1. 2003 Summit on Childhood Obesity Prevention and Treatment: A Research Focus August 18, 2003

2. Division of Health Sciences
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Brody School of Medicine School of Nursing
School of Allied Health Sciences Laupus Library

3. Health of the Population
NC ranks 38th
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YLL-75 per 10,000 < 75
0.0 – 648.5
648.6 – 740.3
740.4 – 825.8
Premature Mortality in the
United States Counties
825.9 – 922.7
922.8 – 1,067.0
1,067.1 – 3,254.3
Rates for 3 year period ( )
Age-adjusted to the 2000 US Standard Million

4. Eastern North Carolina
… Would rank 50th NC
Ranks 38th
Obesity
Diabetes
Cholesterol
High Blood Pressure
Heart Attacks
Strokes
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5. Case Study: Coronary Disease in Americans Killed in Korea (1953)
Autopsied 300 men KIA
Average age
22.1 years
Coronary Arteries sectioned
Enos, et al, JAMA, 1953

6. Findings
77.3% Demonstrated gross evidence of coronary disease

7. Comparison Japanese Natives 30 males, same approx. age as Americans
1.7% of cases suggested coronary disease
Study suggested difference in American and Japanese diet as the source of the lipids

8. Key Points
Obesity is the most common chronic medical problem in children
Overfeeding in the first 4 months of life is associated with Diabetes
Type 2 Diabetes increasing in children and adolescents
Traditionally associated with middle-aged adults
If untreated, 80% of obese 10 to 13 year olds will be obese as adults
Obesity status of children over 6 years of age strong predictor of adult diabetes
Pediatric Case Reviews 2002

9. Devastating Consequences of Obesity
65% of obese children 5 to 10 years of age have at least one cardiovascular risk factor
25% have two or more risk factors
J Pediatr 1999; 134:535

10. Key Components to Healthier North Carolinians
Prevention
Early Diagnosis
Advanced Treatment

11. Foster Dynamic Partnerships in Health Care Delivery, Health Professions Education, and Research in Eastern North Carolina
Universities, continuum
AHEC

12. Model Partnership with
University Health Systems / Pitt County Memorial Hospital
Major Educational Mission
Approximately 1,600 Physicians, 4,500 Nurses, and 2,000 Allied Health Professions
Major Service Mission
Regional Quaternary and Tertiary Services
Level One Trauma Center
Advanced Diagnostics
Advanced Treatments
Level One Trauma Center
Advanced Diagnostics
Cancer Center
Cardiovascular Center
Neonatal Intensive Care

13. Health Sciences Division Strategic Plan
“Obesity and Diabetes are Cornerstone”

14. Diabetes and Obesity Program
Pediatric Obesity Program
Diabetes and Obesity Core
Nutrition and Exercise
Nationally-recognized
Bariatric Surgery
Nationally-recognized Clinicians
Research
World-renowned Scientists
External support from non-state
grants and contracts

15. “The child is the father
Goal: Grow One Healthy Generation
“The child is the father
of the man.”
Wordsworth

16. VISION: Healthier North Carolinians A Healthy Tomorrow Starts Here … with Prevention