U.S. Department of
Health and Human Services

National Institutes of Health

WIN Notes

Winter 2007

WIN Notes is a quarterly newsletter produced by the Weight-control Information Network (WIN), a project of the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) of the National Institutes of Health (NIH), U.S. Department of Health and Human Services (DHHS). WIN provides consumers, health professionals, and the media with up-to-date, science-based information on obesity, weight control, physical activity, and nutrition.

In This Issue:

WIN's 2007 Exhibit Schedule

Cover Article

"Scale" Back the Pounds

Maintaining weight loss is a challenge for many people who have lost weight. A recent study evaluated two programs designed to prevent weight regain, and results provide hope for dieters: many study participants successfully maintained their weight loss by using specific strategies, including regular self-weighing and responding to gains as soon as they occurred.

The Study to Prevent Regain (STOP) tested a face-to-face program and an Internet-based program among dieters who had lost a large amount of weight. Subjects in both programs attended regular meetings (in person or online) in which they learned about diet and exercise strategies for maintaining weight. They were also given a scale and taught a weight monitoring system.

This system used color zones to evaluate weight changes and make adjustments accordingly. Those who maintained their weight landed in the green zone and received positive reinforcement. Small weight gains resulted in the yellow zone, where participants received problem solving instruction. Large weight gains placed participants in the red zone, where they were encouraged to restart weight-loss efforts. Red zone subjects received individual counseling, a pedometer, and meal-replacement products.

The outcomes of these programs were compared with a control group that received a quarterly newsletter with diet, exercise, and weight management advice.

The face-to-face program produced the best results. After 18 months, the average weight gain for the face-to-face group was 5.5 pounds, while the Internet group averaged 10.3 pounds and the control group averaged 10.8 pounds.

Both programs successfully reduced the percentage of participants who gained a large amount of weight.

Weight regain was less likely among subjects who weighed themselves regularly in both intervention groups. Regular weigh-ins did not prevent weight gain among control subjects, however. This may be because the intervention subjects were equipped with self-regulation techniques that control subjects did not have.

Researchers concluded that weight regain is indeed common, but the risk of regaining may be reduced with regular self-weighing and adjustments to diet and exercise behaviors when slip-ups occur.

Article Information
Wing R, Tate D, Gorin A, et al. A Self-Regulation Program for Maintenance of Weight Loss. New England Journal of Medicine. 2006;355(15):1563–1571.

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Tips for a Healthy New Year

Vow to treat yourself to good health this year. Eating nutritious foods and getting regular physical activity may improve your health, boost your energy level, and help you feel good about yourself. These six simple tips may help you eat better, be more physically active, and enjoy a healthier new year.

Hang up old habits. Before you plunge into making resolutions that may be too tough to keep, it may help to examine your current eating and physical activity habits. Rather than trying to overhaul your routine, start by thinking of gradual ways to tweak it. You may wish to slowly replace some of your less healthful habits like overeating or eating when not hungry with healthy ones that you enjoy. Ask yourself where, when, and why you have those unhealthy eating or physical activity habits, and think of creative replacements for them.

Eat smart. A healthy eating plan takes into account what and how much you eat and drink. Emphasize vegetables, fruits, whole grains, and lean meats and fish in your diet, and minimize foods that are high in saturated and trans fats, sugar, and sodium. Be mindful of portion sizes, too. Forget Mom’s advice to clean your plate at all times. Instead, listen to your body and eat just enough to satisfy your hunger.

Activate yourself. Regular physical activity is fun, invigorating, and important for good health. Aim for 30 minutes of moderate-intensity physical activity on most days of the week. If you cannot do it all at once, break it up into shorter segments. Nearly everyone has time for 10 minutes of activity here and there throughout the day. Select activities that you enjoy—you will be more likely to stick with it.

Look for support. Enlist friends, family, and coworkers to join you in eating well and being active. Social support is a terrific motivator. People are more likely to be physically active if they are held accountable to someone else, and if your social circles agree to make healthier selections, it may be easier for you to jump on the bandwagon. Encouragement from others often makes it easier to stay on track.

Tailor your lifestyle to the season. Take advantage of seasonal offerings to avoid falling into a rut. In the winter, stock up on produce such as sweet potatoes, rhubarb, and cranberries. Enjoy physical activities like ice skating and walking in the crisp air. When spring arrives, try produce such as strawberries and sugar snap peas, and step outdoors to garden or bike. Continue to mix up your routine throughout the year—the variety may keep you motivated.

Hatch a plan. Set goals for yourself, such as getting 30 minutes of activity a day and eating whole grains when possible, and be sure to set rewards as well. You may find it easier to meet your goals if you have a plan. This may be especially helpful when you face potential barriers like traveling or parties. By creatively planning ahead, you can keep up your healthy ways.

For more information about nutritious eating and being physically active, visit the 2005 Dietary Guidelines for Americans at www.mypyramid.gov/guidelines and the new food pyramid at www.mypyramid.gov.

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Research Notes

Young and Old Alike Benefit From Exercise and Physical Activity

We have all heard that exercise and being active are good for our health. Two new studies add evidence that physical activity offers benefits for the young and old alike.

An NIH-sponsored study showed that burning calories while performing daily activities of any sort may help the elderly lower their risk of death. The study involved 302 older adults, aged 70 to 82 years. For 2 weeks, researchers used advanced methods to measure the subjects’ free-living energy expenditure, or how many calories they burned doing their daily activities. Participants were followed up an average of 6 years later, when researchers collected mortality data.

Results showed that death rates decreased as daily energy expenditure went up. Those who were in the highest third of energy expenditure had a 69 percent lower risk of death than those who were in the lowest third. It was estimated that for every 287 calories burned per day, the risk of mortality is reduced by 30 percent. Researchers stressed that there was no single type of activity that accounted for calories burned. Doing any kind of activity, whether it is walking up stairs or house cleaning, helps burn calories.

These findings are good news for older adults who may not believe they can exercise; daily activities and moving around frequently result in a calorie burn that is associated with increased survival.

Another recent study examined physical activity and health among a very different population: teenage Latino boys who are overweight. Researchers at the University of Southern California wanted to find out if strength training can reduce the risk of type 2 diabetes in teens, since previous studies have shown this benefit for adults.

The 22 boys in the study, aged 14 to 17, were randomly assigned to either an exercise group or control group. Before the study began, all the boys were tested for strength, body composition, and insulin sensitivity. Then, the exercise group performed strength training with personal trainers twice a week for 4 months.

The exercisers adhered to the workout program very well. They increased their strength and slightly reduced their percentage of body fat compared to the control group. The exercisers also improved their insulin sensitivity, with 10 out of 11 exercisers showing improvement. In comparison, 6 out of 10 controls had worse insulin sensitivity at the end of the study. Importantly, insulin sensitivity was improved even though the teens did not lose any weight. Poor insulin sensitivity is an important factor in the development of type 2 diabetes.

Though the study was small, researchers were optimistic about its results. They note that strength training may be appealing to some individuals because it does not cause breathlessness like aerobic exercise does, and it improves strength fairly quickly, which may be motivational. With rising rates of type 2 diabetes among adults and teens alike, strength training may play a role in staving off the disease.

Article Information
Manini T, Everhart J, Patel K, et al. Daily Activity Energy Expenditure and Mortality among Older Adults. Journal of the American Medical Association. 2006;296(2):171–179.

Shaibi G, Cruz M, Ball G, et al. Effects of Resistance Training on Insulin Sensitivity in Overweight Latino Adolescent Males. Medicine & Science in Sports & Exercise. 2006;38(7):1208–1215.

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TV Watching Associated With Less Exercise

Numerous studies have linked increased television viewing with overweight and obesity. A recent study of 486 Black and Hispanic residents of low-income housing strengthened this connection by finding that the more TV people watch, the less they exercise.

Boston researchers tracked participants’ activity levels per day with pedometers, which record the number of steps a person takes. The study participants reported how many hours of TV they watched per day.

Results showed that the average amount of time spent watching television per day was 3.6 hours. TV viewing was associated with fewer steps per day. In fact, for each hour of TV, 144 fewer steps per day were taken. Researchers thought that this association might be stronger for a higher-income population that has more free time for physical activity. The investigators hypothesized that because lower-income populations tend to obtain the majority of their physical activity through job and transportation-related activities, TV watching might not displace as much physical activity as it might among other groups.

Researchers mentioned that low-income housing residents may watch television partly because of street safety and social isolation, which may be difficult issues to tackle when promoting a more active lifestyle.

Article Information
Bennett G, Wolin K, Viswanath K, et al. Television Viewing and Pedometer-Determined Physical Activity Among Multiethnic Residents of Low-Income Housing. American Journal of Public Health. 2006;96(9):1681–1685.

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Subtle Cues and Dish Size Affect Portions

It is no secret that portion sizes have expanded along with Americans’ waistlines. Restaurants and super-sizing options are frequently blamed, but we are also guilty of serving ourselves too much food. A study conducted by researchers at Cornell University found that our tendency to over serve ourselves is influenced by the size of dishes and utensils.

The researchers hosted an ice cream social and invited 85 faculty, staff, and graduate students from a university nutrition department. Thus, these “study participants” could safely be assumed to be nutrition savvy. Researchers randomly gave the participants a small or large bowl and a small or large serving spoon, and everyone served themselves. The researchers weighed their ice cream as participants filled out a survey about how much they believed they served themselves.

Those who were given a larger bowl ate 31 percent more than those who received the smaller bowl. Despite this significantly larger serving size, they did not perceive that they served themselves more than other participants. Similarly, participants using the larger serving spoon gave themselves 14.5 percent more ice cream, regardless of whether they had a large or small bowl. Perhaps not surprisingly, participants who were given both a large bowl and a large spoon ate the most ice cream—56.8 percent more than people with a small bowl and spoon.

Researchers described the sizes of bowls and spoons as “consumption cues” that influence serving size. They pointed out that these cues are so subtle and common that even nutrition experts fall prey to their effect. However, they also believe that cues such as dishware size are easy to alter—simply by using smaller dishes, for instance, people can reduce unnecessary calorie consumption. Alternately, if the goal is to eat more fruits and veggies, perhaps a large plate would help.

Article Information
Wansink B, van Ittersum K, Painter J. Ice Cream Illusions: Bowls, Spoons, and Self-Served Portion Sizes. American Journal of Preventive Medicine. 2006;31(3):24–243.

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Dietary and Obesity Reports

Overweight Children Likely to Become Overweight Teens

A study sponsored by the National Institute of Child Health and Human Development found that children who are overweight are likely to continue gaining weight into adolescence. The study suggests that parents and pediatricians address eating and activity behaviors at an early age.

A group of 1,042 children were tracked from age 2 to 12. Height and weight were measured seven times during this period to determine if childhood body mass index (BMI) predicts adolescent obesity. BMI is a measure of weight in relation to height that closely correlates with body fat and is often used to assess obesity.

The children were recruited from hospitals at the following locations: Little Rock, AR; Irvine, CA; Lawrence, KS; Boston; Philadelphia and Pittsburgh; Charlottesville, VA; Seattle; Hickory and Morganton, NC; and Madison, WI. The sample consisted of 54.2 percent girls and 20.7 percent minorities. The mothers’ average amount of education at the time of the child’s birth was 14.5 years. Nearly 21 percent of the families were low income, 48 percent were middle income, and 31 percent were high income.

Children who were overweight before or during the preschool years were nearly six times as likely to be overweight at age 12 than children who were never overweight. Overweight children in elementary school were 25 to 374 times more likely to be overweight at age 12, depending on how long they were overweight during that period. In all, 60 percent of children who were overweight in the preschool period and 80 percent of children who were overweight during the elementary school period became overweight 12-year-olds.

The researchers also calculated a child’s odds of becoming overweight at age 12. For instance, among children who are above the 75th percentile for BMI, a 7-year-old is more than 10 times as likely to become an overweight adolescent than a child who is below the 50th percentile, and a 9-year-old is nearly 48 times as likely.

These results call attention to the current definition of overweight among children. Guidelines state that a child who is at or above the age- and gender-specific 85th percentile for BMI is at risk for overweight. These findings, however, detect an increased risk for adolescent obesity at the 75th percentile.

This study provides support for a prevention-based approach to obesity. Intervening at an early age may be simpler and more effective than trying to reverse adolescent and adult obesity later in life.

Article Information
Nader P, O’Brien M, Houts, R, et al. Identifying Risk for Obesity in Early Childhood. Pediatrics. 2006;118(3):594–601.

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Diverticulitis Pains Occurring in Young Obese Adults

Acute diverticulitis is an inflammatory infection of the colon that commonly stems from a lack of fiber in the diet. It is typically considered a disease of older adults, but an examination of recent data revealed that increasing numbers of younger, obese adults are now being hospitalized with the condition as well.

Researchers at the University of Maryland Medical Center in Baltimore reviewed the hospital records of 104 patients with the disease between 1999 and 2003. They found that 54 percent were 50 years old or younger and 21 percent were 40 years old or younger. In comparison, previous estimates ranged from 2 to 5 percent.

Abdominal obesity has been associated with acute diverticulitis in several studies. This held true in the current study, and the relationship was stronger for young patients than old. Eighty two percent of the entire sample had abdominal obesity, which was defined as having a front-to-back, or sagittal, abdominal diameter greater than 25 cm. This measurement was obtained with a computed tomography scan (commonly known as a “CT scan”). Among younger patients, nearly 86 percent had abdominal obesity, while 77 percent of older patients did.

Although the younger group of patients did not have a more aggressive version of the disease than older patients, nearly all participants required hospitalization and over a third had complications. The authors encourage physicians and radiologists to screen for the condition in young obese patients who have acute abdominal pain.

For more information about diverticular disease, visit www.digestive.niddk.nih.gov.

Article Information
Zaidi E, Daly B. CT and Clinical Features of Acute Diverticulitis in an Urban U.S. Population: Rising Frequency in Young, Obese Adults. American Journal of Roentgenology. 2006;187:689–694.

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NIH News

NIH Collaborates With Discovery Channel Young Scientist Challenge

The Discovery Channel Young Scientist Challenge, an annual contest for America’s top science students in grades 5 though 8, was held at the National Institutes of Health campus in October. The theme of this year’s competition was “Disease Detectives.” NIH scientists worked with the Discovery Channel to create the contest’s final round of experiments. The National Heart, Lung, and Blood Institute and NIDDK developed a nutrition and physical activity challenge that highlighted the important role of energy balance in maintaining a healthy weight and preventing obesity.

In this challenge, teams were provided alternate options for several different lunch foods in each of four categories: entrée, side dish, drink, and dessert. The options consisted of different choices (such as soda or juice) as well as different portion sizes (such as an 8-ounce drink size or a “Big Gulp” size). The teams were asked to create two lunches from the available options, with four items in each lunch—one from each of the four categories. Team members used subjective estimates of calorie content to select a lunch they estimated to be 1,000 calories and another that was 500 calories. The teams were also asked to determine how much physical activity is needed to expend the caloric difference between the lunches. They identified a type and duration for a light-intensity activity, a moderate-intensity activity, and a vigorous-intensity activity.

Following the completion of the challenge, the teams were asked to offer suggestions on what they think schools can do to address the obesity problem in the United States. The teams came up with several suggestions, including increased physical activity during the school day, more after-school programs that focus on physical activity, and smaller portions in the cafeteria.

In addition to the final round of challenges, participants were judged on essays they submitted about their science fair projects as well as their communication and creative thinking skills. The winners received scholarship money for their efforts. This year’s winner, Nolan Kamitaki of Hawaii, studied arsenic concentrations in local schools.

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NIDDK Sponsors Diabetes Prevention Study in Middle Schools

NIDDK is sponsoring a new study—called HEALTHY—that will implement changes in middle school food services and physical education classes and test whether these changes lower risk factors for type 2 diabetes. The middle schools will adopt environmental changes including healthier options in cafeterias and vending machines, longer and more intense physical education classes, and awareness campaigns that promote life-long healthy behaviors.

Students will be followed for 2.5 years and multiple risk factors will be measured. These include blood levels of glucose, lipids, and insulin; fitness level; blood pressure; height; weight; and waist circumference. The study is being conducted by researchers in six States: Texas, California, North Carolina, Oregon, Pennsylvania, and Washington, DC.

To read the news release concerning HEALTHY, visit www.nih.gov/news/pr/aug2006/niddk-28.htm.

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NIH Sponsors Research Into the Health of Hispanic Populations

Seven components of NIH, led by the National Heart, Lung, and Blood Institute, are funding a 6 1/2 year, $61 million study of health and disease among Hispanic and Latin American people in the United States. The Hispanic Community Health Study will be conducted at four sites: Bronx, NY; Chicago; Miami; and San Diego. Up to 16,000 adults age 18 to 74 are expected to participate. Study participants will represent several countries of origin and will have lived in the United States for varying lengths of time. Researchers will examine a variety of health conditions, risk factors, and cultural issues. These include heart disease, diabetes, diet, physical activity, social disparities, acculturation, and the environment.

As Hispanics and Latinos are the largest minority population in the United States and one that is expected to grow considerably, it is important to identify and understand their health-related behaviors and risk factors. This knowledge will help researchers design effective prevention and treatment strategies for the future.

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NIDDK Website Redesigned

The NIDDK website was redesigned in October to be more user-friendly. It features new information for researchers, easier navigation through the grant application process, and an improved health education corner for the public.

NIDDK provides consumer information about diabetes, endocrine and metabolic diseases, weight control, nutrition, digestive diseases, and kidney and urologic diseases. Information for researchers includes funding opportunities, current NIDDK initiatives, scientific conferences, research resources, and staff contact information. The website will undergo two more redesign phases in the upcoming months. These phases will update the website’s look and multimedia content.

You can visit NIDDK on the web at www.niddk.nih.gov.

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DHHS News

CDC Funds Diabetes Prevention Efforts in Hispanic Communities

Type 2 diabetes and obesity affect Hispanic communities in disproportionate numbers. The Centers for Disease Control and Prevention (CDC) is funding three Prevention Research Centers—in Tucson, AZ, San Diego, and Chicago—to investigate ways families, friends, and other social networks can help each other prevent these conditions.

The studies aim to raise awareness about diabetes among entire communities and to increase social support from families and friends in prevention and treatment efforts. In the Arizona program, people with diabetes will learn about managing their disease, and family members will learn about reducing their own risk factors and encouraging one another to eat well and be active. The San Diego study will increase physical activity with walking clubs for adults and soccer leagues for children. In Chicago, researchers are training members of a Hispanic community to go out and become healthy living coaches themselves. These coaches will teach prevention at sites such as churches, schools, and work places.

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Program Notes

WIN Reaches Out on the Web

WIN contributed articles to the website www.blackdoctor.org in August and October. The first article, Step It Up!, explained the benefits of walking and gave tips for starting a walking program. The second article, Savvy Selections, provided advice on making healthy choices in a variety of settings, including fast food restaurants, during the lunch hour, or at home.

Blackdoctor.org addresses a wide range of health concerns for Black individuals, and provides referrals to Black doctors around the country.

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WIN in the Community

Historically Black Colleges Receive Support

Historically Black Colleges have turned to WIN for assistance in their health promotion and education efforts for Black women. In September, WIN reached out to Historically Black Colleges and high schools around the country, offering information and support related to weight control. In response to this outreach effort, Clark Atlanta University and North Carolina A&T State requested publications about nutrition, physical activity, and weight control for Black men and women.

WIN Participates at Local Events

WIN recently exhibited at Mommy and Me Day at the Whole Foods grocery store in Rockville, MD, providing publications, pedometers, water bottles, and brochures geared toward children and families. WIN also exhibited at the Goshen United Methodist Church health fair in Gaithersburg, MD, with Sisters Together brochures and other WIN publications. And in December, WIN attended and provided Sisters Together brochures to the Cymone Matthews Wellness Center’s holiday party in Columbia, MD. This event doubled as the official launch of the center’s new Sisters Together program.

These events were terrific ways for the general public to learn about weight control, nutrition, physical activity, and the services that WIN offers.

Sisters Together in the Community

Sisters Together Programs Kick Off!

Two Sisters Together programs recently held fun, successful kickoff events for their upcoming sessions. The Urban League of Greater Chattanooga program held two kickoffs—one in June and one in October—and the Michigan Department of Community Health program held a kickoff in June. The events featured WIN’s Sisters Together publications, t-shirts, water bottles, and magnets.

For more information about Sisters Together, visit www.win.niddk.nih.gov or call 1–877–946–4627.

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Cyber Notes

Website Highlights Healthy Restaurants Across United States

The CDC is funding a new website, Healthy Dining, which allows users to search for healthy restaurants across the United States. Users may search by location, cuisine, or price range. Registered dietitians at Healthy Dining analyze the nutritional content of the restaurants’ menus and feature the healthiest options on the Healthy Dining website. Nutrition information for these selected dishes is shown.

In addition to its restaurant search, the website also offers nutrition advice from leading health organizations, a health newsletter, and chefs’ recipes. Visit Healthy Dining at www.healthydiningfinder.com.

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CDC Website for Kids Makes Healthy Decisions Fun

Kids can learn about nutrition, physical activity, and other health topics from an interactive, colorful website that makes healthy lifestyle habits fun and appealing. The website, BAM! Body and Mind, is as dynamic as its name suggests. Sponsored by the CDC and the U.S. Department of Health and Human Services, the site teaches kids about healthy eating and physical activity in unique ways.

Lessons are taught using games, challenges, and age-appropriate language. In addition, the site features success stories, kid friendly recipes, and an online activity calendar for tracking physical activity progress.

BAM! is intended for kids ages 9 to 13. It also has a “Teacher’s Corner,” which is filled with ideas for incorporating health lessons into classroom activities.

Visit BAM! at www.bam.gov.

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Web-based Tool Educates Consumers About Nutrition Facts Labels

The U.S. Department of Health and Human Services and the U.S. Food and Drug Administration’s Center for Food Safety and Applied Nutrition have created a new web-based tool called Make Your Calories Count. This interactive learning module teaches consumers to read Nutrition Facts labels and use nutritional information to make healthy food choices. Make Your Calories Count is available at www.cfsan.fda.gov/labelman.

Make Your Calories Count is accompanied by a new Nutrition Facts Label brochure. The brochure explains the relationship between calories and serving size and describes how the Nutrition Facts label can be used to grocery shop and plan meals. You can read or download the brochure at www.cfsan.fda.gov/~dms/labgen.html.

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Resource Notes

Materials From WIN

Updated WIN Publications

WIN has updated and reprinted several fact sheets and brochures. The publications listed below have been revised to include the latest scientific research.

Web-based Revisions
Take Charge of Your Health! A Teenager’s Guide
Statistics Related to Overweight and Obesity
Fit for Two: Tips for Pregnancy
Active at Any Size
Helping Your Child: Tips for Parents
Improving Your Health: Tips for African American Men and Women
Energize Yourself and Your Family
Weight Loss for Life
Fit and Fabulous as You Mature
Weight-loss and Nutrition Myths
Better Health and You: Tips for Adults

Reprinted Publications
Take Charge of Your Health! A Teenager’s Guide
Fit for Two: Tips for Pregnancy
Active at Any Size

To obtain a free copy of these or other publications, contact WIN at 1–877–946–4627 or win@info.niddk.nih.gov. You can also download PDF copies at www.win.niddk.nih.gov.

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Materials From Other Organizations

Your Guide to Physical Activity and Your Heart

This new booklet from the National Heart, Lung, and Blood Institute describes the effect physical activity has on heart health and provides tips for becoming and staying active, ways to involve the entire family in physical activity, and details about which activities are best for your heart. It is available online at www.nhlbi.nih.gov/health/public/heart/obesity/phy_active.htm. You may also order a copy by calling (301) 592–8573.

Meeting Well

The American Cancer Society publishes this guidebook for promoting healthy eating and physical activity in the workplace. The ideas in the guidebook apply to a variety of settings, from small office meetings to company-wide events. Healthier workplaces have been shown to boost employee energy and mood and improve workers’ health. For more information, visit www.ACSWorkplaceSolutions.com/meetingwell.asp or call 1–800–ACS–2345.

Choose Smart Choose Healthy

The 5-a-Day Program, a public/private nutrition partnership led by the CDC, encourages African-American women to eat their fruits and vegetables with its Choose Smart Choose Healthy brochure. The brochure is stocked with ideas for incorporating a variety of colorful fruits and vegetables into your diet. Visit www.5aday.gov/publications or call 1–800–422–6237 to order a free copy.

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WIN's 2007 Exhibit Schedule

WIN will exhibit at the following conferences in the upcoming year:

WIN will travel the country with newly redesigned exhibits featuring colorful images of healthy foods and people of all ages and backgrounds enjoying physical activity.

Bronner Brothers Hair Show
February 17–19
Atlanta, GA

American Association for Health, Physical Education, Recreation and Dance National Convention and Exposition
March 13–17
Baltimore, MD

Empowerment Temple African Methodist Episcopal Church 4th Annual Wellness Walk
May 2007
Baltimore, MD

District of Columbia Metropolitan Area Dietetic Association Annual Meeting
May 12
Washington, DC

National Black Nurses Association Annual Meeting
July 25–29
Atlanta, GA

American Association of Diabetes Educators Annual Meeting
August 1–4
St. Louis, MO

American Dietetic Association Food and Nutrition Conference and Exposition
September 29–October 2
Philadelphia, PA

American Academy of Pediatrics Conference and Exhibition
October 27–30
San Francisco, CA

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Editor's Notes

Please send questions or comments, including information you would like to see included in future issues of WIN Notes, to:

Editor
Weight-control Information Network
1 WIN Way
Bethesda, MD 20892-3665
Telephone: (202) 828-1025
Toll-free: 1-877-946-4627
Fax: (202) 828-1028
Email: WIN@info.niddk.nih.gov

WIN publications are not under copyright restrictions. Readers may make unlimited copies. To view WIN publications, visit our website at www.win.niddk.nih.gov.

WIN Offers Public Information
Toll-free Number: 1-877-WIN-4627 (1-877-946-4627)
Phone: (202) 828-1025
Fax: (202) 828-1028

The Weight-control Information Network (WIN) is a national information service of the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) of the National Institutes of Health (NIH), which is the Federal Government’s lead agency responsible for biomedical research on nutrition and obesity. Authorized by Congress (Public Law 103-43), WIN provides the general public, health professionals, the media, and Congress with up-to-date, science-based health information on weight control, obesity, physical activity, and related nutritional issues.