I. 10:00 am Welcome and Opening Remarks 

    Josh Hodges, Chief Customer Officer, NCOA

Background:  Obesity today affects more than 42% of American adults. Medical cost estimates of adult obesity now range from $147 billion to $210 billion a year. Obesity is a health problem for women and men of all ages, races, and backgrounds in America. However, obesity rates are consistently higher for American Indian, Alaska Native, Native Hawaiian elders and Black and Hispanic adults than for non-Hispanic white adults. Our dialogue will focus on obesity and other chronic diseases as a public health problem for older adults of all races and backgrounds in America and we will underscore impactful solutions.  

II. 10:05 am Setting the Stage 

      Fatima Cody Stanford, MD, MPH, MPA, MBA, FAAP, FACP, FAHA, FAMWA, FTOS, Obesity Medicine & Nutrition, Massachusetts General Hospital / Harvard Medical School

Background:  As the discussant, Dr. Stanford brings the lens of an obesity medicine physician and scientist to the table as she presents a brief overview and sets the stage for the discussion. Afterwards, each of the Roundtable organizations are invited to make opening remarks with short 5-minute presentations. Dr. Stanford will facilitate the morning discussion. 

III. 10:25 am Perspectives on Obesity and Health Inequities 

Background:  Participants are invited to provide key issues facing their population. Address the overall issues and health inequities related to obesity and potential policy changes and interventions that could have the greatest impact on treatment and coverage gaps, risk factors, chronic disease management, stigma, and inequities. Slides may be used and can be found in the Meeting Packet tab above. 

Speakers:

    - Kathleen Cameron, Senior Director, Center for Healthy Aging, National Council on Aging

    - Angie Boddie, Director of Health Programs, National Caucus and Center on Black Aging

    - Janet Williams, Sr. Manager, Physician and Health System Engagement, American Medical Association

    - John Batsis, Division of Geriatric Medicine, School of Medicine, Department of Nutrition, The Gillings School of Global Public Health, UNC, American Geriatrics Society

    - Heather Chun, Senior Director of Aging and Caregiver, National Asian Pacific Center on Aging 

    - Meredith Ponder Whitmire, Director of Policy, Defeat Malnutrition Today

    - Patricia M. D’Antonio, VP of Policy, The Gerontological Society of America

    - Sherrill Wayland, Director of National Education, SAGE

    - Stacy Bohlen, CEO, National Indian Health Board

    - Larry Curley, Executive Director, National Indian Council on Aging

    - Susan Peschin, President and CEO, Alliance for Aging Research

    - Yanira Cruz, President and CEO, National Hispanic Council on Aging

IV. 11:30 am Moderated Discussion

Fatima Cody Stanford, MD, MPH, MPA, MBA, FAAP, FACP, FAHA, FAMWA, FTOS, Obesity Medicine & Nutrition, Massachusetts General Hospital / Harvard Medical School

Background:  After hearing key issues from each group, key takeaways will be discussed, Dr. Stanford will then open the dialogue and begin discussion of possible solutions and recommendations towards a holistic and equitable approach to obesity prevention and management treatment among older adults. 

Kathleen Zuke, MPH (she/her), Director, Center for Healthy Aging

Dorothea K. Vafiadis, MS, FAHA, Director, Health Partnerships and Strategic Engagement

VI. 12:30 pm Welcome Back and Reconvene

Dorothea Vafiadis, MS, Director, Health Partnerships and Strategic Engagement, NCOA

Background: Instructions will be presented for how we will approach the breakout sessions. 

VII. 12:35 pm Break Out Groups

Moderated by: 

• Janet Williams, Sr. Manager, Physician and Health System Engagement, AMA 

• Kathleen Cameron, Senior Director, Center for Healthy Aging, NCOA

Background: The group will be divided into one of two break out groups and take a deep dive on the issues. 

     Systemic Challenges

     1. What are the barriers to long-standing systemic health inequities which put older adults, especially those from racial and ethnic minority groups, at increased risk?
     2. How do we change the typical assumptions about obesity, breaking down the stigma and myths?
     3. How do we provide access to diverse therapy options and the full continuum of care and treatment options as an essential part of equitable, person-centered care delivery?

     Community Factors

     1. What are the structural challenges we need to overcome in communities and what role do they play in poor health for older adults?
     2. How do we build cultural resilience and cultural competence to getting better policies for older adults living with obesity? 
     3. How do we empower communities with the tools they need to help build resilience and support older adults living with obesity?

VIII. 1:25 pm Report on Break Out Discussions

Dorothea Vafiadis, MS, Director, Health Partnerships and Strategic Engagement, NCOA

Background: A representative from each group will report on key-takeaways from the discussions, including a call to action. The group will hear a final summary of next steps and expectations. 

Next steps will include a white paper proceeding of the Roundtable and a call to action addressing the overall issues. These may include health inequities related to obesity and potential policy changes and interventions that could have the greatest impact on treatment and coverage gaps, risk factors, chronic disease management, stigma, and inequities. 

IX. 2:00 pm Adjourn