinetics (Adamo, Prud'homme), University of Ottawa, Ottawa, Ont.; Department of Health, Kinesiology & Applied Physiology (Alberga), Concordia University, Montréal, Que.; Bariatric Centre of Excellence (Brown), The Ottawa Hospital, Ottawa, Ont.; Departments of Family Practice (Calam) and Endocrinology (Manjoo), University of British Columbia, Vancouver, BC; UBC Family Practice Residency Program (Calam) and Pfizer/Heart and Stroke Foundation Chair in Cardiovascular Prevention Research (Lear), St. Paul's Hospital, Vancouver, BC; nutrition consultant (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, University of Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Department of Family Medicine (Freedhoff) and Division of Endocrinology and Metabolism (Shiau), Department of Medicine, University of Ottawa, Ottawa, Ont.; Herbert Wertheim School of Medicine (Gagner), Florida International University, Miami, Fla.; Hôpital du Sacre Coeur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division of Endocrinology and Metabolism (Glazer), Queen's University, Kingston, Ont.; Departments of Internal Medicine (Glazer), Psychiatry (Hawa, Sockalingam), Family and Community Medicine (Macklin) and Nutritional Sciences (Sievenpiper), University of Toronto, Toronto, Ont.; Alberta Health Services (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Departments of Family Medicine and Public Health Sciences and Policy Studies (Green), Queen's University, Kingston, Ont.; Kingston Health Sciences Centre (Green), Kingston, Ont.; Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam), Toronto, Ont.; University Health Network (Hawa, Sockalingam), Toronto, Ont.; Division of General Surgery (Hong), McMaster University, Hamilton, Ont.; Department of Family Medicine and Biobehavioral Health (Jacklin), University of Minnesota Medical School Duluth Campus, Duluth, Minn.; School of Kinesiology and Health Studies (Janssen), Queen's University, Kingston, Ont.; School of Health and Human Performance (Kirk), Dalhousie University, Halifax, NS; School of Kinesiology and Health Science (Wharton, Kuk), York University, Toronto, Ont.; Division of Endocrinology (Langlois), Université de Sherbrooke, Sherbrooke, Que.; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Que.; School of Kinesiology (Lear), Simon Fraser University, Vancouver, BC; Medcan Clinic (Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Vancouver Island Health Authority, Victoria, BC; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Laval University, Québec, Que.; Foothills Medical Centre (Nerenberg), Calgary, Alta.; C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology ( Poddar), Toronto, Ont.; Department of Medicine (Rueda-Clausen), University of Saskatchewan, Regina, Sask.; Regina General Hospital (Rueda-Clausen), Regina, Sask.; Education Psychology (Russell-Mayhew), Werklund School of Education, University of Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Heather M. Arthur Population Health Research Institute/Hamilton Health Sciences Chair in Interprofessional Health Research, School of Nursing (Sherifali), McMaster University, Hamilton, Ont.; Division of Endocrinology & Metabolism (Sievenpiper), St. Michael's Hospital, Toronto, Ont.; Department of Psychiatry (Taylor), University of Calgary, Calgary, Alta.; School of Pharmacy (Twells), Memorial University, St. John's, NL; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; School of Population and Public Health (Walker), University of British Columbia, Vancouver, BC; Centre for Excellence in Indigenous Health (Walker), University of British Columbia, Vancouver, BC.; O'Brien Institute of Public Health (Wicklum), University of Calgary, Calgary, Alta
| | - Shahebina Walji
- Departments of Medicine (Wharton), Endocrinology and Metabolism (Poddar, Sherifali), Family Medicine (Naji, Tytus) and Health Research Methods, Evidence and Impact Canada (Naji), McMaster University, Hamilton, Ont; The Wharton Medical Clinic (Wharton, Poddar), Hamilton, Ont.; Departments of Medicine (Lau, Nerenberg) and Family Medicine (Boyling, Henderson, McInnes, Walji, Wicklum), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Julia McFarlane Diabetes Research Centre and Libin Cardiovascular Institute of Alberta (Lau), Calgary, Alta.; Department of Family Medicine (Vallis, Piccinini-Vallis), Dalhousie University, Halifax, NS; Departments of Medicine (Sharma, Toth), Family Medicine (Campbell-Scherer, Kemp), Agricultural, Food and Nutritional Science (Bell, Pereira), Physical Education and Recreation (Boulé), and Occupational Therapy (Forhan), University of Alberta, Edmonton, Alta.; Adult Bariatric Specialty Clinic (Sharma), Royal Alexandra Hospital, Edmonton, Alta.; Obesity Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Department of Surgery (Biertho), Laval University, Quebec, Que.; School of Human Kinetics (Adamo, Prud'homme), University of Ottawa, Ottawa, Ont.; Department of Health, Kinesiology & Applied Physiology (Alberga), Concordia University, Montréal, Que.; Bariatric Centre of Excellence (Brown), The Ottawa Hospital, Ottawa, Ont.; Departments of Family Practice (Calam) and Endocrinology (Manjoo), University of British Columbia, Vancouver, BC; UBC Family Practice Residency Program (Calam) and Pfizer/Heart and Stroke Foundation Chair in Cardiovascular Prevention Research (Lear), St. Paul's Hospital, Vancouver, BC; nutrition consultant (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, University of Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Department of Family Medicine (Freedhoff) and Division of Endocrinology and Metabolism (Shiau), Department of Medicine, University of Ottawa, Ottawa, Ont.; Herbert Wertheim School of Medicine (Gagner), Florida International University, Miami, Fla.; Hôpital du Sacre Coeur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division of Endocrinology and Metabolism (Glazer), Queen's University, Kingston, Ont.; Departments of Internal Medicine (Glazer), Psychiatry (Hawa, Sockalingam), Family and Community Medicine (Macklin) and Nutritional Sciences (Sievenpiper), University of Toronto, Toronto, Ont.; Alberta Health Services (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Departments of Family Medicine and Public Health Sciences and Policy Studies (Green), Queen's University, Kingston, Ont.; Kingston Health Sciences Centre (Green), Kingston, Ont.; Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam), Toronto, Ont.; University Health Network (Hawa, Sockalingam), Toronto, Ont.; Division of General Surgery (Hong), McMaster University, Hamilton, Ont.; Department of Family Medicine and Biobehavioral Health (Jacklin), University of Minnesota Medical School Duluth Campus, Duluth, Minn.; School of Kinesiology and Health Studies (Janssen), Queen's University, Kingston, Ont.; School of Health and Human Performance (Kirk), Dalhousie University, Halifax, NS; School of Kinesiology and Health Science (Wharton, Kuk), York University, Toronto, Ont.; Division of Endocrinology (Langlois), Université de Sherbrooke, Sherbrooke, Que.; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Que.; School of Kinesiology (Lear), Simon Fraser University, Vancouver, BC; Medcan Clinic (Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Vancouver Island Health Authority, Victoria, BC; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Laval University, Québec, Que.; Foothills Medical Centre (Nerenberg), Calgary, Alta.; C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology ( Poddar), Toronto, Ont.; Department of Medicine (Rueda-Clausen), University of Saskatchewan, Regina, Sask.; Regina General Hospital (Rueda-Clausen), Regina, Sask.; Education Psychology (Russell-Mayhew), Werklund School of Education, University of Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Heather M. Arthur Population Health Research Institute/Hamilton Health Sciences Chair in Interprofessional Health Research, School of Nursing (Sherifali), McMaster University, Hamilton, Ont.; Division of Endocrinology & Metabolism (Sievenpiper), St. Michael's Hospital, Toronto, Ont.; Department of Psychiatry (Taylor), University of Calgary, Calgary, Alta.; School of Pharmacy (Twells), Memorial University, St. John's, NL; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; School of Population and Public Health (Walker), University of British Columbia, Vancouver, BC; Centre for Excellence in Indigenous Health (Walker), University of British Columbia, Vancouver, BC.; O'Brien Institute of Public Health (Wicklum), University of Calgary, Calgary, Alta
| | - Leah Walker
- Departments of Medicine (Wharton), Endocrinology and Metabolism (Poddar, Sherifali), Family Medicine (Naji, Tytus) and Health Research Methods, Evidence and Impact Canada (Naji), McMaster University, Hamilton, Ont; The Wharton Medical Clinic (Wharton, Poddar), Hamilton, Ont.; Departments of Medicine (Lau, Nerenberg) and Family Medicine (Boyling, Henderson, McInnes, Walji, Wicklum), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Julia McFarlane Diabetes Research Centre and Libin Cardiovascular Institute of Alberta (Lau), Calgary, Alta.; Department of Family Medicine (Vallis, Piccinini-Vallis), Dalhousie University, Halifax, NS; Departments of Medicine (Sharma, Toth), Family Medicine (Campbell-Scherer, Kemp), Agricultural, Food and Nutritional Science (Bell, Pereira), Physical Education and Recreation (Boulé), and Occupational Therapy (Forhan), University of Alberta, Edmonton, Alta.; Adult Bariatric Specialty Clinic (Sharma), Royal Alexandra Hospital, Edmonton, Alta.; Obesity Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Department of Surgery (Biertho), Laval University, Quebec, Que.; School of Human Kinetics (Adamo, Prud'homme), University of Ottawa, Ottawa, Ont.; Department of Health, Kinesiology & Applied Physiology (Alberga), Concordia University, Montréal, Que.; Bariatric Centre of Excellence (Brown), The Ottawa Hospital, Ottawa, Ont.; Departments of Family Practice (Calam) and Endocrinology (Manjoo), University of British Columbia, Vancouver, BC; UBC Family Practice Residency Program (Calam) and Pfizer/Heart and Stroke Foundation Chair in Cardiovascular Prevention Research (Lear), St. Paul's Hospital, Vancouver, BC; nutrition consultant (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, University of Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Department of Family Medicine (Freedhoff) and Division of Endocrinology and Metabolism (Shiau), Department of Medicine, University of Ottawa, Ottawa, Ont.; Herbert Wertheim School of Medicine (Gagner), Florida International University, Miami, Fla.; Hôpital du Sacre Coeur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division of Endocrinology and Metabolism (Glazer), Queen's University, Kingston, Ont.; Departments of Internal Medicine (Glazer), Psychiatry (Hawa, Sockalingam), Family and Community Medicine (Macklin) and Nutritional Sciences (Sievenpiper), University of Toronto, Toronto, Ont.; Alberta Health Services (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Departments of Family Medicine and Public Health Sciences and Policy Studies (Green), Queen's University, Kingston, Ont.; Kingston Health Sciences Centre (Green), Kingston, Ont.; Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam), Toronto, Ont.; University Health Network (Hawa, Sockalingam), Toronto, Ont.; Division of General Surgery (Hong), McMaster University, Hamilton, Ont.; Department of Family Medicine and Biobehavioral Health (Jacklin), University of Minnesota Medical School Duluth Campus, Duluth, Minn.; School of Kinesiology and Health Studies (Janssen), Queen's University, Kingston, Ont.; School of Health and Human Performance (Kirk), Dalhousie University, Halifax, NS; School of Kinesiology and Health Science (Wharton, Kuk), York University, Toronto, Ont.; Division of Endocrinology (Langlois), Université de Sherbrooke, Sherbrooke, Que.; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Que.; School of Kinesiology (Lear), Simon Fraser University, Vancouver, BC; Medcan Clinic (Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Vancouver Island Health Authority, Victoria, BC; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Laval University, Québec, Que.; Foothills Medical Centre (Nerenberg), Calgary, Alta.; C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology ( Poddar), Toronto, Ont.; Department of Medicine (Rueda-Clausen), University of Saskatchewan, Regina, Sask.; Regina General Hospital (Rueda-Clausen), Regina, Sask.; Education Psychology (Russell-Mayhew), Werklund School of Education, University of Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Heather M. Arthur Population Health Research Institute/Hamilton Health Sciences Chair in Interprofessional Health Research, School of Nursing (Sherifali), McMaster University, Hamilton, Ont.; Division of Endocrinology & Metabolism (Sievenpiper), St. Michael's Hospital, Toronto, Ont.; Department of Psychiatry (Taylor), University of Calgary, Calgary, Alta.; School of Pharmacy (Twells), Memorial University, St. John's, NL; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; School of Population and Public Health (Walker), University of British Columbia, Vancouver, BC; Centre for Excellence in Indigenous Health (Walker), University of British Columbia, Vancouver, BC.; O'Brien Institute of Public Health (Wicklum), University of Calgary, Calgary, Alta
| | - Sonja Wicklum
- Departments of Medicine (Wharton), Endocrinology and Metabolism (Poddar, Sherifali), Family Medicine (Naji, Tytus) and Health Research Methods, Evidence and Impact Canada (Naji), McMaster University, Hamilton, Ont; The Wharton Medical Clinic (Wharton, Poddar), Hamilton, Ont.; Departments of Medicine (Lau, Nerenberg) and Family Medicine (Boyling, Henderson, McInnes, Walji, Wicklum), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Julia McFarlane Diabetes Research Centre and Libin Cardiovascular Institute of Alberta (Lau), Calgary, Alta.; Department of Family Medicine (Vallis, Piccinini-Vallis), Dalhousie University, Halifax, NS; Departments of Medicine (Sharma, Toth), Family Medicine (Campbell-Scherer, Kemp), Agricultural, Food and Nutritional Science (Bell, Pereira), Physical Education and Recreation (Boulé), and Occupational Therapy (Forhan), University of Alberta, Edmonton, Alta.; Adult Bariatric Specialty Clinic (Sharma), Royal Alexandra Hospital, Edmonton, Alta.; Obesity Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Department of Surgery (Biertho), Laval University, Quebec, Que.; School of Human Kinetics (Adamo, Prud'homme), University of Ottawa, Ottawa, Ont.; Department of Health, Kinesiology & Applied Physiology (Alberga), Concordia University, Montréal, Que.; Bariatric Centre of Excellence (Brown), The Ottawa Hospital, Ottawa, Ont.; Departments of Family Practice (Calam) and Endocrinology (Manjoo), University of British Columbia, Vancouver, BC; UBC Family Practice Residency Program (Calam) and Pfizer/Heart and Stroke Foundation Chair in Cardiovascular Prevention Research (Lear), St. Paul's Hospital, Vancouver, BC; nutrition consultant (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, University of Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Department of Family Medicine (Freedhoff) and Division of Endocrinology and Metabolism (Shiau), Department of Medicine, University of Ottawa, Ottawa, Ont.; Herbert Wertheim School of Medicine (Gagner), Florida International University, Miami, Fla.; Hôpital du Sacre Coeur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division of Endocrinology and Metabolism (Glazer), Queen's University, Kingston, Ont.; Departments of Internal Medicine (Glazer), Psychiatry (Hawa, Sockalingam), Family and Community Medicine (Macklin) and Nutritional Sciences (Sievenpiper), University of Toronto, Toronto, Ont.; Alberta Health Services (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Departments of Family Medicine and Public Health Sciences and Policy Studies (Green), Queen's University, Kingston, Ont.; Kingston Health Sciences Centre (Green), Kingston, Ont.; Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam), Toronto, Ont.; University Health Network (Hawa, Sockalingam), Toronto, Ont.; Division of General Surgery (Hong), McMaster University, Hamilton, Ont.; Department of Family Medicine and Biobehavioral Health (Jacklin), University of Minnesota Medical School Duluth Campus, Duluth, Minn.; School of Kinesiology and Health Studies (Janssen), Queen's University, Kingston, Ont.; School of Health and Human Performance (Kirk), Dalhousie University, Halifax, NS; School of Kinesiology and Health Science (Wharton, Kuk), York University, Toronto, Ont.; Division of Endocrinology (Langlois), Université de Sherbrooke, Sherbrooke, Que.; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Que.; School of Kinesiology (Lear), Simon Fraser University, Vancouver, BC; Medcan Clinic (Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Vancouver Island Health Authority, Victoria, BC; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Laval University, Québec, Que.; Foothills Medical Centre (Nerenberg), Calgary, Alta.; C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology ( Poddar), Toronto, Ont.; Department of Medicine (Rueda-Clausen), University of Saskatchewan, Regina, Sask.; Regina General Hospital (Rueda-Clausen), Regina, Sask.; Education Psychology (Russell-Mayhew), Werklund School of Education, University of Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Heather M. Arthur Population Health Research Institute/Hamilton Health Sciences Chair in Interprofessional Health Research, School of Nursing (Sherifali), McMaster University, Hamilton, Ont.; Division of Endocrinology & Metabolism (Sievenpiper), St. Michael's Hospital, Toronto, Ont.; Department of Psychiatry (Taylor), University of Calgary, Calgary, Alta.; School of Pharmacy (Twells), Memorial University, St. John's, NL; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; School of Population and Public Health (Walker), University of British Columbia, Vancouver, BC; Centre for Excellence in Indigenous Health (Walker), University of British Columbia, Vancouver, BC.; O'Brien Institute of Public Health (Wicklum), University of Calgary, Calgary, Alta
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25
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Pirlet C, Poirier P, Cieza T, Piché ME, Biertho L, Maes F, Ruzsa Z, Bertrand OF. Clinical Impact of Weight-Loss Pharmacotherapy in Patients with Atherosclerotic Cardiovascular Disease. Am J Cardiovasc Drugs 2021; 21:271-281. [PMID: 32812206 DOI: 10.1007/s40256-020-00428-8] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
Obesity is associated with the development and progression of multiple cardiovascular risk factors, such as hypertension, dyslipidemia, and type 2 diabetes mellitus, and is an important contributor to the global burden of atherosclerotic cardiovascular disease (CVD). Guidelines suggest that clinicians provide lifestyle counseling and promote lifestyle modifications before considering weight-loss surgery. However, despite lifestyle modifications and increased physical activity, most patients with obesity will not lose significant weight or will experience weight regain. Weight-loss pharmacotherapy added to lifestyle modification has long been perceived as a bridge between lifestyle modifications alone and weight-loss surgery. However, since its inception, weight-loss pharmacotherapy has been plagued by variable efficacy and concern about cardiovascular safety. Following requirements from regulatory authorities, efficacy and cardiovascular safety trials have been conducted for the currently available weight-loss pharmacotherapeutic agents. Overall, these trials have shown that weight-loss pharmacotherapy is only modestly efficient for the inducement of weight loss. Recent trials have also demonstrated the cardiovascular safety of some of these agents. We review these trials with a focus on the clinical impact of these weight-loss pharmacotherapeutic agents in patients with atherosclerotic CVD.
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Affiliation(s)
- Charles Pirlet
- Quebec Heart and Lung Institute, 2725, Chemin Ste Foy, Quebec, QC, G1V 4G5, Canada
| | - Paul Poirier
- Quebec Heart and Lung Institute, 2725, Chemin Ste Foy, Quebec, QC, G1V 4G5, Canada
- Faculty of Pharmacy, Laval University, Quebec, Canada
| | - Tomas Cieza
- Quebec Heart and Lung Institute, 2725, Chemin Ste Foy, Quebec, QC, G1V 4G5, Canada
| | - Marie-Eve Piché
- Quebec Heart and Lung Institute, 2725, Chemin Ste Foy, Quebec, QC, G1V 4G5, Canada
| | - Laurent Biertho
- Quebec Heart and Lung Institute, 2725, Chemin Ste Foy, Quebec, QC, G1V 4G5, Canada
| | - Frédéric Maes
- Cliniques Universitaires Saint-Luc, Brussels, Belgium
| | - Zoltan Ruzsa
- Semmelweis University of Budapest, Cardiac and Vascular Center, Budapest, Hungary
| | - Olivier F Bertrand
- Quebec Heart and Lung Institute, 2725, Chemin Ste Foy, Quebec, QC, G1V 4G5, Canada.
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26
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Ostinelli G, Scovronec A, Iceta S, Ouellette AS, Lemieux S, Biertho L, Bégin C, Michaud A, Tchernof A. Deciphering the Association Between Hypothalamus-Pituitary-Adrenal Axis Activity and Obesity: A Meta-Analysis. Obesity (Silver Spring) 2021; 29:846-858. [PMID: 33783120 DOI: 10.1002/oby.23125] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/16/2020] [Revised: 12/17/2020] [Accepted: 12/31/2020] [Indexed: 12/29/2022]
Abstract
OBJECTIVE Both the cortisol awakening response (CAR; corresponding to the state measurement) and hair cortisol concentration (HCC; corresponding to the trait measurement) are considered reliable markers of hypothalamus-pituitary-adrenal axis activity. Because cortisol has long been associated with adiposity, this systematic review and meta-analysis aims to summarize and compare the literature around CAR and HCC and their association with obesity or fat distribution indices. METHODS The PubMed, Web of Science (Web of Science Core Collection and Medline), EBSCO Information Services, Embase, and PsycNET databases were searched, and full-text articles investigating the association between CAR or HCC and markers of adiposity in humans were included. Meta-analyses were then performed to compare studies associating CAR or HCC with BMI (a marker of general adiposity) and waist circumference (a marker of fat distribution). RESULTS The results of this review highlight inconsistencies in cortisol sampling and CAR computation, which makes comparisons between studies difficult. It was found that adiposity indices are not associated with CAR but that they correlate significantly and positively with HCC. The subgroup analysis hinted to possible age differences in the magnitude of the association between HCC and BMI. CONCLUSIONS Trait rather than state measurement of the hypothalamus-pituitary-adrenal axis activity is associated with increased general and abdominal adiposity in humans.
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Affiliation(s)
- Giada Ostinelli
- Québec Heart and Lung Institute Research Center, Québec City, Québec, Canada
- School of Nutrition, Université Laval, Québec City, Québec, Canada
| | - Anaïs Scovronec
- Québec Heart and Lung Institute Research Center, Québec City, Québec, Canada
- School of Nutrition, Université Laval, Québec City, Québec, Canada
| | - Sylvain Iceta
- Québec Heart and Lung Institute Research Center, Québec City, Québec, Canada
- School of Nutrition, Université Laval, Québec City, Québec, Canada
| | | | - Simone Lemieux
- School of Nutrition, Université Laval, Québec City, Québec, Canada
| | - Laurent Biertho
- Québec Heart and Lung Institute Research Center, Québec City, Québec, Canada
| | - Catherine Bégin
- School of Psychology, Université Laval, Québec City, Québec, Canada
| | - Andréanne Michaud
- Québec Heart and Lung Institute Research Center, Québec City, Québec, Canada
- School of Nutrition, Université Laval, Québec City, Québec, Canada
| | - André Tchernof
- Québec Heart and Lung Institute Research Center, Québec City, Québec, Canada
- School of Nutrition, Université Laval, Québec City, Québec, Canada
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27
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Faramia J, Hao Z, Mumphrey MB, Townsend RL, Miard S, Carreau AM, Nadeau M, Frisch F, Baraboi ED, Grenier-Larouche T, Noll C, Li M, Biertho L, Marceau S, Hould FS, Lebel S, Morrison CD, Münzberg H, Richard D, Carpentier AC, Tchernof A, Berthoud HR, Picard F. IGFBP-2 partly mediates the early metabolic improvements caused by bariatric surgery. Cell Rep Med 2021; 2:100248. [PMID: 33948578 PMCID: PMC8080239 DOI: 10.1016/j.xcrm.2021.100248] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2020] [Revised: 12/21/2020] [Accepted: 03/23/2021] [Indexed: 12/21/2022]
Abstract
Insulin-like growth factor-binding protein (IGFBP)-2 is a circulating biomarker of cardiometabolic health. Here, we report that circulating IGFBP-2 concentrations robustly increase after different bariatric procedures in humans, reaching higher levels after biliopancreatic diversion with duodenal switch (BPD-DS) than after Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG). This increase is closely associated with insulin sensitization. In mice and rats, BPD-DS and RYGB operations also increase circulating IGFBP-2 levels, which are not affected by SG or caloric restriction. In mice, Igfbp2 deficiency significantly impairs surgery-induced loss in adiposity and early improvement in insulin sensitivity but does not affect long-term enhancement in glucose homeostasis. This study demonstrates that the modulation of circulating IGFBP-2 may play a role in the early improvement of insulin sensitivity and loss of adiposity brought about by bariatric surgery.
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Affiliation(s)
- Justine Faramia
- Centre de recherche de l’Institut Universitaire de Cardiologie et de Pneumologie de Québec–Université Laval, Québec, QC, Canada
- Faculty of Pharmacy, Université Laval, Québec, QC, Canada
| | - Zheng Hao
- Neurobiology of Nutrition & Metabolism Department, Pennington Biomedical Research Center, Louisiana State University System, Baton Rouge, LA 70808, USA
| | - Michael B. Mumphrey
- Neurobiology of Nutrition & Metabolism Department, Pennington Biomedical Research Center, Louisiana State University System, Baton Rouge, LA 70808, USA
| | - R. Leigh Townsend
- Neurobiology of Nutrition & Metabolism Department, Pennington Biomedical Research Center, Louisiana State University System, Baton Rouge, LA 70808, USA
| | | | - Anne-Marie Carreau
- Division of Endocrinology, Department of Medicine, Centre de Recherche du CHUS, Université de Sherbrooke, Sherbrooke, QC, Canada
| | - Mélanie Nadeau
- Centre de recherche de l’Institut Universitaire de Cardiologie et de Pneumologie de Québec–Université Laval, Québec, QC, Canada
| | - Frédérique Frisch
- Division of Endocrinology, Department of Medicine, Centre de Recherche du CHUS, Université de Sherbrooke, Sherbrooke, QC, Canada
| | - Elena-Dana Baraboi
- Centre de recherche de l’Institut Universitaire de Cardiologie et de Pneumologie de Québec–Université Laval, Québec, QC, Canada
| | - Thomas Grenier-Larouche
- Division of Endocrinology, Department of Medicine, Centre de Recherche du CHUS, Université de Sherbrooke, Sherbrooke, QC, Canada
| | - Christophe Noll
- Division of Endocrinology, Department of Medicine, Centre de Recherche du CHUS, Université de Sherbrooke, Sherbrooke, QC, Canada
| | - Meng Li
- Centre de recherche de l’Institut Universitaire de Cardiologie et de Pneumologie de Québec–Université Laval, Québec, QC, Canada
- Faculty of Pharmacy, Université Laval, Québec, QC, Canada
| | - Laurent Biertho
- Centre de recherche de l’Institut Universitaire de Cardiologie et de Pneumologie de Québec–Université Laval, Québec, QC, Canada
| | - Simon Marceau
- Centre de recherche de l’Institut Universitaire de Cardiologie et de Pneumologie de Québec–Université Laval, Québec, QC, Canada
| | - Frédéric-Simon Hould
- Centre de recherche de l’Institut Universitaire de Cardiologie et de Pneumologie de Québec–Université Laval, Québec, QC, Canada
| | - Stéfane Lebel
- Centre de recherche de l’Institut Universitaire de Cardiologie et de Pneumologie de Québec–Université Laval, Québec, QC, Canada
| | - Christopher D. Morrison
- Neurobiology of Nutrition & Metabolism Department, Pennington Biomedical Research Center, Louisiana State University System, Baton Rouge, LA 70808, USA
| | - Heike Münzberg
- Neurobiology of Nutrition & Metabolism Department, Pennington Biomedical Research Center, Louisiana State University System, Baton Rouge, LA 70808, USA
| | - Denis Richard
- Faculty of Pharmacy, Université Laval, Québec, QC, Canada
| | - André C. Carpentier
- Division of Endocrinology, Department of Medicine, Centre de Recherche du CHUS, Université de Sherbrooke, Sherbrooke, QC, Canada
| | - André Tchernof
- Centre de recherche de l’Institut Universitaire de Cardiologie et de Pneumologie de Québec–Université Laval, Québec, QC, Canada
| | - Hans-Rudolf Berthoud
- Neurobiology of Nutrition & Metabolism Department, Pennington Biomedical Research Center, Louisiana State University System, Baton Rouge, LA 70808, USA
| | - Frédéric Picard
- Centre de recherche de l’Institut Universitaire de Cardiologie et de Pneumologie de Québec–Université Laval, Québec, QC, Canada
- Faculty of Pharmacy, Université Laval, Québec, QC, Canada
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Mahawar KK, Omar I, Singhal R, Aggarwal S, Allouch MI, Alsabah SK, Angrisani L, Badiuddin FM, Balibrea JM, Bashir A, Behrens E, Bhatia K, Biertho L, Biter LU, Dargent J, De Luca M, DeMaria E, Elfawal MH, Fried M, Gawdat KA, Graham Y, Herrera MF, Himpens JM, Hussain FA, Kasama K, Kerrigan D, Kow L, Kristinsson J, Kurian M, Liem R, Lutfi RE, Menon V, Miller K, Noel P, Ospanov O, Ozmen MM, Peterli R, Ponce J, Prager G, Prasad A, Raj PP, Rodriguez NR, Rosenthal R, Sakran N, Santos JN, Shabbir A, Shikora SA, Small PK, Taylor CJ, Wang C, Weiner RA, Wylezol M, Yang W, Aminian A. The first modified Delphi consensus statement on sleeve gastrectomy. Surg Endosc 2021; 35:7027-7033. [PMID: 33433676 DOI: 10.1007/s00464-020-08216-w] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2020] [Accepted: 12/03/2020] [Indexed: 12/15/2022]
Abstract
INTRODUCTION Sleeve gastrectomy (SG) is the commonest bariatric procedure worldwide. Yet there is significant variation in practice concerning its various aspects. This paper report results from the first modified Delphi consensus-building exercise on SG. METHODS We established a committee of 54 globally recognized opinion makers in this field. The committee agreed to vote on several statements concerning SG. An agreement or disagreement amongst ≥ 70.0% experts was construed as a consensus. RESULTS The committee achieved a consensus of agreement (n = 71) or disagreement (n = 7) for 78 out of 97 proposed statements after two rounds of voting. The committee agreed with 96.3% consensus that the characterization of SG as a purely restrictive procedure was inaccurate and there was 88.7% consensus that SG was not a suitable standalone, primary, surgical weight loss option for patients with Barrett's esophagus (BE) without dysplasia. There was an overwhelming consensus of 92.5% that the sleeve should be fashioned over an orogastric tube of 36-40 Fr and a 90.7% consensus that surgeons should stay at least 1 cm away from the angle of His. Remarkably, the committee agreed with 81.1% consensus that SG patients should undergo a screening endoscopy every 5 years after surgery to screen for BE. CONCLUSION A multinational team of experts achieved consensus on several aspects of SG. The findings of this exercise should help improve the outcomes of SG, the commonest bariatric procedure worldwide, and guide future research on this topic.
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Affiliation(s)
- Kamal K Mahawar
- Bariatric Unit, South Tyneside and Sunderland NHS Trust, Sunderland, UK.
- Faculty of Health Sciences and Wellbeing, University of Sunderland, Sunderland, UK.
| | - Islam Omar
- Bariatric Unit, South Tyneside and Sunderland NHS Trust, Sunderland, UK
| | - Rishi Singhal
- Birmingham Heartlands Hospital, University Hospital Birmingham NHS Foundation Trust, Birmingham, UK
| | - Sandeep Aggarwal
- All India Institute of Medical Sciences (AIIMS), New Delhi, India
| | | | | | | | | | | | | | | | | | - Laurent Biertho
- Quebec Heart and Lung Institute-Laval University, Quebec, Canada
| | - L Ulas Biter
- Franciscus Gasthuis Rotterdam, Rotterdam, Netherlands
| | | | | | | | | | - Martin Fried
- OB Klinika-Center for Treatment of Obesity and Metabolic Disorders, Prague, Czech Republic
| | | | - Yitka Graham
- Bariatric Unit, South Tyneside and Sunderland NHS Trust, Sunderland, UK
- Faculty of Health Sciences and Wellbeing, University of Sunderland, Sunderland, UK
| | - Miguel F Herrera
- Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico, Mexico
| | | | | | | | | | - Lilian Kow
- Flinders University, Adelaide, South Australia, Australia
| | | | - Marina Kurian
- New York University School of Medicine, New York, USA
| | - Ronald Liem
- Dutch Obesity Clinic (NOK), The Hague, Netherlands
| | | | - Vinod Menon
- University Hospitals Coventry & Warwickshire NHS Trust, Coventry, UK
| | - Karl Miller
- Diakonissen & Wehrle Private Hospital, Salzburg, Austria
| | - Patrick Noel
- Bouchard Private Hospital, Elsan, Marseille, France
- Mediclinic Parkview, Dubayy, United Arab Emirates
| | - Oral Ospanov
- KF "University Medical Center", Nur-Sultan, Kazakhstan
| | | | | | | | | | | | | | | | | | | | | | - Asim Shabbir
- National University Hospital, Singapore, Singapore
| | - Scott A Shikora
- Brigham and Women's Hospital, Harvard Medical School, Boston, USA
| | - Peter K Small
- Bariatric Unit, South Tyneside and Sunderland NHS Trust, Sunderland, UK
- Faculty of Health Sciences and Wellbeing, University of Sunderland, Sunderland, UK
| | - Craig J Taylor
- Concord Repatriation General Hospital, Sydney, Australia
| | - Cunchuan Wang
- The First Affiliated Hospital of Jinan University, Guangzhou, China
| | | | | | - Wah Yang
- The First Affiliated Hospital of Jinan University, Guangzhou, China
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Wharton S, Lau DCW, Vallis M, Sharma AM, Biertho L, Campbell-Scherer D, Adamo K, Alberga A, Bell R, Boulé N, Boyling E, Brown J, Calam B, Clarke C, Crowshoe L, Divalentino D, Forhan M, Freedhoff Y, Gagner M, Glazer S, Grand C, Green M, Hahn M, Hawa R, Henderson R, Hong D, Hung P, Janssen I, Jacklin K, Johnson-Stoklossa C, Kemp A, Kirk S, Kuk J, Langlois MF, Lear S, McInnes A, Macklin D, Naji L, Manjoo P, Morin MP, Nerenberg K, Patton I, Pedersen S, Pereira L, Piccinini-Vallis H, Poddar M, Poirier P, Prud'homme D, Salas XR, Rueda-Clausen C, Russell-Mayhew S, Shiau J, Sherifali D, Sievenpiper J, Sockalingam S, Taylor V, Toth E, Twells L, Tytus R, Walji S, Walker L, Wicklum S. L’obésité chez l’adulte : ligne directrice de pratique clinique. CMAJ 2020; 192:E1757-E1775. [PMID: 33288515 DOI: 10.1503/cmaj.191707-f] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022] Open
Affiliation(s)
- Sean Wharton
- Départements de médecine (Wharton), endocrinologie et métabolisme (Poddar, Sherifali), médecine familiale (Naji, Tytus), et Health Research Methods, Evidence and Impact (HEI) Canada (Naji), Université McMaster; Clinique Wharton (Wharton, Poddar), Hamilton, Ont.; Départements: de médecine (Lau, Nerenberg) et médecine familiale (Boyling, Henderson, McInnes, Walji, Wicklum), École de médecine Cumming, Université de Calgary; Centre de recherche sur le diabète Julia McFarlane et Institut de cardiologie Libin de l'Alberta (Lau), Calgary, Alta.; Département de médecine familiale (Vallis, Piccinini-Vallis), Université Dalhousie, Halifax, N.-É; Départements de médecine (Sharma, Toth), médecine familiale (Campbell-Scherer, Kemp), agriculture, alimentation et science de la nutrition (Bell, Pereira), éducation physique et loisirs (Boulé), et ergothérapie (Forhan), Université de l'Alberta; Adult Bariatric Specialty Clinic (Sharma), Hôpital Royal Alexandra; Obésité Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Département de chirurgie (Biertho), Université Laval, Québec, Que.; École des sciences de l'activité physique (Adamo, Prud'homme), Université d'Ottawa, Ottawa, Ont.; Département de santé, kinésiologie et physiologie appliquée (Alberga), Université Concordia, Montréal, Que.; Centre d'Excellence en soins bariatriques(Brown), Hôpital d'Ottawa, Ottawa, Ont.; Départements de médecine familiale (Calam) et endocrinologie (Manjoo), Université de la Colombie-Britannique; Programme de résidence en pratique familiale de la UBC (Calam) et chaire de recherche en prévention des maladies cardiovasculaires Pfizer/Fondation des maladies du cœur et de l'AVC (Lear), Hôpital St. Paul, Vancouver, C.-B.; consultant en nutrition (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, Université de Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Département de médecine familiale (Freedhoff) et Division d'endocrinologie et métabolisme (Shiau), Département de médecine, Université d'Ottawa, Ottawa, Ont.; Herbert Wertheim School of medicine (Gagner), Florida International University, Miami, FL; Hôpital du Sacré-Cœur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division d'endocrinologie et métabolisme (Glazer), Université Queen's, Kingston, Ont.; Départements de médecine interne (Glazer), psychiatrie (Hawa, Sockalingam), médecine familiale et communautaire (Macklin), et des sciences de la nutrition (Sievenpiper), Université de Toronto, Toronto, Ont.; Services de santé de l'Alberta (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Départements de médecine familiale, et d'études sur les sciences et les politiques de santé publique (Green), Université Queen's; Centre des sciences de la santé de Kingston (Green); Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam); Réseau universitaire de santé (Hawa, Sockalingam), Toronto, Ont.; Division de chirurgie générale (Hong), Université McMaster, Hamilton, Ont.; Département de médecine familiale et de santé biocomportementale (Jacklin), Faculté de médecine de l'Université du Minnesota, campus Duluth, Duluth, Minn.; Faculté de kinésiologie et d'études sur la santé (Janssen), Université Queen's, Kingston, Ont.; École de santé et performance humaine (Kirk), Université Dalhousie, Halifax, N.-É; École de kinésiologie et de sciences de la santé (Wharton, Kuk), Université York, Toronto, Ont.; Division d'endocrinologie (Langlois), Université de Sherbrooke; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Qc; École de kinésiologie (Lear), Université Simon Fraser, Vancouver, C.-B.; Medcan Clinic ( Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Régie régionale de la santé de Vancouver, Victoria, C.-B.; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Université Laval, Québec, Qc; Centre médical Foothills (Nerenberg); C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology (Poddar), Toronto, Ont.; Département de médecine (Rueda-Clausen), Université de la Saskatchewan; Hôpital général de Regina (Rueda-Clausen), Regina, Sask.; Psychologie de l'éducation (Russell-Mayhew), Faculté d'éducation Werklund, Université de Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Chaire de recherche en santé interprofessionnelle de l'Institut de recherche sur la santé des populations Heather M Arthur/Hamilton Health Sciences, Faculté des sciences infirmières (Sherifali), Université McMaster, Hamilton, Ont.; Division d'endocrinologie et métabolisme (Sievenpiper), Hôpital St. Michael, Toronto, Ont.; Département de psychiatrie (Taylor), Université de Calgary, Calgary, Alta.; École de pharmacie (Twells), Université Memorial, St. John's, T.-N.-L.; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; École de santé des populations et de santé publique (Walker), Université de la Colombie-Britannique; Centre for Excellence in Indigenous Health (Walker), Université de la Colombie-Britannique, Vancouver, C.-B.; Institut de santé publique O'Brien (Wicklum), Université de Calgary, Calgary, Alta.
| | - David C W Lau
- Départements de médecine (Wharton), endocrinologie et métabolisme (Poddar, Sherifali), médecine familiale (Naji, Tytus), et Health Research Methods, Evidence and Impact (HEI) Canada (Naji), Université McMaster; Clinique Wharton (Wharton, Poddar), Hamilton, Ont.; Départements: de médecine (Lau, Nerenberg) et médecine familiale (Boyling, Henderson, McInnes, Walji, Wicklum), École de médecine Cumming, Université de Calgary; Centre de recherche sur le diabète Julia McFarlane et Institut de cardiologie Libin de l'Alberta (Lau), Calgary, Alta.; Département de médecine familiale (Vallis, Piccinini-Vallis), Université Dalhousie, Halifax, N.-É; Départements de médecine (Sharma, Toth), médecine familiale (Campbell-Scherer, Kemp), agriculture, alimentation et science de la nutrition (Bell, Pereira), éducation physique et loisirs (Boulé), et ergothérapie (Forhan), Université de l'Alberta; Adult Bariatric Specialty Clinic (Sharma), Hôpital Royal Alexandra; Obésité Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Département de chirurgie (Biertho), Université Laval, Québec, Que.; École des sciences de l'activité physique (Adamo, Prud'homme), Université d'Ottawa, Ottawa, Ont.; Département de santé, kinésiologie et physiologie appliquée (Alberga), Université Concordia, Montréal, Que.; Centre d'Excellence en soins bariatriques(Brown), Hôpital d'Ottawa, Ottawa, Ont.; Départements de médecine familiale (Calam) et endocrinologie (Manjoo), Université de la Colombie-Britannique; Programme de résidence en pratique familiale de la UBC (Calam) et chaire de recherche en prévention des maladies cardiovasculaires Pfizer/Fondation des maladies du cœur et de l'AVC (Lear), Hôpital St. Paul, Vancouver, C.-B.; consultant en nutrition (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, Université de Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Département de médecine familiale (Freedhoff) et Division d'endocrinologie et métabolisme (Shiau), Département de médecine, Université d'Ottawa, Ottawa, Ont.; Herbert Wertheim School of medicine (Gagner), Florida International University, Miami, FL; Hôpital du Sacré-Cœur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division d'endocrinologie et métabolisme (Glazer), Université Queen's, Kingston, Ont.; Départements de médecine interne (Glazer), psychiatrie (Hawa, Sockalingam), médecine familiale et communautaire (Macklin), et des sciences de la nutrition (Sievenpiper), Université de Toronto, Toronto, Ont.; Services de santé de l'Alberta (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Départements de médecine familiale, et d'études sur les sciences et les politiques de santé publique (Green), Université Queen's; Centre des sciences de la santé de Kingston (Green); Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam); Réseau universitaire de santé (Hawa, Sockalingam), Toronto, Ont.; Division de chirurgie générale (Hong), Université McMaster, Hamilton, Ont.; Département de médecine familiale et de santé biocomportementale (Jacklin), Faculté de médecine de l'Université du Minnesota, campus Duluth, Duluth, Minn.; Faculté de kinésiologie et d'études sur la santé (Janssen), Université Queen's, Kingston, Ont.; École de santé et performance humaine (Kirk), Université Dalhousie, Halifax, N.-É; École de kinésiologie et de sciences de la santé (Wharton, Kuk), Université York, Toronto, Ont.; Division d'endocrinologie (Langlois), Université de Sherbrooke; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Qc; École de kinésiologie (Lear), Université Simon Fraser, Vancouver, C.-B.; Medcan Clinic ( Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Régie régionale de la santé de Vancouver, Victoria, C.-B.; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Université Laval, Québec, Qc; Centre médical Foothills (Nerenberg); C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology (Poddar), Toronto, Ont.; Département de médecine (Rueda-Clausen), Université de la Saskatchewan; Hôpital général de Regina (Rueda-Clausen), Regina, Sask.; Psychologie de l'éducation (Russell-Mayhew), Faculté d'éducation Werklund, Université de Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Chaire de recherche en santé interprofessionnelle de l'Institut de recherche sur la santé des populations Heather M Arthur/Hamilton Health Sciences, Faculté des sciences infirmières (Sherifali), Université McMaster, Hamilton, Ont.; Division d'endocrinologie et métabolisme (Sievenpiper), Hôpital St. Michael, Toronto, Ont.; Département de psychiatrie (Taylor), Université de Calgary, Calgary, Alta.; École de pharmacie (Twells), Université Memorial, St. John's, T.-N.-L.; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; École de santé des populations et de santé publique (Walker), Université de la Colombie-Britannique; Centre for Excellence in Indigenous Health (Walker), Université de la Colombie-Britannique, Vancouver, C.-B.; Institut de santé publique O'Brien (Wicklum), Université de Calgary, Calgary, Alta
| | - Michael Vallis
- Départements de médecine (Wharton), endocrinologie et métabolisme (Poddar, Sherifali), médecine familiale (Naji, Tytus), et Health Research Methods, Evidence and Impact (HEI) Canada (Naji), Université McMaster; Clinique Wharton (Wharton, Poddar), Hamilton, Ont.; Départements: de médecine (Lau, Nerenberg) et médecine familiale (Boyling, Henderson, McInnes, Walji, Wicklum), École de médecine Cumming, Université de Calgary; Centre de recherche sur le diabète Julia McFarlane et Institut de cardiologie Libin de l'Alberta (Lau), Calgary, Alta.; Département de médecine familiale (Vallis, Piccinini-Vallis), Université Dalhousie, Halifax, N.-É; Départements de médecine (Sharma, Toth), médecine familiale (Campbell-Scherer, Kemp), agriculture, alimentation et science de la nutrition (Bell, Pereira), éducation physique et loisirs (Boulé), et ergothérapie (Forhan), Université de l'Alberta; Adult Bariatric Specialty Clinic (Sharma), Hôpital Royal Alexandra; Obésité Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Département de chirurgie (Biertho), Université Laval, Québec, Que.; École des sciences de l'activité physique (Adamo, Prud'homme), Université d'Ottawa, Ottawa, Ont.; Département de santé, kinésiologie et physiologie appliquée (Alberga), Université Concordia, Montréal, Que.; Centre d'Excellence en soins bariatriques(Brown), Hôpital d'Ottawa, Ottawa, Ont.; Départements de médecine familiale (Calam) et endocrinologie (Manjoo), Université de la Colombie-Britannique; Programme de résidence en pratique familiale de la UBC (Calam) et chaire de recherche en prévention des maladies cardiovasculaires Pfizer/Fondation des maladies du cœur et de l'AVC (Lear), Hôpital St. Paul, Vancouver, C.-B.; consultant en nutrition (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, Université de Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Département de médecine familiale (Freedhoff) et Division d'endocrinologie et métabolisme (Shiau), Département de médecine, Université d'Ottawa, Ottawa, Ont.; Herbert Wertheim School of medicine (Gagner), Florida International University, Miami, FL; Hôpital du Sacré-Cœur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division d'endocrinologie et métabolisme (Glazer), Université Queen's, Kingston, Ont.; Départements de médecine interne (Glazer), psychiatrie (Hawa, Sockalingam), médecine familiale et communautaire (Macklin), et des sciences de la nutrition (Sievenpiper), Université de Toronto, Toronto, Ont.; Services de santé de l'Alberta (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Départements de médecine familiale, et d'études sur les sciences et les politiques de santé publique (Green), Université Queen's; Centre des sciences de la santé de Kingston (Green); Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam); Réseau universitaire de santé (Hawa, Sockalingam), Toronto, Ont.; Division de chirurgie générale (Hong), Université McMaster, Hamilton, Ont.; Département de médecine familiale et de santé biocomportementale (Jacklin), Faculté de médecine de l'Université du Minnesota, campus Duluth, Duluth, Minn.; Faculté de kinésiologie et d'études sur la santé (Janssen), Université Queen's, Kingston, Ont.; École de santé et performance humaine (Kirk), Université Dalhousie, Halifax, N.-É; École de kinésiologie et de sciences de la santé (Wharton, Kuk), Université York, Toronto, Ont.; Division d'endocrinologie (Langlois), Université de Sherbrooke; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Qc; École de kinésiologie (Lear), Université Simon Fraser, Vancouver, C.-B.; Medcan Clinic ( Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Régie régionale de la santé de Vancouver, Victoria, C.-B.; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Université Laval, Québec, Qc; Centre médical Foothills (Nerenberg); C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology (Poddar), Toronto, Ont.; Département de médecine (Rueda-Clausen), Université de la Saskatchewan; Hôpital général de Regina (Rueda-Clausen), Regina, Sask.; Psychologie de l'éducation (Russell-Mayhew), Faculté d'éducation Werklund, Université de Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Chaire de recherche en santé interprofessionnelle de l'Institut de recherche sur la santé des populations Heather M Arthur/Hamilton Health Sciences, Faculté des sciences infirmières (Sherifali), Université McMaster, Hamilton, Ont.; Division d'endocrinologie et métabolisme (Sievenpiper), Hôpital St. Michael, Toronto, Ont.; Département de psychiatrie (Taylor), Université de Calgary, Calgary, Alta.; École de pharmacie (Twells), Université Memorial, St. John's, T.-N.-L.; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; École de santé des populations et de santé publique (Walker), Université de la Colombie-Britannique; Centre for Excellence in Indigenous Health (Walker), Université de la Colombie-Britannique, Vancouver, C.-B.; Institut de santé publique O'Brien (Wicklum), Université de Calgary, Calgary, Alta
| | - Arya M Sharma
- Départements de médecine (Wharton), endocrinologie et métabolisme (Poddar, Sherifali), médecine familiale (Naji, Tytus), et Health Research Methods, Evidence and Impact (HEI) Canada (Naji), Université McMaster; Clinique Wharton (Wharton, Poddar), Hamilton, Ont.; Départements: de médecine (Lau, Nerenberg) et médecine familiale (Boyling, Henderson, McInnes, Walji, Wicklum), École de médecine Cumming, Université de Calgary; Centre de recherche sur le diabète Julia McFarlane et Institut de cardiologie Libin de l'Alberta (Lau), Calgary, Alta.; Département de médecine familiale (Vallis, Piccinini-Vallis), Université Dalhousie, Halifax, N.-É; Départements de médecine (Sharma, Toth), médecine familiale (Campbell-Scherer, Kemp), agriculture, alimentation et science de la nutrition (Bell, Pereira), éducation physique et loisirs (Boulé), et ergothérapie (Forhan), Université de l'Alberta; Adult Bariatric Specialty Clinic (Sharma), Hôpital Royal Alexandra; Obésité Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Département de chirurgie (Biertho), Université Laval, Québec, Que.; École des sciences de l'activité physique (Adamo, Prud'homme), Université d'Ottawa, Ottawa, Ont.; Département de santé, kinésiologie et physiologie appliquée (Alberga), Université Concordia, Montréal, Que.; Centre d'Excellence en soins bariatriques(Brown), Hôpital d'Ottawa, Ottawa, Ont.; Départements de médecine familiale (Calam) et endocrinologie (Manjoo), Université de la Colombie-Britannique; Programme de résidence en pratique familiale de la UBC (Calam) et chaire de recherche en prévention des maladies cardiovasculaires Pfizer/Fondation des maladies du cœur et de l'AVC (Lear), Hôpital St. Paul, Vancouver, C.-B.; consultant en nutrition (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, Université de Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Département de médecine familiale (Freedhoff) et Division d'endocrinologie et métabolisme (Shiau), Département de médecine, Université d'Ottawa, Ottawa, Ont.; Herbert Wertheim School of medicine (Gagner), Florida International University, Miami, FL; Hôpital du Sacré-Cœur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division d'endocrinologie et métabolisme (Glazer), Université Queen's, Kingston, Ont.; Départements de médecine interne (Glazer), psychiatrie (Hawa, Sockalingam), médecine familiale et communautaire (Macklin), et des sciences de la nutrition (Sievenpiper), Université de Toronto, Toronto, Ont.; Services de santé de l'Alberta (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Départements de médecine familiale, et d'études sur les sciences et les politiques de santé publique (Green), Université Queen's; Centre des sciences de la santé de Kingston (Green); Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam); Réseau universitaire de santé (Hawa, Sockalingam), Toronto, Ont.; Division de chirurgie générale (Hong), Université McMaster, Hamilton, Ont.; Département de médecine familiale et de santé biocomportementale (Jacklin), Faculté de médecine de l'Université du Minnesota, campus Duluth, Duluth, Minn.; Faculté de kinésiologie et d'études sur la santé (Janssen), Université Queen's, Kingston, Ont.; École de santé et performance humaine (Kirk), Université Dalhousie, Halifax, N.-É; École de kinésiologie et de sciences de la santé (Wharton, Kuk), Université York, Toronto, Ont.; Division d'endocrinologie (Langlois), Université de Sherbrooke; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Qc; École de kinésiologie (Lear), Université Simon Fraser, Vancouver, C.-B.; Medcan Clinic ( Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Régie régionale de la santé de Vancouver, Victoria, C.-B.; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Université Laval, Québec, Qc; Centre médical Foothills (Nerenberg); C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology (Poddar), Toronto, Ont.; Département de médecine (Rueda-Clausen), Université de la Saskatchewan; Hôpital général de Regina (Rueda-Clausen), Regina, Sask.; Psychologie de l'éducation (Russell-Mayhew), Faculté d'éducation Werklund, Université de Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Chaire de recherche en santé interprofessionnelle de l'Institut de recherche sur la santé des populations Heather M Arthur/Hamilton Health Sciences, Faculté des sciences infirmières (Sherifali), Université McMaster, Hamilton, Ont.; Division d'endocrinologie et métabolisme (Sievenpiper), Hôpital St. Michael, Toronto, Ont.; Département de psychiatrie (Taylor), Université de Calgary, Calgary, Alta.; École de pharmacie (Twells), Université Memorial, St. John's, T.-N.-L.; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; École de santé des populations et de santé publique (Walker), Université de la Colombie-Britannique; Centre for Excellence in Indigenous Health (Walker), Université de la Colombie-Britannique, Vancouver, C.-B.; Institut de santé publique O'Brien (Wicklum), Université de Calgary, Calgary, Alta
| | - Laurent Biertho
- Départements de médecine (Wharton), endocrinologie et métabolisme (Poddar, Sherifali), médecine familiale (Naji, Tytus), et Health Research Methods, Evidence and Impact (HEI) Canada (Naji), Université McMaster; Clinique Wharton (Wharton, Poddar), Hamilton, Ont.; Départements: de médecine (Lau, Nerenberg) et médecine familiale (Boyling, Henderson, McInnes, Walji, Wicklum), École de médecine Cumming, Université de Calgary; Centre de recherche sur le diabète Julia McFarlane et Institut de cardiologie Libin de l'Alberta (Lau), Calgary, Alta.; Département de médecine familiale (Vallis, Piccinini-Vallis), Université Dalhousie, Halifax, N.-É; Départements de médecine (Sharma, Toth), médecine familiale (Campbell-Scherer, Kemp), agriculture, alimentation et science de la nutrition (Bell, Pereira), éducation physique et loisirs (Boulé), et ergothérapie (Forhan), Université de l'Alberta; Adult Bariatric Specialty Clinic (Sharma), Hôpital Royal Alexandra; Obésité Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Département de chirurgie (Biertho), Université Laval, Québec, Que.; École des sciences de l'activité physique (Adamo, Prud'homme), Université d'Ottawa, Ottawa, Ont.; Département de santé, kinésiologie et physiologie appliquée (Alberga), Université Concordia, Montréal, Que.; Centre d'Excellence en soins bariatriques(Brown), Hôpital d'Ottawa, Ottawa, Ont.; Départements de médecine familiale (Calam) et endocrinologie (Manjoo), Université de la Colombie-Britannique; Programme de résidence en pratique familiale de la UBC (Calam) et chaire de recherche en prévention des maladies cardiovasculaires Pfizer/Fondation des maladies du cœur et de l'AVC (Lear), Hôpital St. Paul, Vancouver, C.-B.; consultant en nutrition (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, Université de Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Département de médecine familiale (Freedhoff) et Division d'endocrinologie et métabolisme (Shiau), Département de médecine, Université d'Ottawa, Ottawa, Ont.; Herbert Wertheim School of medicine (Gagner), Florida International University, Miami, FL; Hôpital du Sacré-Cœur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division d'endocrinologie et métabolisme (Glazer), Université Queen's, Kingston, Ont.; Départements de médecine interne (Glazer), psychiatrie (Hawa, Sockalingam), médecine familiale et communautaire (Macklin), et des sciences de la nutrition (Sievenpiper), Université de Toronto, Toronto, Ont.; Services de santé de l'Alberta (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Départements de médecine familiale, et d'études sur les sciences et les politiques de santé publique (Green), Université Queen's; Centre des sciences de la santé de Kingston (Green); Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam); Réseau universitaire de santé (Hawa, Sockalingam), Toronto, Ont.; Division de chirurgie générale (Hong), Université McMaster, Hamilton, Ont.; Département de médecine familiale et de santé biocomportementale (Jacklin), Faculté de médecine de l'Université du Minnesota, campus Duluth, Duluth, Minn.; Faculté de kinésiologie et d'études sur la santé (Janssen), Université Queen's, Kingston, Ont.; École de santé et performance humaine (Kirk), Université Dalhousie, Halifax, N.-É; École de kinésiologie et de sciences de la santé (Wharton, Kuk), Université York, Toronto, Ont.; Division d'endocrinologie (Langlois), Université de Sherbrooke; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Qc; École de kinésiologie (Lear), Université Simon Fraser, Vancouver, C.-B.; Medcan Clinic ( Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Régie régionale de la santé de Vancouver, Victoria, C.-B.; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Université Laval, Québec, Qc; Centre médical Foothills (Nerenberg); C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology (Poddar), Toronto, Ont.; Département de médecine (Rueda-Clausen), Université de la Saskatchewan; Hôpital général de Regina (Rueda-Clausen), Regina, Sask.; Psychologie de l'éducation (Russell-Mayhew), Faculté d'éducation Werklund, Université de Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Chaire de recherche en santé interprofessionnelle de l'Institut de recherche sur la santé des populations Heather M Arthur/Hamilton Health Sciences, Faculté des sciences infirmières (Sherifali), Université McMaster, Hamilton, Ont.; Division d'endocrinologie et métabolisme (Sievenpiper), Hôpital St. Michael, Toronto, Ont.; Département de psychiatrie (Taylor), Université de Calgary, Calgary, Alta.; École de pharmacie (Twells), Université Memorial, St. John's, T.-N.-L.; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; École de santé des populations et de santé publique (Walker), Université de la Colombie-Britannique; Centre for Excellence in Indigenous Health (Walker), Université de la Colombie-Britannique, Vancouver, C.-B.; Institut de santé publique O'Brien (Wicklum), Université de Calgary, Calgary, Alta
| | - Denise Campbell-Scherer
- Départements de médecine (Wharton), endocrinologie et métabolisme (Poddar, Sherifali), médecine familiale (Naji, Tytus), et Health Research Methods, Evidence and Impact (HEI) Canada (Naji), Université McMaster; Clinique Wharton (Wharton, Poddar), Hamilton, Ont.; Départements: de médecine (Lau, Nerenberg) et médecine familiale (Boyling, Henderson, McInnes, Walji, Wicklum), École de médecine Cumming, Université de Calgary; Centre de recherche sur le diabète Julia McFarlane et Institut de cardiologie Libin de l'Alberta (Lau), Calgary, Alta.; Département de médecine familiale (Vallis, Piccinini-Vallis), Université Dalhousie, Halifax, N.-É; Départements de médecine (Sharma, Toth), médecine familiale (Campbell-Scherer, Kemp), agriculture, alimentation et science de la nutrition (Bell, Pereira), éducation physique et loisirs (Boulé), et ergothérapie (Forhan), Université de l'Alberta; Adult Bariatric Specialty Clinic (Sharma), Hôpital Royal Alexandra; Obésité Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Département de chirurgie (Biertho), Université Laval, Québec, Que.; École des sciences de l'activité physique (Adamo, Prud'homme), Université d'Ottawa, Ottawa, Ont.; Département de santé, kinésiologie et physiologie appliquée (Alberga), Université Concordia, Montréal, Que.; Centre d'Excellence en soins bariatriques(Brown), Hôpital d'Ottawa, Ottawa, Ont.; Départements de médecine familiale (Calam) et endocrinologie (Manjoo), Université de la Colombie-Britannique; Programme de résidence en pratique familiale de la UBC (Calam) et chaire de recherche en prévention des maladies cardiovasculaires Pfizer/Fondation des maladies du cœur et de l'AVC (Lear), Hôpital St. Paul, Vancouver, C.-B.; consultant en nutrition (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, Université de Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Département de médecine familiale (Freedhoff) et Division d'endocrinologie et métabolisme (Shiau), Département de médecine, Université d'Ottawa, Ottawa, Ont.; Herbert Wertheim School of medicine (Gagner), Florida International University, Miami, FL; Hôpital du Sacré-Cœur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division d'endocrinologie et métabolisme (Glazer), Université Queen's, Kingston, Ont.; Départements de médecine interne (Glazer), psychiatrie (Hawa, Sockalingam), médecine familiale et communautaire (Macklin), et des sciences de la nutrition (Sievenpiper), Université de Toronto, Toronto, Ont.; Services de santé de l'Alberta (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Départements de médecine familiale, et d'études sur les sciences et les politiques de santé publique (Green), Université Queen's; Centre des sciences de la santé de Kingston (Green); Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam); Réseau universitaire de santé (Hawa, Sockalingam), Toronto, Ont.; Division de chirurgie générale (Hong), Université McMaster, Hamilton, Ont.; Département de médecine familiale et de santé biocomportementale (Jacklin), Faculté de médecine de l'Université du Minnesota, campus Duluth, Duluth, Minn.; Faculté de kinésiologie et d'études sur la santé (Janssen), Université Queen's, Kingston, Ont.; École de santé et performance humaine (Kirk), Université Dalhousie, Halifax, N.-É; École de kinésiologie et de sciences de la santé (Wharton, Kuk), Université York, Toronto, Ont.; Division d'endocrinologie (Langlois), Université de Sherbrooke; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Qc; École de kinésiologie (Lear), Université Simon Fraser, Vancouver, C.-B.; Medcan Clinic ( Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Régie régionale de la santé de Vancouver, Victoria, C.-B.; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Université Laval, Québec, Qc; Centre médical Foothills (Nerenberg); C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology (Poddar), Toronto, Ont.; Département de médecine (Rueda-Clausen), Université de la Saskatchewan; Hôpital général de Regina (Rueda-Clausen), Regina, Sask.; Psychologie de l'éducation (Russell-Mayhew), Faculté d'éducation Werklund, Université de Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Chaire de recherche en santé interprofessionnelle de l'Institut de recherche sur la santé des populations Heather M Arthur/Hamilton Health Sciences, Faculté des sciences infirmières (Sherifali), Université McMaster, Hamilton, Ont.; Division d'endocrinologie et métabolisme (Sievenpiper), Hôpital St. Michael, Toronto, Ont.; Département de psychiatrie (Taylor), Université de Calgary, Calgary, Alta.; École de pharmacie (Twells), Université Memorial, St. John's, T.-N.-L.; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; École de santé des populations et de santé publique (Walker), Université de la Colombie-Britannique; Centre for Excellence in Indigenous Health (Walker), Université de la Colombie-Britannique, Vancouver, C.-B.; Institut de santé publique O'Brien (Wicklum), Université de Calgary, Calgary, Alta
| | - Kristi Adamo
- Départements de médecine (Wharton), endocrinologie et métabolisme (Poddar, Sherifali), médecine familiale (Naji, Tytus), et Health Research Methods, Evidence and Impact (HEI) Canada (Naji), Université McMaster; Clinique Wharton (Wharton, Poddar), Hamilton, Ont.; Départements: de médecine (Lau, Nerenberg) et médecine familiale (Boyling, Henderson, McInnes, Walji, Wicklum), École de médecine Cumming, Université de Calgary; Centre de recherche sur le diabète Julia McFarlane et Institut de cardiologie Libin de l'Alberta (Lau), Calgary, Alta.; Département de médecine familiale (Vallis, Piccinini-Vallis), Université Dalhousie, Halifax, N.-É; Départements de médecine (Sharma, Toth), médecine familiale (Campbell-Scherer, Kemp), agriculture, alimentation et science de la nutrition (Bell, Pereira), éducation physique et loisirs (Boulé), et ergothérapie (Forhan), Université de l'Alberta; Adult Bariatric Specialty Clinic (Sharma), Hôpital Royal Alexandra; Obésité Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Département de chirurgie (Biertho), Université Laval, Québec, Que.; École des sciences de l'activité physique (Adamo, Prud'homme), Université d'Ottawa, Ottawa, Ont.; Département de santé, kinésiologie et physiologie appliquée (Alberga), Université Concordia, Montréal, Que.; Centre d'Excellence en soins bariatriques(Brown), Hôpital d'Ottawa, Ottawa, Ont.; Départements de médecine familiale (Calam) et endocrinologie (Manjoo), Université de la Colombie-Britannique; Programme de résidence en pratique familiale de la UBC (Calam) et chaire de recherche en prévention des maladies cardiovasculaires Pfizer/Fondation des maladies du cœur et de l'AVC (Lear), Hôpital St. Paul, Vancouver, C.-B.; consultant en nutrition (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, Université de Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Département de médecine familiale (Freedhoff) et Division d'endocrinologie et métabolisme (Shiau), Département de médecine, Université d'Ottawa, Ottawa, Ont.; Herbert Wertheim School of medicine (Gagner), Florida International University, Miami, FL; Hôpital du Sacré-Cœur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division d'endocrinologie et métabolisme (Glazer), Université Queen's, Kingston, Ont.; Départements de médecine interne (Glazer), psychiatrie (Hawa, Sockalingam), médecine familiale et communautaire (Macklin), et des sciences de la nutrition (Sievenpiper), Université de Toronto, Toronto, Ont.; Services de santé de l'Alberta (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Départements de médecine familiale, et d'études sur les sciences et les politiques de santé publique (Green), Université Queen's; Centre des sciences de la santé de Kingston (Green); Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam); Réseau universitaire de santé (Hawa, Sockalingam), Toronto, Ont.; Division de chirurgie générale (Hong), Université McMaster, Hamilton, Ont.; Département de médecine familiale et de santé biocomportementale (Jacklin), Faculté de médecine de l'Université du Minnesota, campus Duluth, Duluth, Minn.; Faculté de kinésiologie et d'études sur la santé (Janssen), Université Queen's, Kingston, Ont.; École de santé et performance humaine (Kirk), Université Dalhousie, Halifax, N.-É; École de kinésiologie et de sciences de la santé (Wharton, Kuk), Université York, Toronto, Ont.; Division d'endocrinologie (Langlois), Université de Sherbrooke; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Qc; École de kinésiologie (Lear), Université Simon Fraser, Vancouver, C.-B.; Medcan Clinic ( Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Régie régionale de la santé de Vancouver, Victoria, C.-B.; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Université Laval, Québec, Qc; Centre médical Foothills (Nerenberg); C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology (Poddar), Toronto, Ont.; Département de médecine (Rueda-Clausen), Université de la Saskatchewan; Hôpital général de Regina (Rueda-Clausen), Regina, Sask.; Psychologie de l'éducation (Russell-Mayhew), Faculté d'éducation Werklund, Université de Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Chaire de recherche en santé interprofessionnelle de l'Institut de recherche sur la santé des populations Heather M Arthur/Hamilton Health Sciences, Faculté des sciences infirmières (Sherifali), Université McMaster, Hamilton, Ont.; Division d'endocrinologie et métabolisme (Sievenpiper), Hôpital St. Michael, Toronto, Ont.; Département de psychiatrie (Taylor), Université de Calgary, Calgary, Alta.; École de pharmacie (Twells), Université Memorial, St. John's, T.-N.-L.; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; École de santé des populations et de santé publique (Walker), Université de la Colombie-Britannique; Centre for Excellence in Indigenous Health (Walker), Université de la Colombie-Britannique, Vancouver, C.-B.; Institut de santé publique O'Brien (Wicklum), Université de Calgary, Calgary, Alta
| | - Angela Alberga
- Départements de médecine (Wharton), endocrinologie et métabolisme (Poddar, Sherifali), médecine familiale (Naji, Tytus), et Health Research Methods, Evidence and Impact (HEI) Canada (Naji), Université McMaster; Clinique Wharton (Wharton, Poddar), Hamilton, Ont.; Départements: de médecine (Lau, Nerenberg) et médecine familiale (Boyling, Henderson, McInnes, Walji, Wicklum), École de médecine Cumming, Université de Calgary; Centre de recherche sur le diabète Julia McFarlane et Institut de cardiologie Libin de l'Alberta (Lau), Calgary, Alta.; Département de médecine familiale (Vallis, Piccinini-Vallis), Université Dalhousie, Halifax, N.-É; Départements de médecine (Sharma, Toth), médecine familiale (Campbell-Scherer, Kemp), agriculture, alimentation et science de la nutrition (Bell, Pereira), éducation physique et loisirs (Boulé), et ergothérapie (Forhan), Université de l'Alberta; Adult Bariatric Specialty Clinic (Sharma), Hôpital Royal Alexandra; Obésité Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Département de chirurgie (Biertho), Université Laval, Québec, Que.; École des sciences de l'activité physique (Adamo, Prud'homme), Université d'Ottawa, Ottawa, Ont.; Département de santé, kinésiologie et physiologie appliquée (Alberga), Université Concordia, Montréal, Que.; Centre d'Excellence en soins bariatriques(Brown), Hôpital d'Ottawa, Ottawa, Ont.; Départements de médecine familiale (Calam) et endocrinologie (Manjoo), Université de la Colombie-Britannique; Programme de résidence en pratique familiale de la UBC (Calam) et chaire de recherche en prévention des maladies cardiovasculaires Pfizer/Fondation des maladies du cœur et de l'AVC (Lear), Hôpital St. Paul, Vancouver, C.-B.; consultant en nutrition (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, Université de Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Département de médecine familiale (Freedhoff) et Division d'endocrinologie et métabolisme (Shiau), Département de médecine, Université d'Ottawa, Ottawa, Ont.; Herbert Wertheim School of medicine (Gagner), Florida International University, Miami, FL; Hôpital du Sacré-Cœur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division d'endocrinologie et métabolisme (Glazer), Université Queen's, Kingston, Ont.; Départements de médecine interne (Glazer), psychiatrie (Hawa, Sockalingam), médecine familiale et communautaire (Macklin), et des sciences de la nutrition (Sievenpiper), Université de Toronto, Toronto, Ont.; Services de santé de l'Alberta (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Départements de médecine familiale, et d'études sur les sciences et les politiques de santé publique (Green), Université Queen's; Centre des sciences de la santé de Kingston (Green); Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam); Réseau universitaire de santé (Hawa, Sockalingam), Toronto, Ont.; Division de chirurgie générale (Hong), Université McMaster, Hamilton, Ont.; Département de médecine familiale et de santé biocomportementale (Jacklin), Faculté de médecine de l'Université du Minnesota, campus Duluth, Duluth, Minn.; Faculté de kinésiologie et d'études sur la santé (Janssen), Université Queen's, Kingston, Ont.; École de santé et performance humaine (Kirk), Université Dalhousie, Halifax, N.-É; École de kinésiologie et de sciences de la santé (Wharton, Kuk), Université York, Toronto, Ont.; Division d'endocrinologie (Langlois), Université de Sherbrooke; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Qc; École de kinésiologie (Lear), Université Simon Fraser, Vancouver, C.-B.; Medcan Clinic ( Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Régie régionale de la santé de Vancouver, Victoria, C.-B.; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Université Laval, Québec, Qc; Centre médical Foothills (Nerenberg); C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology (Poddar), Toronto, Ont.; Département de médecine (Rueda-Clausen), Université de la Saskatchewan; Hôpital général de Regina (Rueda-Clausen), Regina, Sask.; Psychologie de l'éducation (Russell-Mayhew), Faculté d'éducation Werklund, Université de Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Chaire de recherche en santé interprofessionnelle de l'Institut de recherche sur la santé des populations Heather M Arthur/Hamilton Health Sciences, Faculté des sciences infirmières (Sherifali), Université McMaster, Hamilton, Ont.; Division d'endocrinologie et métabolisme (Sievenpiper), Hôpital St. Michael, Toronto, Ont.; Département de psychiatrie (Taylor), Université de Calgary, Calgary, Alta.; École de pharmacie (Twells), Université Memorial, St. John's, T.-N.-L.; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; École de santé des populations et de santé publique (Walker), Université de la Colombie-Britannique; Centre for Excellence in Indigenous Health (Walker), Université de la Colombie-Britannique, Vancouver, C.-B.; Institut de santé publique O'Brien (Wicklum), Université de Calgary, Calgary, Alta
| | - Rhonda Bell
- Départements de médecine (Wharton), endocrinologie et métabolisme (Poddar, Sherifali), médecine familiale (Naji, Tytus), et Health Research Methods, Evidence and Impact (HEI) Canada (Naji), Université McMaster; Clinique Wharton (Wharton, Poddar), Hamilton, Ont.; Départements: de médecine (Lau, Nerenberg) et médecine familiale (Boyling, Henderson, McInnes, Walji, Wicklum), École de médecine Cumming, Université de Calgary; Centre de recherche sur le diabète Julia McFarlane et Institut de cardiologie Libin de l'Alberta (Lau), Calgary, Alta.; Département de médecine familiale (Vallis, Piccinini-Vallis), Université Dalhousie, Halifax, N.-É; Départements de médecine (Sharma, Toth), médecine familiale (Campbell-Scherer, Kemp), agriculture, alimentation et science de la nutrition (Bell, Pereira), éducation physique et loisirs (Boulé), et ergothérapie (Forhan), Université de l'Alberta; Adult Bariatric Specialty Clinic (Sharma), Hôpital Royal Alexandra; Obésité Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Département de chirurgie (Biertho), Université Laval, Québec, Que.; École des sciences de l'activité physique (Adamo, Prud'homme), Université d'Ottawa, Ottawa, Ont.; Département de santé, kinésiologie et physiologie appliquée (Alberga), Université Concordia, Montréal, Que.; Centre d'Excellence en soins bariatriques(Brown), Hôpital d'Ottawa, Ottawa, Ont.; Départements de médecine familiale (Calam) et endocrinologie (Manjoo), Université de la Colombie-Britannique; Programme de résidence en pratique familiale de la UBC (Calam) et chaire de recherche en prévention des maladies cardiovasculaires Pfizer/Fondation des maladies du cœur et de l'AVC (Lear), Hôpital St. Paul, Vancouver, C.-B.; consultant en nutrition (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, Université de Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Département de médecine familiale (Freedhoff) et Division d'endocrinologie et métabolisme (Shiau), Département de médecine, Université d'Ottawa, Ottawa, Ont.; Herbert Wertheim School of medicine (Gagner), Florida International University, Miami, FL; Hôpital du Sacré-Cœur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division d'endocrinologie et métabolisme (Glazer), Université Queen's, Kingston, Ont.; Départements de médecine interne (Glazer), psychiatrie (Hawa, Sockalingam), médecine familiale et communautaire (Macklin), et des sciences de la nutrition (Sievenpiper), Université de Toronto, Toronto, Ont.; Services de santé de l'Alberta (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Départements de médecine familiale, et d'études sur les sciences et les politiques de santé publique (Green), Université Queen's; Centre des sciences de la santé de Kingston (Green); Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam); Réseau universitaire de santé (Hawa, Sockalingam), Toronto, Ont.; Division de chirurgie générale (Hong), Université McMaster, Hamilton, Ont.; Département de médecine familiale et de santé biocomportementale (Jacklin), Faculté de médecine de l'Université du Minnesota, campus Duluth, Duluth, Minn.; Faculté de kinésiologie et d'études sur la santé (Janssen), Université Queen's, Kingston, Ont.; École de santé et performance humaine (Kirk), Université Dalhousie, Halifax, N.-É; École de kinésiologie et de sciences de la santé (Wharton, Kuk), Université York, Toronto, Ont.; Division d'endocrinologie (Langlois), Université de Sherbrooke; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Qc; École de kinésiologie (Lear), Université Simon Fraser, Vancouver, C.-B.; Medcan Clinic ( Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Régie régionale de la santé de Vancouver, Victoria, C.-B.; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Université Laval, Québec, Qc; Centre médical Foothills (Nerenberg); C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology (Poddar), Toronto, Ont.; Département de médecine (Rueda-Clausen), Université de la Saskatchewan; Hôpital général de Regina (Rueda-Clausen), Regina, Sask.; Psychologie de l'éducation (Russell-Mayhew), Faculté d'éducation Werklund, Université de Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Chaire de recherche en santé interprofessionnelle de l'Institut de recherche sur la santé des populations Heather M Arthur/Hamilton Health Sciences, Faculté des sciences infirmières (Sherifali), Université McMaster, Hamilton, Ont.; Division d'endocrinologie et métabolisme (Sievenpiper), Hôpital St. Michael, Toronto, Ont.; Département de psychiatrie (Taylor), Université de Calgary, Calgary, Alta.; École de pharmacie (Twells), Université Memorial, St. John's, T.-N.-L.; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; École de santé des populations et de santé publique (Walker), Université de la Colombie-Britannique; Centre for Excellence in Indigenous Health (Walker), Université de la Colombie-Britannique, Vancouver, C.-B.; Institut de santé publique O'Brien (Wicklum), Université de Calgary, Calgary, Alta
| | - Normand Boulé
- Départements de médecine (Wharton), endocrinologie et métabolisme (Poddar, Sherifali), médecine familiale (Naji, Tytus), et Health Research Methods, Evidence and Impact (HEI) Canada (Naji), Université McMaster; Clinique Wharton (Wharton, Poddar), Hamilton, Ont.; Départements: de médecine (Lau, Nerenberg) et médecine familiale (Boyling, Henderson, McInnes, Walji, Wicklum), École de médecine Cumming, Université de Calgary; Centre de recherche sur le diabète Julia McFarlane et Institut de cardiologie Libin de l'Alberta (Lau), Calgary, Alta.; Département de médecine familiale (Vallis, Piccinini-Vallis), Université Dalhousie, Halifax, N.-É; Départements de médecine (Sharma, Toth), médecine familiale (Campbell-Scherer, Kemp), agriculture, alimentation et science de la nutrition (Bell, Pereira), éducation physique et loisirs (Boulé), et ergothérapie (Forhan), Université de l'Alberta; Adult Bariatric Specialty Clinic (Sharma), Hôpital Royal Alexandra; Obésité Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Département de chirurgie (Biertho), Université Laval, Québec, Que.; École des sciences de l'activité physique (Adamo, Prud'homme), Université d'Ottawa, Ottawa, Ont.; Département de santé, kinésiologie et physiologie appliquée (Alberga), Université Concordia, Montréal, Que.; Centre d'Excellence en soins bariatriques(Brown), Hôpital d'Ottawa, Ottawa, Ont.; Départements de médecine familiale (Calam) et endocrinologie (Manjoo), Université de la Colombie-Britannique; Programme de résidence en pratique familiale de la UBC (Calam) et chaire de recherche en prévention des maladies cardiovasculaires Pfizer/Fondation des maladies du cœur et de l'AVC (Lear), Hôpital St. Paul, Vancouver, C.-B.; consultant en nutrition (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, Université de Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Département de médecine familiale (Freedhoff) et Division d'endocrinologie et métabolisme (Shiau), Département de médecine, Université d'Ottawa, Ottawa, Ont.; Herbert Wertheim School of medicine (Gagner), Florida International University, Miami, FL; Hôpital du Sacré-Cœur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division d'endocrinologie et métabolisme (Glazer), Université Queen's, Kingston, Ont.; Départements de médecine interne (Glazer), psychiatrie (Hawa, Sockalingam), médecine familiale et communautaire (Macklin), et des sciences de la nutrition (Sievenpiper), Université de Toronto, Toronto, Ont.; Services de santé de l'Alberta (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Départements de médecine familiale, et d'études sur les sciences et les politiques de santé publique (Green), Université Queen's; Centre des sciences de la santé de Kingston (Green); Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam); Réseau universitaire de santé (Hawa, Sockalingam), Toronto, Ont.; Division de chirurgie générale (Hong), Université McMaster, Hamilton, Ont.; Département de médecine familiale et de santé biocomportementale (Jacklin), Faculté de médecine de l'Université du Minnesota, campus Duluth, Duluth, Minn.; Faculté de kinésiologie et d'études sur la santé (Janssen), Université Queen's, Kingston, Ont.; École de santé et performance humaine (Kirk), Université Dalhousie, Halifax, N.-É; École de kinésiologie et de sciences de la santé (Wharton, Kuk), Université York, Toronto, Ont.; Division d'endocrinologie (Langlois), Université de Sherbrooke; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Qc; École de kinésiologie (Lear), Université Simon Fraser, Vancouver, C.-B.; Medcan Clinic ( Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Régie régionale de la santé de Vancouver, Victoria, C.-B.; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Université Laval, Québec, Qc; Centre médical Foothills (Nerenberg); C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology (Poddar), Toronto, Ont.; Département de médecine (Rueda-Clausen), Université de la Saskatchewan; Hôpital général de Regina (Rueda-Clausen), Regina, Sask.; Psychologie de l'éducation (Russell-Mayhew), Faculté d'éducation Werklund, Université de Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Chaire de recherche en santé interprofessionnelle de l'Institut de recherche sur la santé des populations Heather M Arthur/Hamilton Health Sciences, Faculté des sciences infirmières (Sherifali), Université McMaster, Hamilton, Ont.; Division d'endocrinologie et métabolisme (Sievenpiper), Hôpital St. Michael, Toronto, Ont.; Département de psychiatrie (Taylor), Université de Calgary, Calgary, Alta.; École de pharmacie (Twells), Université Memorial, St. John's, T.-N.-L.; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; École de santé des populations et de santé publique (Walker), Université de la Colombie-Britannique; Centre for Excellence in Indigenous Health (Walker), Université de la Colombie-Britannique, Vancouver, C.-B.; Institut de santé publique O'Brien (Wicklum), Université de Calgary, Calgary, Alta
| | - Elaine Boyling
- Départements de médecine (Wharton), endocrinologie et métabolisme (Poddar, Sherifali), médecine familiale (Naji, Tytus), et Health Research Methods, Evidence and Impact (HEI) Canada (Naji), Université McMaster; Clinique Wharton (Wharton, Poddar), Hamilton, Ont.; Départements: de médecine (Lau, Nerenberg) et médecine familiale (Boyling, Henderson, McInnes, Walji, Wicklum), École de médecine Cumming, Université de Calgary; Centre de recherche sur le diabète Julia McFarlane et Institut de cardiologie Libin de l'Alberta (Lau), Calgary, Alta.; Département de médecine familiale (Vallis, Piccinini-Vallis), Université Dalhousie, Halifax, N.-É; Départements de médecine (Sharma, Toth), médecine familiale (Campbell-Scherer, Kemp), agriculture, alimentation et science de la nutrition (Bell, Pereira), éducation physique et loisirs (Boulé), et ergothérapie (Forhan), Université de l'Alberta; Adult Bariatric Specialty Clinic (Sharma), Hôpital Royal Alexandra; Obésité Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Département de chirurgie (Biertho), Université Laval, Québec, Que.; École des sciences de l'activité physique (Adamo, Prud'homme), Université d'Ottawa, Ottawa, Ont.; Département de santé, kinésiologie et physiologie appliquée (Alberga), Université Concordia, Montréal, Que.; Centre d'Excellence en soins bariatriques(Brown), Hôpital d'Ottawa, Ottawa, Ont.; Départements de médecine familiale (Calam) et endocrinologie (Manjoo), Université de la Colombie-Britannique; Programme de résidence en pratique familiale de la UBC (Calam) et chaire de recherche en prévention des maladies cardiovasculaires Pfizer/Fondation des maladies du cœur et de l'AVC (Lear), Hôpital St. Paul, Vancouver, C.-B.; consultant en nutrition (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, Université de Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Département de médecine familiale (Freedhoff) et Division d'endocrinologie et métabolisme (Shiau), Département de médecine, Université d'Ottawa, Ottawa, Ont.; Herbert Wertheim School of medicine (Gagner), Florida International University, Miami, FL; Hôpital du Sacré-Cœur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division d'endocrinologie et métabolisme (Glazer), Université Queen's, Kingston, Ont.; Départements de médecine interne (Glazer), psychiatrie (Hawa, Sockalingam), médecine familiale et communautaire (Macklin), et des sciences de la nutrition (Sievenpiper), Université de Toronto, Toronto, Ont.; Services de santé de l'Alberta (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Départements de médecine familiale, et d'études sur les sciences et les politiques de santé publique (Green), Université Queen's; Centre des sciences de la santé de Kingston (Green); Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam); Réseau universitaire de santé (Hawa, Sockalingam), Toronto, Ont.; Division de chirurgie générale (Hong), Université McMaster, Hamilton, Ont.; Département de médecine familiale et de santé biocomportementale (Jacklin), Faculté de médecine de l'Université du Minnesota, campus Duluth, Duluth, Minn.; Faculté de kinésiologie et d'études sur la santé (Janssen), Université Queen's, Kingston, Ont.; École de santé et performance humaine (Kirk), Université Dalhousie, Halifax, N.-É; École de kinésiologie et de sciences de la santé (Wharton, Kuk), Université York, Toronto, Ont.; Division d'endocrinologie (Langlois), Université de Sherbrooke; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Qc; École de kinésiologie (Lear), Université Simon Fraser, Vancouver, C.-B.; Medcan Clinic ( Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Régie régionale de la santé de Vancouver, Victoria, C.-B.; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Université Laval, Québec, Qc; Centre médical Foothills (Nerenberg); C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology (Poddar), Toronto, Ont.; Département de médecine (Rueda-Clausen), Université de la Saskatchewan; Hôpital général de Regina (Rueda-Clausen), Regina, Sask.; Psychologie de l'éducation (Russell-Mayhew), Faculté d'éducation Werklund, Université de Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Chaire de recherche en santé interprofessionnelle de l'Institut de recherche sur la santé des populations Heather M Arthur/Hamilton Health Sciences, Faculté des sciences infirmières (Sherifali), Université McMaster, Hamilton, Ont.; Division d'endocrinologie et métabolisme (Sievenpiper), Hôpital St. Michael, Toronto, Ont.; Département de psychiatrie (Taylor), Université de Calgary, Calgary, Alta.; École de pharmacie (Twells), Université Memorial, St. John's, T.-N.-L.; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; École de santé des populations et de santé publique (Walker), Université de la Colombie-Britannique; Centre for Excellence in Indigenous Health (Walker), Université de la Colombie-Britannique, Vancouver, C.-B.; Institut de santé publique O'Brien (Wicklum), Université de Calgary, Calgary, Alta
| | - Jennifer Brown
- Départements de médecine (Wharton), endocrinologie et métabolisme (Poddar, Sherifali), médecine familiale (Naji, Tytus), et Health Research Methods, Evidence and Impact (HEI) Canada (Naji), Université McMaster; Clinique Wharton (Wharton, Poddar), Hamilton, Ont.; Départements: de médecine (Lau, Nerenberg) et médecine familiale (Boyling, Henderson, McInnes, Walji, Wicklum), École de médecine Cumming, Université de Calgary; Centre de recherche sur le diabète Julia McFarlane et Institut de cardiologie Libin de l'Alberta (Lau), Calgary, Alta.; Département de médecine familiale (Vallis, Piccinini-Vallis), Université Dalhousie, Halifax, N.-É; Départements de médecine (Sharma, Toth), médecine familiale (Campbell-Scherer, Kemp), agriculture, alimentation et science de la nutrition (Bell, Pereira), éducation physique et loisirs (Boulé), et ergothérapie (Forhan), Université de l'Alberta; Adult Bariatric Specialty Clinic (Sharma), Hôpital Royal Alexandra; Obésité Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Département de chirurgie (Biertho), Université Laval, Québec, Que.; École des sciences de l'activité physique (Adamo, Prud'homme), Université d'Ottawa, Ottawa, Ont.; Département de santé, kinésiologie et physiologie appliquée (Alberga), Université Concordia, Montréal, Que.; Centre d'Excellence en soins bariatriques(Brown), Hôpital d'Ottawa, Ottawa, Ont.; Départements de médecine familiale (Calam) et endocrinologie (Manjoo), Université de la Colombie-Britannique; Programme de résidence en pratique familiale de la UBC (Calam) et chaire de recherche en prévention des maladies cardiovasculaires Pfizer/Fondation des maladies du cœur et de l'AVC (Lear), Hôpital St. Paul, Vancouver, C.-B.; consultant en nutrition (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, Université de Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Département de médecine familiale (Freedhoff) et Division d'endocrinologie et métabolisme (Shiau), Département de médecine, Université d'Ottawa, Ottawa, Ont.; Herbert Wertheim School of medicine (Gagner), Florida International University, Miami, FL; Hôpital du Sacré-Cœur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division d'endocrinologie et métabolisme (Glazer), Université Queen's, Kingston, Ont.; Départements de médecine interne (Glazer), psychiatrie (Hawa, Sockalingam), médecine familiale et communautaire (Macklin), et des sciences de la nutrition (Sievenpiper), Université de Toronto, Toronto, Ont.; Services de santé de l'Alberta (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Départements de médecine familiale, et d'études sur les sciences et les politiques de santé publique (Green), Université Queen's; Centre des sciences de la santé de Kingston (Green); Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam); Réseau universitaire de santé (Hawa, Sockalingam), Toronto, Ont.; Division de chirurgie générale (Hong), Université McMaster, Hamilton, Ont.; Département de médecine familiale et de santé biocomportementale (Jacklin), Faculté de médecine de l'Université du Minnesota, campus Duluth, Duluth, Minn.; Faculté de kinésiologie et d'études sur la santé (Janssen), Université Queen's, Kingston, Ont.; École de santé et performance humaine (Kirk), Université Dalhousie, Halifax, N.-É; École de kinésiologie et de sciences de la santé (Wharton, Kuk), Université York, Toronto, Ont.; Division d'endocrinologie (Langlois), Université de Sherbrooke; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Qc; École de kinésiologie (Lear), Université Simon Fraser, Vancouver, C.-B.; Medcan Clinic ( Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Régie régionale de la santé de Vancouver, Victoria, C.-B.; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Université Laval, Québec, Qc; Centre médical Foothills (Nerenberg); C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology (Poddar), Toronto, Ont.; Département de médecine (Rueda-Clausen), Université de la Saskatchewan; Hôpital général de Regina (Rueda-Clausen), Regina, Sask.; Psychologie de l'éducation (Russell-Mayhew), Faculté d'éducation Werklund, Université de Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Chaire de recherche en santé interprofessionnelle de l'Institut de recherche sur la santé des populations Heather M Arthur/Hamilton Health Sciences, Faculté des sciences infirmières (Sherifali), Université McMaster, Hamilton, Ont.; Division d'endocrinologie et métabolisme (Sievenpiper), Hôpital St. Michael, Toronto, Ont.; Département de psychiatrie (Taylor), Université de Calgary, Calgary, Alta.; École de pharmacie (Twells), Université Memorial, St. John's, T.-N.-L.; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; École de santé des populations et de santé publique (Walker), Université de la Colombie-Britannique; Centre for Excellence in Indigenous Health (Walker), Université de la Colombie-Britannique, Vancouver, C.-B.; Institut de santé publique O'Brien (Wicklum), Université de Calgary, Calgary, Alta
| | - Betty Calam
- Départements de médecine (Wharton), endocrinologie et métabolisme (Poddar, Sherifali), médecine familiale (Naji, Tytus), et Health Research Methods, Evidence and Impact (HEI) Canada (Naji), Université McMaster; Clinique Wharton (Wharton, Poddar), Hamilton, Ont.; Départements: de médecine (Lau, Nerenberg) et médecine familiale (Boyling, Henderson, McInnes, Walji, Wicklum), École de médecine Cumming, Université de Calgary; Centre de recherche sur le diabète Julia McFarlane et Institut de cardiologie Libin de l'Alberta (Lau), Calgary, Alta.; Département de médecine familiale (Vallis, Piccinini-Vallis), Université Dalhousie, Halifax, N.-É; Départements de médecine (Sharma, Toth), médecine familiale (Campbell-Scherer, Kemp), agriculture, alimentation et science de la nutrition (Bell, Pereira), éducation physique et loisirs (Boulé), et ergothérapie (Forhan), Université de l'Alberta; Adult Bariatric Specialty Clinic (Sharma), Hôpital Royal Alexandra; Obésité Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Département de chirurgie (Biertho), Université Laval, Québec, Que.; École des sciences de l'activité physique (Adamo, Prud'homme), Université d'Ottawa, Ottawa, Ont.; Département de santé, kinésiologie et physiologie appliquée (Alberga), Université Concordia, Montréal, Que.; Centre d'Excellence en soins bariatriques(Brown), Hôpital d'Ottawa, Ottawa, Ont.; Départements de médecine familiale (Calam) et endocrinologie (Manjoo), Université de la Colombie-Britannique; Programme de résidence en pratique familiale de la UBC (Calam) et chaire de recherche en prévention des maladies cardiovasculaires Pfizer/Fondation des maladies du cœur et de l'AVC (Lear), Hôpital St. Paul, Vancouver, C.-B.; consultant en nutrition (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, Université de Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Département de médecine familiale (Freedhoff) et Division d'endocrinologie et métabolisme (Shiau), Département de médecine, Université d'Ottawa, Ottawa, Ont.; Herbert Wertheim School of medicine (Gagner), Florida International University, Miami, FL; Hôpital du Sacré-Cœur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division d'endocrinologie et métabolisme (Glazer), Université Queen's, Kingston, Ont.; Départements de médecine interne (Glazer), psychiatrie (Hawa, Sockalingam), médecine familiale et communautaire (Macklin), et des sciences de la nutrition (Sievenpiper), Université de Toronto, Toronto, Ont.; Services de santé de l'Alberta (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Départements de médecine familiale, et d'études sur les sciences et les politiques de santé publique (Green), Université Queen's; Centre des sciences de la santé de Kingston (Green); Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam); Réseau universitaire de santé (Hawa, Sockalingam), Toronto, Ont.; Division de chirurgie générale (Hong), Université McMaster, Hamilton, Ont.; Département de médecine familiale et de santé biocomportementale (Jacklin), Faculté de médecine de l'Université du Minnesota, campus Duluth, Duluth, Minn.; Faculté de kinésiologie et d'études sur la santé (Janssen), Université Queen's, Kingston, Ont.; École de santé et performance humaine (Kirk), Université Dalhousie, Halifax, N.-É; École de kinésiologie et de sciences de la santé (Wharton, Kuk), Université York, Toronto, Ont.; Division d'endocrinologie (Langlois), Université de Sherbrooke; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Qc; École de kinésiologie (Lear), Université Simon Fraser, Vancouver, C.-B.; Medcan Clinic ( Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Régie régionale de la santé de Vancouver, Victoria, C.-B.; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Université Laval, Québec, Qc; Centre médical Foothills (Nerenberg); C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology (Poddar), Toronto, Ont.; Département de médecine (Rueda-Clausen), Université de la Saskatchewan; Hôpital général de Regina (Rueda-Clausen), Regina, Sask.; Psychologie de l'éducation (Russell-Mayhew), Faculté d'éducation Werklund, Université de Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Chaire de recherche en santé interprofessionnelle de l'Institut de recherche sur la santé des populations Heather M Arthur/Hamilton Health Sciences, Faculté des sciences infirmières (Sherifali), Université McMaster, Hamilton, Ont.; Division d'endocrinologie et métabolisme (Sievenpiper), Hôpital St. Michael, Toronto, Ont.; Département de psychiatrie (Taylor), Université de Calgary, Calgary, Alta.; École de pharmacie (Twells), Université Memorial, St. John's, T.-N.-L.; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; École de santé des populations et de santé publique (Walker), Université de la Colombie-Britannique; Centre for Excellence in Indigenous Health (Walker), Université de la Colombie-Britannique, Vancouver, C.-B.; Institut de santé publique O'Brien (Wicklum), Université de Calgary, Calgary, Alta
| | - Carol Clarke
- Départements de médecine (Wharton), endocrinologie et métabolisme (Poddar, Sherifali), médecine familiale (Naji, Tytus), et Health Research Methods, Evidence and Impact (HEI) Canada (Naji), Université McMaster; Clinique Wharton (Wharton, Poddar), Hamilton, Ont.; Départements: de médecine (Lau, Nerenberg) et médecine familiale (Boyling, Henderson, McInnes, Walji, Wicklum), École de médecine Cumming, Université de Calgary; Centre de recherche sur le diabète Julia McFarlane et Institut de cardiologie Libin de l'Alberta (Lau), Calgary, Alta.; Département de médecine familiale (Vallis, Piccinini-Vallis), Université Dalhousie, Halifax, N.-É; Départements de médecine (Sharma, Toth), médecine familiale (Campbell-Scherer, Kemp), agriculture, alimentation et science de la nutrition (Bell, Pereira), éducation physique et loisirs (Boulé), et ergothérapie (Forhan), Université de l'Alberta; Adult Bariatric Specialty Clinic (Sharma), Hôpital Royal Alexandra; Obésité Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Département de chirurgie (Biertho), Université Laval, Québec, Que.; École des sciences de l'activité physique (Adamo, Prud'homme), Université d'Ottawa, Ottawa, Ont.; Département de santé, kinésiologie et physiologie appliquée (Alberga), Université Concordia, Montréal, Que.; Centre d'Excellence en soins bariatriques(Brown), Hôpital d'Ottawa, Ottawa, Ont.; Départements de médecine familiale (Calam) et endocrinologie (Manjoo), Université de la Colombie-Britannique; Programme de résidence en pratique familiale de la UBC (Calam) et chaire de recherche en prévention des maladies cardiovasculaires Pfizer/Fondation des maladies du cœur et de l'AVC (Lear), Hôpital St. Paul, Vancouver, C.-B.; consultant en nutrition (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, Université de Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Département de médecine familiale (Freedhoff) et Division d'endocrinologie et métabolisme (Shiau), Département de médecine, Université d'Ottawa, Ottawa, Ont.; Herbert Wertheim School of medicine (Gagner), Florida International University, Miami, FL; Hôpital du Sacré-Cœur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division d'endocrinologie et métabolisme (Glazer), Université Queen's, Kingston, Ont.; Départements de médecine interne (Glazer), psychiatrie (Hawa, Sockalingam), médecine familiale et communautaire (Macklin), et des sciences de la nutrition (Sievenpiper), Université de Toronto, Toronto, Ont.; Services de santé de l'Alberta (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Départements de médecine familiale, et d'études sur les sciences et les politiques de santé publique (Green), Université Queen's; Centre des sciences de la santé de Kingston (Green); Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam); Réseau universitaire de santé (Hawa, Sockalingam), Toronto, Ont.; Division de chirurgie générale (Hong), Université McMaster, Hamilton, Ont.; Département de médecine familiale et de santé biocomportementale (Jacklin), Faculté de médecine de l'Université du Minnesota, campus Duluth, Duluth, Minn.; Faculté de kinésiologie et d'études sur la santé (Janssen), Université Queen's, Kingston, Ont.; École de santé et performance humaine (Kirk), Université Dalhousie, Halifax, N.-É; École de kinésiologie et de sciences de la santé (Wharton, Kuk), Université York, Toronto, Ont.; Division d'endocrinologie (Langlois), Université de Sherbrooke; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Qc; École de kinésiologie (Lear), Université Simon Fraser, Vancouver, C.-B.; Medcan Clinic ( Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Régie régionale de la santé de Vancouver, Victoria, C.-B.; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Université Laval, Québec, Qc; Centre médical Foothills (Nerenberg); C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology (Poddar), Toronto, Ont.; Département de médecine (Rueda-Clausen), Université de la Saskatchewan; Hôpital général de Regina (Rueda-Clausen), Regina, Sask.; Psychologie de l'éducation (Russell-Mayhew), Faculté d'éducation Werklund, Université de Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Chaire de recherche en santé interprofessionnelle de l'Institut de recherche sur la santé des populations Heather M Arthur/Hamilton Health Sciences, Faculté des sciences infirmières (Sherifali), Université McMaster, Hamilton, Ont.; Division d'endocrinologie et métabolisme (Sievenpiper), Hôpital St. Michael, Toronto, Ont.; Département de psychiatrie (Taylor), Université de Calgary, Calgary, Alta.; École de pharmacie (Twells), Université Memorial, St. John's, T.-N.-L.; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; École de santé des populations et de santé publique (Walker), Université de la Colombie-Britannique; Centre for Excellence in Indigenous Health (Walker), Université de la Colombie-Britannique, Vancouver, C.-B.; Institut de santé publique O'Brien (Wicklum), Université de Calgary, Calgary, Alta
| | - Lindsay Crowshoe
- Départements de médecine (Wharton), endocrinologie et métabolisme (Poddar, Sherifali), médecine familiale (Naji, Tytus), et Health Research Methods, Evidence and Impact (HEI) Canada (Naji), Université McMaster; Clinique Wharton (Wharton, Poddar), Hamilton, Ont.; Départements: de médecine (Lau, Nerenberg) et médecine familiale (Boyling, Henderson, McInnes, Walji, Wicklum), École de médecine Cumming, Université de Calgary; Centre de recherche sur le diabète Julia McFarlane et Institut de cardiologie Libin de l'Alberta (Lau), Calgary, Alta.; Département de médecine familiale (Vallis, Piccinini-Vallis), Université Dalhousie, Halifax, N.-É; Départements de médecine (Sharma, Toth), médecine familiale (Campbell-Scherer, Kemp), agriculture, alimentation et science de la nutrition (Bell, Pereira), éducation physique et loisirs (Boulé), et ergothérapie (Forhan), Université de l'Alberta; Adult Bariatric Specialty Clinic (Sharma), Hôpital Royal Alexandra; Obésité Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Département de chirurgie (Biertho), Université Laval, Québec, Que.; École des sciences de l'activité physique (Adamo, Prud'homme), Université d'Ottawa, Ottawa, Ont.; Département de santé, kinésiologie et physiologie appliquée (Alberga), Université Concordia, Montréal, Que.; Centre d'Excellence en soins bariatriques(Brown), Hôpital d'Ottawa, Ottawa, Ont.; Départements de médecine familiale (Calam) et endocrinologie (Manjoo), Université de la Colombie-Britannique; Programme de résidence en pratique familiale de la UBC (Calam) et chaire de recherche en prévention des maladies cardiovasculaires Pfizer/Fondation des maladies du cœur et de l'AVC (Lear), Hôpital St. Paul, Vancouver, C.-B.; consultant en nutrition (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, Université de Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Département de médecine familiale (Freedhoff) et Division d'endocrinologie et métabolisme (Shiau), Département de médecine, Université d'Ottawa, Ottawa, Ont.; Herbert Wertheim School of medicine (Gagner), Florida International University, Miami, FL; Hôpital du Sacré-Cœur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division d'endocrinologie et métabolisme (Glazer), Université Queen's, Kingston, Ont.; Départements de médecine interne (Glazer), psychiatrie (Hawa, Sockalingam), médecine familiale et communautaire (Macklin), et des sciences de la nutrition (Sievenpiper), Université de Toronto, Toronto, Ont.; Services de santé de l'Alberta (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Départements de médecine familiale, et d'études sur les sciences et les politiques de santé publique (Green), Université Queen's; Centre des sciences de la santé de Kingston (Green); Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam); Réseau universitaire de santé (Hawa, Sockalingam), Toronto, Ont.; Division de chirurgie générale (Hong), Université McMaster, Hamilton, Ont.; Département de médecine familiale et de santé biocomportementale (Jacklin), Faculté de médecine de l'Université du Minnesota, campus Duluth, Duluth, Minn.; Faculté de kinésiologie et d'études sur la santé (Janssen), Université Queen's, Kingston, Ont.; École de santé et performance humaine (Kirk), Université Dalhousie, Halifax, N.-É; École de kinésiologie et de sciences de la santé (Wharton, Kuk), Université York, Toronto, Ont.; Division d'endocrinologie (Langlois), Université de Sherbrooke; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Qc; École de kinésiologie (Lear), Université Simon Fraser, Vancouver, C.-B.; Medcan Clinic ( Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Régie régionale de la santé de Vancouver, Victoria, C.-B.; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Université Laval, Québec, Qc; Centre médical Foothills (Nerenberg); C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology (Poddar), Toronto, Ont.; Département de médecine (Rueda-Clausen), Université de la Saskatchewan; Hôpital général de Regina (Rueda-Clausen), Regina, Sask.; Psychologie de l'éducation (Russell-Mayhew), Faculté d'éducation Werklund, Université de Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Chaire de recherche en santé interprofessionnelle de l'Institut de recherche sur la santé des populations Heather M Arthur/Hamilton Health Sciences, Faculté des sciences infirmières (Sherifali), Université McMaster, Hamilton, Ont.; Division d'endocrinologie et métabolisme (Sievenpiper), Hôpital St. Michael, Toronto, Ont.; Département de psychiatrie (Taylor), Université de Calgary, Calgary, Alta.; École de pharmacie (Twells), Université Memorial, St. John's, T.-N.-L.; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; École de santé des populations et de santé publique (Walker), Université de la Colombie-Britannique; Centre for Excellence in Indigenous Health (Walker), Université de la Colombie-Britannique, Vancouver, C.-B.; Institut de santé publique O'Brien (Wicklum), Université de Calgary, Calgary, Alta
| | - Dennis Divalentino
- Départements de médecine (Wharton), endocrinologie et métabolisme (Poddar, Sherifali), médecine familiale (Naji, Tytus), et Health Research Methods, Evidence and Impact (HEI) Canada (Naji), Université McMaster; Clinique Wharton (Wharton, Poddar), Hamilton, Ont.; Départements: de médecine (Lau, Nerenberg) et médecine familiale (Boyling, Henderson, McInnes, Walji, Wicklum), École de médecine Cumming, Université de Calgary; Centre de recherche sur le diabète Julia McFarlane et Institut de cardiologie Libin de l'Alberta (Lau), Calgary, Alta.; Département de médecine familiale (Vallis, Piccinini-Vallis), Université Dalhousie, Halifax, N.-É; Départements de médecine (Sharma, Toth), médecine familiale (Campbell-Scherer, Kemp), agriculture, alimentation et science de la nutrition (Bell, Pereira), éducation physique et loisirs (Boulé), et ergothérapie (Forhan), Université de l'Alberta; Adult Bariatric Specialty Clinic (Sharma), Hôpital Royal Alexandra; Obésité Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Département de chirurgie (Biertho), Université Laval, Québec, Que.; École des sciences de l'activité physique (Adamo, Prud'homme), Université d'Ottawa, Ottawa, Ont.; Département de santé, kinésiologie et physiologie appliquée (Alberga), Université Concordia, Montréal, Que.; Centre d'Excellence en soins bariatriques(Brown), Hôpital d'Ottawa, Ottawa, Ont.; Départements de médecine familiale (Calam) et endocrinologie (Manjoo), Université de la Colombie-Britannique; Programme de résidence en pratique familiale de la UBC (Calam) et chaire de recherche en prévention des maladies cardiovasculaires Pfizer/Fondation des maladies du cœur et de l'AVC (Lear), Hôpital St. Paul, Vancouver, C.-B.; consultant en nutrition (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, Université de Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Département de médecine familiale (Freedhoff) et Division d'endocrinologie et métabolisme (Shiau), Département de médecine, Université d'Ottawa, Ottawa, Ont.; Herbert Wertheim School of medicine (Gagner), Florida International University, Miami, FL; Hôpital du Sacré-Cœur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division d'endocrinologie et métabolisme (Glazer), Université Queen's, Kingston, Ont.; Départements de médecine interne (Glazer), psychiatrie (Hawa, Sockalingam), médecine familiale et communautaire (Macklin), et des sciences de la nutrition (Sievenpiper), Université de Toronto, Toronto, Ont.; Services de santé de l'Alberta (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Départements de médecine familiale, et d'études sur les sciences et les politiques de santé publique (Green), Université Queen's; Centre des sciences de la santé de Kingston (Green); Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam); Réseau universitaire de santé (Hawa, Sockalingam), Toronto, Ont.; Division de chirurgie générale (Hong), Université McMaster, Hamilton, Ont.; Département de médecine familiale et de santé biocomportementale (Jacklin), Faculté de médecine de l'Université du Minnesota, campus Duluth, Duluth, Minn.; Faculté de kinésiologie et d'études sur la santé (Janssen), Université Queen's, Kingston, Ont.; École de santé et performance humaine (Kirk), Université Dalhousie, Halifax, N.-É; École de kinésiologie et de sciences de la santé (Wharton, Kuk), Université York, Toronto, Ont.; Division d'endocrinologie (Langlois), Université de Sherbrooke; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Qc; École de kinésiologie (Lear), Université Simon Fraser, Vancouver, C.-B.; Medcan Clinic ( Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Régie régionale de la santé de Vancouver, Victoria, C.-B.; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Université Laval, Québec, Qc; Centre médical Foothills (Nerenberg); C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology (Poddar), Toronto, Ont.; Département de médecine (Rueda-Clausen), Université de la Saskatchewan; Hôpital général de Regina (Rueda-Clausen), Regina, Sask.; Psychologie de l'éducation (Russell-Mayhew), Faculté d'éducation Werklund, Université de Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Chaire de recherche en santé interprofessionnelle de l'Institut de recherche sur la santé des populations Heather M Arthur/Hamilton Health Sciences, Faculté des sciences infirmières (Sherifali), Université McMaster, Hamilton, Ont.; Division d'endocrinologie et métabolisme (Sievenpiper), Hôpital St. Michael, Toronto, Ont.; Département de psychiatrie (Taylor), Université de Calgary, Calgary, Alta.; École de pharmacie (Twells), Université Memorial, St. John's, T.-N.-L.; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; École de santé des populations et de santé publique (Walker), Université de la Colombie-Britannique; Centre for Excellence in Indigenous Health (Walker), Université de la Colombie-Britannique, Vancouver, C.-B.; Institut de santé publique O'Brien (Wicklum), Université de Calgary, Calgary, Alta
| | - Mary Forhan
- Départements de médecine (Wharton), endocrinologie et métabolisme (Poddar, Sherifali), médecine familiale (Naji, Tytus), et Health Research Methods, Evidence and Impact (HEI) Canada (Naji), Université McMaster; Clinique Wharton (Wharton, Poddar), Hamilton, Ont.; Départements: de médecine (Lau, Nerenberg) et médecine familiale (Boyling, Henderson, McInnes, Walji, Wicklum), École de médecine Cumming, Université de Calgary; Centre de recherche sur le diabète Julia McFarlane et Institut de cardiologie Libin de l'Alberta (Lau), Calgary, Alta.; Département de médecine familiale (Vallis, Piccinini-Vallis), Université Dalhousie, Halifax, N.-É; Départements de médecine (Sharma, Toth), médecine familiale (Campbell-Scherer, Kemp), agriculture, alimentation et science de la nutrition (Bell, Pereira), éducation physique et loisirs (Boulé), et ergothérapie (Forhan), Université de l'Alberta; Adult Bariatric Specialty Clinic (Sharma), Hôpital Royal Alexandra; Obésité Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Département de chirurgie (Biertho), Université Laval, Québec, Que.; École des sciences de l'activité physique (Adamo, Prud'homme), Université d'Ottawa, Ottawa, Ont.; Département de santé, kinésiologie et physiologie appliquée (Alberga), Université Concordia, Montréal, Que.; Centre d'Excellence en soins bariatriques(Brown), Hôpital d'Ottawa, Ottawa, Ont.; Départements de médecine familiale (Calam) et endocrinologie (Manjoo), Université de la Colombie-Britannique; Programme de résidence en pratique familiale de la UBC (Calam) et chaire de recherche en prévention des maladies cardiovasculaires Pfizer/Fondation des maladies du cœur et de l'AVC (Lear), Hôpital St. Paul, Vancouver, C.-B.; consultant en nutrition (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, Université de Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Département de médecine familiale (Freedhoff) et Division d'endocrinologie et métabolisme (Shiau), Département de médecine, Université d'Ottawa, Ottawa, Ont.; Herbert Wertheim School of medicine (Gagner), Florida International University, Miami, FL; Hôpital du Sacré-Cœur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division d'endocrinologie et métabolisme (Glazer), Université Queen's, Kingston, Ont.; Départements de médecine interne (Glazer), psychiatrie (Hawa, Sockalingam), médecine familiale et communautaire (Macklin), et des sciences de la nutrition (Sievenpiper), Université de Toronto, Toronto, Ont.; Services de santé de l'Alberta (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Départements de médecine familiale, et d'études sur les sciences et les politiques de santé publique (Green), Université Queen's; Centre des sciences de la santé de Kingston (Green); Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam); Réseau universitaire de santé (Hawa, Sockalingam), Toronto, Ont.; Division de chirurgie générale (Hong), Université McMaster, Hamilton, Ont.; Département de médecine familiale et de santé biocomportementale (Jacklin), Faculté de médecine de l'Université du Minnesota, campus Duluth, Duluth, Minn.; Faculté de kinésiologie et d'études sur la santé (Janssen), Université Queen's, Kingston, Ont.; École de santé et performance humaine (Kirk), Université Dalhousie, Halifax, N.-É; École de kinésiologie et de sciences de la santé (Wharton, Kuk), Université York, Toronto, Ont.; Division d'endocrinologie (Langlois), Université de Sherbrooke; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Qc; École de kinésiologie (Lear), Université Simon Fraser, Vancouver, C.-B.; Medcan Clinic ( Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Régie régionale de la santé de Vancouver, Victoria, C.-B.; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Université Laval, Québec, Qc; Centre médical Foothills (Nerenberg); C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology (Poddar), Toronto, Ont.; Département de médecine (Rueda-Clausen), Université de la Saskatchewan; Hôpital général de Regina (Rueda-Clausen), Regina, Sask.; Psychologie de l'éducation (Russell-Mayhew), Faculté d'éducation Werklund, Université de Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Chaire de recherche en santé interprofessionnelle de l'Institut de recherche sur la santé des populations Heather M Arthur/Hamilton Health Sciences, Faculté des sciences infirmières (Sherifali), Université McMaster, Hamilton, Ont.; Division d'endocrinologie et métabolisme (Sievenpiper), Hôpital St. Michael, Toronto, Ont.; Département de psychiatrie (Taylor), Université de Calgary, Calgary, Alta.; École de pharmacie (Twells), Université Memorial, St. John's, T.-N.-L.; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; École de santé des populations et de santé publique (Walker), Université de la Colombie-Britannique; Centre for Excellence in Indigenous Health (Walker), Université de la Colombie-Britannique, Vancouver, C.-B.; Institut de santé publique O'Brien (Wicklum), Université de Calgary, Calgary, Alta
| | - Yoni Freedhoff
- Départements de médecine (Wharton), endocrinologie et métabolisme (Poddar, Sherifali), médecine familiale (Naji, Tytus), et Health Research Methods, Evidence and Impact (HEI) Canada (Naji), Université McMaster; Clinique Wharton (Wharton, Poddar), Hamilton, Ont.; Départements: de médecine (Lau, Nerenberg) et médecine familiale (Boyling, Henderson, McInnes, Walji, Wicklum), École de médecine Cumming, Université de Calgary; Centre de recherche sur le diabète Julia McFarlane et Institut de cardiologie Libin de l'Alberta (Lau), Calgary, Alta.; Département de médecine familiale (Vallis, Piccinini-Vallis), Université Dalhousie, Halifax, N.-É; Départements de médecine (Sharma, Toth), médecine familiale (Campbell-Scherer, Kemp), agriculture, alimentation et science de la nutrition (Bell, Pereira), éducation physique et loisirs (Boulé), et ergothérapie (Forhan), Université de l'Alberta; Adult Bariatric Specialty Clinic (Sharma), Hôpital Royal Alexandra; Obésité Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Département de chirurgie (Biertho), Université Laval, Québec, Que.; École des sciences de l'activité physique (Adamo, Prud'homme), Université d'Ottawa, Ottawa, Ont.; Département de santé, kinésiologie et physiologie appliquée (Alberga), Université Concordia, Montréal, Que.; Centre d'Excellence en soins bariatriques(Brown), Hôpital d'Ottawa, Ottawa, Ont.; Départements de médecine familiale (Calam) et endocrinologie (Manjoo), Université de la Colombie-Britannique; Programme de résidence en pratique familiale de la UBC (Calam) et chaire de recherche en prévention des maladies cardiovasculaires Pfizer/Fondation des maladies du cœur et de l'AVC (Lear), Hôpital St. Paul, Vancouver, C.-B.; consultant en nutrition (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, Université de Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Département de médecine familiale (Freedhoff) et Division d'endocrinologie et métabolisme (Shiau), Département de médecine, Université d'Ottawa, Ottawa, Ont.; Herbert Wertheim School of medicine (Gagner), Florida International University, Miami, FL; Hôpital du Sacré-Cœur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division d'endocrinologie et métabolisme (Glazer), Université Queen's, Kingston, Ont.; Départements de médecine interne (Glazer), psychiatrie (Hawa, Sockalingam), médecine familiale et communautaire (Macklin), et des sciences de la nutrition (Sievenpiper), Université de Toronto, Toronto, Ont.; Services de santé de l'Alberta (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Départements de médecine familiale, et d'études sur les sciences et les politiques de santé publique (Green), Université Queen's; Centre des sciences de la santé de Kingston (Green); Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam); Réseau universitaire de santé (Hawa, Sockalingam), Toronto, Ont.; Division de chirurgie générale (Hong), Université McMaster, Hamilton, Ont.; Département de médecine familiale et de santé biocomportementale (Jacklin), Faculté de médecine de l'Université du Minnesota, campus Duluth, Duluth, Minn.; Faculté de kinésiologie et d'études sur la santé (Janssen), Université Queen's, Kingston, Ont.; École de santé et performance humaine (Kirk), Université Dalhousie, Halifax, N.-É; École de kinésiologie et de sciences de la santé (Wharton, Kuk), Université York, Toronto, Ont.; Division d'endocrinologie (Langlois), Université de Sherbrooke; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Qc; École de kinésiologie (Lear), Université Simon Fraser, Vancouver, C.-B.; Medcan Clinic ( Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Régie régionale de la santé de Vancouver, Victoria, C.-B.; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Université Laval, Québec, Qc; Centre médical Foothills (Nerenberg); C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology (Poddar), Toronto, Ont.; Département de médecine (Rueda-Clausen), Université de la Saskatchewan; Hôpital général de Regina (Rueda-Clausen), Regina, Sask.; Psychologie de l'éducation (Russell-Mayhew), Faculté d'éducation Werklund, Université de Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Chaire de recherche en santé interprofessionnelle de l'Institut de recherche sur la santé des populations Heather M Arthur/Hamilton Health Sciences, Faculté des sciences infirmières (Sherifali), Université McMaster, Hamilton, Ont.; Division d'endocrinologie et métabolisme (Sievenpiper), Hôpital St. Michael, Toronto, Ont.; Département de psychiatrie (Taylor), Université de Calgary, Calgary, Alta.; École de pharmacie (Twells), Université Memorial, St. John's, T.-N.-L.; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; École de santé des populations et de santé publique (Walker), Université de la Colombie-Britannique; Centre for Excellence in Indigenous Health (Walker), Université de la Colombie-Britannique, Vancouver, C.-B.; Institut de santé publique O'Brien (Wicklum), Université de Calgary, Calgary, Alta
| | - Michel Gagner
- Départements de médecine (Wharton), endocrinologie et métabolisme (Poddar, Sherifali), médecine familiale (Naji, Tytus), et Health Research Methods, Evidence and Impact (HEI) Canada (Naji), Université McMaster; Clinique Wharton (Wharton, Poddar), Hamilton, Ont.; Départements: de médecine (Lau, Nerenberg) et médecine familiale (Boyling, Henderson, McInnes, Walji, Wicklum), École de médecine Cumming, Université de Calgary; Centre de recherche sur le diabète Julia McFarlane et Institut de cardiologie Libin de l'Alberta (Lau), Calgary, Alta.; Département de médecine familiale (Vallis, Piccinini-Vallis), Université Dalhousie, Halifax, N.-É; Départements de médecine (Sharma, Toth), médecine familiale (Campbell-Scherer, Kemp), agriculture, alimentation et science de la nutrition (Bell, Pereira), éducation physique et loisirs (Boulé), et ergothérapie (Forhan), Université de l'Alberta; Adult Bariatric Specialty Clinic (Sharma), Hôpital Royal Alexandra; Obésité Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Département de chirurgie (Biertho), Université Laval, Québec, Que.; École des sciences de l'activité physique (Adamo, Prud'homme), Université d'Ottawa, Ottawa, Ont.; Département de santé, kinésiologie et physiologie appliquée (Alberga), Université Concordia, Montréal, Que.; Centre d'Excellence en soins bariatriques(Brown), Hôpital d'Ottawa, Ottawa, Ont.; Départements de médecine familiale (Calam) et endocrinologie (Manjoo), Université de la Colombie-Britannique; Programme de résidence en pratique familiale de la UBC (Calam) et chaire de recherche en prévention des maladies cardiovasculaires Pfizer/Fondation des maladies du cœur et de l'AVC (Lear), Hôpital St. Paul, Vancouver, C.-B.; consultant en nutrition (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, Université de Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Département de médecine familiale (Freedhoff) et Division d'endocrinologie et métabolisme (Shiau), Département de médecine, Université d'Ottawa, Ottawa, Ont.; Herbert Wertheim School of medicine (Gagner), Florida International University, Miami, FL; Hôpital du Sacré-Cœur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division d'endocrinologie et métabolisme (Glazer), Université Queen's, Kingston, Ont.; Départements de médecine interne (Glazer), psychiatrie (Hawa, Sockalingam), médecine familiale et communautaire (Macklin), et des sciences de la nutrition (Sievenpiper), Université de Toronto, Toronto, Ont.; Services de santé de l'Alberta (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Départements de médecine familiale, et d'études sur les sciences et les politiques de santé publique (Green), Université Queen's; Centre des sciences de la santé de Kingston (Green); Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam); Réseau universitaire de santé (Hawa, Sockalingam), Toronto, Ont.; Division de chirurgie générale (Hong), Université McMaster, Hamilton, Ont.; Département de médecine familiale et de santé biocomportementale (Jacklin), Faculté de médecine de l'Université du Minnesota, campus Duluth, Duluth, Minn.; Faculté de kinésiologie et d'études sur la santé (Janssen), Université Queen's, Kingston, Ont.; École de santé et performance humaine (Kirk), Université Dalhousie, Halifax, N.-É; École de kinésiologie et de sciences de la santé (Wharton, Kuk), Université York, Toronto, Ont.; Division d'endocrinologie (Langlois), Université de Sherbrooke; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Qc; École de kinésiologie (Lear), Université Simon Fraser, Vancouver, C.-B.; Medcan Clinic ( Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Régie régionale de la santé de Vancouver, Victoria, C.-B.; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Université Laval, Québec, Qc; Centre médical Foothills (Nerenberg); C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology (Poddar), Toronto, Ont.; Département de médecine (Rueda-Clausen), Université de la Saskatchewan; Hôpital général de Regina (Rueda-Clausen), Regina, Sask.; Psychologie de l'éducation (Russell-Mayhew), Faculté d'éducation Werklund, Université de Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Chaire de recherche en santé interprofessionnelle de l'Institut de recherche sur la santé des populations Heather M Arthur/Hamilton Health Sciences, Faculté des sciences infirmières (Sherifali), Université McMaster, Hamilton, Ont.; Division d'endocrinologie et métabolisme (Sievenpiper), Hôpital St. Michael, Toronto, Ont.; Département de psychiatrie (Taylor), Université de Calgary, Calgary, Alta.; École de pharmacie (Twells), Université Memorial, St. John's, T.-N.-L.; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; École de santé des populations et de santé publique (Walker), Université de la Colombie-Britannique; Centre for Excellence in Indigenous Health (Walker), Université de la Colombie-Britannique, Vancouver, C.-B.; Institut de santé publique O'Brien (Wicklum), Université de Calgary, Calgary, Alta
| | - Stephen Glazer
- Départements de médecine (Wharton), endocrinologie et métabolisme (Poddar, Sherifali), médecine familiale (Naji, Tytus), et Health Research Methods, Evidence and Impact (HEI) Canada (Naji), Université McMaster; Clinique Wharton (Wharton, Poddar), Hamilton, Ont.; Départements: de médecine (Lau, Nerenberg) et médecine familiale (Boyling, Henderson, McInnes, Walji, Wicklum), École de médecine Cumming, Université de Calgary; Centre de recherche sur le diabète Julia McFarlane et Institut de cardiologie Libin de l'Alberta (Lau), Calgary, Alta.; Département de médecine familiale (Vallis, Piccinini-Vallis), Université Dalhousie, Halifax, N.-É; Départements de médecine (Sharma, Toth), médecine familiale (Campbell-Scherer, Kemp), agriculture, alimentation et science de la nutrition (Bell, Pereira), éducation physique et loisirs (Boulé), et ergothérapie (Forhan), Université de l'Alberta; Adult Bariatric Specialty Clinic (Sharma), Hôpital Royal Alexandra; Obésité Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Département de chirurgie (Biertho), Université Laval, Québec, Que.; École des sciences de l'activité physique (Adamo, Prud'homme), Université d'Ottawa, Ottawa, Ont.; Département de santé, kinésiologie et physiologie appliquée (Alberga), Université Concordia, Montréal, Que.; Centre d'Excellence en soins bariatriques(Brown), Hôpital d'Ottawa, Ottawa, Ont.; Départements de médecine familiale (Calam) et endocrinologie (Manjoo), Université de la Colombie-Britannique; Programme de résidence en pratique familiale de la UBC (Calam) et chaire de recherche en prévention des maladies cardiovasculaires Pfizer/Fondation des maladies du cœur et de l'AVC (Lear), Hôpital St. Paul, Vancouver, C.-B.; consultant en nutrition (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, Université de Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Département de médecine familiale (Freedhoff) et Division d'endocrinologie et métabolisme (Shiau), Département de médecine, Université d'Ottawa, Ottawa, Ont.; Herbert Wertheim School of medicine (Gagner), Florida International University, Miami, FL; Hôpital du Sacré-Cœur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division d'endocrinologie et métabolisme (Glazer), Université Queen's, Kingston, Ont.; Départements de médecine interne (Glazer), psychiatrie (Hawa, Sockalingam), médecine familiale et communautaire (Macklin), et des sciences de la nutrition (Sievenpiper), Université de Toronto, Toronto, Ont.; Services de santé de l'Alberta (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Départements de médecine familiale, et d'études sur les sciences et les politiques de santé publique (Green), Université Queen's; Centre des sciences de la santé de Kingston (Green); Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam); Réseau universitaire de santé (Hawa, Sockalingam), Toronto, Ont.; Division de chirurgie générale (Hong), Université McMaster, Hamilton, Ont.; Département de médecine familiale et de santé biocomportementale (Jacklin), Faculté de médecine de l'Université du Minnesota, campus Duluth, Duluth, Minn.; Faculté de kinésiologie et d'études sur la santé (Janssen), Université Queen's, Kingston, Ont.; École de santé et performance humaine (Kirk), Université Dalhousie, Halifax, N.-É; École de kinésiologie et de sciences de la santé (Wharton, Kuk), Université York, Toronto, Ont.; Division d'endocrinologie (Langlois), Université de Sherbrooke; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Qc; École de kinésiologie (Lear), Université Simon Fraser, Vancouver, C.-B.; Medcan Clinic ( Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Régie régionale de la santé de Vancouver, Victoria, C.-B.; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Université Laval, Québec, Qc; Centre médical Foothills (Nerenberg); C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology (Poddar), Toronto, Ont.; Département de médecine (Rueda-Clausen), Université de la Saskatchewan; Hôpital général de Regina (Rueda-Clausen), Regina, Sask.; Psychologie de l'éducation (Russell-Mayhew), Faculté d'éducation Werklund, Université de Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Chaire de recherche en santé interprofessionnelle de l'Institut de recherche sur la santé des populations Heather M Arthur/Hamilton Health Sciences, Faculté des sciences infirmières (Sherifali), Université McMaster, Hamilton, Ont.; Division d'endocrinologie et métabolisme (Sievenpiper), Hôpital St. Michael, Toronto, Ont.; Département de psychiatrie (Taylor), Université de Calgary, Calgary, Alta.; École de pharmacie (Twells), Université Memorial, St. John's, T.-N.-L.; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; École de santé des populations et de santé publique (Walker), Université de la Colombie-Britannique; Centre for Excellence in Indigenous Health (Walker), Université de la Colombie-Britannique, Vancouver, C.-B.; Institut de santé publique O'Brien (Wicklum), Université de Calgary, Calgary, Alta
| | - Cindy Grand
- Départements de médecine (Wharton), endocrinologie et métabolisme (Poddar, Sherifali), médecine familiale (Naji, Tytus), et Health Research Methods, Evidence and Impact (HEI) Canada (Naji), Université McMaster; Clinique Wharton (Wharton, Poddar), Hamilton, Ont.; Départements: de médecine (Lau, Nerenberg) et médecine familiale (Boyling, Henderson, McInnes, Walji, Wicklum), École de médecine Cumming, Université de Calgary; Centre de recherche sur le diabète Julia McFarlane et Institut de cardiologie Libin de l'Alberta (Lau), Calgary, Alta.; Département de médecine familiale (Vallis, Piccinini-Vallis), Université Dalhousie, Halifax, N.-É; Départements de médecine (Sharma, Toth), médecine familiale (Campbell-Scherer, Kemp), agriculture, alimentation et science de la nutrition (Bell, Pereira), éducation physique et loisirs (Boulé), et ergothérapie (Forhan), Université de l'Alberta; Adult Bariatric Specialty Clinic (Sharma), Hôpital Royal Alexandra; Obésité Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Département de chirurgie (Biertho), Université Laval, Québec, Que.; École des sciences de l'activité physique (Adamo, Prud'homme), Université d'Ottawa, Ottawa, Ont.; Département de santé, kinésiologie et physiologie appliquée (Alberga), Université Concordia, Montréal, Que.; Centre d'Excellence en soins bariatriques(Brown), Hôpital d'Ottawa, Ottawa, Ont.; Départements de médecine familiale (Calam) et endocrinologie (Manjoo), Université de la Colombie-Britannique; Programme de résidence en pratique familiale de la UBC (Calam) et chaire de recherche en prévention des maladies cardiovasculaires Pfizer/Fondation des maladies du cœur et de l'AVC (Lear), Hôpital St. Paul, Vancouver, C.-B.; consultant en nutrition (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, Université de Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Département de médecine familiale (Freedhoff) et Division d'endocrinologie et métabolisme (Shiau), Département de médecine, Université d'Ottawa, Ottawa, Ont.; Herbert Wertheim School of medicine (Gagner), Florida International University, Miami, FL; Hôpital du Sacré-Cœur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division d'endocrinologie et métabolisme (Glazer), Université Queen's, Kingston, Ont.; Départements de médecine interne (Glazer), psychiatrie (Hawa, Sockalingam), médecine familiale et communautaire (Macklin), et des sciences de la nutrition (Sievenpiper), Université de Toronto, Toronto, Ont.; Services de santé de l'Alberta (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Départements de médecine familiale, et d'études sur les sciences et les politiques de santé publique (Green), Université Queen's; Centre des sciences de la santé de Kingston (Green); Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam); Réseau universitaire de santé (Hawa, Sockalingam), Toronto, Ont.; Division de chirurgie générale (Hong), Université McMaster, Hamilton, Ont.; Département de médecine familiale et de santé biocomportementale (Jacklin), Faculté de médecine de l'Université du Minnesota, campus Duluth, Duluth, Minn.; Faculté de kinésiologie et d'études sur la santé (Janssen), Université Queen's, Kingston, Ont.; École de santé et performance humaine (Kirk), Université Dalhousie, Halifax, N.-É; École de kinésiologie et de sciences de la santé (Wharton, Kuk), Université York, Toronto, Ont.; Division d'endocrinologie (Langlois), Université de Sherbrooke; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Qc; École de kinésiologie (Lear), Université Simon Fraser, Vancouver, C.-B.; Medcan Clinic ( Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Régie régionale de la santé de Vancouver, Victoria, C.-B.; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Université Laval, Québec, Qc; Centre médical Foothills (Nerenberg); C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology (Poddar), Toronto, Ont.; Département de médecine (Rueda-Clausen), Université de la Saskatchewan; Hôpital général de Regina (Rueda-Clausen), Regina, Sask.; Psychologie de l'éducation (Russell-Mayhew), Faculté d'éducation Werklund, Université de Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Chaire de recherche en santé interprofessionnelle de l'Institut de recherche sur la santé des populations Heather M Arthur/Hamilton Health Sciences, Faculté des sciences infirmières (Sherifali), Université McMaster, Hamilton, Ont.; Division d'endocrinologie et métabolisme (Sievenpiper), Hôpital St. Michael, Toronto, Ont.; Département de psychiatrie (Taylor), Université de Calgary, Calgary, Alta.; École de pharmacie (Twells), Université Memorial, St. John's, T.-N.-L.; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; École de santé des populations et de santé publique (Walker), Université de la Colombie-Britannique; Centre for Excellence in Indigenous Health (Walker), Université de la Colombie-Britannique, Vancouver, C.-B.; Institut de santé publique O'Brien (Wicklum), Université de Calgary, Calgary, Alta
| | - Michael Green
- Départements de médecine (Wharton), endocrinologie et métabolisme (Poddar, Sherifali), médecine familiale (Naji, Tytus), et Health Research Methods, Evidence and Impact (HEI) Canada (Naji), Université McMaster; Clinique Wharton (Wharton, Poddar), Hamilton, Ont.; Départements: de médecine (Lau, Nerenberg) et médecine familiale (Boyling, Henderson, McInnes, Walji, Wicklum), École de médecine Cumming, Université de Calgary; Centre de recherche sur le diabète Julia McFarlane et Institut de cardiologie Libin de l'Alberta (Lau), Calgary, Alta.; Département de médecine familiale (Vallis, Piccinini-Vallis), Université Dalhousie, Halifax, N.-É; Départements de médecine (Sharma, Toth), médecine familiale (Campbell-Scherer, Kemp), agriculture, alimentation et science de la nutrition (Bell, Pereira), éducation physique et loisirs (Boulé), et ergothérapie (Forhan), Université de l'Alberta; Adult Bariatric Specialty Clinic (Sharma), Hôpital Royal Alexandra; Obésité Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Département de chirurgie (Biertho), Université Laval, Québec, Que.; École des sciences de l'activité physique (Adamo, Prud'homme), Université d'Ottawa, Ottawa, Ont.; Département de santé, kinésiologie et physiologie appliquée (Alberga), Université Concordia, Montréal, Que.; Centre d'Excellence en soins bariatriques(Brown), Hôpital d'Ottawa, Ottawa, Ont.; Départements de médecine familiale (Calam) et endocrinologie (Manjoo), Université de la Colombie-Britannique; Programme de résidence en pratique familiale de la UBC (Calam) et chaire de recherche en prévention des maladies cardiovasculaires Pfizer/Fondation des maladies du cœur et de l'AVC (Lear), Hôpital St. Paul, Vancouver, C.-B.; consultant en nutrition (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, Université de Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Département de médecine familiale (Freedhoff) et Division d'endocrinologie et métabolisme (Shiau), Département de médecine, Université d'Ottawa, Ottawa, Ont.; Herbert Wertheim School of medicine (Gagner), Florida International University, Miami, FL; Hôpital du Sacré-Cœur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division d'endocrinologie et métabolisme (Glazer), Université Queen's, Kingston, Ont.; Départements de médecine interne (Glazer), psychiatrie (Hawa, Sockalingam), médecine familiale et communautaire (Macklin), et des sciences de la nutrition (Sievenpiper), Université de Toronto, Toronto, Ont.; Services de santé de l'Alberta (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Départements de médecine familiale, et d'études sur les sciences et les politiques de santé publique (Green), Université Queen's; Centre des sciences de la santé de Kingston (Green); Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam); Réseau universitaire de santé (Hawa, Sockalingam), Toronto, Ont.; Division de chirurgie générale (Hong), Université McMaster, Hamilton, Ont.; Département de médecine familiale et de santé biocomportementale (Jacklin), Faculté de médecine de l'Université du Minnesota, campus Duluth, Duluth, Minn.; Faculté de kinésiologie et d'études sur la santé (Janssen), Université Queen's, Kingston, Ont.; École de santé et performance humaine (Kirk), Université Dalhousie, Halifax, N.-É; École de kinésiologie et de sciences de la santé (Wharton, Kuk), Université York, Toronto, Ont.; Division d'endocrinologie (Langlois), Université de Sherbrooke; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Qc; École de kinésiologie (Lear), Université Simon Fraser, Vancouver, C.-B.; Medcan Clinic ( Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Régie régionale de la santé de Vancouver, Victoria, C.-B.; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Université Laval, Québec, Qc; Centre médical Foothills (Nerenberg); C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology (Poddar), Toronto, Ont.; Département de médecine (Rueda-Clausen), Université de la Saskatchewan; Hôpital général de Regina (Rueda-Clausen), Regina, Sask.; Psychologie de l'éducation (Russell-Mayhew), Faculté d'éducation Werklund, Université de Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Chaire de recherche en santé interprofessionnelle de l'Institut de recherche sur la santé des populations Heather M Arthur/Hamilton Health Sciences, Faculté des sciences infirmières (Sherifali), Université McMaster, Hamilton, Ont.; Division d'endocrinologie et métabolisme (Sievenpiper), Hôpital St. Michael, Toronto, Ont.; Département de psychiatrie (Taylor), Université de Calgary, Calgary, Alta.; École de pharmacie (Twells), Université Memorial, St. John's, T.-N.-L.; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; École de santé des populations et de santé publique (Walker), Université de la Colombie-Britannique; Centre for Excellence in Indigenous Health (Walker), Université de la Colombie-Britannique, Vancouver, C.-B.; Institut de santé publique O'Brien (Wicklum), Université de Calgary, Calgary, Alta
| | - Margaret Hahn
- Départements de médecine (Wharton), endocrinologie et métabolisme (Poddar, Sherifali), médecine familiale (Naji, Tytus), et Health Research Methods, Evidence and Impact (HEI) Canada (Naji), Université McMaster; Clinique Wharton (Wharton, Poddar), Hamilton, Ont.; Départements: de médecine (Lau, Nerenberg) et médecine familiale (Boyling, Henderson, McInnes, Walji, Wicklum), École de médecine Cumming, Université de Calgary; Centre de recherche sur le diabète Julia McFarlane et Institut de cardiologie Libin de l'Alberta (Lau), Calgary, Alta.; Département de médecine familiale (Vallis, Piccinini-Vallis), Université Dalhousie, Halifax, N.-É; Départements de médecine (Sharma, Toth), médecine familiale (Campbell-Scherer, Kemp), agriculture, alimentation et science de la nutrition (Bell, Pereira), éducation physique et loisirs (Boulé), et ergothérapie (Forhan), Université de l'Alberta; Adult Bariatric Specialty Clinic (Sharma), Hôpital Royal Alexandra; Obésité Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Département de chirurgie (Biertho), Université Laval, Québec, Que.; École des sciences de l'activité physique (Adamo, Prud'homme), Université d'Ottawa, Ottawa, Ont.; Département de santé, kinésiologie et physiologie appliquée (Alberga), Université Concordia, Montréal, Que.; Centre d'Excellence en soins bariatriques(Brown), Hôpital d'Ottawa, Ottawa, Ont.; Départements de médecine familiale (Calam) et endocrinologie (Manjoo), Université de la Colombie-Britannique; Programme de résidence en pratique familiale de la UBC (Calam) et chaire de recherche en prévention des maladies cardiovasculaires Pfizer/Fondation des maladies du cœur et de l'AVC (Lear), Hôpital St. Paul, Vancouver, C.-B.; consultant en nutrition (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, Université de Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Département de médecine familiale (Freedhoff) et Division d'endocrinologie et métabolisme (Shiau), Département de médecine, Université d'Ottawa, Ottawa, Ont.; Herbert Wertheim School of medicine (Gagner), Florida International University, Miami, FL; Hôpital du Sacré-Cœur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division d'endocrinologie et métabolisme (Glazer), Université Queen's, Kingston, Ont.; Départements de médecine interne (Glazer), psychiatrie (Hawa, Sockalingam), médecine familiale et communautaire (Macklin), et des sciences de la nutrition (Sievenpiper), Université de Toronto, Toronto, Ont.; Services de santé de l'Alberta (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Départements de médecine familiale, et d'études sur les sciences et les politiques de santé publique (Green), Université Queen's; Centre des sciences de la santé de Kingston (Green); Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam); Réseau universitaire de santé (Hawa, Sockalingam), Toronto, Ont.; Division de chirurgie générale (Hong), Université McMaster, Hamilton, Ont.; Département de médecine familiale et de santé biocomportementale (Jacklin), Faculté de médecine de l'Université du Minnesota, campus Duluth, Duluth, Minn.; Faculté de kinésiologie et d'études sur la santé (Janssen), Université Queen's, Kingston, Ont.; École de santé et performance humaine (Kirk), Université Dalhousie, Halifax, N.-É; École de kinésiologie et de sciences de la santé (Wharton, Kuk), Université York, Toronto, Ont.; Division d'endocrinologie (Langlois), Université de Sherbrooke; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Qc; École de kinésiologie (Lear), Université Simon Fraser, Vancouver, C.-B.; Medcan Clinic ( Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Régie régionale de la santé de Vancouver, Victoria, C.-B.; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Université Laval, Québec, Qc; Centre médical Foothills (Nerenberg); C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology (Poddar), Toronto, Ont.; Département de médecine (Rueda-Clausen), Université de la Saskatchewan; Hôpital général de Regina (Rueda-Clausen), Regina, Sask.; Psychologie de l'éducation (Russell-Mayhew), Faculté d'éducation Werklund, Université de Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Chaire de recherche en santé interprofessionnelle de l'Institut de recherche sur la santé des populations Heather M Arthur/Hamilton Health Sciences, Faculté des sciences infirmières (Sherifali), Université McMaster, Hamilton, Ont.; Division d'endocrinologie et métabolisme (Sievenpiper), Hôpital St. Michael, Toronto, Ont.; Département de psychiatrie (Taylor), Université de Calgary, Calgary, Alta.; École de pharmacie (Twells), Université Memorial, St. John's, T.-N.-L.; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; École de santé des populations et de santé publique (Walker), Université de la Colombie-Britannique; Centre for Excellence in Indigenous Health (Walker), Université de la Colombie-Britannique, Vancouver, C.-B.; Institut de santé publique O'Brien (Wicklum), Université de Calgary, Calgary, Alta
| | - Raed Hawa
- Départements de médecine (Wharton), endocrinologie et métabolisme (Poddar, Sherifali), médecine familiale (Naji, Tytus), et Health Research Methods, Evidence and Impact (HEI) Canada (Naji), Université McMaster; Clinique Wharton (Wharton, Poddar), Hamilton, Ont.; Départements: de médecine (Lau, Nerenberg) et médecine familiale (Boyling, Henderson, McInnes, Walji, Wicklum), École de médecine Cumming, Université de Calgary; Centre de recherche sur le diabète Julia McFarlane et Institut de cardiologie Libin de l'Alberta (Lau), Calgary, Alta.; Département de médecine familiale (Vallis, Piccinini-Vallis), Université Dalhousie, Halifax, N.-É; Départements de médecine (Sharma, Toth), médecine familiale (Campbell-Scherer, Kemp), agriculture, alimentation et science de la nutrition (Bell, Pereira), éducation physique et loisirs (Boulé), et ergothérapie (Forhan), Université de l'Alberta; Adult Bariatric Specialty Clinic (Sharma), Hôpital Royal Alexandra; Obésité Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Département de chirurgie (Biertho), Université Laval, Québec, Que.; École des sciences de l'activité physique (Adamo, Prud'homme), Université d'Ottawa, Ottawa, Ont.; Département de santé, kinésiologie et physiologie appliquée (Alberga), Université Concordia, Montréal, Que.; Centre d'Excellence en soins bariatriques(Brown), Hôpital d'Ottawa, Ottawa, Ont.; Départements de médecine familiale (Calam) et endocrinologie (Manjoo), Université de la Colombie-Britannique; Programme de résidence en pratique familiale de la UBC (Calam) et chaire de recherche en prévention des maladies cardiovasculaires Pfizer/Fondation des maladies du cœur et de l'AVC (Lear), Hôpital St. Paul, Vancouver, C.-B.; consultant en nutrition (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, Université de Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Département de médecine familiale (Freedhoff) et Division d'endocrinologie et métabolisme (Shiau), Département de médecine, Université d'Ottawa, Ottawa, Ont.; Herbert Wertheim School of medicine (Gagner), Florida International University, Miami, FL; Hôpital du Sacré-Cœur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division d'endocrinologie et métabolisme (Glazer), Université Queen's, Kingston, Ont.; Départements de médecine interne (Glazer), psychiatrie (Hawa, Sockalingam), médecine familiale et communautaire (Macklin), et des sciences de la nutrition (Sievenpiper), Université de Toronto, Toronto, Ont.; Services de santé de l'Alberta (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Départements de médecine familiale, et d'études sur les sciences et les politiques de santé publique (Green), Université Queen's; Centre des sciences de la santé de Kingston (Green); Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam); Réseau universitaire de santé (Hawa, Sockalingam), Toronto, Ont.; Division de chirurgie générale (Hong), Université McMaster, Hamilton, Ont.; Département de médecine familiale et de santé biocomportementale (Jacklin), Faculté de médecine de l'Université du Minnesota, campus Duluth, Duluth, Minn.; Faculté de kinésiologie et d'études sur la santé (Janssen), Université Queen's, Kingston, Ont.; École de santé et performance humaine (Kirk), Université Dalhousie, Halifax, N.-É; École de kinésiologie et de sciences de la santé (Wharton, Kuk), Université York, Toronto, Ont.; Division d'endocrinologie (Langlois), Université de Sherbrooke; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Qc; École de kinésiologie (Lear), Université Simon Fraser, Vancouver, C.-B.; Medcan Clinic ( Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Régie régionale de la santé de Vancouver, Victoria, C.-B.; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Université Laval, Québec, Qc; Centre médical Foothills (Nerenberg); C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology (Poddar), Toronto, Ont.; Département de médecine (Rueda-Clausen), Université de la Saskatchewan; Hôpital général de Regina (Rueda-Clausen), Regina, Sask.; Psychologie de l'éducation (Russell-Mayhew), Faculté d'éducation Werklund, Université de Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Chaire de recherche en santé interprofessionnelle de l'Institut de recherche sur la santé des populations Heather M Arthur/Hamilton Health Sciences, Faculté des sciences infirmières (Sherifali), Université McMaster, Hamilton, Ont.; Division d'endocrinologie et métabolisme (Sievenpiper), Hôpital St. Michael, Toronto, Ont.; Département de psychiatrie (Taylor), Université de Calgary, Calgary, Alta.; École de pharmacie (Twells), Université Memorial, St. John's, T.-N.-L.; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; École de santé des populations et de santé publique (Walker), Université de la Colombie-Britannique; Centre for Excellence in Indigenous Health (Walker), Université de la Colombie-Britannique, Vancouver, C.-B.; Institut de santé publique O'Brien (Wicklum), Université de Calgary, Calgary, Alta
| | - Rita Henderson
- Départements de médecine (Wharton), endocrinologie et métabolisme (Poddar, Sherifali), médecine familiale (Naji, Tytus), et Health Research Methods, Evidence and Impact (HEI) Canada (Naji), Université McMaster; Clinique Wharton (Wharton, Poddar), Hamilton, Ont.; Départements: de médecine (Lau, Nerenberg) et médecine familiale (Boyling, Henderson, McInnes, Walji, Wicklum), École de médecine Cumming, Université de Calgary; Centre de recherche sur le diabète Julia McFarlane et Institut de cardiologie Libin de l'Alberta (Lau), Calgary, Alta.; Département de médecine familiale (Vallis, Piccinini-Vallis), Université Dalhousie, Halifax, N.-É; Départements de médecine (Sharma, Toth), médecine familiale (Campbell-Scherer, Kemp), agriculture, alimentation et science de la nutrition (Bell, Pereira), éducation physique et loisirs (Boulé), et ergothérapie (Forhan), Université de l'Alberta; Adult Bariatric Specialty Clinic (Sharma), Hôpital Royal Alexandra; Obésité Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Département de chirurgie (Biertho), Université Laval, Québec, Que.; École des sciences de l'activité physique (Adamo, Prud'homme), Université d'Ottawa, Ottawa, Ont.; Département de santé, kinésiologie et physiologie appliquée (Alberga), Université Concordia, Montréal, Que.; Centre d'Excellence en soins bariatriques(Brown), Hôpital d'Ottawa, Ottawa, Ont.; Départements de médecine familiale (Calam) et endocrinologie (Manjoo), Université de la Colombie-Britannique; Programme de résidence en pratique familiale de la UBC (Calam) et chaire de recherche en prévention des maladies cardiovasculaires Pfizer/Fondation des maladies du cœur et de l'AVC (Lear), Hôpital St. Paul, Vancouver, C.-B.; consultant en nutrition (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, Université de Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Département de médecine familiale (Freedhoff) et Division d'endocrinologie et métabolisme (Shiau), Département de médecine, Université d'Ottawa, Ottawa, Ont.; Herbert Wertheim School of medicine (Gagner), Florida International University, Miami, FL; Hôpital du Sacré-Cœur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division d'endocrinologie et métabolisme (Glazer), Université Queen's, Kingston, Ont.; Départements de médecine interne (Glazer), psychiatrie (Hawa, Sockalingam), médecine familiale et communautaire (Macklin), et des sciences de la nutrition (Sievenpiper), Université de Toronto, Toronto, Ont.; Services de santé de l'Alberta (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Départements de médecine familiale, et d'études sur les sciences et les politiques de santé publique (Green), Université Queen's; Centre des sciences de la santé de Kingston (Green); Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam); Réseau universitaire de santé (Hawa, Sockalingam), Toronto, Ont.; Division de chirurgie générale (Hong), Université McMaster, Hamilton, Ont.; Département de médecine familiale et de santé biocomportementale (Jacklin), Faculté de médecine de l'Université du Minnesota, campus Duluth, Duluth, Minn.; Faculté de kinésiologie et d'études sur la santé (Janssen), Université Queen's, Kingston, Ont.; École de santé et performance humaine (Kirk), Université Dalhousie, Halifax, N.-É; École de kinésiologie et de sciences de la santé (Wharton, Kuk), Université York, Toronto, Ont.; Division d'endocrinologie (Langlois), Université de Sherbrooke; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Qc; École de kinésiologie (Lear), Université Simon Fraser, Vancouver, C.-B.; Medcan Clinic ( Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Régie régionale de la santé de Vancouver, Victoria, C.-B.; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Université Laval, Québec, Qc; Centre médical Foothills (Nerenberg); C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology (Poddar), Toronto, Ont.; Département de médecine (Rueda-Clausen), Université de la Saskatchewan; Hôpital général de Regina (Rueda-Clausen), Regina, Sask.; Psychologie de l'éducation (Russell-Mayhew), Faculté d'éducation Werklund, Université de Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Chaire de recherche en santé interprofessionnelle de l'Institut de recherche sur la santé des populations Heather M Arthur/Hamilton Health Sciences, Faculté des sciences infirmières (Sherifali), Université McMaster, Hamilton, Ont.; Division d'endocrinologie et métabolisme (Sievenpiper), Hôpital St. Michael, Toronto, Ont.; Département de psychiatrie (Taylor), Université de Calgary, Calgary, Alta.; École de pharmacie (Twells), Université Memorial, St. John's, T.-N.-L.; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; École de santé des populations et de santé publique (Walker), Université de la Colombie-Britannique; Centre for Excellence in Indigenous Health (Walker), Université de la Colombie-Britannique, Vancouver, C.-B.; Institut de santé publique O'Brien (Wicklum), Université de Calgary, Calgary, Alta
| | - Dennis Hong
- Départements de médecine (Wharton), endocrinologie et métabolisme (Poddar, Sherifali), médecine familiale (Naji, Tytus), et Health Research Methods, Evidence and Impact (HEI) Canada (Naji), Université McMaster; Clinique Wharton (Wharton, Poddar), Hamilton, Ont.; Départements: de médecine (Lau, Nerenberg) et médecine familiale (Boyling, Henderson, McInnes, Walji, Wicklum), École de médecine Cumming, Université de Calgary; Centre de recherche sur le diabète Julia McFarlane et Institut de cardiologie Libin de l'Alberta (Lau), Calgary, Alta.; Département de médecine familiale (Vallis, Piccinini-Vallis), Université Dalhousie, Halifax, N.-É; Départements de médecine (Sharma, Toth), médecine familiale (Campbell-Scherer, Kemp), agriculture, alimentation et science de la nutrition (Bell, Pereira), éducation physique et loisirs (Boulé), et ergothérapie (Forhan), Université de l'Alberta; Adult Bariatric Specialty Clinic (Sharma), Hôpital Royal Alexandra; Obésité Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Département de chirurgie (Biertho), Université Laval, Québec, Que.; École des sciences de l'activité physique (Adamo, Prud'homme), Université d'Ottawa, Ottawa, Ont.; Département de santé, kinésiologie et physiologie appliquée (Alberga), Université Concordia, Montréal, Que.; Centre d'Excellence en soins bariatriques(Brown), Hôpital d'Ottawa, Ottawa, Ont.; Départements de médecine familiale (Calam) et endocrinologie (Manjoo), Université de la Colombie-Britannique; Programme de résidence en pratique familiale de la UBC (Calam) et chaire de recherche en prévention des maladies cardiovasculaires Pfizer/Fondation des maladies du cœur et de l'AVC (Lear), Hôpital St. Paul, Vancouver, C.-B.; consultant en nutrition (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, Université de Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Département de médecine familiale (Freedhoff) et Division d'endocrinologie et métabolisme (Shiau), Département de médecine, Université d'Ottawa, Ottawa, Ont.; Herbert Wertheim School of medicine (Gagner), Florida International University, Miami, FL; Hôpital du Sacré-Cœur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division d'endocrinologie et métabolisme (Glazer), Université Queen's, Kingston, Ont.; Départements de médecine interne (Glazer), psychiatrie (Hawa, Sockalingam), médecine familiale et communautaire (Macklin), et des sciences de la nutrition (Sievenpiper), Université de Toronto, Toronto, Ont.; Services de santé de l'Alberta (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Départements de médecine familiale, et d'études sur les sciences et les politiques de santé publique (Green), Université Queen's; Centre des sciences de la santé de Kingston (Green); Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam); Réseau universitaire de santé (Hawa, Sockalingam), Toronto, Ont.; Division de chirurgie générale (Hong), Université McMaster, Hamilton, Ont.; Département de médecine familiale et de santé biocomportementale (Jacklin), Faculté de médecine de l'Université du Minnesota, campus Duluth, Duluth, Minn.; Faculté de kinésiologie et d'études sur la santé (Janssen), Université Queen's, Kingston, Ont.; École de santé et performance humaine (Kirk), Université Dalhousie, Halifax, N.-É; École de kinésiologie et de sciences de la santé (Wharton, Kuk), Université York, Toronto, Ont.; Division d'endocrinologie (Langlois), Université de Sherbrooke; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Qc; École de kinésiologie (Lear), Université Simon Fraser, Vancouver, C.-B.; Medcan Clinic ( Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Régie régionale de la santé de Vancouver, Victoria, C.-B.; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Université Laval, Québec, Qc; Centre médical Foothills (Nerenberg); C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology (Poddar), Toronto, Ont.; Département de médecine (Rueda-Clausen), Université de la Saskatchewan; Hôpital général de Regina (Rueda-Clausen), Regina, Sask.; Psychologie de l'éducation (Russell-Mayhew), Faculté d'éducation Werklund, Université de Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Chaire de recherche en santé interprofessionnelle de l'Institut de recherche sur la santé des populations Heather M Arthur/Hamilton Health Sciences, Faculté des sciences infirmières (Sherifali), Université McMaster, Hamilton, Ont.; Division d'endocrinologie et métabolisme (Sievenpiper), Hôpital St. Michael, Toronto, Ont.; Département de psychiatrie (Taylor), Université de Calgary, Calgary, Alta.; École de pharmacie (Twells), Université Memorial, St. John's, T.-N.-L.; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; École de santé des populations et de santé publique (Walker), Université de la Colombie-Britannique; Centre for Excellence in Indigenous Health (Walker), Université de la Colombie-Britannique, Vancouver, C.-B.; Institut de santé publique O'Brien (Wicklum), Université de Calgary, Calgary, Alta
| | - Pam Hung
- Départements de médecine (Wharton), endocrinologie et métabolisme (Poddar, Sherifali), médecine familiale (Naji, Tytus), et Health Research Methods, Evidence and Impact (HEI) Canada (Naji), Université McMaster; Clinique Wharton (Wharton, Poddar), Hamilton, Ont.; Départements: de médecine (Lau, Nerenberg) et médecine familiale (Boyling, Henderson, McInnes, Walji, Wicklum), École de médecine Cumming, Université de Calgary; Centre de recherche sur le diabète Julia McFarlane et Institut de cardiologie Libin de l'Alberta (Lau), Calgary, Alta.; Département de médecine familiale (Vallis, Piccinini-Vallis), Université Dalhousie, Halifax, N.-É; Départements de médecine (Sharma, Toth), médecine familiale (Campbell-Scherer, Kemp), agriculture, alimentation et science de la nutrition (Bell, Pereira), éducation physique et loisirs (Boulé), et ergothérapie (Forhan), Université de l'Alberta; Adult Bariatric Specialty Clinic (Sharma), Hôpital Royal Alexandra; Obésité Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Département de chirurgie (Biertho), Université Laval, Québec, Que.; École des sciences de l'activité physique (Adamo, Prud'homme), Université d'Ottawa, Ottawa, Ont.; Département de santé, kinésiologie et physiologie appliquée (Alberga), Université Concordia, Montréal, Que.; Centre d'Excellence en soins bariatriques(Brown), Hôpital d'Ottawa, Ottawa, Ont.; Départements de médecine familiale (Calam) et endocrinologie (Manjoo), Université de la Colombie-Britannique; Programme de résidence en pratique familiale de la UBC (Calam) et chaire de recherche en prévention des maladies cardiovasculaires Pfizer/Fondation des maladies du cœur et de l'AVC (Lear), Hôpital St. Paul, Vancouver, C.-B.; consultant en nutrition (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, Université de Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Département de médecine familiale (Freedhoff) et Division d'endocrinologie et métabolisme (Shiau), Département de médecine, Université d'Ottawa, Ottawa, Ont.; Herbert Wertheim School of medicine (Gagner), Florida International University, Miami, FL; Hôpital du Sacré-Cœur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division d'endocrinologie et métabolisme (Glazer), Université Queen's, Kingston, Ont.; Départements de médecine interne (Glazer), psychiatrie (Hawa, Sockalingam), médecine familiale et communautaire (Macklin), et des sciences de la nutrition (Sievenpiper), Université de Toronto, Toronto, Ont.; Services de santé de l'Alberta (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Départements de médecine familiale, et d'études sur les sciences et les politiques de santé publique (Green), Université Queen's; Centre des sciences de la santé de Kingston (Green); Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam); Réseau universitaire de santé (Hawa, Sockalingam), Toronto, Ont.; Division de chirurgie générale (Hong), Université McMaster, Hamilton, Ont.; Département de médecine familiale et de santé biocomportementale (Jacklin), Faculté de médecine de l'Université du Minnesota, campus Duluth, Duluth, Minn.; Faculté de kinésiologie et d'études sur la santé (Janssen), Université Queen's, Kingston, Ont.; École de santé et performance humaine (Kirk), Université Dalhousie, Halifax, N.-É; École de kinésiologie et de sciences de la santé (Wharton, Kuk), Université York, Toronto, Ont.; Division d'endocrinologie (Langlois), Université de Sherbrooke; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Qc; École de kinésiologie (Lear), Université Simon Fraser, Vancouver, C.-B.; Medcan Clinic ( Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Régie régionale de la santé de Vancouver, Victoria, C.-B.; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Université Laval, Québec, Qc; Centre médical Foothills (Nerenberg); C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology (Poddar), Toronto, Ont.; Département de médecine (Rueda-Clausen), Université de la Saskatchewan; Hôpital général de Regina (Rueda-Clausen), Regina, Sask.; Psychologie de l'éducation (Russell-Mayhew), Faculté d'éducation Werklund, Université de Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Chaire de recherche en santé interprofessionnelle de l'Institut de recherche sur la santé des populations Heather M Arthur/Hamilton Health Sciences, Faculté des sciences infirmières (Sherifali), Université McMaster, Hamilton, Ont.; Division d'endocrinologie et métabolisme (Sievenpiper), Hôpital St. Michael, Toronto, Ont.; Département de psychiatrie (Taylor), Université de Calgary, Calgary, Alta.; École de pharmacie (Twells), Université Memorial, St. John's, T.-N.-L.; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; École de santé des populations et de santé publique (Walker), Université de la Colombie-Britannique; Centre for Excellence in Indigenous Health (Walker), Université de la Colombie-Britannique, Vancouver, C.-B.; Institut de santé publique O'Brien (Wicklum), Université de Calgary, Calgary, Alta
| | - Ian Janssen
- Départements de médecine (Wharton), endocrinologie et métabolisme (Poddar, Sherifali), médecine familiale (Naji, Tytus), et Health Research Methods, Evidence and Impact (HEI) Canada (Naji), Université McMaster; Clinique Wharton (Wharton, Poddar), Hamilton, Ont.; Départements: de médecine (Lau, Nerenberg) et médecine familiale (Boyling, Henderson, McInnes, Walji, Wicklum), École de médecine Cumming, Université de Calgary; Centre de recherche sur le diabète Julia McFarlane et Institut de cardiologie Libin de l'Alberta (Lau), Calgary, Alta.; Département de médecine familiale (Vallis, Piccinini-Vallis), Université Dalhousie, Halifax, N.-É; Départements de médecine (Sharma, Toth), médecine familiale (Campbell-Scherer, Kemp), agriculture, alimentation et science de la nutrition (Bell, Pereira), éducation physique et loisirs (Boulé), et ergothérapie (Forhan), Université de l'Alberta; Adult Bariatric Specialty Clinic (Sharma), Hôpital Royal Alexandra; Obésité Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Département de chirurgie (Biertho), Université Laval, Québec, Que.; École des sciences de l'activité physique (Adamo, Prud'homme), Université d'Ottawa, Ottawa, Ont.; Département de santé, kinésiologie et physiologie appliquée (Alberga), Université Concordia, Montréal, Que.; Centre d'Excellence en soins bariatriques(Brown), Hôpital d'Ottawa, Ottawa, Ont.; Départements de médecine familiale (Calam) et endocrinologie (Manjoo), Université de la Colombie-Britannique; Programme de résidence en pratique familiale de la UBC (Calam) et chaire de recherche en prévention des maladies cardiovasculaires Pfizer/Fondation des maladies du cœur et de l'AVC (Lear), Hôpital St. Paul, Vancouver, C.-B.; consultant en nutrition (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, Université de Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Département de médecine familiale (Freedhoff) et Division d'endocrinologie et métabolisme (Shiau), Département de médecine, Université d'Ottawa, Ottawa, Ont.; Herbert Wertheim School of medicine (Gagner), Florida International University, Miami, FL; Hôpital du Sacré-Cœur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division d'endocrinologie et métabolisme (Glazer), Université Queen's, Kingston, Ont.; Départements de médecine interne (Glazer), psychiatrie (Hawa, Sockalingam), médecine familiale et communautaire (Macklin), et des sciences de la nutrition (Sievenpiper), Université de Toronto, Toronto, Ont.; Services de santé de l'Alberta (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Départements de médecine familiale, et d'études sur les sciences et les politiques de santé publique (Green), Université Queen's; Centre des sciences de la santé de Kingston (Green); Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam); Réseau universitaire de santé (Hawa, Sockalingam), Toronto, Ont.; Division de chirurgie générale (Hong), Université McMaster, Hamilton, Ont.; Département de médecine familiale et de santé biocomportementale (Jacklin), Faculté de médecine de l'Université du Minnesota, campus Duluth, Duluth, Minn.; Faculté de kinésiologie et d'études sur la santé (Janssen), Université Queen's, Kingston, Ont.; École de santé et performance humaine (Kirk), Université Dalhousie, Halifax, N.-É; École de kinésiologie et de sciences de la santé (Wharton, Kuk), Université York, Toronto, Ont.; Division d'endocrinologie (Langlois), Université de Sherbrooke; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Qc; École de kinésiologie (Lear), Université Simon Fraser, Vancouver, C.-B.; Medcan Clinic ( Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Régie régionale de la santé de Vancouver, Victoria, C.-B.; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Université Laval, Québec, Qc; Centre médical Foothills (Nerenberg); C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology (Poddar), Toronto, Ont.; Département de médecine (Rueda-Clausen), Université de la Saskatchewan; Hôpital général de Regina (Rueda-Clausen), Regina, Sask.; Psychologie de l'éducation (Russell-Mayhew), Faculté d'éducation Werklund, Université de Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Chaire de recherche en santé interprofessionnelle de l'Institut de recherche sur la santé des populations Heather M Arthur/Hamilton Health Sciences, Faculté des sciences infirmières (Sherifali), Université McMaster, Hamilton, Ont.; Division d'endocrinologie et métabolisme (Sievenpiper), Hôpital St. Michael, Toronto, Ont.; Département de psychiatrie (Taylor), Université de Calgary, Calgary, Alta.; École de pharmacie (Twells), Université Memorial, St. John's, T.-N.-L.; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; École de santé des populations et de santé publique (Walker), Université de la Colombie-Britannique; Centre for Excellence in Indigenous Health (Walker), Université de la Colombie-Britannique, Vancouver, C.-B.; Institut de santé publique O'Brien (Wicklum), Université de Calgary, Calgary, Alta
| | - Kristen Jacklin
- Départements de médecine (Wharton), endocrinologie et métabolisme (Poddar, Sherifali), médecine familiale (Naji, Tytus), et Health Research Methods, Evidence and Impact (HEI) Canada (Naji), Université McMaster; Clinique Wharton (Wharton, Poddar), Hamilton, Ont.; Départements: de médecine (Lau, Nerenberg) et médecine familiale (Boyling, Henderson, McInnes, Walji, Wicklum), École de médecine Cumming, Université de Calgary; Centre de recherche sur le diabète Julia McFarlane et Institut de cardiologie Libin de l'Alberta (Lau), Calgary, Alta.; Département de médecine familiale (Vallis, Piccinini-Vallis), Université Dalhousie, Halifax, N.-É; Départements de médecine (Sharma, Toth), médecine familiale (Campbell-Scherer, Kemp), agriculture, alimentation et science de la nutrition (Bell, Pereira), éducation physique et loisirs (Boulé), et ergothérapie (Forhan), Université de l'Alberta; Adult Bariatric Specialty Clinic (Sharma), Hôpital Royal Alexandra; Obésité Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Département de chirurgie (Biertho), Université Laval, Québec, Que.; École des sciences de l'activité physique (Adamo, Prud'homme), Université d'Ottawa, Ottawa, Ont.; Département de santé, kinésiologie et physiologie appliquée (Alberga), Université Concordia, Montréal, Que.; Centre d'Excellence en soins bariatriques(Brown), Hôpital d'Ottawa, Ottawa, Ont.; Départements de médecine familiale (Calam) et endocrinologie (Manjoo), Université de la Colombie-Britannique; Programme de résidence en pratique familiale de la UBC (Calam) et chaire de recherche en prévention des maladies cardiovasculaires Pfizer/Fondation des maladies du cœur et de l'AVC (Lear), Hôpital St. Paul, Vancouver, C.-B.; consultant en nutrition (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, Université de Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Département de médecine familiale (Freedhoff) et Division d'endocrinologie et métabolisme (Shiau), Département de médecine, Université d'Ottawa, Ottawa, Ont.; Herbert Wertheim School of medicine (Gagner), Florida International University, Miami, FL; Hôpital du Sacré-Cœur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division d'endocrinologie et métabolisme (Glazer), Université Queen's, Kingston, Ont.; Départements de médecine interne (Glazer), psychiatrie (Hawa, Sockalingam), médecine familiale et communautaire (Macklin), et des sciences de la nutrition (Sievenpiper), Université de Toronto, Toronto, Ont.; Services de santé de l'Alberta (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Départements de médecine familiale, et d'études sur les sciences et les politiques de santé publique (Green), Université Queen's; Centre des sciences de la santé de Kingston (Green); Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam); Réseau universitaire de santé (Hawa, Sockalingam), Toronto, Ont.; Division de chirurgie générale (Hong), Université McMaster, Hamilton, Ont.; Département de médecine familiale et de santé biocomportementale (Jacklin), Faculté de médecine de l'Université du Minnesota, campus Duluth, Duluth, Minn.; Faculté de kinésiologie et d'études sur la santé (Janssen), Université Queen's, Kingston, Ont.; École de santé et performance humaine (Kirk), Université Dalhousie, Halifax, N.-É; École de kinésiologie et de sciences de la santé (Wharton, Kuk), Université York, Toronto, Ont.; Division d'endocrinologie (Langlois), Université de Sherbrooke; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Qc; École de kinésiologie (Lear), Université Simon Fraser, Vancouver, C.-B.; Medcan Clinic ( Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Régie régionale de la santé de Vancouver, Victoria, C.-B.; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Université Laval, Québec, Qc; Centre médical Foothills (Nerenberg); C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology (Poddar), Toronto, Ont.; Département de médecine (Rueda-Clausen), Université de la Saskatchewan; Hôpital général de Regina (Rueda-Clausen), Regina, Sask.; Psychologie de l'éducation (Russell-Mayhew), Faculté d'éducation Werklund, Université de Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Chaire de recherche en santé interprofessionnelle de l'Institut de recherche sur la santé des populations Heather M Arthur/Hamilton Health Sciences, Faculté des sciences infirmières (Sherifali), Université McMaster, Hamilton, Ont.; Division d'endocrinologie et métabolisme (Sievenpiper), Hôpital St. Michael, Toronto, Ont.; Département de psychiatrie (Taylor), Université de Calgary, Calgary, Alta.; École de pharmacie (Twells), Université Memorial, St. John's, T.-N.-L.; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; École de santé des populations et de santé publique (Walker), Université de la Colombie-Britannique; Centre for Excellence in Indigenous Health (Walker), Université de la Colombie-Britannique, Vancouver, C.-B.; Institut de santé publique O'Brien (Wicklum), Université de Calgary, Calgary, Alta
| | - Carlene Johnson-Stoklossa
- Départements de médecine (Wharton), endocrinologie et métabolisme (Poddar, Sherifali), médecine familiale (Naji, Tytus), et Health Research Methods, Evidence and Impact (HEI) Canada (Naji), Université McMaster; Clinique Wharton (Wharton, Poddar), Hamilton, Ont.; Départements: de médecine (Lau, Nerenberg) et médecine familiale (Boyling, Henderson, McInnes, Walji, Wicklum), École de médecine Cumming, Université de Calgary; Centre de recherche sur le diabète Julia McFarlane et Institut de cardiologie Libin de l'Alberta (Lau), Calgary, Alta.; Département de médecine familiale (Vallis, Piccinini-Vallis), Université Dalhousie, Halifax, N.-É; Départements de médecine (Sharma, Toth), médecine familiale (Campbell-Scherer, Kemp), agriculture, alimentation et science de la nutrition (Bell, Pereira), éducation physique et loisirs (Boulé), et ergothérapie (Forhan), Université de l'Alberta; Adult Bariatric Specialty Clinic (Sharma), Hôpital Royal Alexandra; Obésité Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Département de chirurgie (Biertho), Université Laval, Québec, Que.; École des sciences de l'activité physique (Adamo, Prud'homme), Université d'Ottawa, Ottawa, Ont.; Département de santé, kinésiologie et physiologie appliquée (Alberga), Université Concordia, Montréal, Que.; Centre d'Excellence en soins bariatriques(Brown), Hôpital d'Ottawa, Ottawa, Ont.; Départements de médecine familiale (Calam) et endocrinologie (Manjoo), Université de la Colombie-Britannique; Programme de résidence en pratique familiale de la UBC (Calam) et chaire de recherche en prévention des maladies cardiovasculaires Pfizer/Fondation des maladies du cœur et de l'AVC (Lear), Hôpital St. Paul, Vancouver, C.-B.; consultant en nutrition (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, Université de Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Département de médecine familiale (Freedhoff) et Division d'endocrinologie et métabolisme (Shiau), Département de médecine, Université d'Ottawa, Ottawa, Ont.; Herbert Wertheim School of medicine (Gagner), Florida International University, Miami, FL; Hôpital du Sacré-Cœur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division d'endocrinologie et métabolisme (Glazer), Université Queen's, Kingston, Ont.; Départements de médecine interne (Glazer), psychiatrie (Hawa, Sockalingam), médecine familiale et communautaire (Macklin), et des sciences de la nutrition (Sievenpiper), Université de Toronto, Toronto, Ont.; Services de santé de l'Alberta (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Départements de médecine familiale, et d'études sur les sciences et les politiques de santé publique (Green), Université Queen's; Centre des sciences de la santé de Kingston (Green); Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam); Réseau universitaire de santé (Hawa, Sockalingam), Toronto, Ont.; Division de chirurgie générale (Hong), Université McMaster, Hamilton, Ont.; Département de médecine familiale et de santé biocomportementale (Jacklin), Faculté de médecine de l'Université du Minnesota, campus Duluth, Duluth, Minn.; Faculté de kinésiologie et d'études sur la santé (Janssen), Université Queen's, Kingston, Ont.; École de santé et performance humaine (Kirk), Université Dalhousie, Halifax, N.-É; École de kinésiologie et de sciences de la santé (Wharton, Kuk), Université York, Toronto, Ont.; Division d'endocrinologie (Langlois), Université de Sherbrooke; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Qc; École de kinésiologie (Lear), Université Simon Fraser, Vancouver, C.-B.; Medcan Clinic ( Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Régie régionale de la santé de Vancouver, Victoria, C.-B.; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Université Laval, Québec, Qc; Centre médical Foothills (Nerenberg); C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology (Poddar), Toronto, Ont.; Département de médecine (Rueda-Clausen), Université de la Saskatchewan; Hôpital général de Regina (Rueda-Clausen), Regina, Sask.; Psychologie de l'éducation (Russell-Mayhew), Faculté d'éducation Werklund, Université de Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Chaire de recherche en santé interprofessionnelle de l'Institut de recherche sur la santé des populations Heather M Arthur/Hamilton Health Sciences, Faculté des sciences infirmières (Sherifali), Université McMaster, Hamilton, Ont.; Division d'endocrinologie et métabolisme (Sievenpiper), Hôpital St. Michael, Toronto, Ont.; Département de psychiatrie (Taylor), Université de Calgary, Calgary, Alta.; École de pharmacie (Twells), Université Memorial, St. John's, T.-N.-L.; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; École de santé des populations et de santé publique (Walker), Université de la Colombie-Britannique; Centre for Excellence in Indigenous Health (Walker), Université de la Colombie-Britannique, Vancouver, C.-B.; Institut de santé publique O'Brien (Wicklum), Université de Calgary, Calgary, Alta
| | - Amy Kemp
- Départements de médecine (Wharton), endocrinologie et métabolisme (Poddar, Sherifali), médecine familiale (Naji, Tytus), et Health Research Methods, Evidence and Impact (HEI) Canada (Naji), Université McMaster; Clinique Wharton (Wharton, Poddar), Hamilton, Ont.; Départements: de médecine (Lau, Nerenberg) et médecine familiale (Boyling, Henderson, McInnes, Walji, Wicklum), École de médecine Cumming, Université de Calgary; Centre de recherche sur le diabète Julia McFarlane et Institut de cardiologie Libin de l'Alberta (Lau), Calgary, Alta.; Département de médecine familiale (Vallis, Piccinini-Vallis), Université Dalhousie, Halifax, N.-É; Départements de médecine (Sharma, Toth), médecine familiale (Campbell-Scherer, Kemp), agriculture, alimentation et science de la nutrition (Bell, Pereira), éducation physique et loisirs (Boulé), et ergothérapie (Forhan), Université de l'Alberta; Adult Bariatric Specialty Clinic (Sharma), Hôpital Royal Alexandra; Obésité Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Département de chirurgie (Biertho), Université Laval, Québec, Que.; École des sciences de l'activité physique (Adamo, Prud'homme), Université d'Ottawa, Ottawa, Ont.; Département de santé, kinésiologie et physiologie appliquée (Alberga), Université Concordia, Montréal, Que.; Centre d'Excellence en soins bariatriques(Brown), Hôpital d'Ottawa, Ottawa, Ont.; Départements de médecine familiale (Calam) et endocrinologie (Manjoo), Université de la Colombie-Britannique; Programme de résidence en pratique familiale de la UBC (Calam) et chaire de recherche en prévention des maladies cardiovasculaires Pfizer/Fondation des maladies du cœur et de l'AVC (Lear), Hôpital St. Paul, Vancouver, C.-B.; consultant en nutrition (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, Université de Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Département de médecine familiale (Freedhoff) et Division d'endocrinologie et métabolisme (Shiau), Département de médecine, Université d'Ottawa, Ottawa, Ont.; Herbert Wertheim School of medicine (Gagner), Florida International University, Miami, FL; Hôpital du Sacré-Cœur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division d'endocrinologie et métabolisme (Glazer), Université Queen's, Kingston, Ont.; Départements de médecine interne (Glazer), psychiatrie (Hawa, Sockalingam), médecine familiale et communautaire (Macklin), et des sciences de la nutrition (Sievenpiper), Université de Toronto, Toronto, Ont.; Services de santé de l'Alberta (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Départements de médecine familiale, et d'études sur les sciences et les politiques de santé publique (Green), Université Queen's; Centre des sciences de la santé de Kingston (Green); Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam); Réseau universitaire de santé (Hawa, Sockalingam), Toronto, Ont.; Division de chirurgie générale (Hong), Université McMaster, Hamilton, Ont.; Département de médecine familiale et de santé biocomportementale (Jacklin), Faculté de médecine de l'Université du Minnesota, campus Duluth, Duluth, Minn.; Faculté de kinésiologie et d'études sur la santé (Janssen), Université Queen's, Kingston, Ont.; École de santé et performance humaine (Kirk), Université Dalhousie, Halifax, N.-É; École de kinésiologie et de sciences de la santé (Wharton, Kuk), Université York, Toronto, Ont.; Division d'endocrinologie (Langlois), Université de Sherbrooke; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Qc; École de kinésiologie (Lear), Université Simon Fraser, Vancouver, C.-B.; Medcan Clinic ( Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Régie régionale de la santé de Vancouver, Victoria, C.-B.; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Université Laval, Québec, Qc; Centre médical Foothills (Nerenberg); C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology (Poddar), Toronto, Ont.; Département de médecine (Rueda-Clausen), Université de la Saskatchewan; Hôpital général de Regina (Rueda-Clausen), Regina, Sask.; Psychologie de l'éducation (Russell-Mayhew), Faculté d'éducation Werklund, Université de Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Chaire de recherche en santé interprofessionnelle de l'Institut de recherche sur la santé des populations Heather M Arthur/Hamilton Health Sciences, Faculté des sciences infirmières (Sherifali), Université McMaster, Hamilton, Ont.; Division d'endocrinologie et métabolisme (Sievenpiper), Hôpital St. Michael, Toronto, Ont.; Département de psychiatrie (Taylor), Université de Calgary, Calgary, Alta.; École de pharmacie (Twells), Université Memorial, St. John's, T.-N.-L.; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; École de santé des populations et de santé publique (Walker), Université de la Colombie-Britannique; Centre for Excellence in Indigenous Health (Walker), Université de la Colombie-Britannique, Vancouver, C.-B.; Institut de santé publique O'Brien (Wicklum), Université de Calgary, Calgary, Alta
| | - Sara Kirk
- Départements de médecine (Wharton), endocrinologie et métabolisme (Poddar, Sherifali), médecine familiale (Naji, Tytus), et Health Research Methods, Evidence and Impact (HEI) Canada (Naji), Université McMaster; Clinique Wharton (Wharton, Poddar), Hamilton, Ont.; Départements: de médecine (Lau, Nerenberg) et médecine familiale (Boyling, Henderson, McInnes, Walji, Wicklum), École de médecine Cumming, Université de Calgary; Centre de recherche sur le diabète Julia McFarlane et Institut de cardiologie Libin de l'Alberta (Lau), Calgary, Alta.; Département de médecine familiale (Vallis, Piccinini-Vallis), Université Dalhousie, Halifax, N.-É; Départements de médecine (Sharma, Toth), médecine familiale (Campbell-Scherer, Kemp), agriculture, alimentation et science de la nutrition (Bell, Pereira), éducation physique et loisirs (Boulé), et ergothérapie (Forhan), Université de l'Alberta; Adult Bariatric Specialty Clinic (Sharma), Hôpital Royal Alexandra; Obésité Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Département de chirurgie (Biertho), Université Laval, Québec, Que.; École des sciences de l'activité physique (Adamo, Prud'homme), Université d'Ottawa, Ottawa, Ont.; Département de santé, kinésiologie et physiologie appliquée (Alberga), Université Concordia, Montréal, Que.; Centre d'Excellence en soins bariatriques(Brown), Hôpital d'Ottawa, Ottawa, Ont.; Départements de médecine familiale (Calam) et endocrinologie (Manjoo), Université de la Colombie-Britannique; Programme de résidence en pratique familiale de la UBC (Calam) et chaire de recherche en prévention des maladies cardiovasculaires Pfizer/Fondation des maladies du cœur et de l'AVC (Lear), Hôpital St. Paul, Vancouver, C.-B.; consultant en nutrition (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, Université de Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Département de médecine familiale (Freedhoff) et Division d'endocrinologie et métabolisme (Shiau), Département de médecine, Université d'Ottawa, Ottawa, Ont.; Herbert Wertheim School of medicine (Gagner), Florida International University, Miami, FL; Hôpital du Sacré-Cœur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division d'endocrinologie et métabolisme (Glazer), Université Queen's, Kingston, Ont.; Départements de médecine interne (Glazer), psychiatrie (Hawa, Sockalingam), médecine familiale et communautaire (Macklin), et des sciences de la nutrition (Sievenpiper), Université de Toronto, Toronto, Ont.; Services de santé de l'Alberta (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Départements de médecine familiale, et d'études sur les sciences et les politiques de santé publique (Green), Université Queen's; Centre des sciences de la santé de Kingston (Green); Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam); Réseau universitaire de santé (Hawa, Sockalingam), Toronto, Ont.; Division de chirurgie générale (Hong), Université McMaster, Hamilton, Ont.; Département de médecine familiale et de santé biocomportementale (Jacklin), Faculté de médecine de l'Université du Minnesota, campus Duluth, Duluth, Minn.; Faculté de kinésiologie et d'études sur la santé (Janssen), Université Queen's, Kingston, Ont.; École de santé et performance humaine (Kirk), Université Dalhousie, Halifax, N.-É; École de kinésiologie et de sciences de la santé (Wharton, Kuk), Université York, Toronto, Ont.; Division d'endocrinologie (Langlois), Université de Sherbrooke; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Qc; École de kinésiologie (Lear), Université Simon Fraser, Vancouver, C.-B.; Medcan Clinic ( Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Régie régionale de la santé de Vancouver, Victoria, C.-B.; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Université Laval, Québec, Qc; Centre médical Foothills (Nerenberg); C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology (Poddar), Toronto, Ont.; Département de médecine (Rueda-Clausen), Université de la Saskatchewan; Hôpital général de Regina (Rueda-Clausen), Regina, Sask.; Psychologie de l'éducation (Russell-Mayhew), Faculté d'éducation Werklund, Université de Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Chaire de recherche en santé interprofessionnelle de l'Institut de recherche sur la santé des populations Heather M Arthur/Hamilton Health Sciences, Faculté des sciences infirmières (Sherifali), Université McMaster, Hamilton, Ont.; Division d'endocrinologie et métabolisme (Sievenpiper), Hôpital St. Michael, Toronto, Ont.; Département de psychiatrie (Taylor), Université de Calgary, Calgary, Alta.; École de pharmacie (Twells), Université Memorial, St. John's, T.-N.-L.; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; École de santé des populations et de santé publique (Walker), Université de la Colombie-Britannique; Centre for Excellence in Indigenous Health (Walker), Université de la Colombie-Britannique, Vancouver, C.-B.; Institut de santé publique O'Brien (Wicklum), Université de Calgary, Calgary, Alta
| | - Jennifer Kuk
- Départements de médecine (Wharton), endocrinologie et métabolisme (Poddar, Sherifali), médecine familiale (Naji, Tytus), et Health Research Methods, Evidence and Impact (HEI) Canada (Naji), Université McMaster; Clinique Wharton (Wharton, Poddar), Hamilton, Ont.; Départements: de médecine (Lau, Nerenberg) et médecine familiale (Boyling, Henderson, McInnes, Walji, Wicklum), École de médecine Cumming, Université de Calgary; Centre de recherche sur le diabète Julia McFarlane et Institut de cardiologie Libin de l'Alberta (Lau), Calgary, Alta.; Département de médecine familiale (Vallis, Piccinini-Vallis), Université Dalhousie, Halifax, N.-É; Départements de médecine (Sharma, Toth), médecine familiale (Campbell-Scherer, Kemp), agriculture, alimentation et science de la nutrition (Bell, Pereira), éducation physique et loisirs (Boulé), et ergothérapie (Forhan), Université de l'Alberta; Adult Bariatric Specialty Clinic (Sharma), Hôpital Royal Alexandra; Obésité Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Département de chirurgie (Biertho), Université Laval, Québec, Que.; École des sciences de l'activité physique (Adamo, Prud'homme), Université d'Ottawa, Ottawa, Ont.; Département de santé, kinésiologie et physiologie appliquée (Alberga), Université Concordia, Montréal, Que.; Centre d'Excellence en soins bariatriques(Brown), Hôpital d'Ottawa, Ottawa, Ont.; Départements de médecine familiale (Calam) et endocrinologie (Manjoo), Université de la Colombie-Britannique; Programme de résidence en pratique familiale de la UBC (Calam) et chaire de recherche en prévention des maladies cardiovasculaires Pfizer/Fondation des maladies du cœur et de l'AVC (Lear), Hôpital St. Paul, Vancouver, C.-B.; consultant en nutrition (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, Université de Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Département de médecine familiale (Freedhoff) et Division d'endocrinologie et métabolisme (Shiau), Département de médecine, Université d'Ottawa, Ottawa, Ont.; Herbert Wertheim School of medicine (Gagner), Florida International University, Miami, FL; Hôpital du Sacré-Cœur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division d'endocrinologie et métabolisme (Glazer), Université Queen's, Kingston, Ont.; Départements de médecine interne (Glazer), psychiatrie (Hawa, Sockalingam), médecine familiale et communautaire (Macklin), et des sciences de la nutrition (Sievenpiper), Université de Toronto, Toronto, Ont.; Services de santé de l'Alberta (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Départements de médecine familiale, et d'études sur les sciences et les politiques de santé publique (Green), Université Queen's; Centre des sciences de la santé de Kingston (Green); Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam); Réseau universitaire de santé (Hawa, Sockalingam), Toronto, Ont.; Division de chirurgie générale (Hong), Université McMaster, Hamilton, Ont.; Département de médecine familiale et de santé biocomportementale (Jacklin), Faculté de médecine de l'Université du Minnesota, campus Duluth, Duluth, Minn.; Faculté de kinésiologie et d'études sur la santé (Janssen), Université Queen's, Kingston, Ont.; École de santé et performance humaine (Kirk), Université Dalhousie, Halifax, N.-É; École de kinésiologie et de sciences de la santé (Wharton, Kuk), Université York, Toronto, Ont.; Division d'endocrinologie (Langlois), Université de Sherbrooke; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Qc; École de kinésiologie (Lear), Université Simon Fraser, Vancouver, C.-B.; Medcan Clinic ( Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Régie régionale de la santé de Vancouver, Victoria, C.-B.; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Université Laval, Québec, Qc; Centre médical Foothills (Nerenberg); C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology (Poddar), Toronto, Ont.; Département de médecine (Rueda-Clausen), Université de la Saskatchewan; Hôpital général de Regina (Rueda-Clausen), Regina, Sask.; Psychologie de l'éducation (Russell-Mayhew), Faculté d'éducation Werklund, Université de Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Chaire de recherche en santé interprofessionnelle de l'Institut de recherche sur la santé des populations Heather M Arthur/Hamilton Health Sciences, Faculté des sciences infirmières (Sherifali), Université McMaster, Hamilton, Ont.; Division d'endocrinologie et métabolisme (Sievenpiper), Hôpital St. Michael, Toronto, Ont.; Département de psychiatrie (Taylor), Université de Calgary, Calgary, Alta.; École de pharmacie (Twells), Université Memorial, St. John's, T.-N.-L.; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; École de santé des populations et de santé publique (Walker), Université de la Colombie-Britannique; Centre for Excellence in Indigenous Health (Walker), Université de la Colombie-Britannique, Vancouver, C.-B.; Institut de santé publique O'Brien (Wicklum), Université de Calgary, Calgary, Alta
| | - Marie-France Langlois
- Départements de médecine (Wharton), endocrinologie et métabolisme (Poddar, Sherifali), médecine familiale (Naji, Tytus), et Health Research Methods, Evidence and Impact (HEI) Canada (Naji), Université McMaster; Clinique Wharton (Wharton, Poddar), Hamilton, Ont.; Départements: de médecine (Lau, Nerenberg) et médecine familiale (Boyling, Henderson, McInnes, Walji, Wicklum), École de médecine Cumming, Université de Calgary; Centre de recherche sur le diabète Julia McFarlane et Institut de cardiologie Libin de l'Alberta (Lau), Calgary, Alta.; Département de médecine familiale (Vallis, Piccinini-Vallis), Université Dalhousie, Halifax, N.-É; Départements de médecine (Sharma, Toth), médecine familiale (Campbell-Scherer, Kemp), agriculture, alimentation et science de la nutrition (Bell, Pereira), éducation physique et loisirs (Boulé), et ergothérapie (Forhan), Université de l'Alberta; Adult Bariatric Specialty Clinic (Sharma), Hôpital Royal Alexandra; Obésité Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Département de chirurgie (Biertho), Université Laval, Québec, Que.; École des sciences de l'activité physique (Adamo, Prud'homme), Université d'Ottawa, Ottawa, Ont.; Département de santé, kinésiologie et physiologie appliquée (Alberga), Université Concordia, Montréal, Que.; Centre d'Excellence en soins bariatriques(Brown), Hôpital d'Ottawa, Ottawa, Ont.; Départements de médecine familiale (Calam) et endocrinologie (Manjoo), Université de la Colombie-Britannique; Programme de résidence en pratique familiale de la UBC (Calam) et chaire de recherche en prévention des maladies cardiovasculaires Pfizer/Fondation des maladies du cœur et de l'AVC (Lear), Hôpital St. Paul, Vancouver, C.-B.; consultant en nutrition (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, Université de Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Département de médecine familiale (Freedhoff) et Division d'endocrinologie et métabolisme (Shiau), Département de médecine, Université d'Ottawa, Ottawa, Ont.; Herbert Wertheim School of medicine (Gagner), Florida International University, Miami, FL; Hôpital du Sacré-Cœur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division d'endocrinologie et métabolisme (Glazer), Université Queen's, Kingston, Ont.; Départements de médecine interne (Glazer), psychiatrie (Hawa, Sockalingam), médecine familiale et communautaire (Macklin), et des sciences de la nutrition (Sievenpiper), Université de Toronto, Toronto, Ont.; Services de santé de l'Alberta (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Départements de médecine familiale, et d'études sur les sciences et les politiques de santé publique (Green), Université Queen's; Centre des sciences de la santé de Kingston (Green); Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam); Réseau universitaire de santé (Hawa, Sockalingam), Toronto, Ont.; Division de chirurgie générale (Hong), Université McMaster, Hamilton, Ont.; Département de médecine familiale et de santé biocomportementale (Jacklin), Faculté de médecine de l'Université du Minnesota, campus Duluth, Duluth, Minn.; Faculté de kinésiologie et d'études sur la santé (Janssen), Université Queen's, Kingston, Ont.; École de santé et performance humaine (Kirk), Université Dalhousie, Halifax, N.-É; École de kinésiologie et de sciences de la santé (Wharton, Kuk), Université York, Toronto, Ont.; Division d'endocrinologie (Langlois), Université de Sherbrooke; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Qc; École de kinésiologie (Lear), Université Simon Fraser, Vancouver, C.-B.; Medcan Clinic ( Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Régie régionale de la santé de Vancouver, Victoria, C.-B.; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Université Laval, Québec, Qc; Centre médical Foothills (Nerenberg); C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology (Poddar), Toronto, Ont.; Département de médecine (Rueda-Clausen), Université de la Saskatchewan; Hôpital général de Regina (Rueda-Clausen), Regina, Sask.; Psychologie de l'éducation (Russell-Mayhew), Faculté d'éducation Werklund, Université de Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Chaire de recherche en santé interprofessionnelle de l'Institut de recherche sur la santé des populations Heather M Arthur/Hamilton Health Sciences, Faculté des sciences infirmières (Sherifali), Université McMaster, Hamilton, Ont.; Division d'endocrinologie et métabolisme (Sievenpiper), Hôpital St. Michael, Toronto, Ont.; Département de psychiatrie (Taylor), Université de Calgary, Calgary, Alta.; École de pharmacie (Twells), Université Memorial, St. John's, T.-N.-L.; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; École de santé des populations et de santé publique (Walker), Université de la Colombie-Britannique; Centre for Excellence in Indigenous Health (Walker), Université de la Colombie-Britannique, Vancouver, C.-B.; Institut de santé publique O'Brien (Wicklum), Université de Calgary, Calgary, Alta
| | - Scott Lear
- Départements de médecine (Wharton), endocrinologie et métabolisme (Poddar, Sherifali), médecine familiale (Naji, Tytus), et Health Research Methods, Evidence and Impact (HEI) Canada (Naji), Université McMaster; Clinique Wharton (Wharton, Poddar), Hamilton, Ont.; Départements: de médecine (Lau, Nerenberg) et médecine familiale (Boyling, Henderson, McInnes, Walji, Wicklum), École de médecine Cumming, Université de Calgary; Centre de recherche sur le diabète Julia McFarlane et Institut de cardiologie Libin de l'Alberta (Lau), Calgary, Alta.; Département de médecine familiale (Vallis, Piccinini-Vallis), Université Dalhousie, Halifax, N.-É; Départements de médecine (Sharma, Toth), médecine familiale (Campbell-Scherer, Kemp), agriculture, alimentation et science de la nutrition (Bell, Pereira), éducation physique et loisirs (Boulé), et ergothérapie (Forhan), Université de l'Alberta; Adult Bariatric Specialty Clinic (Sharma), Hôpital Royal Alexandra; Obésité Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Département de chirurgie (Biertho), Université Laval, Québec, Que.; École des sciences de l'activité physique (Adamo, Prud'homme), Université d'Ottawa, Ottawa, Ont.; Département de santé, kinésiologie et physiologie appliquée (Alberga), Université Concordia, Montréal, Que.; Centre d'Excellence en soins bariatriques(Brown), Hôpital d'Ottawa, Ottawa, Ont.; Départements de médecine familiale (Calam) et endocrinologie (Manjoo), Université de la Colombie-Britannique; Programme de résidence en pratique familiale de la UBC (Calam) et chaire de recherche en prévention des maladies cardiovasculaires Pfizer/Fondation des maladies du cœur et de l'AVC (Lear), Hôpital St. Paul, Vancouver, C.-B.; consultant en nutrition (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, Université de Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Département de médecine familiale (Freedhoff) et Division d'endocrinologie et métabolisme (Shiau), Département de médecine, Université d'Ottawa, Ottawa, Ont.; Herbert Wertheim School of medicine (Gagner), Florida International University, Miami, FL; Hôpital du Sacré-Cœur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division d'endocrinologie et métabolisme (Glazer), Université Queen's, Kingston, Ont.; Départements de médecine interne (Glazer), psychiatrie (Hawa, Sockalingam), médecine familiale et communautaire (Macklin), et des sciences de la nutrition (Sievenpiper), Université de Toronto, Toronto, Ont.; Services de santé de l'Alberta (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Départements de médecine familiale, et d'études sur les sciences et les politiques de santé publique (Green), Université Queen's; Centre des sciences de la santé de Kingston (Green); Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam); Réseau universitaire de santé (Hawa, Sockalingam), Toronto, Ont.; Division de chirurgie générale (Hong), Université McMaster, Hamilton, Ont.; Département de médecine familiale et de santé biocomportementale (Jacklin), Faculté de médecine de l'Université du Minnesota, campus Duluth, Duluth, Minn.; Faculté de kinésiologie et d'études sur la santé (Janssen), Université Queen's, Kingston, Ont.; École de santé et performance humaine (Kirk), Université Dalhousie, Halifax, N.-É; École de kinésiologie et de sciences de la santé (Wharton, Kuk), Université York, Toronto, Ont.; Division d'endocrinologie (Langlois), Université de Sherbrooke; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Qc; École de kinésiologie (Lear), Université Simon Fraser, Vancouver, C.-B.; Medcan Clinic ( Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Régie régionale de la santé de Vancouver, Victoria, C.-B.; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Université Laval, Québec, Qc; Centre médical Foothills (Nerenberg); C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology (Poddar), Toronto, Ont.; Département de médecine (Rueda-Clausen), Université de la Saskatchewan; Hôpital général de Regina (Rueda-Clausen), Regina, Sask.; Psychologie de l'éducation (Russell-Mayhew), Faculté d'éducation Werklund, Université de Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Chaire de recherche en santé interprofessionnelle de l'Institut de recherche sur la santé des populations Heather M Arthur/Hamilton Health Sciences, Faculté des sciences infirmières (Sherifali), Université McMaster, Hamilton, Ont.; Division d'endocrinologie et métabolisme (Sievenpiper), Hôpital St. Michael, Toronto, Ont.; Département de psychiatrie (Taylor), Université de Calgary, Calgary, Alta.; École de pharmacie (Twells), Université Memorial, St. John's, T.-N.-L.; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; École de santé des populations et de santé publique (Walker), Université de la Colombie-Britannique; Centre for Excellence in Indigenous Health (Walker), Université de la Colombie-Britannique, Vancouver, C.-B.; Institut de santé publique O'Brien (Wicklum), Université de Calgary, Calgary, Alta
| | - Ashley McInnes
- Départements de médecine (Wharton), endocrinologie et métabolisme (Poddar, Sherifali), médecine familiale (Naji, Tytus), et Health Research Methods, Evidence and Impact (HEI) Canada (Naji), Université McMaster; Clinique Wharton (Wharton, Poddar), Hamilton, Ont.; Départements: de médecine (Lau, Nerenberg) et médecine familiale (Boyling, Henderson, McInnes, Walji, Wicklum), École de médecine Cumming, Université de Calgary; Centre de recherche sur le diabète Julia McFarlane et Institut de cardiologie Libin de l'Alberta (Lau), Calgary, Alta.; Département de médecine familiale (Vallis, Piccinini-Vallis), Université Dalhousie, Halifax, N.-É; Départements de médecine (Sharma, Toth), médecine familiale (Campbell-Scherer, Kemp), agriculture, alimentation et science de la nutrition (Bell, Pereira), éducation physique et loisirs (Boulé), et ergothérapie (Forhan), Université de l'Alberta; Adult Bariatric Specialty Clinic (Sharma), Hôpital Royal Alexandra; Obésité Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Département de chirurgie (Biertho), Université Laval, Québec, Que.; École des sciences de l'activité physique (Adamo, Prud'homme), Université d'Ottawa, Ottawa, Ont.; Département de santé, kinésiologie et physiologie appliquée (Alberga), Université Concordia, Montréal, Que.; Centre d'Excellence en soins bariatriques(Brown), Hôpital d'Ottawa, Ottawa, Ont.; Départements de médecine familiale (Calam) et endocrinologie (Manjoo), Université de la Colombie-Britannique; Programme de résidence en pratique familiale de la UBC (Calam) et chaire de recherche en prévention des maladies cardiovasculaires Pfizer/Fondation des maladies du cœur et de l'AVC (Lear), Hôpital St. Paul, Vancouver, C.-B.; consultant en nutrition (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, Université de Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Département de médecine familiale (Freedhoff) et Division d'endocrinologie et métabolisme (Shiau), Département de médecine, Université d'Ottawa, Ottawa, Ont.; Herbert Wertheim School of medicine (Gagner), Florida International University, Miami, FL; Hôpital du Sacré-Cœur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division d'endocrinologie et métabolisme (Glazer), Université Queen's, Kingston, Ont.; Départements de médecine interne (Glazer), psychiatrie (Hawa, Sockalingam), médecine familiale et communautaire (Macklin), et des sciences de la nutrition (Sievenpiper), Université de Toronto, Toronto, Ont.; Services de santé de l'Alberta (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Départements de médecine familiale, et d'études sur les sciences et les politiques de santé publique (Green), Université Queen's; Centre des sciences de la santé de Kingston (Green); Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam); Réseau universitaire de santé (Hawa, Sockalingam), Toronto, Ont.; Division de chirurgie générale (Hong), Université McMaster, Hamilton, Ont.; Département de médecine familiale et de santé biocomportementale (Jacklin), Faculté de médecine de l'Université du Minnesota, campus Duluth, Duluth, Minn.; Faculté de kinésiologie et d'études sur la santé (Janssen), Université Queen's, Kingston, Ont.; École de santé et performance humaine (Kirk), Université Dalhousie, Halifax, N.-É; École de kinésiologie et de sciences de la santé (Wharton, Kuk), Université York, Toronto, Ont.; Division d'endocrinologie (Langlois), Université de Sherbrooke; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Qc; École de kinésiologie (Lear), Université Simon Fraser, Vancouver, C.-B.; Medcan Clinic ( Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Régie régionale de la santé de Vancouver, Victoria, C.-B.; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Université Laval, Québec, Qc; Centre médical Foothills (Nerenberg); C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology (Poddar), Toronto, Ont.; Département de médecine (Rueda-Clausen), Université de la Saskatchewan; Hôpital général de Regina (Rueda-Clausen), Regina, Sask.; Psychologie de l'éducation (Russell-Mayhew), Faculté d'éducation Werklund, Université de Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Chaire de recherche en santé interprofessionnelle de l'Institut de recherche sur la santé des populations Heather M Arthur/Hamilton Health Sciences, Faculté des sciences infirmières (Sherifali), Université McMaster, Hamilton, Ont.; Division d'endocrinologie et métabolisme (Sievenpiper), Hôpital St. Michael, Toronto, Ont.; Département de psychiatrie (Taylor), Université de Calgary, Calgary, Alta.; École de pharmacie (Twells), Université Memorial, St. John's, T.-N.-L.; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; École de santé des populations et de santé publique (Walker), Université de la Colombie-Britannique; Centre for Excellence in Indigenous Health (Walker), Université de la Colombie-Britannique, Vancouver, C.-B.; Institut de santé publique O'Brien (Wicklum), Université de Calgary, Calgary, Alta
| | - David Macklin
- Départements de médecine (Wharton), endocrinologie et métabolisme (Poddar, Sherifali), médecine familiale (Naji, Tytus), et Health Research Methods, Evidence and Impact (HEI) Canada (Naji), Université McMaster; Clinique Wharton (Wharton, Poddar), Hamilton, Ont.; Départements: de médecine (Lau, Nerenberg) et médecine familiale (Boyling, Henderson, McInnes, Walji, Wicklum), École de médecine Cumming, Université de Calgary; Centre de recherche sur le diabète Julia McFarlane et Institut de cardiologie Libin de l'Alberta (Lau), Calgary, Alta.; Département de médecine familiale (Vallis, Piccinini-Vallis), Université Dalhousie, Halifax, N.-É; Départements de médecine (Sharma, Toth), médecine familiale (Campbell-Scherer, Kemp), agriculture, alimentation et science de la nutrition (Bell, Pereira), éducation physique et loisirs (Boulé), et ergothérapie (Forhan), Université de l'Alberta; Adult Bariatric Specialty Clinic (Sharma), Hôpital Royal Alexandra; Obésité Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Département de chirurgie (Biertho), Université Laval, Québec, Que.; École des sciences de l'activité physique (Adamo, Prud'homme), Université d'Ottawa, Ottawa, Ont.; Département de santé, kinésiologie et physiologie appliquée (Alberga), Université Concordia, Montréal, Que.; Centre d'Excellence en soins bariatriques(Brown), Hôpital d'Ottawa, Ottawa, Ont.; Départements de médecine familiale (Calam) et endocrinologie (Manjoo), Université de la Colombie-Britannique; Programme de résidence en pratique familiale de la UBC (Calam) et chaire de recherche en prévention des maladies cardiovasculaires Pfizer/Fondation des maladies du cœur et de l'AVC (Lear), Hôpital St. Paul, Vancouver, C.-B.; consultant en nutrition (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, Université de Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Département de médecine familiale (Freedhoff) et Division d'endocrinologie et métabolisme (Shiau), Département de médecine, Université d'Ottawa, Ottawa, Ont.; Herbert Wertheim School of medicine (Gagner), Florida International University, Miami, FL; Hôpital du Sacré-Cœur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division d'endocrinologie et métabolisme (Glazer), Université Queen's, Kingston, Ont.; Départements de médecine interne (Glazer), psychiatrie (Hawa, Sockalingam), médecine familiale et communautaire (Macklin), et des sciences de la nutrition (Sievenpiper), Université de Toronto, Toronto, Ont.; Services de santé de l'Alberta (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Départements de médecine familiale, et d'études sur les sciences et les politiques de santé publique (Green), Université Queen's; Centre des sciences de la santé de Kingston (Green); Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam); Réseau universitaire de santé (Hawa, Sockalingam), Toronto, Ont.; Division de chirurgie générale (Hong), Université McMaster, Hamilton, Ont.; Département de médecine familiale et de santé biocomportementale (Jacklin), Faculté de médecine de l'Université du Minnesota, campus Duluth, Duluth, Minn.; Faculté de kinésiologie et d'études sur la santé (Janssen), Université Queen's, Kingston, Ont.; École de santé et performance humaine (Kirk), Université Dalhousie, Halifax, N.-É; École de kinésiologie et de sciences de la santé (Wharton, Kuk), Université York, Toronto, Ont.; Division d'endocrinologie (Langlois), Université de Sherbrooke; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Qc; École de kinésiologie (Lear), Université Simon Fraser, Vancouver, C.-B.; Medcan Clinic ( Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Régie régionale de la santé de Vancouver, Victoria, C.-B.; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Université Laval, Québec, Qc; Centre médical Foothills (Nerenberg); C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology (Poddar), Toronto, Ont.; Département de médecine (Rueda-Clausen), Université de la Saskatchewan; Hôpital général de Regina (Rueda-Clausen), Regina, Sask.; Psychologie de l'éducation (Russell-Mayhew), Faculté d'éducation Werklund, Université de Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Chaire de recherche en santé interprofessionnelle de l'Institut de recherche sur la santé des populations Heather M Arthur/Hamilton Health Sciences, Faculté des sciences infirmières (Sherifali), Université McMaster, Hamilton, Ont.; Division d'endocrinologie et métabolisme (Sievenpiper), Hôpital St. Michael, Toronto, Ont.; Département de psychiatrie (Taylor), Université de Calgary, Calgary, Alta.; École de pharmacie (Twells), Université Memorial, St. John's, T.-N.-L.; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; École de santé des populations et de santé publique (Walker), Université de la Colombie-Britannique; Centre for Excellence in Indigenous Health (Walker), Université de la Colombie-Britannique, Vancouver, C.-B.; Institut de santé publique O'Brien (Wicklum), Université de Calgary, Calgary, Alta
| | - Leen Naji
- Départements de médecine (Wharton), endocrinologie et métabolisme (Poddar, Sherifali), médecine familiale (Naji, Tytus), et Health Research Methods, Evidence and Impact (HEI) Canada (Naji), Université McMaster; Clinique Wharton (Wharton, Poddar), Hamilton, Ont.; Départements: de médecine (Lau, Nerenberg) et médecine familiale (Boyling, Henderson, McInnes, Walji, Wicklum), École de médecine Cumming, Université de Calgary; Centre de recherche sur le diabète Julia McFarlane et Institut de cardiologie Libin de l'Alberta (Lau), Calgary, Alta.; Département de médecine familiale (Vallis, Piccinini-Vallis), Université Dalhousie, Halifax, N.-É; Départements de médecine (Sharma, Toth), médecine familiale (Campbell-Scherer, Kemp), agriculture, alimentation et science de la nutrition (Bell, Pereira), éducation physique et loisirs (Boulé), et ergothérapie (Forhan), Université de l'Alberta; Adult Bariatric Specialty Clinic (Sharma), Hôpital Royal Alexandra; Obésité Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Département de chirurgie (Biertho), Université Laval, Québec, Que.; École des sciences de l'activité physique (Adamo, Prud'homme), Université d'Ottawa, Ottawa, Ont.; Département de santé, kinésiologie et physiologie appliquée (Alberga), Université Concordia, Montréal, Que.; Centre d'Excellence en soins bariatriques(Brown), Hôpital d'Ottawa, Ottawa, Ont.; Départements de médecine familiale (Calam) et endocrinologie (Manjoo), Université de la Colombie-Britannique; Programme de résidence en pratique familiale de la UBC (Calam) et chaire de recherche en prévention des maladies cardiovasculaires Pfizer/Fondation des maladies du cœur et de l'AVC (Lear), Hôpital St. Paul, Vancouver, C.-B.; consultant en nutrition (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, Université de Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Département de médecine familiale (Freedhoff) et Division d'endocrinologie et métabolisme (Shiau), Département de médecine, Université d'Ottawa, Ottawa, Ont.; Herbert Wertheim School of medicine (Gagner), Florida International University, Miami, FL; Hôpital du Sacré-Cœur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division d'endocrinologie et métabolisme (Glazer), Université Queen's, Kingston, Ont.; Départements de médecine interne (Glazer), psychiatrie (Hawa, Sockalingam), médecine familiale et communautaire (Macklin), et des sciences de la nutrition (Sievenpiper), Université de Toronto, Toronto, Ont.; Services de santé de l'Alberta (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Départements de médecine familiale, et d'études sur les sciences et les politiques de santé publique (Green), Université Queen's; Centre des sciences de la santé de Kingston (Green); Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam); Réseau universitaire de santé (Hawa, Sockalingam), Toronto, Ont.; Division de chirurgie générale (Hong), Université McMaster, Hamilton, Ont.; Département de médecine familiale et de santé biocomportementale (Jacklin), Faculté de médecine de l'Université du Minnesota, campus Duluth, Duluth, Minn.; Faculté de kinésiologie et d'études sur la santé (Janssen), Université Queen's, Kingston, Ont.; École de santé et performance humaine (Kirk), Université Dalhousie, Halifax, N.-É; École de kinésiologie et de sciences de la santé (Wharton, Kuk), Université York, Toronto, Ont.; Division d'endocrinologie (Langlois), Université de Sherbrooke; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Qc; École de kinésiologie (Lear), Université Simon Fraser, Vancouver, C.-B.; Medcan Clinic ( Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Régie régionale de la santé de Vancouver, Victoria, C.-B.; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Université Laval, Québec, Qc; Centre médical Foothills (Nerenberg); C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology (Poddar), Toronto, Ont.; Département de médecine (Rueda-Clausen), Université de la Saskatchewan; Hôpital général de Regina (Rueda-Clausen), Regina, Sask.; Psychologie de l'éducation (Russell-Mayhew), Faculté d'éducation Werklund, Université de Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Chaire de recherche en santé interprofessionnelle de l'Institut de recherche sur la santé des populations Heather M Arthur/Hamilton Health Sciences, Faculté des sciences infirmières (Sherifali), Université McMaster, Hamilton, Ont.; Division d'endocrinologie et métabolisme (Sievenpiper), Hôpital St. Michael, Toronto, Ont.; Département de psychiatrie (Taylor), Université de Calgary, Calgary, Alta.; École de pharmacie (Twells), Université Memorial, St. John's, T.-N.-L.; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; École de santé des populations et de santé publique (Walker), Université de la Colombie-Britannique; Centre for Excellence in Indigenous Health (Walker), Université de la Colombie-Britannique, Vancouver, C.-B.; Institut de santé publique O'Brien (Wicklum), Université de Calgary, Calgary, Alta
| | - Priya Manjoo
- Départements de médecine (Wharton), endocrinologie et métabolisme (Poddar, Sherifali), médecine familiale (Naji, Tytus), et Health Research Methods, Evidence and Impact (HEI) Canada (Naji), Université McMaster; Clinique Wharton (Wharton, Poddar), Hamilton, Ont.; Départements: de médecine (Lau, Nerenberg) et médecine familiale (Boyling, Henderson, McInnes, Walji, Wicklum), École de médecine Cumming, Université de Calgary; Centre de recherche sur le diabète Julia McFarlane et Institut de cardiologie Libin de l'Alberta (Lau), Calgary, Alta.; Département de médecine familiale (Vallis, Piccinini-Vallis), Université Dalhousie, Halifax, N.-É; Départements de médecine (Sharma, Toth), médecine familiale (Campbell-Scherer, Kemp), agriculture, alimentation et science de la nutrition (Bell, Pereira), éducation physique et loisirs (Boulé), et ergothérapie (Forhan), Université de l'Alberta; Adult Bariatric Specialty Clinic (Sharma), Hôpital Royal Alexandra; Obésité Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Département de chirurgie (Biertho), Université Laval, Québec, Que.; École des sciences de l'activité physique (Adamo, Prud'homme), Université d'Ottawa, Ottawa, Ont.; Département de santé, kinésiologie et physiologie appliquée (Alberga), Université Concordia, Montréal, Que.; Centre d'Excellence en soins bariatriques(Brown), Hôpital d'Ottawa, Ottawa, Ont.; Départements de médecine familiale (Calam) et endocrinologie (Manjoo), Université de la Colombie-Britannique; Programme de résidence en pratique familiale de la UBC (Calam) et chaire de recherche en prévention des maladies cardiovasculaires Pfizer/Fondation des maladies du cœur et de l'AVC (Lear), Hôpital St. Paul, Vancouver, C.-B.; consultant en nutrition (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, Université de Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Département de médecine familiale (Freedhoff) et Division d'endocrinologie et métabolisme (Shiau), Département de médecine, Université d'Ottawa, Ottawa, Ont.; Herbert Wertheim School of medicine (Gagner), Florida International University, Miami, FL; Hôpital du Sacré-Cœur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division d'endocrinologie et métabolisme (Glazer), Université Queen's, Kingston, Ont.; Départements de médecine interne (Glazer), psychiatrie (Hawa, Sockalingam), médecine familiale et communautaire (Macklin), et des sciences de la nutrition (Sievenpiper), Université de Toronto, Toronto, Ont.; Services de santé de l'Alberta (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Départements de médecine familiale, et d'études sur les sciences et les politiques de santé publique (Green), Université Queen's; Centre des sciences de la santé de Kingston (Green); Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam); Réseau universitaire de santé (Hawa, Sockalingam), Toronto, Ont.; Division de chirurgie générale (Hong), Université McMaster, Hamilton, Ont.; Département de médecine familiale et de santé biocomportementale (Jacklin), Faculté de médecine de l'Université du Minnesota, campus Duluth, Duluth, Minn.; Faculté de kinésiologie et d'études sur la santé (Janssen), Université Queen's, Kingston, Ont.; École de santé et performance humaine (Kirk), Université Dalhousie, Halifax, N.-É; École de kinésiologie et de sciences de la santé (Wharton, Kuk), Université York, Toronto, Ont.; Division d'endocrinologie (Langlois), Université de Sherbrooke; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Qc; École de kinésiologie (Lear), Université Simon Fraser, Vancouver, C.-B.; Medcan Clinic ( Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Régie régionale de la santé de Vancouver, Victoria, C.-B.; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Université Laval, Québec, Qc; Centre médical Foothills (Nerenberg); C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology (Poddar), Toronto, Ont.; Département de médecine (Rueda-Clausen), Université de la Saskatchewan; Hôpital général de Regina (Rueda-Clausen), Regina, Sask.; Psychologie de l'éducation (Russell-Mayhew), Faculté d'éducation Werklund, Université de Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Chaire de recherche en santé interprofessionnelle de l'Institut de recherche sur la santé des populations Heather M Arthur/Hamilton Health Sciences, Faculté des sciences infirmières (Sherifali), Université McMaster, Hamilton, Ont.; Division d'endocrinologie et métabolisme (Sievenpiper), Hôpital St. Michael, Toronto, Ont.; Département de psychiatrie (Taylor), Université de Calgary, Calgary, Alta.; École de pharmacie (Twells), Université Memorial, St. John's, T.-N.-L.; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; École de santé des populations et de santé publique (Walker), Université de la Colombie-Britannique; Centre for Excellence in Indigenous Health (Walker), Université de la Colombie-Britannique, Vancouver, C.-B.; Institut de santé publique O'Brien (Wicklum), Université de Calgary, Calgary, Alta
| | - Marie-Philippe Morin
- Départements de médecine (Wharton), endocrinologie et métabolisme (Poddar, Sherifali), médecine familiale (Naji, Tytus), et Health Research Methods, Evidence and Impact (HEI) Canada (Naji), Université McMaster; Clinique Wharton (Wharton, Poddar), Hamilton, Ont.; Départements: de médecine (Lau, Nerenberg) et médecine familiale (Boyling, Henderson, McInnes, Walji, Wicklum), École de médecine Cumming, Université de Calgary; Centre de recherche sur le diabète Julia McFarlane et Institut de cardiologie Libin de l'Alberta (Lau), Calgary, Alta.; Département de médecine familiale (Vallis, Piccinini-Vallis), Université Dalhousie, Halifax, N.-É; Départements de médecine (Sharma, Toth), médecine familiale (Campbell-Scherer, Kemp), agriculture, alimentation et science de la nutrition (Bell, Pereira), éducation physique et loisirs (Boulé), et ergothérapie (Forhan), Université de l'Alberta; Adult Bariatric Specialty Clinic (Sharma), Hôpital Royal Alexandra; Obésité Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Département de chirurgie (Biertho), Université Laval, Québec, Que.; École des sciences de l'activité physique (Adamo, Prud'homme), Université d'Ottawa, Ottawa, Ont.; Département de santé, kinésiologie et physiologie appliquée (Alberga), Université Concordia, Montréal, Que.; Centre d'Excellence en soins bariatriques(Brown), Hôpital d'Ottawa, Ottawa, Ont.; Départements de médecine familiale (Calam) et endocrinologie (Manjoo), Université de la Colombie-Britannique; Programme de résidence en pratique familiale de la UBC (Calam) et chaire de recherche en prévention des maladies cardiovasculaires Pfizer/Fondation des maladies du cœur et de l'AVC (Lear), Hôpital St. Paul, Vancouver, C.-B.; consultant en nutrition (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, Université de Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Département de médecine familiale (Freedhoff) et Division d'endocrinologie et métabolisme (Shiau), Département de médecine, Université d'Ottawa, Ottawa, Ont.; Herbert Wertheim School of medicine (Gagner), Florida International University, Miami, FL; Hôpital du Sacré-Cœur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division d'endocrinologie et métabolisme (Glazer), Université Queen's, Kingston, Ont.; Départements de médecine interne (Glazer), psychiatrie (Hawa, Sockalingam), médecine familiale et communautaire (Macklin), et des sciences de la nutrition (Sievenpiper), Université de Toronto, Toronto, Ont.; Services de santé de l'Alberta (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Départements de médecine familiale, et d'études sur les sciences et les politiques de santé publique (Green), Université Queen's; Centre des sciences de la santé de Kingston (Green); Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam); Réseau universitaire de santé (Hawa, Sockalingam), Toronto, Ont.; Division de chirurgie générale (Hong), Université McMaster, Hamilton, Ont.; Département de médecine familiale et de santé biocomportementale (Jacklin), Faculté de médecine de l'Université du Minnesota, campus Duluth, Duluth, Minn.; Faculté de kinésiologie et d'études sur la santé (Janssen), Université Queen's, Kingston, Ont.; École de santé et performance humaine (Kirk), Université Dalhousie, Halifax, N.-É; École de kinésiologie et de sciences de la santé (Wharton, Kuk), Université York, Toronto, Ont.; Division d'endocrinologie (Langlois), Université de Sherbrooke; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Qc; École de kinésiologie (Lear), Université Simon Fraser, Vancouver, C.-B.; Medcan Clinic ( Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Régie régionale de la santé de Vancouver, Victoria, C.-B.; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Université Laval, Québec, Qc; Centre médical Foothills (Nerenberg); C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology (Poddar), Toronto, Ont.; Département de médecine (Rueda-Clausen), Université de la Saskatchewan; Hôpital général de Regina (Rueda-Clausen), Regina, Sask.; Psychologie de l'éducation (Russell-Mayhew), Faculté d'éducation Werklund, Université de Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Chaire de recherche en santé interprofessionnelle de l'Institut de recherche sur la santé des populations Heather M Arthur/Hamilton Health Sciences, Faculté des sciences infirmières (Sherifali), Université McMaster, Hamilton, Ont.; Division d'endocrinologie et métabolisme (Sievenpiper), Hôpital St. Michael, Toronto, Ont.; Département de psychiatrie (Taylor), Université de Calgary, Calgary, Alta.; École de pharmacie (Twells), Université Memorial, St. John's, T.-N.-L.; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; École de santé des populations et de santé publique (Walker), Université de la Colombie-Britannique; Centre for Excellence in Indigenous Health (Walker), Université de la Colombie-Britannique, Vancouver, C.-B.; Institut de santé publique O'Brien (Wicklum), Université de Calgary, Calgary, Alta
| | - Kara Nerenberg
- Départements de médecine (Wharton), endocrinologie et métabolisme (Poddar, Sherifali), médecine familiale (Naji, Tytus), et Health Research Methods, Evidence and Impact (HEI) Canada (Naji), Université McMaster; Clinique Wharton (Wharton, Poddar), Hamilton, Ont.; Départements: de médecine (Lau, Nerenberg) et médecine familiale (Boyling, Henderson, McInnes, Walji, Wicklum), École de médecine Cumming, Université de Calgary; Centre de recherche sur le diabète Julia McFarlane et Institut de cardiologie Libin de l'Alberta (Lau), Calgary, Alta.; Département de médecine familiale (Vallis, Piccinini-Vallis), Université Dalhousie, Halifax, N.-É; Départements de médecine (Sharma, Toth), médecine familiale (Campbell-Scherer, Kemp), agriculture, alimentation et science de la nutrition (Bell, Pereira), éducation physique et loisirs (Boulé), et ergothérapie (Forhan), Université de l'Alberta; Adult Bariatric Specialty Clinic (Sharma), Hôpital Royal Alexandra; Obésité Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Département de chirurgie (Biertho), Université Laval, Québec, Que.; École des sciences de l'activité physique (Adamo, Prud'homme), Université d'Ottawa, Ottawa, Ont.; Département de santé, kinésiologie et physiologie appliquée (Alberga), Université Concordia, Montréal, Que.; Centre d'Excellence en soins bariatriques(Brown), Hôpital d'Ottawa, Ottawa, Ont.; Départements de médecine familiale (Calam) et endocrinologie (Manjoo), Université de la Colombie-Britannique; Programme de résidence en pratique familiale de la UBC (Calam) et chaire de recherche en prévention des maladies cardiovasculaires Pfizer/Fondation des maladies du cœur et de l'AVC (Lear), Hôpital St. Paul, Vancouver, C.-B.; consultant en nutrition (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, Université de Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Département de médecine familiale (Freedhoff) et Division d'endocrinologie et métabolisme (Shiau), Département de médecine, Université d'Ottawa, Ottawa, Ont.; Herbert Wertheim School of medicine (Gagner), Florida International University, Miami, FL; Hôpital du Sacré-Cœur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division d'endocrinologie et métabolisme (Glazer), Université Queen's, Kingston, Ont.; Départements de médecine interne (Glazer), psychiatrie (Hawa, Sockalingam), médecine familiale et communautaire (Macklin), et des sciences de la nutrition (Sievenpiper), Université de Toronto, Toronto, Ont.; Services de santé de l'Alberta (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Départements de médecine familiale, et d'études sur les sciences et les politiques de santé publique (Green), Université Queen's; Centre des sciences de la santé de Kingston (Green); Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam); Réseau universitaire de santé (Hawa, Sockalingam), Toronto, Ont.; Division de chirurgie générale (Hong), Université McMaster, Hamilton, Ont.; Département de médecine familiale et de santé biocomportementale (Jacklin), Faculté de médecine de l'Université du Minnesota, campus Duluth, Duluth, Minn.; Faculté de kinésiologie et d'études sur la santé (Janssen), Université Queen's, Kingston, Ont.; École de santé et performance humaine (Kirk), Université Dalhousie, Halifax, N.-É; École de kinésiologie et de sciences de la santé (Wharton, Kuk), Université York, Toronto, Ont.; Division d'endocrinologie (Langlois), Université de Sherbrooke; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Qc; École de kinésiologie (Lear), Université Simon Fraser, Vancouver, C.-B.; Medcan Clinic ( Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Régie régionale de la santé de Vancouver, Victoria, C.-B.; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Université Laval, Québec, Qc; Centre médical Foothills (Nerenberg); C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology (Poddar), Toronto, Ont.; Département de médecine (Rueda-Clausen), Université de la Saskatchewan; Hôpital général de Regina (Rueda-Clausen), Regina, Sask.; Psychologie de l'éducation (Russell-Mayhew), Faculté d'éducation Werklund, Université de Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Chaire de recherche en santé interprofessionnelle de l'Institut de recherche sur la santé des populations Heather M Arthur/Hamilton Health Sciences, Faculté des sciences infirmières (Sherifali), Université McMaster, Hamilton, Ont.; Division d'endocrinologie et métabolisme (Sievenpiper), Hôpital St. Michael, Toronto, Ont.; Département de psychiatrie (Taylor), Université de Calgary, Calgary, Alta.; École de pharmacie (Twells), Université Memorial, St. John's, T.-N.-L.; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; École de santé des populations et de santé publique (Walker), Université de la Colombie-Britannique; Centre for Excellence in Indigenous Health (Walker), Université de la Colombie-Britannique, Vancouver, C.-B.; Institut de santé publique O'Brien (Wicklum), Université de Calgary, Calgary, Alta
| | - Ian Patton
- Départements de médecine (Wharton), endocrinologie et métabolisme (Poddar, Sherifali), médecine familiale (Naji, Tytus), et Health Research Methods, Evidence and Impact (HEI) Canada (Naji), Université McMaster; Clinique Wharton (Wharton, Poddar), Hamilton, Ont.; Départements: de médecine (Lau, Nerenberg) et médecine familiale (Boyling, Henderson, McInnes, Walji, Wicklum), École de médecine Cumming, Université de Calgary; Centre de recherche sur le diabète Julia McFarlane et Institut de cardiologie Libin de l'Alberta (Lau), Calgary, Alta.; Département de médecine familiale (Vallis, Piccinini-Vallis), Université Dalhousie, Halifax, N.-É; Départements de médecine (Sharma, Toth), médecine familiale (Campbell-Scherer, Kemp), agriculture, alimentation et science de la nutrition (Bell, Pereira), éducation physique et loisirs (Boulé), et ergothérapie (Forhan), Université de l'Alberta; Adult Bariatric Specialty Clinic (Sharma), Hôpital Royal Alexandra; Obésité Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Département de chirurgie (Biertho), Université Laval, Québec, Que.; École des sciences de l'activité physique (Adamo, Prud'homme), Université d'Ottawa, Ottawa, Ont.; Département de santé, kinésiologie et physiologie appliquée (Alberga), Université Concordia, Montréal, Que.; Centre d'Excellence en soins bariatriques(Brown), Hôpital d'Ottawa, Ottawa, Ont.; Départements de médecine familiale (Calam) et endocrinologie (Manjoo), Université de la Colombie-Britannique; Programme de résidence en pratique familiale de la UBC (Calam) et chaire de recherche en prévention des maladies cardiovasculaires Pfizer/Fondation des maladies du cœur et de l'AVC (Lear), Hôpital St. Paul, Vancouver, C.-B.; consultant en nutrition (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, Université de Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Département de médecine familiale (Freedhoff) et Division d'endocrinologie et métabolisme (Shiau), Département de médecine, Université d'Ottawa, Ottawa, Ont.; Herbert Wertheim School of medicine (Gagner), Florida International University, Miami, FL; Hôpital du Sacré-Cœur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division d'endocrinologie et métabolisme (Glazer), Université Queen's, Kingston, Ont.; Départements de médecine interne (Glazer), psychiatrie (Hawa, Sockalingam), médecine familiale et communautaire (Macklin), et des sciences de la nutrition (Sievenpiper), Université de Toronto, Toronto, Ont.; Services de santé de l'Alberta (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Départements de médecine familiale, et d'études sur les sciences et les politiques de santé publique (Green), Université Queen's; Centre des sciences de la santé de Kingston (Green); Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam); Réseau universitaire de santé (Hawa, Sockalingam), Toronto, Ont.; Division de chirurgie générale (Hong), Université McMaster, Hamilton, Ont.; Département de médecine familiale et de santé biocomportementale (Jacklin), Faculté de médecine de l'Université du Minnesota, campus Duluth, Duluth, Minn.; Faculté de kinésiologie et d'études sur la santé (Janssen), Université Queen's, Kingston, Ont.; École de santé et performance humaine (Kirk), Université Dalhousie, Halifax, N.-É; École de kinésiologie et de sciences de la santé (Wharton, Kuk), Université York, Toronto, Ont.; Division d'endocrinologie (Langlois), Université de Sherbrooke; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Qc; École de kinésiologie (Lear), Université Simon Fraser, Vancouver, C.-B.; Medcan Clinic ( Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Régie régionale de la santé de Vancouver, Victoria, C.-B.; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Université Laval, Québec, Qc; Centre médical Foothills (Nerenberg); C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology (Poddar), Toronto, Ont.; Département de médecine (Rueda-Clausen), Université de la Saskatchewan; Hôpital général de Regina (Rueda-Clausen), Regina, Sask.; Psychologie de l'éducation (Russell-Mayhew), Faculté d'éducation Werklund, Université de Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Chaire de recherche en santé interprofessionnelle de l'Institut de recherche sur la santé des populations Heather M Arthur/Hamilton Health Sciences, Faculté des sciences infirmières (Sherifali), Université McMaster, Hamilton, Ont.; Division d'endocrinologie et métabolisme (Sievenpiper), Hôpital St. Michael, Toronto, Ont.; Département de psychiatrie (Taylor), Université de Calgary, Calgary, Alta.; École de pharmacie (Twells), Université Memorial, St. John's, T.-N.-L.; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; École de santé des populations et de santé publique (Walker), Université de la Colombie-Britannique; Centre for Excellence in Indigenous Health (Walker), Université de la Colombie-Britannique, Vancouver, C.-B.; Institut de santé publique O'Brien (Wicklum), Université de Calgary, Calgary, Alta
| | - Sue Pedersen
- Départements de médecine (Wharton), endocrinologie et métabolisme (Poddar, Sherifali), médecine familiale (Naji, Tytus), et Health Research Methods, Evidence and Impact (HEI) Canada (Naji), Université McMaster; Clinique Wharton (Wharton, Poddar), Hamilton, Ont.; Départements: de médecine (Lau, Nerenberg) et médecine familiale (Boyling, Henderson, McInnes, Walji, Wicklum), École de médecine Cumming, Université de Calgary; Centre de recherche sur le diabète Julia McFarlane et Institut de cardiologie Libin de l'Alberta (Lau), Calgary, Alta.; Département de médecine familiale (Vallis, Piccinini-Vallis), Université Dalhousie, Halifax, N.-É; Départements de médecine (Sharma, Toth), médecine familiale (Campbell-Scherer, Kemp), agriculture, alimentation et science de la nutrition (Bell, Pereira), éducation physique et loisirs (Boulé), et ergothérapie (Forhan), Université de l'Alberta; Adult Bariatric Specialty Clinic (Sharma), Hôpital Royal Alexandra; Obésité Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Département de chirurgie (Biertho), Université Laval, Québec, Que.; École des sciences de l'activité physique (Adamo, Prud'homme), Université d'Ottawa, Ottawa, Ont.; Département de santé, kinésiologie et physiologie appliquée (Alberga), Université Concordia, Montréal, Que.; Centre d'Excellence en soins bariatriques(Brown), Hôpital d'Ottawa, Ottawa, Ont.; Départements de médecine familiale (Calam) et endocrinologie (Manjoo), Université de la Colombie-Britannique; Programme de résidence en pratique familiale de la UBC (Calam) et chaire de recherche en prévention des maladies cardiovasculaires Pfizer/Fondation des maladies du cœur et de l'AVC (Lear), Hôpital St. Paul, Vancouver, C.-B.; consultant en nutrition (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, Université de Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Département de médecine familiale (Freedhoff) et Division d'endocrinologie et métabolisme (Shiau), Département de médecine, Université d'Ottawa, Ottawa, Ont.; Herbert Wertheim School of medicine (Gagner), Florida International University, Miami, FL; Hôpital du Sacré-Cœur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division d'endocrinologie et métabolisme (Glazer), Université Queen's, Kingston, Ont.; Départements de médecine interne (Glazer), psychiatrie (Hawa, Sockalingam), médecine familiale et communautaire (Macklin), et des sciences de la nutrition (Sievenpiper), Université de Toronto, Toronto, Ont.; Services de santé de l'Alberta (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Départements de médecine familiale, et d'études sur les sciences et les politiques de santé publique (Green), Université Queen's; Centre des sciences de la santé de Kingston (Green); Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam); Réseau universitaire de santé (Hawa, Sockalingam), Toronto, Ont.; Division de chirurgie générale (Hong), Université McMaster, Hamilton, Ont.; Département de médecine familiale et de santé biocomportementale (Jacklin), Faculté de médecine de l'Université du Minnesota, campus Duluth, Duluth, Minn.; Faculté de kinésiologie et d'études sur la santé (Janssen), Université Queen's, Kingston, Ont.; École de santé et performance humaine (Kirk), Université Dalhousie, Halifax, N.-É; École de kinésiologie et de sciences de la santé (Wharton, Kuk), Université York, Toronto, Ont.; Division d'endocrinologie (Langlois), Université de Sherbrooke; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Qc; École de kinésiologie (Lear), Université Simon Fraser, Vancouver, C.-B.; Medcan Clinic ( Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Régie régionale de la santé de Vancouver, Victoria, C.-B.; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Université Laval, Québec, Qc; Centre médical Foothills (Nerenberg); C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology (Poddar), Toronto, Ont.; Département de médecine (Rueda-Clausen), Université de la Saskatchewan; Hôpital général de Regina (Rueda-Clausen), Regina, Sask.; Psychologie de l'éducation (Russell-Mayhew), Faculté d'éducation Werklund, Université de Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Chaire de recherche en santé interprofessionnelle de l'Institut de recherche sur la santé des populations Heather M Arthur/Hamilton Health Sciences, Faculté des sciences infirmières (Sherifali), Université McMaster, Hamilton, Ont.; Division d'endocrinologie et métabolisme (Sievenpiper), Hôpital St. Michael, Toronto, Ont.; Département de psychiatrie (Taylor), Université de Calgary, Calgary, Alta.; École de pharmacie (Twells), Université Memorial, St. John's, T.-N.-L.; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; École de santé des populations et de santé publique (Walker), Université de la Colombie-Britannique; Centre for Excellence in Indigenous Health (Walker), Université de la Colombie-Britannique, Vancouver, C.-B.; Institut de santé publique O'Brien (Wicklum), Université de Calgary, Calgary, Alta
| | - Leticia Pereira
- Départements de médecine (Wharton), endocrinologie et métabolisme (Poddar, Sherifali), médecine familiale (Naji, Tytus), et Health Research Methods, Evidence and Impact (HEI) Canada (Naji), Université McMaster; Clinique Wharton (Wharton, Poddar), Hamilton, Ont.; Départements: de médecine (Lau, Nerenberg) et médecine familiale (Boyling, Henderson, McInnes, Walji, Wicklum), École de médecine Cumming, Université de Calgary; Centre de recherche sur le diabète Julia McFarlane et Institut de cardiologie Libin de l'Alberta (Lau), Calgary, Alta.; Département de médecine familiale (Vallis, Piccinini-Vallis), Université Dalhousie, Halifax, N.-É; Départements de médecine (Sharma, Toth), médecine familiale (Campbell-Scherer, Kemp), agriculture, alimentation et science de la nutrition (Bell, Pereira), éducation physique et loisirs (Boulé), et ergothérapie (Forhan), Université de l'Alberta; Adult Bariatric Specialty Clinic (Sharma), Hôpital Royal Alexandra; Obésité Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Département de chirurgie (Biertho), Université Laval, Québec, Que.; École des sciences de l'activité physique (Adamo, Prud'homme), Université d'Ottawa, Ottawa, Ont.; Département de santé, kinésiologie et physiologie appliquée (Alberga), Université Concordia, Montréal, Que.; Centre d'Excellence en soins bariatriques(Brown), Hôpital d'Ottawa, Ottawa, Ont.; Départements de médecine familiale (Calam) et endocrinologie (Manjoo), Université de la Colombie-Britannique; Programme de résidence en pratique familiale de la UBC (Calam) et chaire de recherche en prévention des maladies cardiovasculaires Pfizer/Fondation des maladies du cœur et de l'AVC (Lear), Hôpital St. Paul, Vancouver, C.-B.; consultant en nutrition (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, Université de Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Département de médecine familiale (Freedhoff) et Division d'endocrinologie et métabolisme (Shiau), Département de médecine, Université d'Ottawa, Ottawa, Ont.; Herbert Wertheim School of medicine (Gagner), Florida International University, Miami, FL; Hôpital du Sacré-Cœur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division d'endocrinologie et métabolisme (Glazer), Université Queen's, Kingston, Ont.; Départements de médecine interne (Glazer), psychiatrie (Hawa, Sockalingam), médecine familiale et communautaire (Macklin), et des sciences de la nutrition (Sievenpiper), Université de Toronto, Toronto, Ont.; Services de santé de l'Alberta (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Départements de médecine familiale, et d'études sur les sciences et les politiques de santé publique (Green), Université Queen's; Centre des sciences de la santé de Kingston (Green); Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam); Réseau universitaire de santé (Hawa, Sockalingam), Toronto, Ont.; Division de chirurgie générale (Hong), Université McMaster, Hamilton, Ont.; Département de médecine familiale et de santé biocomportementale (Jacklin), Faculté de médecine de l'Université du Minnesota, campus Duluth, Duluth, Minn.; Faculté de kinésiologie et d'études sur la santé (Janssen), Université Queen's, Kingston, Ont.; École de santé et performance humaine (Kirk), Université Dalhousie, Halifax, N.-É; École de kinésiologie et de sciences de la santé (Wharton, Kuk), Université York, Toronto, Ont.; Division d'endocrinologie (Langlois), Université de Sherbrooke; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Qc; École de kinésiologie (Lear), Université Simon Fraser, Vancouver, C.-B.; Medcan Clinic ( Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Régie régionale de la santé de Vancouver, Victoria, C.-B.; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Université Laval, Québec, Qc; Centre médical Foothills (Nerenberg); C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology (Poddar), Toronto, Ont.; Département de médecine (Rueda-Clausen), Université de la Saskatchewan; Hôpital général de Regina (Rueda-Clausen), Regina, Sask.; Psychologie de l'éducation (Russell-Mayhew), Faculté d'éducation Werklund, Université de Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Chaire de recherche en santé interprofessionnelle de l'Institut de recherche sur la santé des populations Heather M Arthur/Hamilton Health Sciences, Faculté des sciences infirmières (Sherifali), Université McMaster, Hamilton, Ont.; Division d'endocrinologie et métabolisme (Sievenpiper), Hôpital St. Michael, Toronto, Ont.; Département de psychiatrie (Taylor), Université de Calgary, Calgary, Alta.; École de pharmacie (Twells), Université Memorial, St. John's, T.-N.-L.; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; École de santé des populations et de santé publique (Walker), Université de la Colombie-Britannique; Centre for Excellence in Indigenous Health (Walker), Université de la Colombie-Britannique, Vancouver, C.-B.; Institut de santé publique O'Brien (Wicklum), Université de Calgary, Calgary, Alta
| | - Helena Piccinini-Vallis
- Départements de médecine (Wharton), endocrinologie et métabolisme (Poddar, Sherifali), médecine familiale (Naji, Tytus), et Health Research Methods, Evidence and Impact (HEI) Canada (Naji), Université McMaster; Clinique Wharton (Wharton, Poddar), Hamilton, Ont.; Départements: de médecine (Lau, Nerenberg) et médecine familiale (Boyling, Henderson, McInnes, Walji, Wicklum), École de médecine Cumming, Université de Calgary; Centre de recherche sur le diabète Julia McFarlane et Institut de cardiologie Libin de l'Alberta (Lau), Calgary, Alta.; Département de médecine familiale (Vallis, Piccinini-Vallis), Université Dalhousie, Halifax, N.-É; Départements de médecine (Sharma, Toth), médecine familiale (Campbell-Scherer, Kemp), agriculture, alimentation et science de la nutrition (Bell, Pereira), éducation physique et loisirs (Boulé), et ergothérapie (Forhan), Université de l'Alberta; Adult Bariatric Specialty Clinic (Sharma), Hôpital Royal Alexandra; Obésité Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Département de chirurgie (Biertho), Université Laval, Québec, Que.; École des sciences de l'activité physique (Adamo, Prud'homme), Université d'Ottawa, Ottawa, Ont.; Département de santé, kinésiologie et physiologie appliquée (Alberga), Université Concordia, Montréal, Que.; Centre d'Excellence en soins bariatriques(Brown), Hôpital d'Ottawa, Ottawa, Ont.; Départements de médecine familiale (Calam) et endocrinologie (Manjoo), Université de la Colombie-Britannique; Programme de résidence en pratique familiale de la UBC (Calam) et chaire de recherche en prévention des maladies cardiovasculaires Pfizer/Fondation des maladies du cœur et de l'AVC (Lear), Hôpital St. Paul, Vancouver, C.-B.; consultant en nutrition (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, Université de Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Département de médecine familiale (Freedhoff) et Division d'endocrinologie et métabolisme (Shiau), Département de médecine, Université d'Ottawa, Ottawa, Ont.; Herbert Wertheim School of medicine (Gagner), Florida International University, Miami, FL; Hôpital du Sacré-Cœur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division d'endocrinologie et métabolisme (Glazer), Université Queen's, Kingston, Ont.; Départements de médecine interne (Glazer), psychiatrie (Hawa, Sockalingam), médecine familiale et communautaire (Macklin), et des sciences de la nutrition (Sievenpiper), Université de Toronto, Toronto, Ont.; Services de santé de l'Alberta (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Départements de médecine familiale, et d'études sur les sciences et les politiques de santé publique (Green), Université Queen's; Centre des sciences de la santé de Kingston (Green); Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam); Réseau universitaire de santé (Hawa, Sockalingam), Toronto, Ont.; Division de chirurgie générale (Hong), Université McMaster, Hamilton, Ont.; Département de médecine familiale et de santé biocomportementale (Jacklin), Faculté de médecine de l'Université du Minnesota, campus Duluth, Duluth, Minn.; Faculté de kinésiologie et d'études sur la santé (Janssen), Université Queen's, Kingston, Ont.; École de santé et performance humaine (Kirk), Université Dalhousie, Halifax, N.-É; École de kinésiologie et de sciences de la santé (Wharton, Kuk), Université York, Toronto, Ont.; Division d'endocrinologie (Langlois), Université de Sherbrooke; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Qc; École de kinésiologie (Lear), Université Simon Fraser, Vancouver, C.-B.; Medcan Clinic ( Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Régie régionale de la santé de Vancouver, Victoria, C.-B.; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Université Laval, Québec, Qc; Centre médical Foothills (Nerenberg); C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology (Poddar), Toronto, Ont.; Département de médecine (Rueda-Clausen), Université de la Saskatchewan; Hôpital général de Regina (Rueda-Clausen), Regina, Sask.; Psychologie de l'éducation (Russell-Mayhew), Faculté d'éducation Werklund, Université de Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Chaire de recherche en santé interprofessionnelle de l'Institut de recherche sur la santé des populations Heather M Arthur/Hamilton Health Sciences, Faculté des sciences infirmières (Sherifali), Université McMaster, Hamilton, Ont.; Division d'endocrinologie et métabolisme (Sievenpiper), Hôpital St. Michael, Toronto, Ont.; Département de psychiatrie (Taylor), Université de Calgary, Calgary, Alta.; École de pharmacie (Twells), Université Memorial, St. John's, T.-N.-L.; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; École de santé des populations et de santé publique (Walker), Université de la Colombie-Britannique; Centre for Excellence in Indigenous Health (Walker), Université de la Colombie-Britannique, Vancouver, C.-B.; Institut de santé publique O'Brien (Wicklum), Université de Calgary, Calgary, Alta
| | - Megha Poddar
- Départements de médecine (Wharton), endocrinologie et métabolisme (Poddar, Sherifali), médecine familiale (Naji, Tytus), et Health Research Methods, Evidence and Impact (HEI) Canada (Naji), Université McMaster; Clinique Wharton (Wharton, Poddar), Hamilton, Ont.; Départements: de médecine (Lau, Nerenberg) et médecine familiale (Boyling, Henderson, McInnes, Walji, Wicklum), École de médecine Cumming, Université de Calgary; Centre de recherche sur le diabète Julia McFarlane et Institut de cardiologie Libin de l'Alberta (Lau), Calgary, Alta.; Département de médecine familiale (Vallis, Piccinini-Vallis), Université Dalhousie, Halifax, N.-É; Départements de médecine (Sharma, Toth), médecine familiale (Campbell-Scherer, Kemp), agriculture, alimentation et science de la nutrition (Bell, Pereira), éducation physique et loisirs (Boulé), et ergothérapie (Forhan), Université de l'Alberta; Adult Bariatric Specialty Clinic (Sharma), Hôpital Royal Alexandra; Obésité Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Département de chirurgie (Biertho), Université Laval, Québec, Que.; École des sciences de l'activité physique (Adamo, Prud'homme), Université d'Ottawa, Ottawa, Ont.; Département de santé, kinésiologie et physiologie appliquée (Alberga), Université Concordia, Montréal, Que.; Centre d'Excellence en soins bariatriques(Brown), Hôpital d'Ottawa, Ottawa, Ont.; Départements de médecine familiale (Calam) et endocrinologie (Manjoo), Université de la Colombie-Britannique; Programme de résidence en pratique familiale de la UBC (Calam) et chaire de recherche en prévention des maladies cardiovasculaires Pfizer/Fondation des maladies du cœur et de l'AVC (Lear), Hôpital St. Paul, Vancouver, C.-B.; consultant en nutrition (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, Université de Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Département de médecine familiale (Freedhoff) et Division d'endocrinologie et métabolisme (Shiau), Département de médecine, Université d'Ottawa, Ottawa, Ont.; Herbert Wertheim School of medicine (Gagner), Florida International University, Miami, FL; Hôpital du Sacré-Cœur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division d'endocrinologie et métabolisme (Glazer), Université Queen's, Kingston, Ont.; Départements de médecine interne (Glazer), psychiatrie (Hawa, Sockalingam), médecine familiale et communautaire (Macklin), et des sciences de la nutrition (Sievenpiper), Université de Toronto, Toronto, Ont.; Services de santé de l'Alberta (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Départements de médecine familiale, et d'études sur les sciences et les politiques de santé publique (Green), Université Queen's; Centre des sciences de la santé de Kingston (Green); Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam); Réseau universitaire de santé (Hawa, Sockalingam), Toronto, Ont.; Division de chirurgie générale (Hong), Université McMaster, Hamilton, Ont.; Département de médecine familiale et de santé biocomportementale (Jacklin), Faculté de médecine de l'Université du Minnesota, campus Duluth, Duluth, Minn.; Faculté de kinésiologie et d'études sur la santé (Janssen), Université Queen's, Kingston, Ont.; École de santé et performance humaine (Kirk), Université Dalhousie, Halifax, N.-É; École de kinésiologie et de sciences de la santé (Wharton, Kuk), Université York, Toronto, Ont.; Division d'endocrinologie (Langlois), Université de Sherbrooke; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Qc; École de kinésiologie (Lear), Université Simon Fraser, Vancouver, C.-B.; Medcan Clinic ( Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Régie régionale de la santé de Vancouver, Victoria, C.-B.; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Université Laval, Québec, Qc; Centre médical Foothills (Nerenberg); C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology (Poddar), Toronto, Ont.; Département de médecine (Rueda-Clausen), Université de la Saskatchewan; Hôpital général de Regina (Rueda-Clausen), Regina, Sask.; Psychologie de l'éducation (Russell-Mayhew), Faculté d'éducation Werklund, Université de Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Chaire de recherche en santé interprofessionnelle de l'Institut de recherche sur la santé des populations Heather M Arthur/Hamilton Health Sciences, Faculté des sciences infirmières (Sherifali), Université McMaster, Hamilton, Ont.; Division d'endocrinologie et métabolisme (Sievenpiper), Hôpital St. Michael, Toronto, Ont.; Département de psychiatrie (Taylor), Université de Calgary, Calgary, Alta.; École de pharmacie (Twells), Université Memorial, St. John's, T.-N.-L.; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; École de santé des populations et de santé publique (Walker), Université de la Colombie-Britannique; Centre for Excellence in Indigenous Health (Walker), Université de la Colombie-Britannique, Vancouver, C.-B.; Institut de santé publique O'Brien (Wicklum), Université de Calgary, Calgary, Alta
| | - Paul Poirier
- Départements de médecine (Wharton), endocrinologie et métabolisme (Poddar, Sherifali), médecine familiale (Naji, Tytus), et Health Research Methods, Evidence and Impact (HEI) Canada (Naji), Université McMaster; Clinique Wharton (Wharton, Poddar), Hamilton, Ont.; Départements: de médecine (Lau, Nerenberg) et médecine familiale (Boyling, Henderson, McInnes, Walji, Wicklum), École de médecine Cumming, Université de Calgary; Centre de recherche sur le diabète Julia McFarlane et Institut de cardiologie Libin de l'Alberta (Lau), Calgary, Alta.; Département de médecine familiale (Vallis, Piccinini-Vallis), Université Dalhousie, Halifax, N.-É; Départements de médecine (Sharma, Toth), médecine familiale (Campbell-Scherer, Kemp), agriculture, alimentation et science de la nutrition (Bell, Pereira), éducation physique et loisirs (Boulé), et ergothérapie (Forhan), Université de l'Alberta; Adult Bariatric Specialty Clinic (Sharma), Hôpital Royal Alexandra; Obésité Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Département de chirurgie (Biertho), Université Laval, Québec, Que.; École des sciences de l'activité physique (Adamo, Prud'homme), Université d'Ottawa, Ottawa, Ont.; Département de santé, kinésiologie et physiologie appliquée (Alberga), Université Concordia, Montréal, Que.; Centre d'Excellence en soins bariatriques(Brown), Hôpital d'Ottawa, Ottawa, Ont.; Départements de médecine familiale (Calam) et endocrinologie (Manjoo), Université de la Colombie-Britannique; Programme de résidence en pratique familiale de la UBC (Calam) et chaire de recherche en prévention des maladies cardiovasculaires Pfizer/Fondation des maladies du cœur et de l'AVC (Lear), Hôpital St. Paul, Vancouver, C.-B.; consultant en nutrition (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, Université de Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Département de médecine familiale (Freedhoff) et Division d'endocrinologie et métabolisme (Shiau), Département de médecine, Université d'Ottawa, Ottawa, Ont.; Herbert Wertheim School of medicine (Gagner), Florida International University, Miami, FL; Hôpital du Sacré-Cœur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division d'endocrinologie et métabolisme (Glazer), Université Queen's, Kingston, Ont.; Départements de médecine interne (Glazer), psychiatrie (Hawa, Sockalingam), médecine familiale et communautaire (Macklin), et des sciences de la nutrition (Sievenpiper), Université de Toronto, Toronto, Ont.; Services de santé de l'Alberta (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Départements de médecine familiale, et d'études sur les sciences et les politiques de santé publique (Green), Université Queen's; Centre des sciences de la santé de Kingston (Green); Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam); Réseau universitaire de santé (Hawa, Sockalingam), Toronto, Ont.; Division de chirurgie générale (Hong), Université McMaster, Hamilton, Ont.; Département de médecine familiale et de santé biocomportementale (Jacklin), Faculté de médecine de l'Université du Minnesota, campus Duluth, Duluth, Minn.; Faculté de kinésiologie et d'études sur la santé (Janssen), Université Queen's, Kingston, Ont.; École de santé et performance humaine (Kirk), Université Dalhousie, Halifax, N.-É; École de kinésiologie et de sciences de la santé (Wharton, Kuk), Université York, Toronto, Ont.; Division d'endocrinologie (Langlois), Université de Sherbrooke; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Qc; École de kinésiologie (Lear), Université Simon Fraser, Vancouver, C.-B.; Medcan Clinic ( Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Régie régionale de la santé de Vancouver, Victoria, C.-B.; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Université Laval, Québec, Qc; Centre médical Foothills (Nerenberg); C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology (Poddar), Toronto, Ont.; Département de médecine (Rueda-Clausen), Université de la Saskatchewan; Hôpital général de Regina (Rueda-Clausen), Regina, Sask.; Psychologie de l'éducation (Russell-Mayhew), Faculté d'éducation Werklund, Université de Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Chaire de recherche en santé interprofessionnelle de l'Institut de recherche sur la santé des populations Heather M Arthur/Hamilton Health Sciences, Faculté des sciences infirmières (Sherifali), Université McMaster, Hamilton, Ont.; Division d'endocrinologie et métabolisme (Sievenpiper), Hôpital St. Michael, Toronto, Ont.; Département de psychiatrie (Taylor), Université de Calgary, Calgary, Alta.; École de pharmacie (Twells), Université Memorial, St. John's, T.-N.-L.; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; École de santé des populations et de santé publique (Walker), Université de la Colombie-Britannique; Centre for Excellence in Indigenous Health (Walker), Université de la Colombie-Britannique, Vancouver, C.-B.; Institut de santé publique O'Brien (Wicklum), Université de Calgary, Calgary, Alta
| | - Denis Prud'homme
- Départements de médecine (Wharton), endocrinologie et métabolisme (Poddar, Sherifali), médecine familiale (Naji, Tytus), et Health Research Methods, Evidence and Impact (HEI) Canada (Naji), Université McMaster; Clinique Wharton (Wharton, Poddar), Hamilton, Ont.; Départements: de médecine (Lau, Nerenberg) et médecine familiale (Boyling, Henderson, McInnes, Walji, Wicklum), École de médecine Cumming, Université de Calgary; Centre de recherche sur le diabète Julia McFarlane et Institut de cardiologie Libin de l'Alberta (Lau), Calgary, Alta.; Département de médecine familiale (Vallis, Piccinini-Vallis), Université Dalhousie, Halifax, N.-É; Départements de médecine (Sharma, Toth), médecine familiale (Campbell-Scherer, Kemp), agriculture, alimentation et science de la nutrition (Bell, Pereira), éducation physique et loisirs (Boulé), et ergothérapie (Forhan), Université de l'Alberta; Adult Bariatric Specialty Clinic (Sharma), Hôpital Royal Alexandra; Obésité Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Département de chirurgie (Biertho), Université Laval, Québec, Que.; École des sciences de l'activité physique (Adamo, Prud'homme), Université d'Ottawa, Ottawa, Ont.; Département de santé, kinésiologie et physiologie appliquée (Alberga), Université Concordia, Montréal, Que.; Centre d'Excellence en soins bariatriques(Brown), Hôpital d'Ottawa, Ottawa, Ont.; Départements de médecine familiale (Calam) et endocrinologie (Manjoo), Université de la Colombie-Britannique; Programme de résidence en pratique familiale de la UBC (Calam) et chaire de recherche en prévention des maladies cardiovasculaires Pfizer/Fondation des maladies du cœur et de l'AVC (Lear), Hôpital St. Paul, Vancouver, C.-B.; consultant en nutrition (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, Université de Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Département de médecine familiale (Freedhoff) et Division d'endocrinologie et métabolisme (Shiau), Département de médecine, Université d'Ottawa, Ottawa, Ont.; Herbert Wertheim School of medicine (Gagner), Florida International University, Miami, FL; Hôpital du Sacré-Cœur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division d'endocrinologie et métabolisme (Glazer), Université Queen's, Kingston, Ont.; Départements de médecine interne (Glazer), psychiatrie (Hawa, Sockalingam), médecine familiale et communautaire (Macklin), et des sciences de la nutrition (Sievenpiper), Université de Toronto, Toronto, Ont.; Services de santé de l'Alberta (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Départements de médecine familiale, et d'études sur les sciences et les politiques de santé publique (Green), Université Queen's; Centre des sciences de la santé de Kingston (Green); Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam); Réseau universitaire de santé (Hawa, Sockalingam), Toronto, Ont.; Division de chirurgie générale (Hong), Université McMaster, Hamilton, Ont.; Département de médecine familiale et de santé biocomportementale (Jacklin), Faculté de médecine de l'Université du Minnesota, campus Duluth, Duluth, Minn.; Faculté de kinésiologie et d'études sur la santé (Janssen), Université Queen's, Kingston, Ont.; École de santé et performance humaine (Kirk), Université Dalhousie, Halifax, N.-É; École de kinésiologie et de sciences de la santé (Wharton, Kuk), Université York, Toronto, Ont.; Division d'endocrinologie (Langlois), Université de Sherbrooke; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Qc; École de kinésiologie (Lear), Université Simon Fraser, Vancouver, C.-B.; Medcan Clinic ( Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Régie régionale de la santé de Vancouver, Victoria, C.-B.; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Université Laval, Québec, Qc; Centre médical Foothills (Nerenberg); C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology (Poddar), Toronto, Ont.; Département de médecine (Rueda-Clausen), Université de la Saskatchewan; Hôpital général de Regina (Rueda-Clausen), Regina, Sask.; Psychologie de l'éducation (Russell-Mayhew), Faculté d'éducation Werklund, Université de Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Chaire de recherche en santé interprofessionnelle de l'Institut de recherche sur la santé des populations Heather M Arthur/Hamilton Health Sciences, Faculté des sciences infirmières (Sherifali), Université McMaster, Hamilton, Ont.; Division d'endocrinologie et métabolisme (Sievenpiper), Hôpital St. Michael, Toronto, Ont.; Département de psychiatrie (Taylor), Université de Calgary, Calgary, Alta.; École de pharmacie (Twells), Université Memorial, St. John's, T.-N.-L.; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; École de santé des populations et de santé publique (Walker), Université de la Colombie-Britannique; Centre for Excellence in Indigenous Health (Walker), Université de la Colombie-Britannique, Vancouver, C.-B.; Institut de santé publique O'Brien (Wicklum), Université de Calgary, Calgary, Alta
| | - Ximena Ramos Salas
- Départements de médecine (Wharton), endocrinologie et métabolisme (Poddar, Sherifali), médecine familiale (Naji, Tytus), et Health Research Methods, Evidence and Impact (HEI) Canada (Naji), Université McMaster; Clinique Wharton (Wharton, Poddar), Hamilton, Ont.; Départements: de médecine (Lau, Nerenberg) et médecine familiale (Boyling, Henderson, McInnes, Walji, Wicklum), École de médecine Cumming, Université de Calgary; Centre de recherche sur le diabète Julia McFarlane et Institut de cardiologie Libin de l'Alberta (Lau), Calgary, Alta.; Département de médecine familiale (Vallis, Piccinini-Vallis), Université Dalhousie, Halifax, N.-É; Départements de médecine (Sharma, Toth), médecine familiale (Campbell-Scherer, Kemp), agriculture, alimentation et science de la nutrition (Bell, Pereira), éducation physique et loisirs (Boulé), et ergothérapie (Forhan), Université de l'Alberta; Adult Bariatric Specialty Clinic (Sharma), Hôpital Royal Alexandra; Obésité Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Département de chirurgie (Biertho), Université Laval, Québec, Que.; École des sciences de l'activité physique (Adamo, Prud'homme), Université d'Ottawa, Ottawa, Ont.; Département de santé, kinésiologie et physiologie appliquée (Alberga), Université Concordia, Montréal, Que.; Centre d'Excellence en soins bariatriques(Brown), Hôpital d'Ottawa, Ottawa, Ont.; Départements de médecine familiale (Calam) et endocrinologie (Manjoo), Université de la Colombie-Britannique; Programme de résidence en pratique familiale de la UBC (Calam) et chaire de recherche en prévention des maladies cardiovasculaires Pfizer/Fondation des maladies du cœur et de l'AVC (Lear), Hôpital St. Paul, Vancouver, C.-B.; consultant en nutrition (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, Université de Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Département de médecine familiale (Freedhoff) et Division d'endocrinologie et métabolisme (Shiau), Département de médecine, Université d'Ottawa, Ottawa, Ont.; Herbert Wertheim School of medicine (Gagner), Florida International University, Miami, FL; Hôpital du Sacré-Cœur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division d'endocrinologie et métabolisme (Glazer), Université Queen's, Kingston, Ont.; Départements de médecine interne (Glazer), psychiatrie (Hawa, Sockalingam), médecine familiale et communautaire (Macklin), et des sciences de la nutrition (Sievenpiper), Université de Toronto, Toronto, Ont.; Services de santé de l'Alberta (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Départements de médecine familiale, et d'études sur les sciences et les politiques de santé publique (Green), Université Queen's; Centre des sciences de la santé de Kingston (Green); Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam); Réseau universitaire de santé (Hawa, Sockalingam), Toronto, Ont.; Division de chirurgie générale (Hong), Université McMaster, Hamilton, Ont.; Département de médecine familiale et de santé biocomportementale (Jacklin), Faculté de médecine de l'Université du Minnesota, campus Duluth, Duluth, Minn.; Faculté de kinésiologie et d'études sur la santé (Janssen), Université Queen's, Kingston, Ont.; École de santé et performance humaine (Kirk), Université Dalhousie, Halifax, N.-É; École de kinésiologie et de sciences de la santé (Wharton, Kuk), Université York, Toronto, Ont.; Division d'endocrinologie (Langlois), Université de Sherbrooke; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Qc; École de kinésiologie (Lear), Université Simon Fraser, Vancouver, C.-B.; Medcan Clinic ( Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Régie régionale de la santé de Vancouver, Victoria, C.-B.; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Université Laval, Québec, Qc; Centre médical Foothills (Nerenberg); C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology (Poddar), Toronto, Ont.; Département de médecine (Rueda-Clausen), Université de la Saskatchewan; Hôpital général de Regina (Rueda-Clausen), Regina, Sask.; Psychologie de l'éducation (Russell-Mayhew), Faculté d'éducation Werklund, Université de Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Chaire de recherche en santé interprofessionnelle de l'Institut de recherche sur la santé des populations Heather M Arthur/Hamilton Health Sciences, Faculté des sciences infirmières (Sherifali), Université McMaster, Hamilton, Ont.; Division d'endocrinologie et métabolisme (Sievenpiper), Hôpital St. Michael, Toronto, Ont.; Département de psychiatrie (Taylor), Université de Calgary, Calgary, Alta.; École de pharmacie (Twells), Université Memorial, St. John's, T.-N.-L.; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; École de santé des populations et de santé publique (Walker), Université de la Colombie-Britannique; Centre for Excellence in Indigenous Health (Walker), Université de la Colombie-Britannique, Vancouver, C.-B.; Institut de santé publique O'Brien (Wicklum), Université de Calgary, Calgary, Alta
| | - Christian Rueda-Clausen
- Départements de médecine (Wharton), endocrinologie et métabolisme (Poddar, Sherifali), médecine familiale (Naji, Tytus), et Health Research Methods, Evidence and Impact (HEI) Canada (Naji), Université McMaster; Clinique Wharton (Wharton, Poddar), Hamilton, Ont.; Départements: de médecine (Lau, Nerenberg) et médecine familiale (Boyling, Henderson, McInnes, Walji, Wicklum), École de médecine Cumming, Université de Calgary; Centre de recherche sur le diabète Julia McFarlane et Institut de cardiologie Libin de l'Alberta (Lau), Calgary, Alta.; Département de médecine familiale (Vallis, Piccinini-Vallis), Université Dalhousie, Halifax, N.-É; Départements de médecine (Sharma, Toth), médecine familiale (Campbell-Scherer, Kemp), agriculture, alimentation et science de la nutrition (Bell, Pereira), éducation physique et loisirs (Boulé), et ergothérapie (Forhan), Université de l'Alberta; Adult Bariatric Specialty Clinic (Sharma), Hôpital Royal Alexandra; Obésité Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Département de chirurgie (Biertho), Université Laval, Québec, Que.; École des sciences de l'activité physique (Adamo, Prud'homme), Université d'Ottawa, Ottawa, Ont.; Département de santé, kinésiologie et physiologie appliquée (Alberga), Université Concordia, Montréal, Que.; Centre d'Excellence en soins bariatriques(Brown), Hôpital d'Ottawa, Ottawa, Ont.; Départements de médecine familiale (Calam) et endocrinologie (Manjoo), Université de la Colombie-Britannique; Programme de résidence en pratique familiale de la UBC (Calam) et chaire de recherche en prévention des maladies cardiovasculaires Pfizer/Fondation des maladies du cœur et de l'AVC (Lear), Hôpital St. Paul, Vancouver, C.-B.; consultant en nutrition (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, Université de Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Département de médecine familiale (Freedhoff) et Division d'endocrinologie et métabolisme (Shiau), Département de médecine, Université d'Ottawa, Ottawa, Ont.; Herbert Wertheim School of medicine (Gagner), Florida International University, Miami, FL; Hôpital du Sacré-Cœur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division d'endocrinologie et métabolisme (Glazer), Université Queen's, Kingston, Ont.; Départements de médecine interne (Glazer), psychiatrie (Hawa, Sockalingam), médecine familiale et communautaire (Macklin), et des sciences de la nutrition (Sievenpiper), Université de Toronto, Toronto, Ont.; Services de santé de l'Alberta (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Départements de médecine familiale, et d'études sur les sciences et les politiques de santé publique (Green), Université Queen's; Centre des sciences de la santé de Kingston (Green); Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam); Réseau universitaire de santé (Hawa, Sockalingam), Toronto, Ont.; Division de chirurgie générale (Hong), Université McMaster, Hamilton, Ont.; Département de médecine familiale et de santé biocomportementale (Jacklin), Faculté de médecine de l'Université du Minnesota, campus Duluth, Duluth, Minn.; Faculté de kinésiologie et d'études sur la santé (Janssen), Université Queen's, Kingston, Ont.; École de santé et performance humaine (Kirk), Université Dalhousie, Halifax, N.-É; École de kinésiologie et de sciences de la santé (Wharton, Kuk), Université York, Toronto, Ont.; Division d'endocrinologie (Langlois), Université de Sherbrooke; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Qc; École de kinésiologie (Lear), Université Simon Fraser, Vancouver, C.-B.; Medcan Clinic ( Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Régie régionale de la santé de Vancouver, Victoria, C.-B.; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Université Laval, Québec, Qc; Centre médical Foothills (Nerenberg); C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology (Poddar), Toronto, Ont.; Département de médecine (Rueda-Clausen), Université de la Saskatchewan; Hôpital général de Regina (Rueda-Clausen), Regina, Sask.; Psychologie de l'éducation (Russell-Mayhew), Faculté d'éducation Werklund, Université de Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Chaire de recherche en santé interprofessionnelle de l'Institut de recherche sur la santé des populations Heather M Arthur/Hamilton Health Sciences, Faculté des sciences infirmières (Sherifali), Université McMaster, Hamilton, Ont.; Division d'endocrinologie et métabolisme (Sievenpiper), Hôpital St. Michael, Toronto, Ont.; Département de psychiatrie (Taylor), Université de Calgary, Calgary, Alta.; École de pharmacie (Twells), Université Memorial, St. John's, T.-N.-L.; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; École de santé des populations et de santé publique (Walker), Université de la Colombie-Britannique; Centre for Excellence in Indigenous Health (Walker), Université de la Colombie-Britannique, Vancouver, C.-B.; Institut de santé publique O'Brien (Wicklum), Université de Calgary, Calgary, Alta
| | - Shelly Russell-Mayhew
- Départements de médecine (Wharton), endocrinologie et métabolisme (Poddar, Sherifali), médecine familiale (Naji, Tytus), et Health Research Methods, Evidence and Impact (HEI) Canada (Naji), Université McMaster; Clinique Wharton (Wharton, Poddar), Hamilton, Ont.; Départements: de médecine (Lau, Nerenberg) et médecine familiale (Boyling, Henderson, McInnes, Walji, Wicklum), École de médecine Cumming, Université de Calgary; Centre de recherche sur le diabète Julia McFarlane et Institut de cardiologie Libin de l'Alberta (Lau), Calgary, Alta.; Département de médecine familiale (Vallis, Piccinini-Vallis), Université Dalhousie, Halifax, N.-É; Départements de médecine (Sharma, Toth), médecine familiale (Campbell-Scherer, Kemp), agriculture, alimentation et science de la nutrition (Bell, Pereira), éducation physique et loisirs (Boulé), et ergothérapie (Forhan), Université de l'Alberta; Adult Bariatric Specialty Clinic (Sharma), Hôpital Royal Alexandra; Obésité Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Département de chirurgie (Biertho), Université Laval, Québec, Que.; École des sciences de l'activité physique (Adamo, Prud'homme), Université d'Ottawa, Ottawa, Ont.; Département de santé, kinésiologie et physiologie appliquée (Alberga), Université Concordia, Montréal, Que.; Centre d'Excellence en soins bariatriques(Brown), Hôpital d'Ottawa, Ottawa, Ont.; Départements de médecine familiale (Calam) et endocrinologie (Manjoo), Université de la Colombie-Britannique; Programme de résidence en pratique familiale de la UBC (Calam) et chaire de recherche en prévention des maladies cardiovasculaires Pfizer/Fondation des maladies du cœur et de l'AVC (Lear), Hôpital St. Paul, Vancouver, C.-B.; consultant en nutrition (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, Université de Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Département de médecine familiale (Freedhoff) et Division d'endocrinologie et métabolisme (Shiau), Département de médecine, Université d'Ottawa, Ottawa, Ont.; Herbert Wertheim School of medicine (Gagner), Florida International University, Miami, FL; Hôpital du Sacré-Cœur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division d'endocrinologie et métabolisme (Glazer), Université Queen's, Kingston, Ont.; Départements de médecine interne (Glazer), psychiatrie (Hawa, Sockalingam), médecine familiale et communautaire (Macklin), et des sciences de la nutrition (Sievenpiper), Université de Toronto, Toronto, Ont.; Services de santé de l'Alberta (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Départements de médecine familiale, et d'études sur les sciences et les politiques de santé publique (Green), Université Queen's; Centre des sciences de la santé de Kingston (Green); Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam); Réseau universitaire de santé (Hawa, Sockalingam), Toronto, Ont.; Division de chirurgie générale (Hong), Université McMaster, Hamilton, Ont.; Département de médecine familiale et de santé biocomportementale (Jacklin), Faculté de médecine de l'Université du Minnesota, campus Duluth, Duluth, Minn.; Faculté de kinésiologie et d'études sur la santé (Janssen), Université Queen's, Kingston, Ont.; École de santé et performance humaine (Kirk), Université Dalhousie, Halifax, N.-É; École de kinésiologie et de sciences de la santé (Wharton, Kuk), Université York, Toronto, Ont.; Division d'endocrinologie (Langlois), Université de Sherbrooke; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Qc; École de kinésiologie (Lear), Université Simon Fraser, Vancouver, C.-B.; Medcan Clinic ( Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Régie régionale de la santé de Vancouver, Victoria, C.-B.; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Université Laval, Québec, Qc; Centre médical Foothills (Nerenberg); C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology (Poddar), Toronto, Ont.; Département de médecine (Rueda-Clausen), Université de la Saskatchewan; Hôpital général de Regina (Rueda-Clausen), Regina, Sask.; Psychologie de l'éducation (Russell-Mayhew), Faculté d'éducation Werklund, Université de Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Chaire de recherche en santé interprofessionnelle de l'Institut de recherche sur la santé des populations Heather M Arthur/Hamilton Health Sciences, Faculté des sciences infirmières (Sherifali), Université McMaster, Hamilton, Ont.; Division d'endocrinologie et métabolisme (Sievenpiper), Hôpital St. Michael, Toronto, Ont.; Département de psychiatrie (Taylor), Université de Calgary, Calgary, Alta.; École de pharmacie (Twells), Université Memorial, St. John's, T.-N.-L.; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; École de santé des populations et de santé publique (Walker), Université de la Colombie-Britannique; Centre for Excellence in Indigenous Health (Walker), Université de la Colombie-Britannique, Vancouver, C.-B.; Institut de santé publique O'Brien (Wicklum), Université de Calgary, Calgary, Alta
| | - Judy Shiau
- Départements de médecine (Wharton), endocrinologie et métabolisme (Poddar, Sherifali), médecine familiale (Naji, Tytus), et Health Research Methods, Evidence and Impact (HEI) Canada (Naji), Université McMaster; Clinique Wharton (Wharton, Poddar), Hamilton, Ont.; Départements: de médecine (Lau, Nerenberg) et médecine familiale (Boyling, Henderson, McInnes, Walji, Wicklum), École de médecine Cumming, Université de Calgary; Centre de recherche sur le diabète Julia McFarlane et Institut de cardiologie Libin de l'Alberta (Lau), Calgary, Alta.; Département de médecine familiale (Vallis, Piccinini-Vallis), Université Dalhousie, Halifax, N.-É; Départements de médecine (Sharma, Toth), médecine familiale (Campbell-Scherer, Kemp), agriculture, alimentation et science de la nutrition (Bell, Pereira), éducation physique et loisirs (Boulé), et ergothérapie (Forhan), Université de l'Alberta; Adult Bariatric Specialty Clinic (Sharma), Hôpital Royal Alexandra; Obésité Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Département de chirurgie (Biertho), Université Laval, Québec, Que.; École des sciences de l'activité physique (Adamo, Prud'homme), Université d'Ottawa, Ottawa, Ont.; Département de santé, kinésiologie et physiologie appliquée (Alberga), Université Concordia, Montréal, Que.; Centre d'Excellence en soins bariatriques(Brown), Hôpital d'Ottawa, Ottawa, Ont.; Départements de médecine familiale (Calam) et endocrinologie (Manjoo), Université de la Colombie-Britannique; Programme de résidence en pratique familiale de la UBC (Calam) et chaire de recherche en prévention des maladies cardiovasculaires Pfizer/Fondation des maladies du cœur et de l'AVC (Lear), Hôpital St. Paul, Vancouver, C.-B.; consultant en nutrition (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, Université de Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Département de médecine familiale (Freedhoff) et Division d'endocrinologie et métabolisme (Shiau), Département de médecine, Université d'Ottawa, Ottawa, Ont.; Herbert Wertheim School of medicine (Gagner), Florida International University, Miami, FL; Hôpital du Sacré-Cœur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division d'endocrinologie et métabolisme (Glazer), Université Queen's, Kingston, Ont.; Départements de médecine interne (Glazer), psychiatrie (Hawa, Sockalingam), médecine familiale et communautaire (Macklin), et des sciences de la nutrition (Sievenpiper), Université de Toronto, Toronto, Ont.; Services de santé de l'Alberta (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Départements de médecine familiale, et d'études sur les sciences et les politiques de santé publique (Green), Université Queen's; Centre des sciences de la santé de Kingston (Green); Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam); Réseau universitaire de santé (Hawa, Sockalingam), Toronto, Ont.; Division de chirurgie générale (Hong), Université McMaster, Hamilton, Ont.; Département de médecine familiale et de santé biocomportementale (Jacklin), Faculté de médecine de l'Université du Minnesota, campus Duluth, Duluth, Minn.; Faculté de kinésiologie et d'études sur la santé (Janssen), Université Queen's, Kingston, Ont.; École de santé et performance humaine (Kirk), Université Dalhousie, Halifax, N.-É; École de kinésiologie et de sciences de la santé (Wharton, Kuk), Université York, Toronto, Ont.; Division d'endocrinologie (Langlois), Université de Sherbrooke; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Qc; École de kinésiologie (Lear), Université Simon Fraser, Vancouver, C.-B.; Medcan Clinic ( Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Régie régionale de la santé de Vancouver, Victoria, C.-B.; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Université Laval, Québec, Qc; Centre médical Foothills (Nerenberg); C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology (Poddar), Toronto, Ont.; Département de médecine (Rueda-Clausen), Université de la Saskatchewan; Hôpital général de Regina (Rueda-Clausen), Regina, Sask.; Psychologie de l'éducation (Russell-Mayhew), Faculté d'éducation Werklund, Université de Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Chaire de recherche en santé interprofessionnelle de l'Institut de recherche sur la santé des populations Heather M Arthur/Hamilton Health Sciences, Faculté des sciences infirmières (Sherifali), Université McMaster, Hamilton, Ont.; Division d'endocrinologie et métabolisme (Sievenpiper), Hôpital St. Michael, Toronto, Ont.; Département de psychiatrie (Taylor), Université de Calgary, Calgary, Alta.; École de pharmacie (Twells), Université Memorial, St. John's, T.-N.-L.; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; École de santé des populations et de santé publique (Walker), Université de la Colombie-Britannique; Centre for Excellence in Indigenous Health (Walker), Université de la Colombie-Britannique, Vancouver, C.-B.; Institut de santé publique O'Brien (Wicklum), Université de Calgary, Calgary, Alta
| | - Diana Sherifali
- Départements de médecine (Wharton), endocrinologie et métabolisme (Poddar, Sherifali), médecine familiale (Naji, Tytus), et Health Research Methods, Evidence and Impact (HEI) Canada (Naji), Université McMaster; Clinique Wharton (Wharton, Poddar), Hamilton, Ont.; Départements: de médecine (Lau, Nerenberg) et médecine familiale (Boyling, Henderson, McInnes, Walji, Wicklum), École de médecine Cumming, Université de Calgary; Centre de recherche sur le diabète Julia McFarlane et Institut de cardiologie Libin de l'Alberta (Lau), Calgary, Alta.; Département de médecine familiale (Vallis, Piccinini-Vallis), Université Dalhousie, Halifax, N.-É; Départements de médecine (Sharma, Toth), médecine familiale (Campbell-Scherer, Kemp), agriculture, alimentation et science de la nutrition (Bell, Pereira), éducation physique et loisirs (Boulé), et ergothérapie (Forhan), Université de l'Alberta; Adult Bariatric Specialty Clinic (Sharma), Hôpital Royal Alexandra; Obésité Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Département de chirurgie (Biertho), Université Laval, Québec, Que.; École des sciences de l'activité physique (Adamo, Prud'homme), Université d'Ottawa, Ottawa, Ont.; Département de santé, kinésiologie et physiologie appliquée (Alberga), Université Concordia, Montréal, Que.; Centre d'Excellence en soins bariatriques(Brown), Hôpital d'Ottawa, Ottawa, Ont.; Départements de médecine familiale (Calam) et endocrinologie (Manjoo), Université de la Colombie-Britannique; Programme de résidence en pratique familiale de la UBC (Calam) et chaire de recherche en prévention des maladies cardiovasculaires Pfizer/Fondation des maladies du cœur et de l'AVC (Lear), Hôpital St. Paul, Vancouver, C.-B.; consultant en nutrition (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, Université de Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Département de médecine familiale (Freedhoff) et Division d'endocrinologie et métabolisme (Shiau), Département de médecine, Université d'Ottawa, Ottawa, Ont.; Herbert Wertheim School of medicine (Gagner), Florida International University, Miami, FL; Hôpital du Sacré-Cœur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division d'endocrinologie et métabolisme (Glazer), Université Queen's, Kingston, Ont.; Départements de médecine interne (Glazer), psychiatrie (Hawa, Sockalingam), médecine familiale et communautaire (Macklin), et des sciences de la nutrition (Sievenpiper), Université de Toronto, Toronto, Ont.; Services de santé de l'Alberta (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Départements de médecine familiale, et d'études sur les sciences et les politiques de santé publique (Green), Université Queen's; Centre des sciences de la santé de Kingston (Green); Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam); Réseau universitaire de santé (Hawa, Sockalingam), Toronto, Ont.; Division de chirurgie générale (Hong), Université McMaster, Hamilton, Ont.; Département de médecine familiale et de santé biocomportementale (Jacklin), Faculté de médecine de l'Université du Minnesota, campus Duluth, Duluth, Minn.; Faculté de kinésiologie et d'études sur la santé (Janssen), Université Queen's, Kingston, Ont.; École de santé et performance humaine (Kirk), Université Dalhousie, Halifax, N.-É; École de kinésiologie et de sciences de la santé (Wharton, Kuk), Université York, Toronto, Ont.; Division d'endocrinologie (Langlois), Université de Sherbrooke; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Qc; École de kinésiologie (Lear), Université Simon Fraser, Vancouver, C.-B.; Medcan Clinic ( Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Régie régionale de la santé de Vancouver, Victoria, C.-B.; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Université Laval, Québec, Qc; Centre médical Foothills (Nerenberg); C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology (Poddar), Toronto, Ont.; Département de médecine (Rueda-Clausen), Université de la Saskatchewan; Hôpital général de Regina (Rueda-Clausen), Regina, Sask.; Psychologie de l'éducation (Russell-Mayhew), Faculté d'éducation Werklund, Université de Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Chaire de recherche en santé interprofessionnelle de l'Institut de recherche sur la santé des populations Heather M Arthur/Hamilton Health Sciences, Faculté des sciences infirmières (Sherifali), Université McMaster, Hamilton, Ont.; Division d'endocrinologie et métabolisme (Sievenpiper), Hôpital St. Michael, Toronto, Ont.; Département de psychiatrie (Taylor), Université de Calgary, Calgary, Alta.; École de pharmacie (Twells), Université Memorial, St. John's, T.-N.-L.; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; École de santé des populations et de santé publique (Walker), Université de la Colombie-Britannique; Centre for Excellence in Indigenous Health (Walker), Université de la Colombie-Britannique, Vancouver, C.-B.; Institut de santé publique O'Brien (Wicklum), Université de Calgary, Calgary, Alta
| | - John Sievenpiper
- Départements de médecine (Wharton), endocrinologie et métabolisme (Poddar, Sherifali), médecine familiale (Naji, Tytus), et Health Research Methods, Evidence and Impact (HEI) Canada (Naji), Université McMaster; Clinique Wharton (Wharton, Poddar), Hamilton, Ont.; Départements: de médecine (Lau, Nerenberg) et médecine familiale (Boyling, Henderson, McInnes, Walji, Wicklum), École de médecine Cumming, Université de Calgary; Centre de recherche sur le diabète Julia McFarlane et Institut de cardiologie Libin de l'Alberta (Lau), Calgary, Alta.; Département de médecine familiale (Vallis, Piccinini-Vallis), Université Dalhousie, Halifax, N.-É; Départements de médecine (Sharma, Toth), médecine familiale (Campbell-Scherer, Kemp), agriculture, alimentation et science de la nutrition (Bell, Pereira), éducation physique et loisirs (Boulé), et ergothérapie (Forhan), Université de l'Alberta; Adult Bariatric Specialty Clinic (Sharma), Hôpital Royal Alexandra; Obésité Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Département de chirurgie (Biertho), Université Laval, Québec, Que.; École des sciences de l'activité physique (Adamo, Prud'homme), Université d'Ottawa, Ottawa, Ont.; Département de santé, kinésiologie et physiologie appliquée (Alberga), Université Concordia, Montréal, Que.; Centre d'Excellence en soins bariatriques(Brown), Hôpital d'Ottawa, Ottawa, Ont.; Départements de médecine familiale (Calam) et endocrinologie (Manjoo), Université de la Colombie-Britannique; Programme de résidence en pratique familiale de la UBC (Calam) et chaire de recherche en prévention des maladies cardiovasculaires Pfizer/Fondation des maladies du cœur et de l'AVC (Lear), Hôpital St. Paul, Vancouver, C.-B.; consultant en nutrition (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, Université de Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Département de médecine familiale (Freedhoff) et Division d'endocrinologie et métabolisme (Shiau), Département de médecine, Université d'Ottawa, Ottawa, Ont.; Herbert Wertheim School of medicine (Gagner), Florida International University, Miami, FL; Hôpital du Sacré-Cœur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division d'endocrinologie et métabolisme (Glazer), Université Queen's, Kingston, Ont.; Départements de médecine interne (Glazer), psychiatrie (Hawa, Sockalingam), médecine familiale et communautaire (Macklin), et des sciences de la nutrition (Sievenpiper), Université de Toronto, Toronto, Ont.; Services de santé de l'Alberta (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Départements de médecine familiale, et d'études sur les sciences et les politiques de santé publique (Green), Université Queen's; Centre des sciences de la santé de Kingston (Green); Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam); Réseau universitaire de santé (Hawa, Sockalingam), Toronto, Ont.; Division de chirurgie générale (Hong), Université McMaster, Hamilton, Ont.; Département de médecine familiale et de santé biocomportementale (Jacklin), Faculté de médecine de l'Université du Minnesota, campus Duluth, Duluth, Minn.; Faculté de kinésiologie et d'études sur la santé (Janssen), Université Queen's, Kingston, Ont.; École de santé et performance humaine (Kirk), Université Dalhousie, Halifax, N.-É; École de kinésiologie et de sciences de la santé (Wharton, Kuk), Université York, Toronto, Ont.; Division d'endocrinologie (Langlois), Université de Sherbrooke; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Qc; École de kinésiologie (Lear), Université Simon Fraser, Vancouver, C.-B.; Medcan Clinic ( Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Régie régionale de la santé de Vancouver, Victoria, C.-B.; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Université Laval, Québec, Qc; Centre médical Foothills (Nerenberg); C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology (Poddar), Toronto, Ont.; Département de médecine (Rueda-Clausen), Université de la Saskatchewan; Hôpital général de Regina (Rueda-Clausen), Regina, Sask.; Psychologie de l'éducation (Russell-Mayhew), Faculté d'éducation Werklund, Université de Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Chaire de recherche en santé interprofessionnelle de l'Institut de recherche sur la santé des populations Heather M Arthur/Hamilton Health Sciences, Faculté des sciences infirmières (Sherifali), Université McMaster, Hamilton, Ont.; Division d'endocrinologie et métabolisme (Sievenpiper), Hôpital St. Michael, Toronto, Ont.; Département de psychiatrie (Taylor), Université de Calgary, Calgary, Alta.; École de pharmacie (Twells), Université Memorial, St. John's, T.-N.-L.; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; École de santé des populations et de santé publique (Walker), Université de la Colombie-Britannique; Centre for Excellence in Indigenous Health (Walker), Université de la Colombie-Britannique, Vancouver, C.-B.; Institut de santé publique O'Brien (Wicklum), Université de Calgary, Calgary, Alta
| | - Sanjeev Sockalingam
- Départements de médecine (Wharton), endocrinologie et métabolisme (Poddar, Sherifali), médecine familiale (Naji, Tytus), et Health Research Methods, Evidence and Impact (HEI) Canada (Naji), Université McMaster; Clinique Wharton (Wharton, Poddar), Hamilton, Ont.; Départements: de médecine (Lau, Nerenberg) et médecine familiale (Boyling, Henderson, McInnes, Walji, Wicklum), École de médecine Cumming, Université de Calgary; Centre de recherche sur le diabète Julia McFarlane et Institut de cardiologie Libin de l'Alberta (Lau), Calgary, Alta.; Département de médecine familiale (Vallis, Piccinini-Vallis), Université Dalhousie, Halifax, N.-É; Départements de médecine (Sharma, Toth), médecine familiale (Campbell-Scherer, Kemp), agriculture, alimentation et science de la nutrition (Bell, Pereira), éducation physique et loisirs (Boulé), et ergothérapie (Forhan), Université de l'Alberta; Adult Bariatric Specialty Clinic (Sharma), Hôpital Royal Alexandra; Obésité Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Département de chirurgie (Biertho), Université Laval, Québec, Que.; École des sciences de l'activité physique (Adamo, Prud'homme), Université d'Ottawa, Ottawa, Ont.; Département de santé, kinésiologie et physiologie appliquée (Alberga), Université Concordia, Montréal, Que.; Centre d'Excellence en soins bariatriques(Brown), Hôpital d'Ottawa, Ottawa, Ont.; Départements de médecine familiale (Calam) et endocrinologie (Manjoo), Université de la Colombie-Britannique; Programme de résidence en pratique familiale de la UBC (Calam) et chaire de recherche en prévention des maladies cardiovasculaires Pfizer/Fondation des maladies du cœur et de l'AVC (Lear), Hôpital St. Paul, Vancouver, C.-B.; consultant en nutrition (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, Université de Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Département de médecine familiale (Freedhoff) et Division d'endocrinologie et métabolisme (Shiau), Département de médecine, Université d'Ottawa, Ottawa, Ont.; Herbert Wertheim School of medicine (Gagner), Florida International University, Miami, FL; Hôpital du Sacré-Cœur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division d'endocrinologie et métabolisme (Glazer), Université Queen's, Kingston, Ont.; Départements de médecine interne (Glazer), psychiatrie (Hawa, Sockalingam), médecine familiale et communautaire (Macklin), et des sciences de la nutrition (Sievenpiper), Université de Toronto, Toronto, Ont.; Services de santé de l'Alberta (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Départements de médecine familiale, et d'études sur les sciences et les politiques de santé publique (Green), Université Queen's; Centre des sciences de la santé de Kingston (Green); Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam); Réseau universitaire de santé (Hawa, Sockalingam), Toronto, Ont.; Division de chirurgie générale (Hong), Université McMaster, Hamilton, Ont.; Département de médecine familiale et de santé biocomportementale (Jacklin), Faculté de médecine de l'Université du Minnesota, campus Duluth, Duluth, Minn.; Faculté de kinésiologie et d'études sur la santé (Janssen), Université Queen's, Kingston, Ont.; École de santé et performance humaine (Kirk), Université Dalhousie, Halifax, N.-É; École de kinésiologie et de sciences de la santé (Wharton, Kuk), Université York, Toronto, Ont.; Division d'endocrinologie (Langlois), Université de Sherbrooke; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Qc; École de kinésiologie (Lear), Université Simon Fraser, Vancouver, C.-B.; Medcan Clinic ( Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Régie régionale de la santé de Vancouver, Victoria, C.-B.; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Université Laval, Québec, Qc; Centre médical Foothills (Nerenberg); C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology (Poddar), Toronto, Ont.; Département de médecine (Rueda-Clausen), Université de la Saskatchewan; Hôpital général de Regina (Rueda-Clausen), Regina, Sask.; Psychologie de l'éducation (Russell-Mayhew), Faculté d'éducation Werklund, Université de Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Chaire de recherche en santé interprofessionnelle de l'Institut de recherche sur la santé des populations Heather M Arthur/Hamilton Health Sciences, Faculté des sciences infirmières (Sherifali), Université McMaster, Hamilton, Ont.; Division d'endocrinologie et métabolisme (Sievenpiper), Hôpital St. Michael, Toronto, Ont.; Département de psychiatrie (Taylor), Université de Calgary, Calgary, Alta.; École de pharmacie (Twells), Université Memorial, St. John's, T.-N.-L.; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; École de santé des populations et de santé publique (Walker), Université de la Colombie-Britannique; Centre for Excellence in Indigenous Health (Walker), Université de la Colombie-Britannique, Vancouver, C.-B.; Institut de santé publique O'Brien (Wicklum), Université de Calgary, Calgary, Alta
| | - Valerie Taylor
- Départements de médecine (Wharton), endocrinologie et métabolisme (Poddar, Sherifali), médecine familiale (Naji, Tytus), et Health Research Methods, Evidence and Impact (HEI) Canada (Naji), Université McMaster; Clinique Wharton (Wharton, Poddar), Hamilton, Ont.; Départements: de médecine (Lau, Nerenberg) et médecine familiale (Boyling, Henderson, McInnes, Walji, Wicklum), École de médecine Cumming, Université de Calgary; Centre de recherche sur le diabète Julia McFarlane et Institut de cardiologie Libin de l'Alberta (Lau), Calgary, Alta.; Département de médecine familiale (Vallis, Piccinini-Vallis), Université Dalhousie, Halifax, N.-É; Départements de médecine (Sharma, Toth), médecine familiale (Campbell-Scherer, Kemp), agriculture, alimentation et science de la nutrition (Bell, Pereira), éducation physique et loisirs (Boulé), et ergothérapie (Forhan), Université de l'Alberta; Adult Bariatric Specialty Clinic (Sharma), Hôpital Royal Alexandra; Obésité Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Département de chirurgie (Biertho), Université Laval, Québec, Que.; École des sciences de l'activité physique (Adamo, Prud'homme), Université d'Ottawa, Ottawa, Ont.; Département de santé, kinésiologie et physiologie appliquée (Alberga), Université Concordia, Montréal, Que.; Centre d'Excellence en soins bariatriques(Brown), Hôpital d'Ottawa, Ottawa, Ont.; Départements de médecine familiale (Calam) et endocrinologie (Manjoo), Université de la Colombie-Britannique; Programme de résidence en pratique familiale de la UBC (Calam) et chaire de recherche en prévention des maladies cardiovasculaires Pfizer/Fondation des maladies du cœur et de l'AVC (Lear), Hôpital St. Paul, Vancouver, C.-B.; consultant en nutrition (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, Université de Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Département de médecine familiale (Freedhoff) et Division d'endocrinologie et métabolisme (Shiau), Département de médecine, Université d'Ottawa, Ottawa, Ont.; Herbert Wertheim School of medicine (Gagner), Florida International University, Miami, FL; Hôpital du Sacré-Cœur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division d'endocrinologie et métabolisme (Glazer), Université Queen's, Kingston, Ont.; Départements de médecine interne (Glazer), psychiatrie (Hawa, Sockalingam), médecine familiale et communautaire (Macklin), et des sciences de la nutrition (Sievenpiper), Université de Toronto, Toronto, Ont.; Services de santé de l'Alberta (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Départements de médecine familiale, et d'études sur les sciences et les politiques de santé publique (Green), Université Queen's; Centre des sciences de la santé de Kingston (Green); Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam); Réseau universitaire de santé (Hawa, Sockalingam), Toronto, Ont.; Division de chirurgie générale (Hong), Université McMaster, Hamilton, Ont.; Département de médecine familiale et de santé biocomportementale (Jacklin), Faculté de médecine de l'Université du Minnesota, campus Duluth, Duluth, Minn.; Faculté de kinésiologie et d'études sur la santé (Janssen), Université Queen's, Kingston, Ont.; École de santé et performance humaine (Kirk), Université Dalhousie, Halifax, N.-É; École de kinésiologie et de sciences de la santé (Wharton, Kuk), Université York, Toronto, Ont.; Division d'endocrinologie (Langlois), Université de Sherbrooke; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Qc; École de kinésiologie (Lear), Université Simon Fraser, Vancouver, C.-B.; Medcan Clinic ( Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Régie régionale de la santé de Vancouver, Victoria, C.-B.; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Université Laval, Québec, Qc; Centre médical Foothills (Nerenberg); C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology (Poddar), Toronto, Ont.; Département de médecine (Rueda-Clausen), Université de la Saskatchewan; Hôpital général de Regina (Rueda-Clausen), Regina, Sask.; Psychologie de l'éducation (Russell-Mayhew), Faculté d'éducation Werklund, Université de Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Chaire de recherche en santé interprofessionnelle de l'Institut de recherche sur la santé des populations Heather M Arthur/Hamilton Health Sciences, Faculté des sciences infirmières (Sherifali), Université McMaster, Hamilton, Ont.; Division d'endocrinologie et métabolisme (Sievenpiper), Hôpital St. Michael, Toronto, Ont.; Département de psychiatrie (Taylor), Université de Calgary, Calgary, Alta.; École de pharmacie (Twells), Université Memorial, St. John's, T.-N.-L.; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; École de santé des populations et de santé publique (Walker), Université de la Colombie-Britannique; Centre for Excellence in Indigenous Health (Walker), Université de la Colombie-Britannique, Vancouver, C.-B.; Institut de santé publique O'Brien (Wicklum), Université de Calgary, Calgary, Alta
| | - Ellen Toth
- Départements de médecine (Wharton), endocrinologie et métabolisme (Poddar, Sherifali), médecine familiale (Naji, Tytus), et Health Research Methods, Evidence and Impact (HEI) Canada (Naji), Université McMaster; Clinique Wharton (Wharton, Poddar), Hamilton, Ont.; Départements: de médecine (Lau, Nerenberg) et médecine familiale (Boyling, Henderson, McInnes, Walji, Wicklum), École de médecine Cumming, Université de Calgary; Centre de recherche sur le diabète Julia McFarlane et Institut de cardiologie Libin de l'Alberta (Lau), Calgary, Alta.; Département de médecine familiale (Vallis, Piccinini-Vallis), Université Dalhousie, Halifax, N.-É; Départements de médecine (Sharma, Toth), médecine familiale (Campbell-Scherer, Kemp), agriculture, alimentation et science de la nutrition (Bell, Pereira), éducation physique et loisirs (Boulé), et ergothérapie (Forhan), Université de l'Alberta; Adult Bariatric Specialty Clinic (Sharma), Hôpital Royal Alexandra; Obésité Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Département de chirurgie (Biertho), Université Laval, Québec, Que.; École des sciences de l'activité physique (Adamo, Prud'homme), Université d'Ottawa, Ottawa, Ont.; Département de santé, kinésiologie et physiologie appliquée (Alberga), Université Concordia, Montréal, Que.; Centre d'Excellence en soins bariatriques(Brown), Hôpital d'Ottawa, Ottawa, Ont.; Départements de médecine familiale (Calam) et endocrinologie (Manjoo), Université de la Colombie-Britannique; Programme de résidence en pratique familiale de la UBC (Calam) et chaire de recherche en prévention des maladies cardiovasculaires Pfizer/Fondation des maladies du cœur et de l'AVC (Lear), Hôpital St. Paul, Vancouver, C.-B.; consultant en nutrition (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, Université de Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Département de médecine familiale (Freedhoff) et Division d'endocrinologie et métabolisme (Shiau), Département de médecine, Université d'Ottawa, Ottawa, Ont.; Herbert Wertheim School of medicine (Gagner), Florida International University, Miami, FL; Hôpital du Sacré-Cœur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division d'endocrinologie et métabolisme (Glazer), Université Queen's, Kingston, Ont.; Départements de médecine interne (Glazer), psychiatrie (Hawa, Sockalingam), médecine familiale et communautaire (Macklin), et des sciences de la nutrition (Sievenpiper), Université de Toronto, Toronto, Ont.; Services de santé de l'Alberta (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Départements de médecine familiale, et d'études sur les sciences et les politiques de santé publique (Green), Université Queen's; Centre des sciences de la santé de Kingston (Green); Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam); Réseau universitaire de santé (Hawa, Sockalingam), Toronto, Ont.; Division de chirurgie générale (Hong), Université McMaster, Hamilton, Ont.; Département de médecine familiale et de santé biocomportementale (Jacklin), Faculté de médecine de l'Université du Minnesota, campus Duluth, Duluth, Minn.; Faculté de kinésiologie et d'études sur la santé (Janssen), Université Queen's, Kingston, Ont.; École de santé et performance humaine (Kirk), Université Dalhousie, Halifax, N.-É; École de kinésiologie et de sciences de la santé (Wharton, Kuk), Université York, Toronto, Ont.; Division d'endocrinologie (Langlois), Université de Sherbrooke; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Qc; École de kinésiologie (Lear), Université Simon Fraser, Vancouver, C.-B.; Medcan Clinic ( Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Régie régionale de la santé de Vancouver, Victoria, C.-B.; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Université Laval, Québec, Qc; Centre médical Foothills (Nerenberg); C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology (Poddar), Toronto, Ont.; Département de médecine (Rueda-Clausen), Université de la Saskatchewan; Hôpital général de Regina (Rueda-Clausen), Regina, Sask.; Psychologie de l'éducation (Russell-Mayhew), Faculté d'éducation Werklund, Université de Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Chaire de recherche en santé interprofessionnelle de l'Institut de recherche sur la santé des populations Heather M Arthur/Hamilton Health Sciences, Faculté des sciences infirmières (Sherifali), Université McMaster, Hamilton, Ont.; Division d'endocrinologie et métabolisme (Sievenpiper), Hôpital St. Michael, Toronto, Ont.; Département de psychiatrie (Taylor), Université de Calgary, Calgary, Alta.; École de pharmacie (Twells), Université Memorial, St. John's, T.-N.-L.; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; École de santé des populations et de santé publique (Walker), Université de la Colombie-Britannique; Centre for Excellence in Indigenous Health (Walker), Université de la Colombie-Britannique, Vancouver, C.-B.; Institut de santé publique O'Brien (Wicklum), Université de Calgary, Calgary, Alta
| | - Laurie Twells
- Départements de médecine (Wharton), endocrinologie et métabolisme (Poddar, Sherifali), médecine familiale (Naji, Tytus), et Health Research Methods, Evidence and Impact (HEI) Canada (Naji), Université McMaster; Clinique Wharton (Wharton, Poddar), Hamilton, Ont.; Départements: de médecine (Lau, Nerenberg) et médecine familiale (Boyling, Henderson, McInnes, Walji, Wicklum), École de médecine Cumming, Université de Calgary; Centre de recherche sur le diabète Julia McFarlane et Institut de cardiologie Libin de l'Alberta (Lau), Calgary, Alta.; Département de médecine familiale (Vallis, Piccinini-Vallis), Université Dalhousie, Halifax, N.-É; Départements de médecine (Sharma, Toth), médecine familiale (Campbell-Scherer, Kemp), agriculture, alimentation et science de la nutrition (Bell, Pereira), éducation physique et loisirs (Boulé), et ergothérapie (Forhan), Université de l'Alberta; Adult Bariatric Specialty Clinic (Sharma), Hôpital Royal Alexandra; Obésité Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Département de chirurgie (Biertho), Université Laval, Québec, Que.; École des sciences de l'activité physique (Adamo, Prud'homme), Université d'Ottawa, Ottawa, Ont.; Département de santé, kinésiologie et physiologie appliquée (Alberga), Université Concordia, Montréal, Que.; Centre d'Excellence en soins bariatriques(Brown), Hôpital d'Ottawa, Ottawa, Ont.; Départements de médecine familiale (Calam) et endocrinologie (Manjoo), Université de la Colombie-Britannique; Programme de résidence en pratique familiale de la UBC (Calam) et chaire de recherche en prévention des maladies cardiovasculaires Pfizer/Fondation des maladies du cœur et de l'AVC (Lear), Hôpital St. Paul, Vancouver, C.-B.; consultant en nutrition (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, Université de Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Département de médecine familiale (Freedhoff) et Division d'endocrinologie et métabolisme (Shiau), Département de médecine, Université d'Ottawa, Ottawa, Ont.; Herbert Wertheim School of medicine (Gagner), Florida International University, Miami, FL; Hôpital du Sacré-Cœur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division d'endocrinologie et métabolisme (Glazer), Université Queen's, Kingston, Ont.; Départements de médecine interne (Glazer), psychiatrie (Hawa, Sockalingam), médecine familiale et communautaire (Macklin), et des sciences de la nutrition (Sievenpiper), Université de Toronto, Toronto, Ont.; Services de santé de l'Alberta (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Départements de médecine familiale, et d'études sur les sciences et les politiques de santé publique (Green), Université Queen's; Centre des sciences de la santé de Kingston (Green); Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam); Réseau universitaire de santé (Hawa, Sockalingam), Toronto, Ont.; Division de chirurgie générale (Hong), Université McMaster, Hamilton, Ont.; Département de médecine familiale et de santé biocomportementale (Jacklin), Faculté de médecine de l'Université du Minnesota, campus Duluth, Duluth, Minn.; Faculté de kinésiologie et d'études sur la santé (Janssen), Université Queen's, Kingston, Ont.; École de santé et performance humaine (Kirk), Université Dalhousie, Halifax, N.-É; École de kinésiologie et de sciences de la santé (Wharton, Kuk), Université York, Toronto, Ont.; Division d'endocrinologie (Langlois), Université de Sherbrooke; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Qc; École de kinésiologie (Lear), Université Simon Fraser, Vancouver, C.-B.; Medcan Clinic ( Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Régie régionale de la santé de Vancouver, Victoria, C.-B.; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Université Laval, Québec, Qc; Centre médical Foothills (Nerenberg); C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology (Poddar), Toronto, Ont.; Département de médecine (Rueda-Clausen), Université de la Saskatchewan; Hôpital général de Regina (Rueda-Clausen), Regina, Sask.; Psychologie de l'éducation (Russell-Mayhew), Faculté d'éducation Werklund, Université de Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Chaire de recherche en santé interprofessionnelle de l'Institut de recherche sur la santé des populations Heather M Arthur/Hamilton Health Sciences, Faculté des sciences infirmières (Sherifali), Université McMaster, Hamilton, Ont.; Division d'endocrinologie et métabolisme (Sievenpiper), Hôpital St. Michael, Toronto, Ont.; Département de psychiatrie (Taylor), Université de Calgary, Calgary, Alta.; École de pharmacie (Twells), Université Memorial, St. John's, T.-N.-L.; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; École de santé des populations et de santé publique (Walker), Université de la Colombie-Britannique; Centre for Excellence in Indigenous Health (Walker), Université de la Colombie-Britannique, Vancouver, C.-B.; Institut de santé publique O'Brien (Wicklum), Université de Calgary, Calgary, Alta
| | - Richard Tytus
- Départements de médecine (Wharton), endocrinologie et métabolisme (Poddar, Sherifali), médecine familiale (Naji, Tytus), et Health Research Methods, Evidence and Impact (HEI) Canada (Naji), Université McMaster; Clinique Wharton (Wharton, Poddar), Hamilton, Ont.; Départements: de médecine (Lau, Nerenberg) et médecine familiale (Boyling, Henderson, McInnes, Walji, Wicklum), École de médecine Cumming, Université de Calgary; Centre de recherche sur le diabète Julia McFarlane et Institut de cardiologie Libin de l'Alberta (Lau), Calgary, Alta.; Département de médecine familiale (Vallis, Piccinini-Vallis), Université Dalhousie, Halifax, N.-É; Départements de médecine (Sharma, Toth), médecine familiale (Campbell-Scherer, Kemp), agriculture, alimentation et science de la nutrition (Bell, Pereira), éducation physique et loisirs (Boulé), et ergothérapie (Forhan), Université de l'Alberta; Adult Bariatric Specialty Clinic (Sharma), Hôpital Royal Alexandra; Obésité Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Département de chirurgie (Biertho), Université Laval, Québec, Que.; École des sciences de l'activité physique (Adamo, Prud'homme), Université d'Ottawa, Ottawa, Ont.; Département de santé, kinésiologie et physiologie appliquée (Alberga), Université Concordia, Montréal, Que.; Centre d'Excellence en soins bariatriques(Brown), Hôpital d'Ottawa, Ottawa, Ont.; Départements de médecine familiale (Calam) et endocrinologie (Manjoo), Université de la Colombie-Britannique; Programme de résidence en pratique familiale de la UBC (Calam) et chaire de recherche en prévention des maladies cardiovasculaires Pfizer/Fondation des maladies du cœur et de l'AVC (Lear), Hôpital St. Paul, Vancouver, C.-B.; consultant en nutrition (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, Université de Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Département de médecine familiale (Freedhoff) et Division d'endocrinologie et métabolisme (Shiau), Département de médecine, Université d'Ottawa, Ottawa, Ont.; Herbert Wertheim School of medicine (Gagner), Florida International University, Miami, FL; Hôpital du Sacré-Cœur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division d'endocrinologie et métabolisme (Glazer), Université Queen's, Kingston, Ont.; Départements de médecine interne (Glazer), psychiatrie (Hawa, Sockalingam), médecine familiale et communautaire (Macklin), et des sciences de la nutrition (Sievenpiper), Université de Toronto, Toronto, Ont.; Services de santé de l'Alberta (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Départements de médecine familiale, et d'études sur les sciences et les politiques de santé publique (Green), Université Queen's; Centre des sciences de la santé de Kingston (Green); Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam); Réseau universitaire de santé (Hawa, Sockalingam), Toronto, Ont.; Division de chirurgie générale (Hong), Université McMaster, Hamilton, Ont.; Département de médecine familiale et de santé biocomportementale (Jacklin), Faculté de médecine de l'Université du Minnesota, campus Duluth, Duluth, Minn.; Faculté de kinésiologie et d'études sur la santé (Janssen), Université Queen's, Kingston, Ont.; École de santé et performance humaine (Kirk), Université Dalhousie, Halifax, N.-É; École de kinésiologie et de sciences de la santé (Wharton, Kuk), Université York, Toronto, Ont.; Division d'endocrinologie (Langlois), Université de Sherbrooke; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Qc; École de kinésiologie (Lear), Université Simon Fraser, Vancouver, C.-B.; Medcan Clinic ( Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Régie régionale de la santé de Vancouver, Victoria, C.-B.; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Université Laval, Québec, Qc; Centre médical Foothills (Nerenberg); C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology (Poddar), Toronto, Ont.; Département de médecine (Rueda-Clausen), Université de la Saskatchewan; Hôpital général de Regina (Rueda-Clausen), Regina, Sask.; Psychologie de l'éducation (Russell-Mayhew), Faculté d'éducation Werklund, Université de Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Chaire de recherche en santé interprofessionnelle de l'Institut de recherche sur la santé des populations Heather M Arthur/Hamilton Health Sciences, Faculté des sciences infirmières (Sherifali), Université McMaster, Hamilton, Ont.; Division d'endocrinologie et métabolisme (Sievenpiper), Hôpital St. Michael, Toronto, Ont.; Département de psychiatrie (Taylor), Université de Calgary, Calgary, Alta.; École de pharmacie (Twells), Université Memorial, St. John's, T.-N.-L.; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; École de santé des populations et de santé publique (Walker), Université de la Colombie-Britannique; Centre for Excellence in Indigenous Health (Walker), Université de la Colombie-Britannique, Vancouver, C.-B.; Institut de santé publique O'Brien (Wicklum), Université de Calgary, Calgary, Alta
| | - Shahebina Walji
- Départements de médecine (Wharton), endocrinologie et métabolisme (Poddar, Sherifali), médecine familiale (Naji, Tytus), et Health Research Methods, Evidence and Impact (HEI) Canada (Naji), Université McMaster; Clinique Wharton (Wharton, Poddar), Hamilton, Ont.; Départements: de médecine (Lau, Nerenberg) et médecine familiale (Boyling, Henderson, McInnes, Walji, Wicklum), École de médecine Cumming, Université de Calgary; Centre de recherche sur le diabète Julia McFarlane et Institut de cardiologie Libin de l'Alberta (Lau), Calgary, Alta.; Département de médecine familiale (Vallis, Piccinini-Vallis), Université Dalhousie, Halifax, N.-É; Départements de médecine (Sharma, Toth), médecine familiale (Campbell-Scherer, Kemp), agriculture, alimentation et science de la nutrition (Bell, Pereira), éducation physique et loisirs (Boulé), et ergothérapie (Forhan), Université de l'Alberta; Adult Bariatric Specialty Clinic (Sharma), Hôpital Royal Alexandra; Obésité Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Département de chirurgie (Biertho), Université Laval, Québec, Que.; École des sciences de l'activité physique (Adamo, Prud'homme), Université d'Ottawa, Ottawa, Ont.; Département de santé, kinésiologie et physiologie appliquée (Alberga), Université Concordia, Montréal, Que.; Centre d'Excellence en soins bariatriques(Brown), Hôpital d'Ottawa, Ottawa, Ont.; Départements de médecine familiale (Calam) et endocrinologie (Manjoo), Université de la Colombie-Britannique; Programme de résidence en pratique familiale de la UBC (Calam) et chaire de recherche en prévention des maladies cardiovasculaires Pfizer/Fondation des maladies du cœur et de l'AVC (Lear), Hôpital St. Paul, Vancouver, C.-B.; consultant en nutrition (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, Université de Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Département de médecine familiale (Freedhoff) et Division d'endocrinologie et métabolisme (Shiau), Département de médecine, Université d'Ottawa, Ottawa, Ont.; Herbert Wertheim School of medicine (Gagner), Florida International University, Miami, FL; Hôpital du Sacré-Cœur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division d'endocrinologie et métabolisme (Glazer), Université Queen's, Kingston, Ont.; Départements de médecine interne (Glazer), psychiatrie (Hawa, Sockalingam), médecine familiale et communautaire (Macklin), et des sciences de la nutrition (Sievenpiper), Université de Toronto, Toronto, Ont.; Services de santé de l'Alberta (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Départements de médecine familiale, et d'études sur les sciences et les politiques de santé publique (Green), Université Queen's; Centre des sciences de la santé de Kingston (Green); Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam); Réseau universitaire de santé (Hawa, Sockalingam), Toronto, Ont.; Division de chirurgie générale (Hong), Université McMaster, Hamilton, Ont.; Département de médecine familiale et de santé biocomportementale (Jacklin), Faculté de médecine de l'Université du Minnesota, campus Duluth, Duluth, Minn.; Faculté de kinésiologie et d'études sur la santé (Janssen), Université Queen's, Kingston, Ont.; École de santé et performance humaine (Kirk), Université Dalhousie, Halifax, N.-É; École de kinésiologie et de sciences de la santé (Wharton, Kuk), Université York, Toronto, Ont.; Division d'endocrinologie (Langlois), Université de Sherbrooke; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Qc; École de kinésiologie (Lear), Université Simon Fraser, Vancouver, C.-B.; Medcan Clinic ( Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Régie régionale de la santé de Vancouver, Victoria, C.-B.; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Université Laval, Québec, Qc; Centre médical Foothills (Nerenberg); C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology (Poddar), Toronto, Ont.; Département de médecine (Rueda-Clausen), Université de la Saskatchewan; Hôpital général de Regina (Rueda-Clausen), Regina, Sask.; Psychologie de l'éducation (Russell-Mayhew), Faculté d'éducation Werklund, Université de Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Chaire de recherche en santé interprofessionnelle de l'Institut de recherche sur la santé des populations Heather M Arthur/Hamilton Health Sciences, Faculté des sciences infirmières (Sherifali), Université McMaster, Hamilton, Ont.; Division d'endocrinologie et métabolisme (Sievenpiper), Hôpital St. Michael, Toronto, Ont.; Département de psychiatrie (Taylor), Université de Calgary, Calgary, Alta.; École de pharmacie (Twells), Université Memorial, St. John's, T.-N.-L.; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; École de santé des populations et de santé publique (Walker), Université de la Colombie-Britannique; Centre for Excellence in Indigenous Health (Walker), Université de la Colombie-Britannique, Vancouver, C.-B.; Institut de santé publique O'Brien (Wicklum), Université de Calgary, Calgary, Alta
| | - Leah Walker
- Départements de médecine (Wharton), endocrinologie et métabolisme (Poddar, Sherifali), médecine familiale (Naji, Tytus), et Health Research Methods, Evidence and Impact (HEI) Canada (Naji), Université McMaster; Clinique Wharton (Wharton, Poddar), Hamilton, Ont.; Départements: de médecine (Lau, Nerenberg) et médecine familiale (Boyling, Henderson, McInnes, Walji, Wicklum), École de médecine Cumming, Université de Calgary; Centre de recherche sur le diabète Julia McFarlane et Institut de cardiologie Libin de l'Alberta (Lau), Calgary, Alta.; Département de médecine familiale (Vallis, Piccinini-Vallis), Université Dalhousie, Halifax, N.-É; Départements de médecine (Sharma, Toth), médecine familiale (Campbell-Scherer, Kemp), agriculture, alimentation et science de la nutrition (Bell, Pereira), éducation physique et loisirs (Boulé), et ergothérapie (Forhan), Université de l'Alberta; Adult Bariatric Specialty Clinic (Sharma), Hôpital Royal Alexandra; Obésité Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Département de chirurgie (Biertho), Université Laval, Québec, Que.; École des sciences de l'activité physique (Adamo, Prud'homme), Université d'Ottawa, Ottawa, Ont.; Département de santé, kinésiologie et physiologie appliquée (Alberga), Université Concordia, Montréal, Que.; Centre d'Excellence en soins bariatriques(Brown), Hôpital d'Ottawa, Ottawa, Ont.; Départements de médecine familiale (Calam) et endocrinologie (Manjoo), Université de la Colombie-Britannique; Programme de résidence en pratique familiale de la UBC (Calam) et chaire de recherche en prévention des maladies cardiovasculaires Pfizer/Fondation des maladies du cœur et de l'AVC (Lear), Hôpital St. Paul, Vancouver, C.-B.; consultant en nutrition (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, Université de Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Département de médecine familiale (Freedhoff) et Division d'endocrinologie et métabolisme (Shiau), Département de médecine, Université d'Ottawa, Ottawa, Ont.; Herbert Wertheim School of medicine (Gagner), Florida International University, Miami, FL; Hôpital du Sacré-Cœur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division d'endocrinologie et métabolisme (Glazer), Université Queen's, Kingston, Ont.; Départements de médecine interne (Glazer), psychiatrie (Hawa, Sockalingam), médecine familiale et communautaire (Macklin), et des sciences de la nutrition (Sievenpiper), Université de Toronto, Toronto, Ont.; Services de santé de l'Alberta (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Départements de médecine familiale, et d'études sur les sciences et les politiques de santé publique (Green), Université Queen's; Centre des sciences de la santé de Kingston (Green); Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam); Réseau universitaire de santé (Hawa, Sockalingam), Toronto, Ont.; Division de chirurgie générale (Hong), Université McMaster, Hamilton, Ont.; Département de médecine familiale et de santé biocomportementale (Jacklin), Faculté de médecine de l'Université du Minnesota, campus Duluth, Duluth, Minn.; Faculté de kinésiologie et d'études sur la santé (Janssen), Université Queen's, Kingston, Ont.; École de santé et performance humaine (Kirk), Université Dalhousie, Halifax, N.-É; École de kinésiologie et de sciences de la santé (Wharton, Kuk), Université York, Toronto, Ont.; Division d'endocrinologie (Langlois), Université de Sherbrooke; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Qc; École de kinésiologie (Lear), Université Simon Fraser, Vancouver, C.-B.; Medcan Clinic ( Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Régie régionale de la santé de Vancouver, Victoria, C.-B.; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Université Laval, Québec, Qc; Centre médical Foothills (Nerenberg); C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology (Poddar), Toronto, Ont.; Département de médecine (Rueda-Clausen), Université de la Saskatchewan; Hôpital général de Regina (Rueda-Clausen), Regina, Sask.; Psychologie de l'éducation (Russell-Mayhew), Faculté d'éducation Werklund, Université de Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Chaire de recherche en santé interprofessionnelle de l'Institut de recherche sur la santé des populations Heather M Arthur/Hamilton Health Sciences, Faculté des sciences infirmières (Sherifali), Université McMaster, Hamilton, Ont.; Division d'endocrinologie et métabolisme (Sievenpiper), Hôpital St. Michael, Toronto, Ont.; Département de psychiatrie (Taylor), Université de Calgary, Calgary, Alta.; École de pharmacie (Twells), Université Memorial, St. John's, T.-N.-L.; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; École de santé des populations et de santé publique (Walker), Université de la Colombie-Britannique; Centre for Excellence in Indigenous Health (Walker), Université de la Colombie-Britannique, Vancouver, C.-B.; Institut de santé publique O'Brien (Wicklum), Université de Calgary, Calgary, Alta
| | - Sonja Wicklum
- Départements de médecine (Wharton), endocrinologie et métabolisme (Poddar, Sherifali), médecine familiale (Naji, Tytus), et Health Research Methods, Evidence and Impact (HEI) Canada (Naji), Université McMaster; Clinique Wharton (Wharton, Poddar), Hamilton, Ont.; Départements: de médecine (Lau, Nerenberg) et médecine familiale (Boyling, Henderson, McInnes, Walji, Wicklum), École de médecine Cumming, Université de Calgary; Centre de recherche sur le diabète Julia McFarlane et Institut de cardiologie Libin de l'Alberta (Lau), Calgary, Alta.; Département de médecine familiale (Vallis, Piccinini-Vallis), Université Dalhousie, Halifax, N.-É; Départements de médecine (Sharma, Toth), médecine familiale (Campbell-Scherer, Kemp), agriculture, alimentation et science de la nutrition (Bell, Pereira), éducation physique et loisirs (Boulé), et ergothérapie (Forhan), Université de l'Alberta; Adult Bariatric Specialty Clinic (Sharma), Hôpital Royal Alexandra; Obésité Canada (Sharma, Patton, Ramos Salas), Edmonton, Alta.; Département de chirurgie (Biertho), Université Laval, Québec, Que.; École des sciences de l'activité physique (Adamo, Prud'homme), Université d'Ottawa, Ottawa, Ont.; Département de santé, kinésiologie et physiologie appliquée (Alberga), Université Concordia, Montréal, Que.; Centre d'Excellence en soins bariatriques(Brown), Hôpital d'Ottawa, Ottawa, Ont.; Départements de médecine familiale (Calam) et endocrinologie (Manjoo), Université de la Colombie-Britannique; Programme de résidence en pratique familiale de la UBC (Calam) et chaire de recherche en prévention des maladies cardiovasculaires Pfizer/Fondation des maladies du cœur et de l'AVC (Lear), Hôpital St. Paul, Vancouver, C.-B.; consultant en nutrition (Clarke), Hamilton, Ont.; Indigenous Health Dialogue (Crowshoe), Health Sciences Centre, Université de Calgary, Calgary, Alta.; Main East Medical Associates (Divalentino), Hamilton, Ont.; Bariatric Medical Institute (Freedhoff), Ottawa, Ont.; Département de médecine familiale (Freedhoff) et Division d'endocrinologie et métabolisme (Shiau), Département de médecine, Université d'Ottawa, Ottawa, Ont.; Herbert Wertheim School of medicine (Gagner), Florida International University, Miami, FL; Hôpital du Sacré-Cœur de Montréal (Gagner), Montréal, Que.; Humber River Hospital (Glazer), Toronto, Ont.; Division d'endocrinologie et métabolisme (Glazer), Université Queen's, Kingston, Ont.; Départements de médecine interne (Glazer), psychiatrie (Hawa, Sockalingam), médecine familiale et communautaire (Macklin), et des sciences de la nutrition (Sievenpiper), Université de Toronto, Toronto, Ont.; Services de santé de l'Alberta (Grand, Hung, Johnson-Stoklossa), Edmonton, Alta.; Départements de médecine familiale, et d'études sur les sciences et les politiques de santé publique (Green), Université Queen's; Centre des sciences de la santé de Kingston (Green); Providence Care Hospital (Green), Kingston, Ont.; Centre for Addiction and Mental Health (Hahn, Sockalingam); Réseau universitaire de santé (Hawa, Sockalingam), Toronto, Ont.; Division de chirurgie générale (Hong), Université McMaster, Hamilton, Ont.; Département de médecine familiale et de santé biocomportementale (Jacklin), Faculté de médecine de l'Université du Minnesota, campus Duluth, Duluth, Minn.; Faculté de kinésiologie et d'études sur la santé (Janssen), Université Queen's, Kingston, Ont.; École de santé et performance humaine (Kirk), Université Dalhousie, Halifax, N.-É; École de kinésiologie et de sciences de la santé (Wharton, Kuk), Université York, Toronto, Ont.; Division d'endocrinologie (Langlois), Université de Sherbrooke; Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (Langlois), Sherbrooke, Qc; École de kinésiologie (Lear), Université Simon Fraser, Vancouver, C.-B.; Medcan Clinic ( Macklin), Toronto, Ont.; Cardiometabolic Collaborative Clinic (Manjoo), Régie régionale de la santé de Vancouver, Victoria, C.-B.; Institut universitaire de cardiologie et de pneumologie de Québec (Morin, Poirier), Université Laval, Québec, Qc; Centre médical Foothills (Nerenberg); C-ENDO Diabetes & Endocrinology Clinic (Pedersen), Calgary, Alta.; LMC Diabetes and Endocrinology (Poddar), Toronto, Ont.; Département de médecine (Rueda-Clausen), Université de la Saskatchewan; Hôpital général de Regina (Rueda-Clausen), Regina, Sask.; Psychologie de l'éducation (Russell-Mayhew), Faculté d'éducation Werklund, Université de Calgary, Calgary, Alta.; LEAF Weight Management Clinic (Shiau), Ottawa, Ont.; Chaire de recherche en santé interprofessionnelle de l'Institut de recherche sur la santé des populations Heather M Arthur/Hamilton Health Sciences, Faculté des sciences infirmières (Sherifali), Université McMaster, Hamilton, Ont.; Division d'endocrinologie et métabolisme (Sievenpiper), Hôpital St. Michael, Toronto, Ont.; Département de psychiatrie (Taylor), Université de Calgary, Calgary, Alta.; École de pharmacie (Twells), Université Memorial, St. John's, T.-N.-L.; Steelcity Medical Clinic (Tytus), Hamilton, Ont.; Calgary Weight Management Centre (Walji), Calgary, Alta.; École de santé des populations et de santé publique (Walker), Université de la Colombie-Britannique; Centre for Excellence in Indigenous Health (Walker), Université de la Colombie-Britannique, Vancouver, C.-B.; Institut de santé publique O'Brien (Wicklum), Université de Calgary, Calgary, Alta
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Turcotte AF, Grenier-Larouche T, Lacombe J, Carreau AM, Carpentier AC, Mac-Way F, Tchernof A, Richard D, Biertho L, Lebel S, Marceau S, Ferron M, Gagnon C. Association between changes in bioactive osteocalcin and glucose homeostasis after biliopancreatic diversion. Endocrine 2020; 69:526-535. [PMID: 32419080 DOI: 10.1007/s12020-020-02340-2] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/07/2020] [Accepted: 05/04/2020] [Indexed: 12/30/2022]
Abstract
PURPOSE Bone may regulate glucose homeostasis via uncarboxylated bioactive osteocalcin (ucOCN). This study explored whether changes in ucOCN and bone remodeling are associated with change in glucose homeostasis after biliopancreatic diversion (BPD). METHODS In this secondary exploratory analysis of a 1-year prospective observational study, 16 participants (11 men/5 women; 69% with type 2 diabetes; mean BMI 49.4 kg/m2) were assessed before, 3 days, 3 months and 12 months after BPD. Changes in plasma ucOCN and bone markers (C-terminal telopeptide (CTX), total osteocalcin (OCN)) were correlated with changes in insulin resistance or sensitivity indices (HOMA-IR; adipose tissue insulin resistance index (ADIPO-IR) and insulin sensitivity index (SI) from the hyperinsulinemic-euglycemic clamp), insulin secretion rate (ISR) from the hyperglycemic clamp, and disposition index (DI: SI × ISR) using Spearman correlations before and after adjustment for weight loss. RESULTS ucOCN was unchanged at 3 days but increased dramatically at 3 months (+257%) and 12 months (+498%). Change in ucOCN correlated significantly with change in CTX at 3 months (r = 0.62, p = 0.015) and 12 months (r = 0.64, p = 0.025) before adjustment for weight loss. It also correlated significantly with change in fasting insulin (r = -0.53, p = 0.035), HOMA-IR (r = -0.54, p = 0.033) and SI (r = 0.52, p = 0.041) at 3 days, and ADIPO-IR (r = -0.69, p = 0.003) and HbA1c (r = -0.69, p = 0.005) at 3 months. Change in OCN did not correlate with any glucose homeostasis indices. Results were similar after adjustment for weight loss. CONCLUSION The increase in ucOCN may be associated with the improvement in insulin resistance after BPD, independently of weight loss. These findings need to be confirmed in larger, less heterogeneous populations.
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Affiliation(s)
- Anne-Frédérique Turcotte
- Endocrinology and Nephrology Unit, CHU de Québec-Université Laval Research Centre, Québec City, QC, Canada
- Department of Medicine, Laval University, Québec City, QC, Canada
| | - Thomas Grenier-Larouche
- Centre de recherche du Centre hospitalier universitaire de Sherbrooke, Sherbrooke, QC, Canada
- Department of Medicine, Université de Sherbrooke, Sherbrooke, QC, Canada
| | - Julie Lacombe
- Institut de recherches cliniques de Montréal, Montreal, QC, Canada
| | - Anne-Marie Carreau
- Endocrinology and Nephrology Unit, CHU de Québec-Université Laval Research Centre, Québec City, QC, Canada
- Department of Medicine, Laval University, Québec City, QC, Canada
| | - André C Carpentier
- Centre de recherche du Centre hospitalier universitaire de Sherbrooke, Sherbrooke, QC, Canada
- Department of Medicine, Université de Sherbrooke, Sherbrooke, QC, Canada
| | - Fabrice Mac-Way
- Endocrinology and Nephrology Unit, CHU de Québec-Université Laval Research Centre, Québec City, QC, Canada
- Department of Medicine, Laval University, Québec City, QC, Canada
| | - André Tchernof
- Endocrinology and Nephrology Unit, CHU de Québec-Université Laval Research Centre, Québec City, QC, Canada
- Department of Medicine, Laval University, Québec City, QC, Canada
- Québec Heart and Lung Institute Research Centre, Québec City, QC, Canada
| | - Denis Richard
- Department of Medicine, Laval University, Québec City, QC, Canada
- Québec Heart and Lung Institute Research Centre, Québec City, QC, Canada
| | - Laurent Biertho
- Québec Heart and Lung Institute Research Centre, Québec City, QC, Canada
- Department of Surgery, Laval University, Québec City, QC, Canada
| | - Stefane Lebel
- Québec Heart and Lung Institute Research Centre, Québec City, QC, Canada
- Department of Surgery, Laval University, Québec City, QC, Canada
| | - Simon Marceau
- Québec Heart and Lung Institute Research Centre, Québec City, QC, Canada
- Department of Surgery, Laval University, Québec City, QC, Canada
| | - Mathieu Ferron
- Institut de recherches cliniques de Montréal, Montreal, QC, Canada
- Department of Medicine, Université de Montréal, Montreal, QC, Canada
| | - Claudia Gagnon
- Endocrinology and Nephrology Unit, CHU de Québec-Université Laval Research Centre, Québec City, QC, Canada.
- Department of Medicine, Laval University, Québec City, QC, Canada.
- Québec Heart and Lung Institute Research Centre, Québec City, QC, Canada.
- Institute of Nutrition and Functional Foods, Université Laval, Quebec City, QC, Canada.
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31
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Auclair A, Harvey J, Leclerc J, Piché ME, O'Connor K, Nadreau É, Pettigrew M, Haykowsky MJ, Marceau S, Biertho L, Hould FS, Lebel S, Biron S, Julien F, Bouvet L, Lescelleur O, Poirier P. Determinants of Cardiorespiratory Fitness After Bariatric Surgery: Insights From a Randomised Controlled Trial of a Supervised Training Program. Can J Cardiol 2020; 37:251-259. [PMID: 32738206 DOI: 10.1016/j.cjca.2020.03.032] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2019] [Revised: 03/19/2020] [Accepted: 03/23/2020] [Indexed: 01/01/2023] Open
Abstract
BACKGROUND Severely obese patients have decreased cardiorespiratory fitness (CRF) and poor functional capacity. Bariatric surgery-induced weight loss improves CRF, but the determinants of this improvement are not well known. We aimed to assess the determinants of CRF before and after bariatric surgery and the impact of an exercise training program on CRF after bariatric surgery. METHODS Fifty-eight severely obese patients (46.1 ± 6.1 kg/m2, 78% women) were randomly assigned to either an exercise group (n = 39) or usual care (n = 19). Exercise training was conducted from the 3rd to the 6th months after surgery. Anthropometric measurements, abdominal and mid-thigh computed tomographic scans, resting echocardiography, and maximal cardiopulmonary exercise testing was performed before bariatric surgery and 3 and 6 months after surgery. RESULTS Weight, fat mass, and fat-free mass were reduced significantly at 3 and 6 months, without any additive impact of exercise training in the exercise group. From 3 to 6 months, peak aerobic power (V̇O2peak) increased significantly (P < 0.0001) in both groups but more importantly in the exercise group (exercise group: from 18.6 ± 4.2 to 23.2 ± 5.7 mL/kg/min; control group: from 17.4 ± 2.3 to 19.7 ± 2.4 mL/kg/min; P value, group × time = 0.01). In the exercise group, determinants of absolute V̇O2peak (L/min) were peak exercise ventilation, oxygen pulse, and heart rate reserve (r2 = 0.92; P < 0.0001), whereas determinants of V̇O2peak indexed to body mass (mL/kg/min) were peak exercise ventilation and early-to-late filling velocity ratio (r2 = 0.70; P < 0.0001). CONCLUSIONS A 12-week supervised training program has an additive benefit on cardiorespiratory fitness for patients who undergo bariatric surgery.
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Affiliation(s)
- Audrey Auclair
- Québec Heart and Lung Institute, Laval University, Québec, Québec, Canada
| | - Jany Harvey
- Québec Heart and Lung Institute, Laval University, Québec, Québec, Canada; Faculty of Pharmacy, Laval University, Québec, Québec, Canada
| | - Jacinthe Leclerc
- Québec Heart and Lung Institute, Laval University, Québec, Québec, Canada; Faculty of Pharmacy, Laval University, Québec, Québec, Canada; Nursing Department, Université du Québec à Trois-Rivières, Trois-Rivières, Québec, Canada
| | - Marie-Eve Piché
- Québec Heart and Lung Institute, Laval University, Québec, Québec, Canada; Faculty of Medicine, Laval University, Québec, Québec, Canada
| | - Kim O'Connor
- Québec Heart and Lung Institute, Laval University, Québec, Québec, Canada; Faculty of Medicine, Laval University, Québec, Québec, Canada
| | - Éric Nadreau
- Québec Heart and Lung Institute, Laval University, Québec, Québec, Canada
| | - Myriam Pettigrew
- Québec Heart and Lung Institute, Laval University, Québec, Québec, Canada; Faculty of Pharmacy, Laval University, Québec, Québec, Canada
| | - Mark J Haykowsky
- Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada
| | - Simon Marceau
- Québec Heart and Lung Institute, Laval University, Québec, Québec, Canada; Faculty of Medicine, Laval University, Québec, Québec, Canada
| | - Laurent Biertho
- Québec Heart and Lung Institute, Laval University, Québec, Québec, Canada; Faculty of Medicine, Laval University, Québec, Québec, Canada
| | - Frédéric-Simon Hould
- Québec Heart and Lung Institute, Laval University, Québec, Québec, Canada; Faculty of Medicine, Laval University, Québec, Québec, Canada
| | - Stéfane Lebel
- Québec Heart and Lung Institute, Laval University, Québec, Québec, Canada; Faculty of Medicine, Laval University, Québec, Québec, Canada
| | - Simon Biron
- Québec Heart and Lung Institute, Laval University, Québec, Québec, Canada; Faculty of Medicine, Laval University, Québec, Québec, Canada
| | - François Julien
- Québec Heart and Lung Institute, Laval University, Québec, Québec, Canada; Faculty of Medicine, Laval University, Québec, Québec, Canada
| | - Léonie Bouvet
- Québec Heart and Lung Institute, Laval University, Québec, Québec, Canada; Faculty of Medicine, Laval University, Québec, Québec, Canada
| | - Odette Lescelleur
- Québec Heart and Lung Institute, Laval University, Québec, Québec, Canada; Faculty of Medicine, Laval University, Québec, Québec, Canada
| | - Paul Poirier
- Québec Heart and Lung Institute, Laval University, Québec, Québec, Canada; Faculty of Pharmacy, Laval University, Québec, Québec, Canada.
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Després AA, Piché ME, Auclair A, Biertho L, Marceau S, Hould FS, Biron S, Lebel S, Lescelleur O, Julien F, Martin J, Tchernof A, Mathieu P, Poirier P, Arsenault BJ. Acute and Chronic Impact of Biliopancreatic Diversion with Duodenal Switch Surgery on Plasma Lipoprotein(a) Levels in Patients with Severe Obesity. Obes Surg 2020; 30:3714-3720. [PMID: 32666413 DOI: 10.1007/s11695-020-04450-2] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2019] [Revised: 01/26/2020] [Accepted: 02/03/2020] [Indexed: 10/23/2022]
Abstract
BACKGROUND Elevated lipoprotein(a) (Lp(a)) level is an independent risk factor for cardiovascular diseases. Lifestyle intervention studies targeting weight loss revealed little to no significant changes in Lp(a) levels. The impact of interventions that induce substantial weight loss, such as bariatric surgery, on Lp(a) levels is currently unclear. OBJECTIVE To determine the acute and long-term impact of bariatric surgery on Lp(a) levels in patients with severe obesity. METHODS Sixty-nine patients with severe obesity underwent biliopancreatic diversion with duodenal switch (BPD-DS) surgery. The lipid profile was evaluated and Lp(a) levels were measured before surgery and at 6 and 12 months after BPD-DS surgery. RESULTS Median Lp(a) levels at baseline were 11.1 (4.1-41.6) nmol/L. Six months and 12 months after the BDP-DS surgery, we observed an improvement of lipid profile. At 6 months, we observed a 13% decrease in Lp(a) levels (9.7 (2.9-25.6) nmol/L, p < 0.0001) but this decrease was not sustained at 12 months (11.1 (3.9-32.8) nmol/L, p = 0.8). When the patients were separated into tertiles according to Lp(a) levels at baseline, we observed that the Lp(a) reduction at 12 months after BPD-DS surgery remained significant but modest in patients of the top Lp(a) tertile. CONCLUSION Our results suggest that BPD-DS surgery modestly reduces Lp(a) levels in the short term (6 months) in patients with severe obesity but this improvement is sustained over time only in patients with higher Lp(a) levels.
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Affiliation(s)
- Audrey-Anne Després
- Centre de Recherche de l'Institut Universitaire de Cardiologie et de Pneumologie de Québec, Y-3601, Pavillon Marguerite D'Youville, 2725 chemin Ste-Foy, Québec, QC, G1V 4G5, Canada.,Department of Medicine, Faculty of Medicine, Université Laval, Québec, Canada
| | - Marie-Eve Piché
- Centre de Recherche de l'Institut Universitaire de Cardiologie et de Pneumologie de Québec, Y-3601, Pavillon Marguerite D'Youville, 2725 chemin Ste-Foy, Québec, QC, G1V 4G5, Canada.,Department of Medicine, Faculty of Medicine, Université Laval, Québec, Canada
| | - Audrey Auclair
- Centre de Recherche de l'Institut Universitaire de Cardiologie et de Pneumologie de Québec, Y-3601, Pavillon Marguerite D'Youville, 2725 chemin Ste-Foy, Québec, QC, G1V 4G5, Canada
| | - Laurent Biertho
- Centre de Recherche de l'Institut Universitaire de Cardiologie et de Pneumologie de Québec, Y-3601, Pavillon Marguerite D'Youville, 2725 chemin Ste-Foy, Québec, QC, G1V 4G5, Canada
| | - Simon Marceau
- Centre de Recherche de l'Institut Universitaire de Cardiologie et de Pneumologie de Québec, Y-3601, Pavillon Marguerite D'Youville, 2725 chemin Ste-Foy, Québec, QC, G1V 4G5, Canada
| | - Frédéric-Simon Hould
- Centre de Recherche de l'Institut Universitaire de Cardiologie et de Pneumologie de Québec, Y-3601, Pavillon Marguerite D'Youville, 2725 chemin Ste-Foy, Québec, QC, G1V 4G5, Canada
| | - Simon Biron
- Centre de Recherche de l'Institut Universitaire de Cardiologie et de Pneumologie de Québec, Y-3601, Pavillon Marguerite D'Youville, 2725 chemin Ste-Foy, Québec, QC, G1V 4G5, Canada
| | - Stéfane Lebel
- Centre de Recherche de l'Institut Universitaire de Cardiologie et de Pneumologie de Québec, Y-3601, Pavillon Marguerite D'Youville, 2725 chemin Ste-Foy, Québec, QC, G1V 4G5, Canada
| | - Odette Lescelleur
- Centre de Recherche de l'Institut Universitaire de Cardiologie et de Pneumologie de Québec, Y-3601, Pavillon Marguerite D'Youville, 2725 chemin Ste-Foy, Québec, QC, G1V 4G5, Canada
| | - François Julien
- Centre de Recherche de l'Institut Universitaire de Cardiologie et de Pneumologie de Québec, Y-3601, Pavillon Marguerite D'Youville, 2725 chemin Ste-Foy, Québec, QC, G1V 4G5, Canada
| | - Julie Martin
- Centre de Recherche de l'Institut Universitaire de Cardiologie et de Pneumologie de Québec, Y-3601, Pavillon Marguerite D'Youville, 2725 chemin Ste-Foy, Québec, QC, G1V 4G5, Canada
| | - André Tchernof
- Centre de Recherche de l'Institut Universitaire de Cardiologie et de Pneumologie de Québec, Y-3601, Pavillon Marguerite D'Youville, 2725 chemin Ste-Foy, Québec, QC, G1V 4G5, Canada.,School of Nutrition, Université Laval, Québec, Canada
| | - Patrick Mathieu
- Centre de Recherche de l'Institut Universitaire de Cardiologie et de Pneumologie de Québec, Y-3601, Pavillon Marguerite D'Youville, 2725 chemin Ste-Foy, Québec, QC, G1V 4G5, Canada.,Department of Surgery, Faculty of Medicine, Université Laval, Québec, Canada
| | - Paul Poirier
- Centre de Recherche de l'Institut Universitaire de Cardiologie et de Pneumologie de Québec, Y-3601, Pavillon Marguerite D'Youville, 2725 chemin Ste-Foy, Québec, QC, G1V 4G5, Canada.,Faculty of Pharmacy, Université Laval, Québec, Canada
| | - Benoit J Arsenault
- Centre de Recherche de l'Institut Universitaire de Cardiologie et de Pneumologie de Québec, Y-3601, Pavillon Marguerite D'Youville, 2725 chemin Ste-Foy, Québec, QC, G1V 4G5, Canada. .,Department of Medicine, Faculty of Medicine, Université Laval, Québec, Canada.
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Mukorako P, Lopez C, Baraboi ED, Roy MC, Plamondon J, Lemoine N, Biertho L, Varin TV, Marette A, Richard D. Alterations of Gut Microbiota After Biliopancreatic Diversion with Duodenal Switch in Wistar Rats. Obes Surg 2020; 29:2831-2842. [PMID: 31165976 DOI: 10.1007/s11695-019-03911-7] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
BACKGROUND The biliopancreatic diversion with duodenal switch (BPD/DS) represents the most effective surgical procedure for the treatment of severe obesity and associated type 2 diabetes. The mechanisms whereby BPD/DS exerts its positive metabolic effects have however yet to be fully delineated. The objective of this study was to distinguish the effects of the two components of BPD/DS, namely the sleeve gastrectomy (SG) and the DS derivation, on gut microbiota, and to appraise whether changes in microbial composition are linked with surgery-induced metabolic benefits. METHODS BPD/DS, DS, and SG were performed in Wistar rats fed a standard chow diet. Body weight and energy intake were measured daily during 8 weeks post-surgery, at which time glucagon-like peptide 1 (GLP-1), peptide tyrosine tyrosine (PYY), insulin, and glucose were measured. Fecal samples were collected prior to surgery and at 2 and 8 weeks post-surgery. Intraluminal contents of the alimentary, biliopancreatic, and common limbs (resulting from BPD/DS) were taken from the proximal portion of each limb. Fecal and small intestinal limb samples were analyzed by 16S ribosomal RNA gene sequencing. RESULTS BPD/DS and DS led to lower digestible energy intake (P = 0.0007 and P = 0.0002, respectively), reduced weight gain (P < 0.0001) and body fat mass (P < 0.0001), improved glucose metabolism, and increased GLP-1 (P = 0.0437, SHAM versus DS) and PYY levels (P < 0.0001). These effects were associated with major alterations of both the fecal and small intestinal microbiota, as revealed by significant decrease in bacterial richness and diversity at 2 (P < 0.0001, Chao1 index; P < 0.0001, Shannon index) and 8 weeks (P = 0.0159, SHAM versus DS, Chao1 index; P = 0.0219, SHAM versus DS, P = 0.0472, SHAM versus BPD/DS, Shannon index) post-surgery in BPD/DS and DS, and increased proportions of Bifidobacteriales (a 60% increase in both groups) but reduced Clostridiales (a 50% decrease and a 90% decrease respectively), which were mostly accounted at the genus level by higher relative abundance of Bifidobacterium in both the fecal and intestinal limb samples, as well as reduced abundance of Peptostreptococcaceae and Clostridiaceae in the small intestine. Those effects were not seen in SG rats. CONCLUSION The metabolic benefits following BPD/DS are seemingly due to the DS component of the surgery. Furthermore, BPD/DS causes marked alterations in fecal and small intestinal microbiota resulting in reduced bacterial diversity and richness. Our data further suggest that increased abundance of Bifidobacterium and reduced level of two Clostridiales species in the gut microbiota might contribute to the positive metabolic outcomes of BPD/DS.
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Affiliation(s)
- Paulette Mukorako
- Institut Universitaire de Cardiologie et de Pneumologie de Québec, Pavillon Marguerite-d'Youville 2725 chemin Sainte- Foy, Québec, G1V 4G5, Canada
| | - Carlos Lopez
- Institut Universitaire de Cardiologie et de Pneumologie de Québec, Pavillon Marguerite-d'Youville 2725 chemin Sainte- Foy, Québec, G1V 4G5, Canada
| | - Elena-Dana Baraboi
- Institut Universitaire de Cardiologie et de Pneumologie de Québec, Pavillon Marguerite-d'Youville 2725 chemin Sainte- Foy, Québec, G1V 4G5, Canada
| | - Marie-Claude Roy
- Institut Universitaire de Cardiologie et de Pneumologie de Québec, Pavillon Marguerite-d'Youville 2725 chemin Sainte- Foy, Québec, G1V 4G5, Canada
| | - Julie Plamondon
- Institut Universitaire de Cardiologie et de Pneumologie de Québec, Pavillon Marguerite-d'Youville 2725 chemin Sainte- Foy, Québec, G1V 4G5, Canada
| | - Natacha Lemoine
- Institut Universitaire de Cardiologie et de Pneumologie de Québec, Pavillon Marguerite-d'Youville 2725 chemin Sainte- Foy, Québec, G1V 4G5, Canada
| | - Laurent Biertho
- Institut Universitaire de Cardiologie et de Pneumologie de Québec, Pavillon Marguerite-d'Youville 2725 chemin Sainte- Foy, Québec, G1V 4G5, Canada
| | - Thibault V Varin
- Institut Universitaire de Cardiologie et de Pneumologie de Québec, Pavillon Marguerite-d'Youville 2725 chemin Sainte- Foy, Québec, G1V 4G5, Canada
| | - André Marette
- Institut Universitaire de Cardiologie et de Pneumologie de Québec, Pavillon Marguerite-d'Youville 2725 chemin Sainte- Foy, Québec, G1V 4G5, Canada
| | - Denis Richard
- Institut Universitaire de Cardiologie et de Pneumologie de Québec, Pavillon Marguerite-d'Youville 2725 chemin Sainte- Foy, Québec, G1V 4G5, Canada.
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Auclair A, Piché ME, Biertho L, Marceau S, Poirier P. Changes in fat-free mass and muscle mass at 6 and 12 months after biliopancreatic diversion with duodenal switch surgery. Surg Obes Relat Dis 2020; 16:878-885. [PMID: 32336664 DOI: 10.1016/j.soard.2020.03.012] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2020] [Revised: 03/06/2020] [Accepted: 03/11/2020] [Indexed: 01/15/2023]
Abstract
BACKGROUND Bariatric surgery is associated with concomitant loss in both fat and muscle masses. Literature on muscle composition/quality after bariatric surgery is limited. OBJECTIVES To measure and compare the changes in fat-free mass with the changes in muscle composition after biliopancreatic diversion with duodenal switch surgery (BPD/DS). SETTING Bariatric surgery is associated with concomitant loss in both fat and muscle masses. Literature on muscle composition/quality after bariatric surgery is limited. METHODS Forty patients underwent BPD/DS and 22 patients are considered as controls. Bioelectrical impedance analysis (body composition) and computed tomography scan at the midthigh and abdominal levels (muscle composition) were performed at baseline, 6, and 12 months. RESULTS At 6 and 12 months, the BPD/DS group displayed significant reduction in weight (12 months: -46.6 ± 13.5 kg) and fat-free mass (12 months: -8.2 ± 4.4 kg; both P < .001). A significant reduction in abdominal (-15 ± 8%, P < .001) and midthigh muscle areas (-18 ± 7%, P < .001) was observed during the first postoperative 6 months, followed by a plateau after 6 months (abdominal: -1 ± 5%, midthigh: -1 ± 4%, both P > .05). At 6 months, both midthigh fat-infiltrated muscle (-22 ± 10%, P < .001) and normal-density muscle (-16 ± 9%, P < .001) areas decreased. Further reduction at 12 months was only observed in the fat-infiltrated muscle (-11 ± 8%, P < .001) in comparison with an increase in the normal-density muscle area (5 ± 8%, P = .001). There was no significant change for the control group. CONCLUSIONS Reduction in muscle, assessed with computed tomography scans, occurs mostly during the first 6 months postoperatively after BPD/DS. Focus on muscle quantity as well as quality, using precise imaging methods, instead of quantifying total body lean mass, is likely to provide better assessment in body content modulation after BPD/DS.
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Affiliation(s)
- Audrey Auclair
- Institut Universitaire de Cardiologie et de Pneumologie de Québec-Université Laval, Québec, Canada
| | - Marie-Eve Piché
- Institut Universitaire de Cardiologie et de Pneumologie de Québec-Université Laval, Québec, Canada; Faculty of Medicine, Laval University, Québec, Canada
| | - Laurent Biertho
- Institut Universitaire de Cardiologie et de Pneumologie de Québec-Université Laval, Québec, Canada; Faculty of Medicine, Laval University, Québec, Canada
| | - Simon Marceau
- Institut Universitaire de Cardiologie et de Pneumologie de Québec-Université Laval, Québec, Canada; Faculty of Medicine, Laval University, Québec, Canada
| | - Paul Poirier
- Institut Universitaire de Cardiologie et de Pneumologie de Québec-Université Laval, Québec, Canada; Faculty of Pharmacy, Laval University, Québec, Canada.
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Carreau AM, Noll C, Blondin DP, Frisch F, Nadeau M, Pelletier M, Phoenix S, Cunnane SC, Guérin B, Turcotte EE, Lebel S, Biertho L, Tchernof A, Carpentier AC. Bariatric Surgery Rapidly Decreases Cardiac Dietary Fatty Acid Partitioning and Hepatic Insulin Resistance Through Increased Intra-abdominal Adipose Tissue Storage and Reduced Spillover in Type 2 Diabetes. Diabetes 2020; 69:567-577. [PMID: 31915151 DOI: 10.2337/db19-0773] [Citation(s) in RCA: 19] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/09/2019] [Accepted: 01/01/2020] [Indexed: 11/13/2022]
Abstract
Reduced storage of dietary fatty acids (DFAs) in abdominal adipose tissues with enhanced cardiac partitioning has been shown in subjects with type 2 diabetes (T2D) and prediabetes. We measured DFA metabolism and organ partitioning using positron emission tomography with oral and intravenous long-chain fatty acid and glucose tracers during a standard liquid meal in 12 obese subjects with T2D before and 8-12 days after bariatric surgery (sleeve gastrectomy or sleeve gastrectomy and biliopancreatic diversion with duodenal switch). Bariatric surgery reduced cardiac DFA uptake from a median (standard uptake value [SUV]) 1.75 (interquartile range 1.39-2.57) before to 1.09 (1.04-1.53) after surgery (P = 0.01) and systemic DFA spillover from 56.7 mmol before to 24.7 mmol over 6 h after meal intake after surgery (P = 0.01), with a significant increase in intra-abdominal adipose tissue DFA uptake from 0.15 (0.04-0.31] before to 0.49 (0.20-0.59) SUV after surgery (P = 0.008). Hepatic insulin resistance was significantly reduced in close association with increased DFA storage in intra-abdominal adipose tissues (r = -0.79, P = 0.05) and reduced DFA spillover (r = 0.76, P = 0.01). We conclude that bariatric surgery in subjects with T2D rapidly reduces cardiac DFA partitioning and hepatic insulin resistance at least in part through increased intra-abdominal DFA storage and reduced spillover.
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Affiliation(s)
- Anne-Marie Carreau
- Division of Endocrinology, Department of Medicine, Centre de recherche du CHU de Sherbrooke, Université de Sherbrooke, Sherbrooke, Québec, Canada
| | - Christophe Noll
- Division of Endocrinology, Department of Medicine, Centre de recherche du CHU de Sherbrooke, Université de Sherbrooke, Sherbrooke, Québec, Canada
| | - Denis P Blondin
- Division of Endocrinology, Department of Medicine, Centre de recherche du CHU de Sherbrooke, Université de Sherbrooke, Sherbrooke, Québec, Canada
| | - Frédérique Frisch
- Division of Endocrinology, Department of Medicine, Centre de recherche du CHU de Sherbrooke, Université de Sherbrooke, Sherbrooke, Québec, Canada
| | - Mélanie Nadeau
- Centre de recherche de l'Institut universitaire de cardiologie et pneumologie de Québec, Québec, Québec, Canada
| | - Mélissa Pelletier
- Centre de recherche de l'Institut universitaire de cardiologie et pneumologie de Québec, Québec, Québec, Canada
| | - Serge Phoenix
- Department of Nuclear Medicine and Radiobiology, Centre de recherche du CHU de Sherbrooke, Université de Sherbrooke, Québec, Canada
| | - Stephen C Cunnane
- Research Center on Aging, Université de Sherbrooke, Sherbrooke, Québec, Canada
| | - Brigitte Guérin
- Department of Nuclear Medicine and Radiobiology, Centre de recherche du CHU de Sherbrooke, Université de Sherbrooke, Québec, Canada
| | - Eric E Turcotte
- Department of Nuclear Medicine and Radiobiology, Centre de recherche du CHU de Sherbrooke, Université de Sherbrooke, Québec, Canada
| | - Stéfane Lebel
- Centre de recherche de l'Institut universitaire de cardiologie et pneumologie de Québec, Québec, Québec, Canada
| | - Laurent Biertho
- Centre de recherche de l'Institut universitaire de cardiologie et pneumologie de Québec, Québec, Québec, Canada
| | - André Tchernof
- Centre de recherche de l'Institut universitaire de cardiologie et pneumologie de Québec, Québec, Québec, Canada
- School of Nutrition, Université Laval, Québec, Québec, Canada
| | - André C Carpentier
- Division of Endocrinology, Department of Medicine, Centre de recherche du CHU de Sherbrooke, Université de Sherbrooke, Sherbrooke, Québec, Canada
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Abstract
CONTEXT AND OBJECTIVES Neighbourhood effect research on obesity took off in the early 2000s and was composed of mostly cross-sectional observational studies interested in various characteristics of the built environment and the socioeconomic environment. To limit biases related to self-selection and life course exposures, many researchers apply longitudinal designs in their studies. Until now, no review has specifically and exclusively examined longitudinal studies and the specific designs of these studies. In this review, we intend to answer the following research question: how are the temporal measurements of contextual exposure and obesity outcomes integrated into longitudinal studies that explore how neighbourhood-level built and socioeconomic environments impact adult obesity? DESIGN A systematic search strategy was designed to address the research question. The search was performed in Embase, Web of Science and PubMed, targeting scientific papers published before 1 January 2018. The eligible studies reported results on adults, included exposure that was limited to neighbourhood characteristics at the submunicipal level, included an outcome limited to obesity proxies, and reported a design with at least two exposure measurements or two outcome measurements. RESULTS This scoping review identified 66 studies that fit the eligibility criteria. A wide variety of neighbourhood characteristics were also measured, making it difficult to draw general conclusions about associations between neighbourhood exposure and obesity. We applied a typology that classified studies by whether exposure and outcome were measured as varying or fixed. Using this typology, we found that 32 studies reported both neighbourhood exposure and obesity outcomes that were varying in time; 28 reported varying outcomes but fixed exposures; and 6 had fixed outcomes and varying exposures. CONCLUSION Our typology illustrates the variety of longitudinal designs that were used in the selected studies. In the light of our results, we make recommendations on how to better report longitudinal designs and facilitate comparisons between studies.
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Affiliation(s)
- Laurence Letarte
- Planning and Development Research Center, Université Laval, Quebec city, Québec, Canada
- Evaluation Platform on Obesity Prevention, Quebec Heart and Lung Research Institute, Quebec city, Québec, Canada
| | - Sonia Pomerleau
- Evaluation Platform on Obesity Prevention, Quebec Heart and Lung Research Institute, Quebec city, Québec, Canada
- School of Nutrition, Université Laval, Quebec city, Québec, Canada
| | - André Tchernof
- School of Nutrition, Université Laval, Quebec city, Québec, Canada
- Quebec Heart and Lung Institute Research Centre, Université Laval, Quebec city, Québec, Canada
| | - Laurent Biertho
- Quebec Heart and Lung Institute Research Centre, Université Laval, Quebec city, Québec, Canada
- Departement of Surgery, Université Laval, Quebec city, Québec, Canada
| | - Edward Owen D Waygood
- Department of Civil, Geological and Mining Engineering, Polytechnique Montreal, Montreal, Québec, Canada
| | - Alexandre Lebel
- Planning and Development Research Center, Université Laval, Quebec city, Québec, Canada
- Evaluation Platform on Obesity Prevention, Quebec Heart and Lung Research Institute, Quebec city, Québec, Canada
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37
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Turcotte AF, Grenier-Larouche T, Ung RV, Simonyan D, Carreau AM, Carpentier AC, Mac-Way F, Michou L, Tchernof A, Biertho L, Lebel S, Marceau S, Gagnon C. Effects of Biliopancreatic Diversion on Bone Turnover Markers and Association with Hormonal Factors in Patients with Severe Obesity. Obes Surg 2020; 29:990-998. [PMID: 30478790 DOI: 10.1007/s11695-018-3617-x] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
BACKGROUND This study evaluated early and medium-term changes in bone turnover markers, and their associations with weight loss, total bone mineral density (BMD), and hormonal changes after biliopancreatic diversion (BPD). METHODS Ancillary study from a one-year prospective cohort of 16 individuals assessed before, 3 days, 3 and 12 months after BPD. Bone turnover markers (C-terminal telopeptide (CTX), intact osteocalcin (OC), sclerostin, and osteoprotegerin (OPG)) and several hormones were measured at each visit. Total BMD by DXA was assessed at baseline, 3 and 12 months after BPD. Three participants were lost to follow-up. RESULTS CTX increased significantly at 3 days (+ 66%), 3 months (+ 219%), and 12 months (+ 295%). OC decreased at 3 days (- 19%) then increased at 3 months (+ 69%) and 12 months (+ 164%). Change in sclerostin was only significant between 3 days and 3 months (+ 13%), while change in OPG was significant between baseline and 3 days (+ 48%) and baseline and 12 months (+ 45%). CTX increase correlated negatively with weight loss at 3 (r = - 0.63, p = 0.009) and 12 months (r = - 0.58, p = 0.039), and total BMD decrease (r = - 0.67, p = 0.033) at 12 months. Change in insulin and adiponectin correlated with changes in bone turnover markers independently of weight loss. CONCLUSION BPD causes an earlier and greater increase in bone resorption over bone formation markers and a decrease in total BMD. Sclerostin did not increase as expected following extensive weight loss. Changes in insulin and adiponectin seem to play a role in the activation of bone remodeling after BPD.
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Affiliation(s)
- Anne-Frédérique Turcotte
- Endocrinology and Nephrology Unit, CHU de Québec Research Centre, 2705, Boulevard Laurier, Québec City, QC, G1V 4G2, Canada
| | - Thomas Grenier-Larouche
- CHU de Sherbrooke Research Centre, Sherbrooke, Canada.,Department of Medicine, Université de Sherbrooke, Sherbrooke, Canada
| | - Roth-Visal Ung
- Endocrinology and Nephrology Unit, CHU de Québec Research Centre, 2705, Boulevard Laurier, Québec City, QC, G1V 4G2, Canada
| | - David Simonyan
- Clinical and Evaluative Research Platform, CHU de Québec-Université Laval Research Centre, Québec City, QC, Canada
| | - Anne-Marie Carreau
- CHU de Sherbrooke Research Centre, Sherbrooke, Canada.,Department of Medicine, Université de Sherbrooke, Sherbrooke, Canada
| | - André C Carpentier
- CHU de Sherbrooke Research Centre, Sherbrooke, Canada.,Department of Medicine, Université de Sherbrooke, Sherbrooke, Canada
| | - Fabrice Mac-Way
- Endocrinology and Nephrology Unit, CHU de Québec Research Centre, 2705, Boulevard Laurier, Québec City, QC, G1V 4G2, Canada.,Department of Medicine, Université Laval, Québec City, Canada
| | - Laetitia Michou
- Endocrinology and Nephrology Unit, CHU de Québec Research Centre, 2705, Boulevard Laurier, Québec City, QC, G1V 4G2, Canada.,Department of Medicine, Université Laval, Québec City, Canada
| | - André Tchernof
- Endocrinology and Nephrology Unit, CHU de Québec Research Centre, 2705, Boulevard Laurier, Québec City, QC, G1V 4G2, Canada.,Department of Medicine, Université Laval, Québec City, Canada.,Québec Heart and Lung Institute Research Centre, Québec City, Canada.,Institute of Nutrition and Functional Foods, Université Laval, Quebec City, QC, Canada
| | - Laurent Biertho
- Québec Heart and Lung Institute Research Centre, Québec City, Canada.,Department of Surgery, Université Laval, Québec City, Canada
| | - Stefane Lebel
- Québec Heart and Lung Institute Research Centre, Québec City, Canada.,Department of Surgery, Université Laval, Québec City, Canada
| | - Simon Marceau
- Québec Heart and Lung Institute Research Centre, Québec City, Canada.,Department of Surgery, Université Laval, Québec City, Canada
| | - Claudia Gagnon
- Endocrinology and Nephrology Unit, CHU de Québec Research Centre, 2705, Boulevard Laurier, Québec City, QC, G1V 4G2, Canada. .,Department of Medicine, Université Laval, Québec City, Canada. .,Québec Heart and Lung Institute Research Centre, Québec City, Canada. .,Institute of Nutrition and Functional Foods, Université Laval, Quebec City, QC, Canada.
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38
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Lacombe J, Al Rifai O, Loter L, Moran T, Turcotte AF, Grenier-Larouche T, Tchernof A, Biertho L, Carpentier AC, Prud'homme D, Rabasa-Lhoret R, Karsenty G, Gagnon C, Jiang W, Ferron M. Measurement of bioactive osteocalcin in humans using a novel immunoassay reveals association with glucose metabolism and β-cell function. Am J Physiol Endocrinol Metab 2020; 318:E381-E391. [PMID: 31935114 PMCID: PMC7395472 DOI: 10.1152/ajpendo.00321.2019] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
Abstract
Osteocalcin (OCN) is a bone-derived hormone involved in the regulation of glucose metabolism. In serum, OCN exists in carboxylated and uncarboxylated forms (ucOCN), and studies in rodents suggest that ucOCN is the bioactive form of this hormone. Whether this is also the case in humans is unclear, because a reliable assay to measure ucOCN is not available. Here, we established and validated a new immunoassay (ELISA) measuring human ucOCN and used it to determine the level of bioactive OCN in two cohorts of overweight or obese subjects, with or without type 2 diabetes (T2D). The ELISA could specifically detect ucOCN concentrations ranging from 0.037 to 1.8 ng/mL. In a first cohort of overweight or obese postmenopausal women without diabetes (n = 132), ucOCN correlated negatively with fasting glucose (r = -0.18, P = 0.042) and insulin resistance assessed by the homeostatic model assessment of insulin resistance (r = -0.18, P = 0.038) and positively with insulin sensitivity assessed by a hyperinsulinemic-euglycemic clamp (r = 0.18, P = 0.043) or insulin sensitivity index derived from an oral glucose tolerance test (r = 0.26, P = 0.003). In a second cohort of subjects with severe obesity (n = 16), ucOCN was found to be lower in subjects with T2D compared with those without T2D (2.76 ± 0.38 versus 4.52 ± 0.06 ng/mL, P = 0.009) and to negatively correlate with fasting glucose (r = -0.50, P = 0.046) and glycated hemoglobin (r = -0.57, P = 0.021). Moreover, the subjects with ucOCN levels below 3 ng/mL had a reduced insulin secretion rate during a hyperglycemic clamp (P = 0.03). In conclusion, ucOCN measured with this novel and specific assay is inversely associated with insulin resistance and β-cell dysfunction in humans.
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Affiliation(s)
- Julie Lacombe
- Unité de Recherche en Physiologie Moléculaire, Institut de Recherches Cliniques de Montréal, Montréal, Québec, Canada
| | - Omar Al Rifai
- Unité de Recherche en Physiologie Moléculaire, Institut de Recherches Cliniques de Montréal, Montréal, Québec, Canada
- Department of Medicine, Université de Montréal, Québec, Canada
| | | | - Thomas Moran
- Center for Therapeutic Antibody Development, Icahn School of Medicine at Mount Sinai, New York, New York
| | - Anne-Frédérique Turcotte
- Endocrinology and Nephrology Unit, CHU de Québec-Université Laval Research Center, Québec City, Québec, Canada
| | - Thomas Grenier-Larouche
- Québec Heart and Lung Institute Research Centre, Québec City, Québec, Canada
- Service d'Endocrinologie, Département de Médecine, Centre de Recherche du CHUS, Université de Sherbrooke, Sherbrooke, Québec, Canada
| | - André Tchernof
- Québec Heart and Lung Institute Research Centre, Québec City, Québec, Canada
| | - Laurent Biertho
- Québec Heart and Lung Institute Research Centre, Québec City, Québec, Canada
| | - André C Carpentier
- Service d'Endocrinologie, Département de Médecine, Centre de Recherche du CHUS, Université de Sherbrooke, Sherbrooke, Québec, Canada
| | - Denis Prud'homme
- School of Human Kinetics, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada
- Institut du Savoir Montfort, Ottawa, Ontario, Canada
| | - Rémi Rabasa-Lhoret
- Département de Nutrition, Université de Montréal, Montréal, Québec, Canada
- Unité de Recherche en Maladies Métaboliques, Institut de Recherches Cliniques de Montréal, Montréal, Québec, Canada
| | - Gerard Karsenty
- Department of Genetics and Development, Columbia University Medical Center, New York, New York
| | - Claudia Gagnon
- Endocrinology and Nephrology Unit, CHU de Québec-Université Laval Research Center, Québec City, Québec, Canada
- Québec Heart and Lung Institute Research Centre, Québec City, Québec, Canada
- Department of Medicine, Université Laval, Québec City, Québec, Canada
| | | | - Mathieu Ferron
- Unité de Recherche en Physiologie Moléculaire, Institut de Recherches Cliniques de Montréal, Montréal, Québec, Canada
- Department of Medicine, Université de Montréal, Québec, Canada
- Department of Medicine, Division of Experimental Medicine, McGill University, Montréal, Québec, Canada
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39
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Anhê FF, Jensen BAH, Varin TV, Servant F, Van Blerk S, Richard D, Marceau S, Surette M, Biertho L, Lelouvier B, Schertzer JD, Tchernof A, Marette A. Type 2 diabetes influences bacterial tissue compartmentalisation in human obesity. Nat Metab 2020; 2:233-242. [PMID: 32694777 DOI: 10.1038/s42255-020-0178-9] [Citation(s) in RCA: 103] [Impact Index Per Article: 25.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/22/2020] [Accepted: 02/05/2020] [Indexed: 12/13/2022]
Abstract
Visceral obesity is a key risk factor for type 2 diabetes (T2D). Whereas gut dysbiosis appears to be instrumental for this relationship, whether gut-associated signatures translocate to extra-intestinal tissues and how this affects host metabolism remain elusive. Here we provide a comparative analysis of the microbial profile found in plasma, liver and in three distinct adipose tissues of individuals with morbid obesity. We explored how these tissue microbial signatures vary between individuals with normoglycaemia and those with T2D that were matched for body mass index. We identified tissue-specific signatures with higher bacterial load in the liver and omental adipose tissue. Gut commensals, but also environmental bacteria, showed tissue- and T2D-specific compartmentalisation. T2D signatures were most evident in mesenteric adipose tissue, in which individuals with diabetes displayed reduced bacterial diversity concomitant with fewer Gram-positive bacteria, such as Faecalibacterium, as opposed to enhanced levels of typically opportunistic Gram-negative Enterobacteriaceae. Plasma samples of individuals with diabetes were similarly enriched in Enterobacteriaceae, including the pathobiont Escherichia-Shigella. Our work provides evidence for the presence of selective plasma and tissue microbial signatures in individuals with severe obesity and identifies new potential microbial targets and biomarkers of T2D.
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Affiliation(s)
- Fernando F Anhê
- Québec Heart and Lung Research Institute, Laval University, Québec, Québec, Canada
- Department of Biochemistry and Biomedical Sciences, Farncombe Family Digestive Health Research Institute and Centre for Metabolism Obesity and Diabetes Research, McMaster University, Hamilton, Ontario, Canada
| | - Benjamin Anderschou Holbech Jensen
- Québec Heart and Lung Research Institute, Laval University, Québec, Québec, Canada
- Novo Nordisk Foundation Center for Basic Metabolic Research, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
| | - Thibault V Varin
- Québec Heart and Lung Research Institute, Laval University, Québec, Québec, Canada
| | | | | | - Denis Richard
- Québec Heart and Lung Research Institute, Laval University, Québec, Québec, Canada
| | - Simon Marceau
- Québec Heart and Lung Research Institute, Laval University, Québec, Québec, Canada
| | - Michael Surette
- Department of Biochemistry and Biomedical Sciences, Farncombe Family Digestive Health Research Institute and Centre for Metabolism Obesity and Diabetes Research, McMaster University, Hamilton, Ontario, Canada
| | - Laurent Biertho
- Québec Heart and Lung Research Institute, Laval University, Québec, Québec, Canada
| | | | - Jonathan D Schertzer
- Department of Biochemistry and Biomedical Sciences, Farncombe Family Digestive Health Research Institute and Centre for Metabolism Obesity and Diabetes Research, McMaster University, Hamilton, Ontario, Canada
| | - André Tchernof
- Québec Heart and Lung Research Institute, Laval University, Québec, Québec, Canada
| | - André Marette
- Québec Heart and Lung Research Institute, Laval University, Québec, Québec, Canada.
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40
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Pirlet C, Voisine P, Poirier P, Cieza T, Ruzsa Z, Bagur R, Julien F, Hould FS, Biertho L, Bertrand OF. Outcomes in Patients with Obesity and Coronary Artery Disease with and Without Bariatric Surgery. Obes Surg 2020; 30:2085-2092. [DOI: 10.1007/s11695-020-04467-7] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
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41
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Vijay J, Gauthier MF, Biswell RL, Louiselle DA, Johnston JJ, Cheung WA, Belden B, Pramatarova A, Biertho L, Gibson M, Simon MM, Djambazian H, Staffa A, Bourque G, Laitinen A, Nystedt J, Vohl MC, Fraser JD, Pastinen T, Tchernof A, Grundberg E. Single-cell analysis of human adipose tissue identifies depot and disease specific cell types. Nat Metab 2020; 2:97-109. [PMID: 32066997 PMCID: PMC7025882 DOI: 10.1038/s42255-019-0152-6] [Citation(s) in RCA: 219] [Impact Index Per Article: 54.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
The complex relationship between metabolic disease risk and body fat distribution in humans involves cellular characteristics which are specific to body fat compartments. Here we show depot-specific differences in the stromal vascual fraction of visceral and subcutaneous adipose tissue by performing single-cell RNA sequencing of tissue specimen from obese individuals. We characterize multiple immune cells, endothelial cells, fibroblasts, adipose and hematopoietic stem cell progenitors. Subpopulations of adipose-resident immune cells are metabolically active and associated with metabolic disease status and those include a population of potential dysfunctional CD8+ T cells expressing metallothioneins. We identify multiple types of adipocyte progenitors that are common across depots, including a subtype enriched in individuals with type 2 diabetes. Depot-specific analysis reveals a class of adipocyte progenitors unique to visceral adipose tissue, which shares common features with beige preadipocytes. Our human single-cell transcriptome atlas across fat depots provides a resource to dissect functional genomics of metabolic disease.
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Affiliation(s)
- Jinchu Vijay
- Department of Human Genetics, McGill University, Montreal, Québec, Canada
- McGill University and Genome Québec Innovation Centre, Montreal, Québec, Canada
| | | | - Rebecca L Biswell
- Center for Pediatric Genomic Medicine, Children's Mercy Kansas City, Kansas City, MO, USA
| | - Daniel A Louiselle
- Center for Pediatric Genomic Medicine, Children's Mercy Kansas City, Kansas City, MO, USA
| | - Jeffrey J Johnston
- Center for Pediatric Genomic Medicine, Children's Mercy Kansas City, Kansas City, MO, USA
| | - Warren A Cheung
- Center for Pediatric Genomic Medicine, Children's Mercy Kansas City, Kansas City, MO, USA
| | - Bradley Belden
- Center for Pediatric Genomic Medicine, Children's Mercy Kansas City, Kansas City, MO, USA
| | - Albena Pramatarova
- McGill University and Genome Québec Innovation Centre, Montreal, Québec, Canada
| | - Laurent Biertho
- Québec Heart and Lung Institute, Université Laval, Québec, Québec, Canada
| | - Margaret Gibson
- Center for Pediatric Genomic Medicine, Children's Mercy Kansas City, Kansas City, MO, USA
| | | | - Haig Djambazian
- McGill University and Genome Québec Innovation Centre, Montreal, Québec, Canada
| | - Alfredo Staffa
- McGill University and Genome Québec Innovation Centre, Montreal, Québec, Canada
| | - Guillaume Bourque
- Department of Human Genetics, McGill University, Montreal, Québec, Canada
- McGill University and Genome Québec Innovation Centre, Montreal, Québec, Canada
| | | | | | - Marie-Claude Vohl
- Institute of Nutrition and Functional Foods (INAF), Université Laval, Québec, Québec, Canada
| | - Jason D Fraser
- Department of Surgery, Children's Mercy Kansas City, Kansas City, MO, USA
| | - Tomi Pastinen
- Center for Pediatric Genomic Medicine, Children's Mercy Kansas City, Kansas City, MO, USA
| | - André Tchernof
- Québec Heart and Lung Institute, Université Laval, Québec, Québec, Canada.
| | - Elin Grundberg
- Center for Pediatric Genomic Medicine, Children's Mercy Kansas City, Kansas City, MO, USA.
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Pirlet C, Biertho L, Poirier P, Marceau S, Marceau P, Biron S, Hould FS, Lebel S, Lescelleur O, Julien F, Lafortune-Payette A, Bertrand OF. Comparison of Short and Long Term Cardiovascular Outcomes After Bariatric Surgery in Patients With vs Without Coronary Artery Disease. Am J Cardiol 2020; 125:40-47. [PMID: 31694775 DOI: 10.1016/j.amjcard.2019.09.041] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/25/2019] [Revised: 09/23/2019] [Accepted: 09/25/2019] [Indexed: 12/12/2022]
Abstract
There is little data regarding the risks and benefits of bariatric surgery in patients with coronary artery disease (CAD). We aimed to assess the short- and long-term cardiovascular outcomes of patients with CAD undergoing bariatric surgery. Patients with a history of CAD were identified from a dedicated database with prospectively collected outcomes, comprising all 6795 patients who underwent bariatric surgery between January 1992 and October 2017. Patients were matched with patients who did not have CAD before the bariatric surgery procedure. The primary endpoints were mortality (cardiac and noncardiac) and major adverse cardiocerebral events (MACCE), including all-cause death, myocardial infarction, stroke, and myocardial revascularization at 30 days after bariatric surgery and throughout follow-up. After propensity score matching, 249 patients with chronic CAD were matched with 249 patients without CAD. Throughout follow-up (7.4 years; interquartile range 4.1 to 11.5, maximum 22 years), mortality (mainly cardiac mortality) remained significantly higher in the CAD compared with the non-CAD group (18% vs 10%, hazard ratio [HR] 1.70, 95% confidence interval [CI]: 1.03 to 2.79, p = 0.037). At 30 days, MACCE rate was significantly higher in the CAD compared with the non-CAD group (3.6% vs 0.4%, p = 0.011), essentially driven by non-ST elevation myocardial infarctions. After 30 days, MACCE rates remained significantly higher in the CAD group (30% vs 14%, HR 2.18, 95% CI: 1.45-3.28, p = 0.0002). In conclusion, patients with severe obesity and CAD referred to bariatric surgery were at a higher risk of early and late MACCE compared with non-CAD severely obese patients. Further study is required to define how this cardiovascular risk compares with nonoperated patients.
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43
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Brunault P, Berthoz S, Gearhardt AN, Gierski F, Kaladjian A, Bertin E, Tchernof A, Biertho L, de Luca A, Hankard R, Courtois R, Ballon N, Benzerouk F, Bégin C. The Modified Yale Food Addiction Scale 2.0: Validation Among Non-Clinical and Clinical French-Speaking Samples and Comparison With the Full Yale Food Addiction Scale 2.0. Front Psychiatry 2020; 11:480671. [PMID: 33033480 PMCID: PMC7509420 DOI: 10.3389/fpsyt.2020.480671] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/25/2019] [Accepted: 08/14/2020] [Indexed: 12/19/2022] Open
Abstract
OBJECTIVES The modified Yale Food Addiction Scale 2.0 (mYFAS 2.0) was designed to assess food addiction using a shorter version than the YFAS 2.0. We lack data about the psychometric properties of the mYFAS 2.0 in patients with obesity, as well as studies comparing the psychometric properties of the mYFAS 2.0 versus the full YFAS 2.0. This study aimed to validate the French-language mYFAS 2.0 in a non-clinical population (study 1, n = 250), to determine the yet unknown psychometric properties of this scale in patients with obesity (study 2, n = 345), and to compare the full YFAS 2.0 and the mYFAS 2.0 in terms of food addiction (FA) prevalence and symptoms detection in both populations. METHOD Study 1 included 250 non-clinical individuals (non-underweight and non-obese persons screened negative for eating disorders). Study 2 included 345 bariatric surgery candidates recruited in three centers (Québec, Canada; Reims and Tours, France). The mYFAS 2.0 structure was investigated using confirmatory factorial analyses with tetrachoric correlations. Convergent validity was tested using the full YFAS 2.0, the Binge Eating Scale (both studies), the revised 18-item Three Factor Eating Questionnaire (study 1), the Beck Depression Inventory (study 2), and the body mass index (BMI; both studies). RESULTS The mYFAS 2.0 was unidimensional, and had adequate (study 1: KR-20 = .78) and acceptable (study 2: KR-20 = .73) internal consistency. In study 1, the mYFAS 2.0 had good convergent validity with the YFAS 2.0, BMI, binge eating, cognitive restraint, uncontrolled eating and emotional eating; in study 2, the mYFAS 2.0 had good convergent validity with the YFAS 2.0, binge eating, depression, but not BMI. Participants endorsed fewer symptoms with the mYFAS 2.0 than with the YFAS 2.0; FA prevalences were similar between questionnaires in the non-clinical, but not in the clinical sample. A FA 'diagnosis' and risk of binge eating disorder were associated but did not completely overlap. CONCLUSIONS The mYFAS 2.0 has close psychometric properties to the YFAS 2.0 in non-clinical and clinical samples. However, the use of the mYFAS 2.0 in bariatric surgery candidates might lead to a significant underestimation of FA prevalence and number of FA symptoms.
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Affiliation(s)
- Paul Brunault
- UMR 1253, iBrain, Université de Tours, Inserm, Tours, France.,CHRU de Tours, Service d'Addictologie Universitaire, Équipe de Liaison et de Soins en Addictologie, Tours, France.,Qualipsy EE 1901, Université de Tours, Tours, France
| | - Sylvie Berthoz
- Univ. Bordeaux, CNRS, EPHE, INCIA, UMR 5287, Bordeaux, Paris, France.,Département de Psychiatrie de l'Adolescent et du Jeune Adulte, Institut Mutualiste Montsouris, Paris, France
| | - Ashley N Gearhardt
- Department of Psychology, University of Michigan, Ann Arbor, MI, United States
| | - Fabien Gierski
- CHU de Reims, Pôle de Psychiatrie adulte, Hôpital Robert Debré, Reims, France.,Université Reims Champagne-Ardenne (URCA), laboratoire C2S (EA 6291), Reims, France
| | - Arthur Kaladjian
- CHU de Reims, Pôle de Psychiatrie adulte, Hôpital Robert Debré, Reims, France.,Université Reims Champagne-Ardenne (URCA), laboratoire C2S (EA 6291), Reims, France
| | - Eric Bertin
- CHU de Reims, Service d'Endocrinologie-Diabète-Nutrition, Hôpital Robert-Debré, Reims, France
| | - André Tchernof
- Institut de Cardiologie et de Pneumologie de Québec, Université Laval, Québec, QC, Canada
| | - Laurent Biertho
- Institut de Cardiologie et de Pneumologie de Québec, Université Laval, Québec, QC, Canada
| | - Arnaud de Luca
- CHRU de Tours, Service de Médecine Interne-Nutrition, Tours, France.,Université de Tours, Inserm, UMR 1069, Tours, France
| | - Régis Hankard
- CHRU de Tours, Service de Médecine Interne-Nutrition, Tours, France.,Université de Tours, Inserm, UMR 1069, Tours, France
| | - Robert Courtois
- Qualipsy EE 1901, Université de Tours, Tours, France.,CHRU de Tours, Clinique Psychiatrique Universitaire, CRIAVS, Tours, France
| | - Nicolas Ballon
- UMR 1253, iBrain, Université de Tours, Inserm, Tours, France.,CHRU de Tours, Service d'Addictologie Universitaire, Équipe de Liaison et de Soins en Addictologie, Tours, France
| | - Farid Benzerouk
- CHU de Reims, Pôle de Psychiatrie adulte, Hôpital Robert Debré, Reims, France.,Université Reims Champagne-Ardenne (URCA), laboratoire C2S (EA 6291), Reims, France
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Proulx É, Auclair A, Piché ME, Harvey J, Pettigrew M, Biertho L, Marceau S, Poirier P. Safety of Blood Glucose Response Following Exercise Training After Bariatric Surgery. Obes Surg 2019; 28:3976-3983. [PMID: 30097897 DOI: 10.1007/s11695-018-3449-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
INTRODUCTION Safety of exercise training in relationship with the risk of hypoglycemia post-bariatric surgery is unknown. OBJECTIVE To evaluate the safety and magnitude of changes in blood glucose levels during exercise training following bariatric surgery. MATERIAL AND METHODS Twenty-nine severely obese patients undergoing either sleeve gastrectomy (SG) (n = 16) or biliopancreatic diversion with duodenal switch (BPD-DS) (n = 13) were prospectively enrolled. Three months after surgery, patients participated in a 12-week supervised exercise training program, (35-min aerobic training with a 25-min resistance exercises) three times a week. Capillary blood glucose (CBG) levels were measured immediately before and after each exercise session. RESULTS Seven patients (24%) had type 2 diabetes before surgery (mean duration: 10 years); four patients still have type 2 diabetes 3 months post-bariatric surgery. A total of 577 exercise training sessions with CBG monitoring were recorded. Only seven sessions (1.2%) were associated with an episode of asymptomatic hypoglycemia (CBG ≤ 3.9 mmol/L). Patients with type 2 diabetes at baseline showed a larger decrease in CBG with pre-exercise CBG being between 6.1 and 8.0 mmol/L (- 1.6 ± 1.2 vs. - 1.1 ± 0.9 mmol/L, p = 0.02). BPD-DS patients with CBG ≥ 6.1 mmol/L showed higher reduction in CBG following exercise vs. SG patients (- 1.7 ± 1.0 vs. - 1.1 ± 1.1 mmol/L; p < 0.001 and - 4.3 ± 1.0 vs. - 2.2 ± 1.4 mmol/L, p < 0.001, respectively). CONCLUSION Three months after bariatric surgery, exercise training program in patients without and with type 2 diabetes is safe, and is associated with a desirable glycemic profile, with few episodes of asymptomatic hypoglycemia.
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Affiliation(s)
| | - Audrey Auclair
- Laval University, Québec, Canada
- Institut Universitaire de Cardiologie et de Pneumologie de Québec, 2725 Chemin Sainte-Foy, Québec City, QC, G1V 4G5, Canada
| | - Marie-Eve Piché
- Laval University, Québec, Canada
- Institut Universitaire de Cardiologie et de Pneumologie de Québec, 2725 Chemin Sainte-Foy, Québec City, QC, G1V 4G5, Canada
| | - Jany Harvey
- Laval University, Québec, Canada
- Institut Universitaire de Cardiologie et de Pneumologie de Québec, 2725 Chemin Sainte-Foy, Québec City, QC, G1V 4G5, Canada
| | - Myriam Pettigrew
- Laval University, Québec, Canada
- Institut Universitaire de Cardiologie et de Pneumologie de Québec, 2725 Chemin Sainte-Foy, Québec City, QC, G1V 4G5, Canada
| | - Laurent Biertho
- Laval University, Québec, Canada
- Institut Universitaire de Cardiologie et de Pneumologie de Québec, 2725 Chemin Sainte-Foy, Québec City, QC, G1V 4G5, Canada
| | - Simon Marceau
- Laval University, Québec, Canada
- Institut Universitaire de Cardiologie et de Pneumologie de Québec, 2725 Chemin Sainte-Foy, Québec City, QC, G1V 4G5, Canada
| | - Paul Poirier
- Laval University, Québec, Canada.
- Institut Universitaire de Cardiologie et de Pneumologie de Québec, 2725 Chemin Sainte-Foy, Québec City, QC, G1V 4G5, Canada.
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Lebel A, Auclair A, Pettigrew M, Thibault M, Ménard-Cholette V, Poirier P, Marceau S, Biertho L. IS THE 6 MINUTE WALK TEST A MAXIMAL TEST IN SEVERE OBESITY: COMPARISON WITH THE CARDIOPULMONARY EXERCISE TEST, THE VO2 MAX? Can J Cardiol 2019. [DOI: 10.1016/j.cjca.2019.07.512] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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Bourgeois R, Piché ME, Auclair A, Grenier-Larouche T, Mitchell PL, Poirier P, Biertho L, Marceau S, Hould FS, Biron S, Lebel S, Lescelleur O, Julien F, Martin J, Tchernof A, Mathieu P, Carpentier AC, Arsenault BJ. Acute and chronic effect of bariatric surgery on circulating autotaxin levels. Physiol Rep 2019; 7:e14004. [PMID: 30821134 PMCID: PMC6395307 DOI: 10.14814/phy2.14004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2018] [Revised: 01/09/2019] [Accepted: 01/11/2019] [Indexed: 01/02/2023] Open
Abstract
Autotaxin (ATX), an adipose tissue-derived lysophospholipase, has been involved in the pathophysiology of cardiometabolic diseases. The impact of bariatric surgery on circulating ATX levels is unknown. We examined the short- (24 h, 5 days) and longer-term (6 and 12 months) impact of bariatric surgery; as well as the short-term effect of caloric restriction (CR) on plasma ATX levels in patients with severe obesity. We measured ATX levels in 69 men and women (mean age: 41 ± 11 years, body mass index: 49.8 ± 7.1 kg/m2 ), before and after biliopancreatic diversion with duodenal switch surgery (BPD-DS) as well as in a control group (patients with severe obesity without surgery; n = 34). We also measured ATX levels in seven patients with severe obesity and type 2 diabetes who underwent a 3-day CR protocol before their BPD-DS. At baseline, ATX levels were positively associated with body mass index, fat mass, insulin resistance (HOMA-IR) as well as insulin and leptin levels and negatively with fat-free mass. ATX concentrations decreased 26.2% at 24 h after BPD-DS (342.9 ± 152.3 pg/mL to 253.2 ± 68.9 pg/mL, P < 0.0001) and by 16.4% at 12 months after BPD-DS (342.9 ± 152.3 pg/mL to 286.8 ± 182.6 pg/mL, P = 0.04). ATX concentrations were unchanged during follow-up in the control group (P = 0.4), and not influenced by short-term CR. In patients with severe obesity, bariatric surgery induced a rapid and sustained decrease in plasma ATX levels. Acute changes in ATX may not be explained by bariatric surgery-induced CR.
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Affiliation(s)
- Raphaëlle Bourgeois
- Centre de recherche de l'Institut universitaire de cardiologie et de pneumologie de Québec, Québec, Canada
- Department of Medicine, Faculty of Medicine, Université Laval, Québec, Canada
| | - Marie-Eve Piché
- Centre de recherche de l'Institut universitaire de cardiologie et de pneumologie de Québec, Québec, Canada
- Department of Medicine, Faculty of Medicine, Université Laval, Québec, Canada
| | - Audrey Auclair
- Centre de recherche de l'Institut universitaire de cardiologie et de pneumologie de Québec, Québec, Canada
| | - Thomas Grenier-Larouche
- Centre de recherche de l'Institut universitaire de cardiologie et de pneumologie de Québec, Québec, Canada
| | - Patricia L Mitchell
- Centre de recherche de l'Institut universitaire de cardiologie et de pneumologie de Québec, Québec, Canada
| | - Paul Poirier
- Centre de recherche de l'Institut universitaire de cardiologie et de pneumologie de Québec, Québec, Canada
- Faculty of Pharmacy, Université Laval, Québec, Canada
| | - Laurent Biertho
- Centre de recherche de l'Institut universitaire de cardiologie et de pneumologie de Québec, Québec, Canada
| | - Simon Marceau
- Centre de recherche de l'Institut universitaire de cardiologie et de pneumologie de Québec, Québec, Canada
| | - Frédéric-Simon Hould
- Centre de recherche de l'Institut universitaire de cardiologie et de pneumologie de Québec, Québec, Canada
| | - Simon Biron
- Centre de recherche de l'Institut universitaire de cardiologie et de pneumologie de Québec, Québec, Canada
| | - Stéfane Lebel
- Centre de recherche de l'Institut universitaire de cardiologie et de pneumologie de Québec, Québec, Canada
| | - Odette Lescelleur
- Centre de recherche de l'Institut universitaire de cardiologie et de pneumologie de Québec, Québec, Canada
| | - François Julien
- Centre de recherche de l'Institut universitaire de cardiologie et de pneumologie de Québec, Québec, Canada
| | - Julie Martin
- Centre de recherche de l'Institut universitaire de cardiologie et de pneumologie de Québec, Québec, Canada
| | - André Tchernof
- Centre de recherche de l'Institut universitaire de cardiologie et de pneumologie de Québec, Québec, Canada
- School of Nutrition, Université Laval, Québec, Canada
| | - Patrick Mathieu
- Centre de recherche de l'Institut universitaire de cardiologie et de pneumologie de Québec, Québec, Canada
- Department of Surgery, Faculty of Medicine, Université Laval, Québec, Canada
| | - André C Carpentier
- Department of Medicine, Division of Endocrinology, Centre de recherche du CHUS, Université de Sherbrooke, Canada
| | - Benoit J Arsenault
- Centre de recherche de l'Institut universitaire de cardiologie et de pneumologie de Québec, Québec, Canada
- Department of Medicine, Faculty of Medicine, Université Laval, Québec, Canada
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Affiliation(s)
- Laurent Biertho
- Quebec Heart and Lung Institute, Department of Surgery, Laval University, Quebec City, Quebec, Canada
| | - Simon Marceau
- Quebec Heart and Lung Institute, Department of Surgery, Laval University, Quebec City, Quebec, Canada
| | - Simon Biron
- Quebec Heart and Lung Institute, Department of Surgery, Laval University, Quebec City, Quebec, Canada.
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Rodrigue C, Ouellette AS, Lemieux S, Tchernof A, Biertho L, Bégin C. Executive functioning and psychological symptoms in food addiction: a study among individuals with severe obesity. Eat Weight Disord 2018; 23:469-478. [PMID: 29947017 DOI: 10.1007/s40519-018-0530-1] [Citation(s) in RCA: 31] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/03/2018] [Accepted: 06/16/2018] [Indexed: 12/21/2022] Open
Abstract
Food addiction (FA) has recently emerged as a new field in the study of obesity. Previous studies have contributed to identifying psychological correlates of FA. However, few researchers have examined the cognitive profile related to this condition; up until now, attentional biases related to food cues and a poorer performance monitoring have been observed. The present study aimed to examine the psychological profile and executive functioning related to FA in individuals with severe obesity and awaiting bariatric surgery. Participants (N = 86) were split into two groups, according to their level of FA symptoms (low FA vs high FA). Groups were compared on questionnaires measuring binge eating, depression and anxiety symptoms, and impulsivity as well as on measures reflecting executive functioning (D-KEFS and BRIEF-A). The relationship between FA groups and patterns of errors during the D-KEFS' Color-Word Interference Test was further analyzed. Individuals within the high FA group reported significantly more binge eating, depressive and anxiety symptoms, and more metacognitive difficulties. They also tended to show a poorer inhibition/cognitive flexibility score and a typical pattern of errors, characterized by an increased number of errors as the tasks' difficulty rose as opposed to a decreased number of errors, which characterizes an atypical pattern of errors. The present results show that the inability to learn from errors or past experiences is related to the severity of FA and overall impairments.Level of evidence Level V, descriptive study.
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Affiliation(s)
| | | | - Simone Lemieux
- School of Nutrition, Laval University, Quebec City, Canada.,Institute of Nutrition and Functional Foods, Laval University, Quebec City, Canada
| | - André Tchernof
- School of Nutrition, Laval University, Quebec City, Canada.,Institute of Nutrition and Functional Foods, Laval University, Quebec City, Canada.,Quebec Heart and Lung Institute, Quebec City, Canada
| | - Laurent Biertho
- Quebec Heart and Lung Institute, Quebec City, Canada.,Department of Surgery, Laval University, Quebec City, Canada
| | - Catherine Bégin
- School of Psychology, Laval University, Quebec City, Canada. .,Institute of Nutrition and Functional Foods, Laval University, Quebec City, Canada. .,Quebec Heart and Lung Institute, Quebec City, Canada.
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49
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Auclair A, Biertho L, Marceau S, Hould FS, Biron S, Lebel S, Julien F, Lescelleur O, Lacasse Y, Piché ME, Cianflone K, Parlee SD, Goralski K, Martin J, Bastien M, St-Pierre DH, Poirier P. Bariatric Surgery-Induced Resolution of Hypertension and Obstructive Sleep Apnea: Impact of Modulation of Body Fat, Ectopic Fat, Autonomic Nervous Activity, Inflammatory and Adipokine Profiles. Obes Surg 2018; 27:3156-3164. [PMID: 28555408 DOI: 10.1007/s11695-017-2737-z] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
BACKGROUND Obesity-associated systemic hypertension (HTN) and obstructive sleep apnea (OSA) have multiple pathophysiological pathways including ectopic fat deposition, inflammation, altered adipokine profile, and increased sympathetic nervous activity. We characterized these potential mechanisms in severely obese patients with or without HTN and OSA. We also compared changes of these mechanisms at 12 months following biliopancreatic diversion with duodenal switch (BPD-DS) surgery according to HTN and OSA resolution. METHODS Sixty-two severely obese patients were evaluated at baseline and 12 months; 40 patients underwent BPD-DS. Blood samples, bioelectrical impedance analysis, computed tomography scan, and 24-h heart rate monitoring were performed. OSA have been determined with polysomnography and HTN with blood pressure measurement and medical file. RESULTS Patients with HTN (n = 35) and OSA (n = 32) were older men with higher ectopic fat deposition and lower parasympathetic nervous activity without difference in adipokines and inflammatory markers. Lower reduction in weight was observed in patients with unresolved HTN (-40.9 ± 3.3 kg vs. -55.6 ± 3.8 kg; p = 0.001) and OSA (-41.4 ± 10.7 kg vs. -51.0 ± 15.2 kg; p = 0.006). Visceral adipose tissue reduction was lower in patients with unresolved HTN (-171.0 ± 25.7 cm2 vs. -274.5 ± 29.0 cm2; p = 0.001) in contrast to a trend for lower abdominal subcutaneous adipose tissue reduction in patients with unresolved OSA (-247.7 ± 91.5 cm2 vs. -390.5 ± 109.1 cm2; p = 0.08). At 12 months, parasympathetic activity was lowest in unresolved HTN and OSA patients, without difference in adipokines and inflammatory biomarkers. CONCLUSION Lower ectopic fat mobilization, lower level of parasympathetic nervous activity, and lower subcutaneous adiposity mobilization may play a role in the pathophysiology of unresolved HTN and OSA following BPD-DS surgery.
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Affiliation(s)
- Audrey Auclair
- Institut Universitaire de Cardiologie et de Pneumologie de Québec, Québec, Canada.,Faculty of Pharmacy, Laval University, Québec, Canada
| | - Laurent Biertho
- Institut Universitaire de Cardiologie et de Pneumologie de Québec, Québec, Canada.,Faculty of Medicine, Laval University, Québec, Canada
| | - Simon Marceau
- Institut Universitaire de Cardiologie et de Pneumologie de Québec, Québec, Canada.,Faculty of Medicine, Laval University, Québec, Canada
| | - Frédéric-Simon Hould
- Institut Universitaire de Cardiologie et de Pneumologie de Québec, Québec, Canada.,Faculty of Medicine, Laval University, Québec, Canada
| | - Simon Biron
- Institut Universitaire de Cardiologie et de Pneumologie de Québec, Québec, Canada.,Faculty of Medicine, Laval University, Québec, Canada
| | - Stéfane Lebel
- Institut Universitaire de Cardiologie et de Pneumologie de Québec, Québec, Canada.,Faculty of Medicine, Laval University, Québec, Canada
| | - François Julien
- Institut Universitaire de Cardiologie et de Pneumologie de Québec, Québec, Canada.,Faculty of Medicine, Laval University, Québec, Canada
| | - Odette Lescelleur
- Institut Universitaire de Cardiologie et de Pneumologie de Québec, Québec, Canada.,Faculty of Medicine, Laval University, Québec, Canada
| | - Yves Lacasse
- Institut Universitaire de Cardiologie et de Pneumologie de Québec, Québec, Canada
| | - Marie-Eve Piché
- Institut Universitaire de Cardiologie et de Pneumologie de Québec, Québec, Canada.,Faculty of Medicine, Laval University, Québec, Canada
| | - Katherine Cianflone
- Institut Universitaire de Cardiologie et de Pneumologie de Québec, Québec, Canada
| | - Sebastian Demian Parlee
- Department of Molecular & Integrative Physiology, University of Michigan School of Medicine, Detroit, USA
| | - Kerry Goralski
- College of Pharmacy, Dalhousie University, Halifax, Canada.,Department of Pharmacology, Dalhousie University, Halifax, Canada
| | - Julie Martin
- Institut Universitaire de Cardiologie et de Pneumologie de Québec, Québec, Canada.,Faculty of Pharmacy, Laval University, Québec, Canada
| | - Marjorie Bastien
- Institut Universitaire de Cardiologie et de Pneumologie de Québec, Québec, Canada.,Faculty of Pharmacy, Laval University, Québec, Canada
| | - David H St-Pierre
- Department of Exercise Sciences, Université du Québec à Montréal, Québec, Canada
| | - Paul Poirier
- Institut Universitaire de Cardiologie et de Pneumologie de Québec, Québec, Canada. .,Faculty of Pharmacy, Laval University, Québec, Canada.
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Dapri G, Himpens J, Biertho L, Gagner M. Three-trocar laparoscopic duodenal switch after sleeve gastrectomy. Surg Obes Relat Dis 2018; 14:869-873. [PMID: 29685506 DOI: 10.1016/j.soard.2018.03.011] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2018] [Accepted: 03/08/2018] [Indexed: 10/17/2022]
Abstract
Laparoscopic duodenal switch is a recognized bariatric procedure, which can be performed in one step or as a second step after laparoscopic sleeve gastrectomy (LSG). Mainly, indications as primary surgery are super-obese or super super-obese patients, and after LSG indications are the presence of insufficient weight loss or weight regain, associated with morbid obesity co-morbidities, without gastroesophageal reflux. In this video, the authors report the technique of reduced port laparoscopic duodenal switch after LSG. The procedure is performed using a 12-mm trocar in the umbilicus, a 5-mm trocar in the right flank, and a 5-mm trocar in the left flank. One or more temporary percutaneous sutures are passed into the hepatic ligaments to increase the exposure of the first duodenum. The optical system is switched from 10 mm to 5 mm and introduced in the left 5-mm flank trocar at the step of the linear stapler insertion through the umbilical trocar. Classic construction with 150-cm alimentary limb and 100-cm common limb is performed. The duodeno-jejunostomy is fashioned in an end-to-side handsewn technique and the jejuno-ileostomy in the side-to-side semimechanical linear stapler technique. Both Petersen and mesenteric defects are closed. The umbilical access is finally meticulously closed, avoiding incisional hernia. Reduced port laparoscopic duodenal switch after LSG is a safe and feasible technique. Besides the enhanced cosmetic outcomes, this surgery is associated with a reduced use of painkillers, fewer trocar complications, and quick patient convalescence.
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Affiliation(s)
- Giovanni Dapri
- Department of Gastrointestinal Surgery, European School of Laparoscopic Surgery, Saint-Pierre University Hospital, Université Libre de Bruxelles, Brussels, Belgium; Laboratory of Anatomy, Faculty of Medicine and Pharmacy, University of Mons, Mons, Belgium.
| | - Jacques Himpens
- Department of Gastrointestinal Surgery, European School of Laparoscopic Surgery, Saint-Pierre University Hospital, Université Libre de Bruxelles, Brussels, Belgium
| | - Laurent Biertho
- Quebec Heart and Lung Institute, Department of Surgery, Laval University, Quebec City, Quebec, Canada
| | - Michel Gagner
- Herbert Wertheim College of Medicine, Florida International University, Miami, Florida; Hôpital du Sacre Coeur, Montreal, Quebec, Canada
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