Ppt on obesity

3 Steps to Successful Obesity Management. Learning objectives Review recent findings about the biologic regulation of eating and weight control Discuss.

és J, et al. BMJ. 2001;322:716-720. SCAT = Subcutaneous Adipose Tissue VAT = Visceral Adipose Tissue VAT Abdominal obesity, increased waist circumference After weight loss, reduced waist circumference DeteriorationLipid profileImprovement ImpairedInsulin sensitivityImproved  Blood insulin   Blood glucose   /months. D.All of these Key Considerations Centers for Medicare and Medicaid Services Reimbursement of IBT for obesity Obesity is a disease and should be treated like one. If you can’t treat it like a/


Weighty Matters: Public Health Aspects of the Obesity Epidemic Martin T Donohoe.

acids) Exercise more Exercise more Get adequate sleep Get adequate sleep Behavioral modification Behavioral modification Treatments for Obesity Enlist familial and social support network Enlist familial and social support network Rule out contributing factors (e.g/ off market in 1997 Numerous reports of cardiac valvulopathy Numerous reports of cardiac valvulopathy Treatments for Obesity Non-prescription supplements can be dangerous Non-prescription supplements can be dangerous Unregulated with respect to /


Obesity in Gynecologic Oncology: A Growing Epidemic Paola A. Gehrig, MD Professor and Chief Division of Gynecologic Oncology University of North Carolina.

College of Obstetricians and Gynecologists. Published by Lippincott Williams & Wilkins, Inc. 5 Comprehensive Surgical Staging for Endometrial Cancer in Obese Patients: Comparing Robotics and Laparotomy. Seamon, Leigh; Bryant, Shannon; Rheaume, Patrick; Kimball, Kristopher; Huh, Warner;/ cancer (odds ratio 1.3) 30% of women with ovarian cancer are overweight and 12% are obese -? Negative prognostic factor -? Inflammation -? Inadequate surgery -? Inadequate chemotherapy dosing SCOTROC -BMI not associated with/


3 Steps to Successful Obesity Management. Learning objectives Review recent findings about the biologic regulation of eating and weight control Discuss.

Gall bladder disease Cancer Breast, uterus, cervix, colon, esophagus, pancreas, kidney, prostate Phlebitis Venous stasis Gout Obesity and comorbidities Idiopathic intracranial hypertension Stroke Cataracts Severe pancreatitis Modest weight loss has benefits, with greater weight loss associated /over 12 months. D.All of these Key Considerations Centers for Medicare and Medicaid Services Reimbursement of IBT for obesity Obesity is a disease and should be treated like one. If you can’t treat it like a disease,/


3 Steps to Successful Obesity Management. Learning objectives Review recent findings about the biologic regulation of eating and weight control Discuss.

J, et al. BMJ. 2001;322:716-720. SCAT = Subcutaneous Adipose Tissue VAT = Visceral Adipose Tissue VAT Abdominal obesity, increased waist circumference After weight loss, reduced waist circumference DeteriorationLipid profileImprovement ImpairedInsulin sensitivityImproved  Blood insulin   Blood glucose /Intensive comprehensive lifestyle intervention Consider adding weight loss medications to lifestyle therapy program Stage 2 obesity BMI ≥ 40 or ≥ 35 with co-morbidity Unsuccessful with therapies that are /


3 Steps to Successful Obesity Management. Learning objectives Review recent findings about the biologic regulation of eating and weight control Discuss.

és J, et al. BMJ. 2001;322:716-720. SCAT = Subcutaneous Adipose Tissue VAT = Visceral Adipose Tissue VAT Abdominal obesity, increased waist circumference After weight loss, reduced waist circumference DeteriorationLipid profileImprovement ImpairedInsulin sensitivityImproved  Blood insulin   Blood glucose   /months. D.All of these Key Considerations Centers for Medicare and Medicaid Services Reimbursement of IBT for obesity Obesity is a disease and should be treated like one. If you can’t treat it like a/


Discussing Maternal Obesity

and evoke feelings of guilt (Smith & Lavender 2011) Women do not like to be categorised as obese (Heslehurst et al, unpublished) Obese patients have described HCPs as ambivalent, insulting, demeaning, discriminating, judgemental, blame-inducing, highly insensitive, /Wadden, T. A., & Didie, E. (2003). Whats in a Name? Patients Preferred Terms for Describing Obesity. Obesity Research, 11(9), 1140-1146. Workshop Activities Ruth Bell (Newcastle University) Nicola Heslehurst (Teesside University) Gill Sedgewick/


Obesity and Weight Control

Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30% Causes of Obesity Obesity is a long term process. Obesity frequently begins in childhood. Obese parents likely have overweight children. Regardless of final body weight as adults, overweight children exhibit / Food availability, snacking patterns, diet composition, and palatability all influence amount of food a person ingests. Causes of Obesity A Mutant Gene? What is leptin? A satiety hormone that influences the appetite control in the hypothalamus. A defective/


Pediatric Obesity : A Family Affair Samuel N. Grief, MD.

the 5- question scale may help identify overweight girls at highest risk of developing depression, and perhaps subsequent eating disorders. Obesity and Psychological Disorders in Children At any given time, 44% of adolescent girls and 15% of adolescent boys are “dieting/ changes, not short-term diets or exercise programs aimed at rapid weight loss General Approach to Treating Pediatric Obesity As part of the treatment program, a family should learn to monitor eating and activity The treatment program should/


University of South Alabama College of Medicine

disproportionately targets Black Americans relative to Whites. www.rwjf.org/childhoodobesity/ School Based Interventions to Combat Childhood Obesity Playworks / Sports4Kids Goal is to bring play back into lives of American Children Organizes activities at recess/Alabama College of Medicine The Institute of Medicine (IOM) produced Local Government Action to Prevent Childhood Obesity Healthy Eating: Create incentive programs to attract supermarkets and grocery stores to underserved neighborhoods; Require menu /


National Center for Chronic Disease Prevention and Health Promotion Division of Nutrition, Physical Activity, and Obesity Healthy Communities: Healthy.

Boards School Districts Transportation & Planning departments Parks & Recreation departments Advantages of Policy & Environmental Change to Address Obesity: Potential for systemic change in a community’s food and physical activity environment. Broad Reach: Opportunity to “/physical activity 15.Reduce screen time in public service venues CDC’s Recommended Strategies to Prevent Obesity Strategies to Create Safe Communities That Support Physical Activity 16.Improve access to outdoor recreational facilities/


Childhood Obesity Prevention: A Call to Action for the APRN Sarah M Kinnard RN, BSN-BC Augustina Manuzak MD, MPH, PhD.

visit Screen pediatric patients following specific diagnostic recommendations Determine the presence and level of risk for obesity-related health complications Provides patient and parents with nutritional education and resources Levels of Prevention Primary //healthyweight/assessing/bmi/childrens_bmi/about_childrens_bmi.html Centers for Disease Control and Prevention. (2012). Prevalence of obesity among children and adolescents: United States, trends 1963-1965 through 2007-2008. Retrieved from http/


Obesity and Mental Illness: Cause or Effect

gambing, inappropriate eatinging; associatd with alteration in the D2 receptor in prefrontal attentional areas ADHD Contributes to Obesity Poor planning and an inability to delay reward may lead to overconsumption Kids with ADHD are engaged in / Cortese et al, 2007, Nut Rev, Sept, 404-411 Atomoxetine effective in weight reduction in obese women Conclusions: Obesity and Mental Illness Co-occur with maladaptive eating behaviors Involve problematic coping strategies Share: abnormal inflammatory response/


Obesity: The Growing Problem By Becky C. Olomon MPH 500 / Professor Madeline Angela Meyer Concordia University Nebraska June 25, 2013.

tissue also serves as an insulator and a cushion for the body. Live Healthier Biology of Obesity: What Obesity is superficially a problem between excess energy being taken in and not expended (Trayhurn 2005)./pp. 93-102. Harvard School of Public Health. Adult Obesity. Retrieved from http://www.hsph.harvard.edu/obesity-prevention- source/obesity-trends/obesity-rates-worldwide/http://www.hsph.harvard.edu/obesity-prevention- source/obesity-trends/obesity-rates-worldwide/ Johnson-Taylor, Wendy. Fisher, Rachel A./


1 Legal Themes Concerning Obesity Regulation in the United States: Theory and Practice James G. Hodge, Jr., J.D., LL.M. Associate Professor, Johns Hopkins.

4. Compensation for Injured Persons Seeking Recourse 5. Restriction of Access to Unhealthy Foods 13 10 Major Legal Themes in Obesity Regulation (cont’d) 6. Availability of Consumer Health Information 7. Control of Advertising 8. Creation of Communities that / Bill”) passed House in 2005 - seeks to protect food manufacturers and retailers from civil liability for actions brought by obese customers Personal Responsibility in Food Consumption Act (a.k.a. “Cheeseburger Bill”) passed House in 2005 - seeks to/


1 Office for State, Tribal, Local and Territorial Support presents... CDC Vital Signs Progress on Childhood Obesity: Many States Show Declines August 13,

mihealthtools.org/childcare http://www.michigan.gov/preventobesity 24 25 Coordinated Efforts Reversing the Trend of Childhood Obesity in New York State Vital Signs Town Hall Teleconference August 13, 2013 Loretta A. Santilli, MPH/ settings, and the community – Evaluation and performance improvement 28 Prevention Is the Best Cure! Comprehensive Obesity Prevention Strategies Comprehensive Obesity Prevention Strategies – Support healthy food and beverage choices Increase access to and consumption of non-fat/low/


Obesity and Pregnancy Vanessa H. Gregg, MD Assistant Professor of OB/Gyn University of Virginia.

anesthetic agents  Increased postdural puncture headache Vricella LK et al. Anesthesia Complications During Scheduled Cesarean Delivery for Morbidly Obese Women. Am J Obstet Gynecol 2010;203:276.e1-e5. Fetal and Neonatal Complications  Stillbirth  Fetal Distress/ Early Menarche in Female Offspring  An NICHD study looked at age of menarche and found an association between maternal obesity and earlier menarche in female offspring.  There was also a correlation between maternal BMI and daughters’ BMI at /


Obesity in the U.S. Prevalence and Trends

Gallbladder disease Osteoarthritis Sleep apnea and respiratory problems Endometrial, breast, prostate, and colon cancers. Obesity Introduction In addition to the increased risk for several diseases, higher body weights are also associated/education in nutrition and preventive medicine. The Pennington Center has several research areas, including: Clinical Obesity Research Experimental Obesity Functional Foods Health and Performance Enhancement Nutrition and Chronic Diseases Nutrition and the Brain Dementia, /


Assessment and Management of Obesity Cheryl A. Gibson, Ph.D. Department of Internal Medicine Susan Carlson, Ph.D. Department of Dietetics and Nutrition.

lose weight –Be able to work with a patient to develop a personalized strategy to address their overweight/obesity Epidemiology: Obesity/Overweight In last 2 decades, prevalence increased by 50-100% among adults, and 3-fold among children / syndrome are also important for patients and their doctors: –Routinely monitor body weight (especially the index for central obesity), blood glucose, lipoproteins and blood pressure. –Treat individual risk factors (hyperlipidemia, hypertension and high blood glucose) /


BARIATRIC ANAESTHESIA

Replace blood loss with crystalloid 3:1 ratio Respiratory Pathophysiology There is a clear association between dyspnea and obesity. Obesity increases the work of breathing because of the reductions in both chest wall compliance and respiratory muscle strength /weight - fat weight Avoid IM injection due to unpredictable absorption If possible, avoid narcotics and sedation in obese patient Obesity: Pharmacology Propofol at TBW Thiopental at IBW Midazolam at IBW Scolene at TBW Vcuronium at IBW Atracurium /


Windows of Opportunity Obesity Prevention in Childhood Alan M. Lake, M.D. Alan M. Lake, M.D. Taskforce on Obesity Prevention in Childhood Maryland Chapter,

maternal nutrition prior to and during pregnancy Intrauterine: Options for Intervention Reduce pre-pregnancy obesity Reduce pre-pregnancy obesity Address maternal diet and exercise especially in first trimester Address maternal diet and exercise / -11. References American Medical Association American Medical Association –Roadmaps for Clinical Practice –Assessment and Management of Adult Obesity: A Primer for Physicians 9 Booklets, downloaded from AMA website 9 Booklets, downloaded from AMA website –www/


Understanding Obesity Bias & Its Consequences Susan Reinhardt, RN, BSN Javier Font, EMT-P, EMPT-P.

Work more, home less Parents/family/co-workers habits Desk jobs Unhealthy options Economic Constraints Insurance coverage for obesity-prevention is limited or not available Lack of health insurance Lower-income neighborhoods have less groceries (less fruits/ and circumstances plus review finances and operations, crew configuration, share resources 10 Tips for Transporting Obese Patients 1. Always treat obese patient with dignity 2. Establish a system to safely handle bariatric transports: write protocols so /


Genetics of obesity From genetics to functional genomics Prof. Karine Clément Inserm U872 Nutriomique Université Paris 6/Cordelier Research Centre Endocrinology.

clinical trials “omic studies” Example: Adipose tissue analysis U872 Monogenic forms of obesity or obesity cases with strong genetic influence Strategic « choices » Human Syndromes Gene identification Genome/-31. Express differently depending on the combination with the environment Food Nutrient Genes Epigenetic Complex interactions underlying polygenic obesity Mutch D & Clement K, Plos Genetics 2006 Nutrition ExerciseViruses Social Status Food Abundance Peer pressure PollutionTechnological Progress /


Malnutrition and Obesity Whitney Hegedus MS RD CSO LDN CNSC St. Jude Children’s Research Hospital.

m) BMI Chart < 18.5 Underweight 18.5-24.9Healthy Weight 25.0-29.9Overweight 30.0-34.9Class I Obesity 35.0-39.9Class II Obesity >40.0Class III Obesity (Morbid Obesity) BMI to Weight Examples A person 65” would have the following BMIs Weight (lbs)BMI (kg/m 2 ) / BMI >85 th percentile on CDC BMI Growth Charts BMI >85 th percentile on CDC BMI Growth Charts 16.9% considered obese 16.9% considered obese BMI >95 th percentile on CDC BMI Growth Charts BMI >95 th percentile on CDC BMI Growth Charts 12.3% of children/


Obesity and Life expectancy

Parental Obesity - Whittaker NEJM 1997;337(13):869-73 – Obese < age of 3 years & no obese parents low risk for obesity in adulthood . Obese Toddler with no obese parents less likely obese than child if both parents obese. Parental obesity OR 1 obese 2.2/ conducive to exercise Ireland has improved cycle lanes recently, but only as a secondary or tertiary consideration!! Obesity Pandemic in Adults and Children Tracks to adulthood strongly from kids Is preventable Is treatable Malnutrition in Hospital /


Obesity and Continence Care in Nursing Home Residents Christine Bradway, PhD, RN, FAAN Geriatric Medicine Grand Rounds January 10,

Discussion/Conclusions Pilot study with small sample size First study to observe and interview residents and staff re: continence and obesity Obese residents younger and heavier than “typical” LTC resident At high risk for incontinence and containment problems Need for evidence re/8, 323–6. Rose M, et al. (2007). A comparison of nurse staffing requirements for the care of morbidly obese and non-obese patients in the acute care setting. Bariatric Nursing and Surgical Patient Care, 2(1):53-56. Subak, L.L., et/


Lesson 4 : Nutrition Disorders Obesity and health consequences.

(23.4%) Total = 47 million people NHANES - 1994 AGE -YEARS Mexican American = 31.9% Obesity treatment Why? Obesity is a chronic condition Associated with co-morbidities –Type 2 diabetes –Arthritis Associated with risk factors –Hypertension –/acids –Dietary fibre –Moderate alcohol –Physical activity Risk Factors for Hypertension Detrimental effect Age Gender Smoking Obesity Sodium Alcohol Stress Beneficial effect Potassium Omega -3 fatty acids Physical activity Health Agencies’ Recommendations for Prevention/


Kingdom of Saudi Arabia

is the most common chronic arthritis Vitamin D deficiency in knee osteoarthritis patients and its association with obesity in Saudi Arabia Introduction Osteoarthritis (OA) is the most common chronic arthritis characterized by gradual cartilage / 1039–49}. Study population exclusion criteria: Vitamin D deficiency in knee osteoarthritis patients and its association with obesity in Saudi Arabia Subjects and methods Study population exclusion criteria: Having rheumatic diseases such as inflammatory arthritis, or/


Is Obesity a Disease? Miranda Pacheco.

levels of cortisol (hormone) Prader-Willi Syndrome- congenital (from birth) disease, affects many body parts. Obese, reduced muscle tone and mental ability Polycystic Ovary Syndrome- imbalance of female sex hormones. Women only. /seizure medications, diabetes medications, anti-psychotic medications, antihistamines, anticonvulsants, steroids, beta blockers, and contraceptives can cause obesityObesity can also be caused by lack of sleep (or sleep debt), ingesting endocrine disrupters (such as BPA, DDT/


Energy Balance and Weight Control Obesity is a Growing Problem 127 million adults in the U.S. are overweight, 60 million obese, and 9 million severely.

Poverty and obesity Poverty and obesity Female obesity is rooted in childhood obesity Female obesity is rooted in childhood obesity Male obesity appears after age 30 Male obesity appears after age 30 Nature and Nurture Obesity is nurture allowing nature to express itself Obesity is / Habits U.S. Physical activity declining U.S. Physical activity declining –Work –Leisure U.S. obesity rising U.S. obesity rising 2005 U.S. Dietary Guidelines: Activity To reduce the risk of chronic disease in adulthood: engage/


A Global Battle Against Obesity World Health Organization will decide whether to adopt an aggressive plan outlining ways nations can combat obesity. Suggestions.

Problem Weight Loss Drugs, Products, Procedures Suggestions for Weight Control US Surgeon General Call to Action Overweight and obesity result from an energy imbalance. This involves eating too many calories and not getting enough physical activity. Body weight/weight loss therapy and weight control program because it: modestly contributes to weight loss in overweight and obese adults may decrease abdominal fat increases cardiorespiratory fitness may help with maintenance of weight loss. Appropriate Weight /


OBESITY AND THE REGULATION OF BODY WEIGHT. OBESITY: A Huge Public Health Problem Definition of obesity: BMI>30 BMI = weight (kg)/ height 2 (m) 30% of.

hormone produced by the stomach Levels rise just before a meal and fall afterwards Levels are low in obesity and rise after weight loss Acts in the hypothalamus to stimulate appetite Inhibits leptin-induced appetite suppression Also stimulates/important than subcutaneous fat for type 2 diabetes ADIPONECTIN Produced by adipocytes Most abundant gene product in adipocytes Decreases in obesity and increases during weight loss No effect on body weight Effects on are energy metabolism - causes glucose uptake /


© 2006 Thomson-Wadsworth Chapter 8 Addressing the Obesity Epidemic: An Issue for Public Health Policy.

Consumed –Physical Activity –Use of Television, Video Games, and Computers © 2006 Thomson-Wadsworth Determinants of Obesity Environmental Risk Factors –Other Technological Innovations in Food Production and Transportation –Other Technological Changes –Portion Sizes/ National Institutes of Health (NIH) © 2006 Thomson-Wadsworth Public Health Policy Options for Addressing the Global Obesity Epidemic Awareness Building, Education, and Research (continued) –United States Department of Agriculture (USDA) –Federal /


Obesity and Extreme Obesity: New Insights into the Black-White Disparity in Neonatal Mortality Hamisu M. Salihu, MD, PhD Department of Epidemiology and.

<0.01 Adequate Prenatal Care Yes43.439.6<0.01 Prevalence of common obstetric complications among obese and non-obese women, Missouri, 1989-1997 Obese (N=80,044) % Non-Obese (N= 545,491) % p-value Anemia Yes899 (1.1)7513 (1.4)<0/ care received, fetal gender and year of birth. Black-White disparity risk for neonatal, early and late neonatal mortality associated with obesity [normal weight white mothers (18.5-24.9) are the referent category] NeonatalEarlyLate Adjusted hazard ratio (95% Confidence Interval) /


OBESITY AND THE REGULATION OF BODY WEIGHT. OBESITY: A Huge Public Health Problem Definition of obesity: BMI>30 Definition of overweight: BMI >25 BMI =

just like insulin resistance in type II diabetes? - leptin doesn’t get across the blood brain barrier Leptin and human obesity From: Taheri et al, PLoS Med 3:e62, 2004 Short sleep duration is associated with increased grelin and decreased leptin / in skeletal muscle Ob/ob Lean muscle liver ADIPONECTIN Produced by adipocytes Most abundant gene product in adipocytes Decreases in obesity and increases during weight loss No effect on body weight Effects on are energy metabolism - causes glucose uptake - promotes/


Overweight and Obesity: Prevalence and Health Risks Dr. David L. Gee FCSN/PE 446.

risk of mortality may not be greater in overweight subjects, risk of chronic disease is greater in overweight and obese subjects –Improved detection and treatment of risk factors result in reduced mortality in overweight subjects u Hypertension, diabetes, / H A modest level of physical activity was significantly associated with more favorable biomarker profiles, even in overweight or obese individuals. H The most favorable inflammatory and lipid levels were found in women who had at least moderate physical/


A study of the effects of Oregon’s obesity epidemic on Salem’s primary school students By: Cord Jonson.

to be snacking. While watching TV, children are constantly bombarded by advertising for unhealthy foods. Other causes of childhood obesity Children are exposed to unhealthy foods to a much greater degree: Many public high schools now have lucrative deals / a Salem chapter of Committed to Kids, a national weight-management program that teaches habits of healthy living to obese children and their parents. “Oregon legislators are developing bills for the 2005 session that would mandate daily physical education/


PREVALENCE OF OBESITY AND ASSOCIATED FACTORS AMONG CHILDREN (3-6 YEARS). A COMPARATIVE STUDY OF URBAN AND PERI-URBAN MOMBASA, KENYA BY: CAROLYNE NEKESA.

2.4.5 Physical activity……………………………………………..19 2.4.6 Genetic Factors………………………………………………19 2.5 Assessment of overweight and obesity…………………21 2.6 Gaps in Knowledge……………………………………………23 CHAPTER THREE: RESEARCH DESIGN AND METHODOLOGY 5 3.1 Research /MOH1free Subtotal4500 6.0Data entry and analysis 5% Contigency5543 Grand total116403 50 Anderson, P.M. and Butcher, K.F. (2006). Childhood obesity: trends and potential causes. Future Child. 16: 19-45. Approaches, ACT press Nairobi, Kenya. Bertoncello, C. Cazzaro, R./


Obesity and Genes Recent Developments Pennington Biomedical Research Center.

some genes appear to be more important than others based on the numbers of replication from independent studies. --The Human Obesity Gene Map 200830 In Conclusion  About 20-30% of genetic associations are real and do have modest effects on the/ still remains to identify the right combination of genes and mutations that are associated with this increased risk for overweight and obesity, and determine how environmental factors interact with these genes and mutations to determine the risk. Heli J. Roy, PhD,/


And its Associated Risk Factors

alone. 2009 J La State Med Soc .2005; 156 (1): S42-49. Gastrointestinal Disorders Associated with Obesity Obese individuals are at greater risk of developing these gastrointestinal disorders: Colon Cancer Gall stones 2009 2 Colon Cancer Colorectal/gallstone formation. 2009 J La State Med Soc .2005; 157 (1): S42-49. Metabolic Disorders Associated with Obesity Obese individuals are at greater risk of developing these metabolic disorders: Diabetes Mellitus Dyslipidemia Liver Disease 2009 3 Diabetes Mellitus /


Obesity – Growing epidemic Center for Disease Control and Prevention 2006.

Colon/Rectum – Liver – Gallbladder – Pancreas – Kidney – Non-Hodgkin’s lymphoma – Multiple myeloma Calle EE et.al., NEJM 2003; 348:1625 Obesity – Health impact --Men and women with BMI>40 kg/m 2 had death rates from all cancers that were 52% (men) and 62%/ Supressant 2,6234.2 kg Significant and durable weight loss Medical Treatment: – There is no reliable, durable medical treatment of morbid obesity. – Nearly all patients (95-97%) regain most or all of the weight that was lost within 2-5 years following diet/


PREVENTION OF PEDIATRIC OBESITY William J. Cochran, MD, FAAP Department of Pediatric Nutrition Geisinger Clinic, Danville PA.

et al. Pediatrics 1999;103 (6) e-pages PREVENTION: TODDLER Discuss beverages Discuss beverages –20% of obese children are obese due to excessive caloric consumption from beverages –Soda has 150 calories per 12 oz –Juice on average /Volunteer Volunteer PHYSICIAN AS COMMUNITY ADVOCATE School / preschool School / preschool –Educate administrators, teachers and parents about obesity –Be part of School Health Advisory Board –Promote nutrition, physical education and lifestyle education PHYSICIAN AS COMMUNITY /


Childhood Obesity: A Growing Epidemic

education National Center for Chronic Disease prevention and Health Promotion. (2010). Healthy youth! Make a difference: Key strategies to prevent obesity. Retrieved from: http://cdc.gov/HealthyYouth/keystrategies/get-started.htm Wechsler, H., McKenna, M. L., Lee, S. M/ Malepati, S., Pirani, H. Surie, D. Dietz, D., Lee, J., & Chockley, N. (2007). Childhood obesity: Harnessing the power of public and private partnerships. Retrieved from http://www.nihcm.org/pdf/FINAL_report_CDC_CO.pdf Medford Public Schools. /


Obesity Prevention Community of Practice and Taking it to the Street Campaign Ingrid K. Richards Adams, PhD RD LD Healthy Lifestyles: AAFCS Leading by.

. Source: Mendex, Monteiro, & Popkin 2005 A Nation in Crisis Our nation stands at a crossroads The present obesity epidemic threatens progress related to increasing American’s quality and years of healthy life Result – a decreased ability to/, Centers for Disease Control and Prevention Author: Ingrid Adams, Ph.D., R.D. L.D. Chair: AAFCS Obesity Prevention Community of Practice Assistant Professor, Nutrition and Food Science, University of Kentucky Extension Specialist for Nutrition and Weight Management/


Epidemiology Childhood Obesity

LH (1987). Relationship between acute and chronic disease epidemiology. Yale Journal of Biology and Medicine; 60: 363-377. Definition Obesity is a serious degree of Overweight caused by excessive storage of fat & usually measured using a Body Mass Index . BMI / how short of a distance, we still avoid walking (Supercourse) http://www.nutritionj.com/content/4/1/24 Childhood obesity, prevalence and prevention Mahshid Dehghan et al. From Traditional to Modern Leisure In earlier days we were much more active/


Effects of Food, Nutrition & Obesity on Global Health Care

Standard, 25(48), 48-56. Pretlow, R. A. (2011). Addiction to Highly Pleasurable Food as a Cause of the Childhood Obesity Epidemic: A Qualitative Internet Study. Eating Disorders, 19(4), 295-307. Pocock, M., Trivedi, D., Wills, W., Bunn/, F., Magnusson, J. (2010). Parental perceptions regarding healthy behaviours for preventing overweight and obesity in young children: a systematic review of qualitative studies. Obes Rev, 11:338-353 REFERENCES Stewart, L., Liu, Y., & Rodriguez,/


Childhood Obesity: More Than Just BMI

website: https://www.adaevidencelibrary.com/topic.cfm?cat=2792. Accessed April 5th 2009 Some of the factors causing childhood obesity are social influences, parental resources, such as diet habits, weight attitudes, anthropometrics, social economic status, diet and / his current weight. Diet Rationale The diet rationale is appropriate based on current recommendations for treating pediatric obesity. Based on the American Dietetic Association Evidence Based Library, they recommend the use of a 1)Treatment/


COMORBIDITES OF PEDIATRIC OBESITY William J. Cochran, MD, FAAP Geisinger Clinic.

Nl <17) ENDOCRINE COMPLICATIONS Acanthosis nigricans Acanthosis nigricans –Velvety, hyperpigmented, thickened skin –Associated with obesity and insulin resistance Not sensitive for insulin resistance Not sensitive for insulin resistance –Resolves with weight loss/nigricans Acanthosis nigricans Hirsutism / acne Hirsutism / acne Hepatomegaly Hepatomegaly COMPLICATIONS ARE COMMON IN PEDITRIC OBESITY Laboratory evaluation Laboratory evaluation –Fasting lipid profile –Liver panel –Fasting insulin and glucose –Hgb/


Childhood Obesity Dennette Fend, NP William Beaumont Hospital Nutrition and Preventive Medicine Outpatient Breastfeeding Clinic March 28, 2014 Health Outcomes.

Gain Fat Stores Basal metabolic rate, Physical activity Food, Drinks Saving and Overconsuming Energy Contributing Factors to Childhood Obesity Nutrition and Eating Habits: Eating less fruits and vegetables than recommended Increases in snacking, especially on less healthy/ who are breastfed less likely to over consume calories compared to formula fed infants = less likely to become overweight/obese as they grow older. BF babies are not encouraged to “finish the bottle”. They learn self-regulation of caloric/


CHILDHOOD OBESITY.

soon after a meal, suggest hyperphagia. If severe, especially in children, suggests a genetic cause for obesity History(cont….) Developmental delay – milestones, educational history, behavioral disorders. Consider craniopharyngioma or structural causes(often /leptin receptor deficiency Dysmorphic features or skeletal dysplasia Examination(cont…) Pubertal development/secondary sexual characteristics. Most obese adolescents grow at a normal or excessive rate and enter puberty at the appropriate age; many /


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