1 / 31

Pediatric Obesity in Minnesota: Local Tools and Resources

Let's Move. First Lady Michelle Obama's response to childhood obesityGoal: To eradicate obesity in a single generationPartnership for a Healthier America to involve every sector in combating obesity www.LetsMove.gov. American Academy of Pediatrics. Educate doctors and nurses about obesityRegularly monitor children's BMIProvide counseling for healthy eating Prescription for parents laying out the simple things they can do to increase healthy eating and active play.Our role is to Provide P1147

jaden
Download Presentation

Pediatric Obesity in Minnesota: Local Tools and Resources

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

    1. Pediatric Obesity in Minnesota: Local Tools and Resources Sarah Jane Schwarzenberg, M.D. Sep 14, 2010

    3. American Academy of Pediatrics Educate doctors and nurses about obesity Regularly monitor children’s BMI Provide counseling for healthy eating Prescription for parents laying out the simple things they can do to increase healthy eating and active play. Our role is to Provide Parents with a Rx for Healthier Living

    4. MN-AAP Obesity Taskforce Links to resources for Calculating and plotting BMI Simple options for families as prescriptions for change Developing slide file for community talks

    5. www.mnaap.org/obesity.htm Tools available to help Assess, Prevent and Treat childhood obesity Links to clinics and programs statewide that assess and treat obese children Links to other obesity resources

    6. BMI calculator (2-19 yr) Many practices have an EMR that calculates and plots BMI http://apps.nccd.cdc.gov/dnpabmi/Calculator.aspx Provides BMI and the corresponding BMI-for-age percentile on a CDC BMI-for-age growth chart

    7. BMI is a screen for obesity BMI = Weight (kg)/[Height (M)]2 Using the 85th and 95th percentiles as cut points, few children are incorrectly identified as over-fat but some over-fat children will be missed. BMI must be confirmed by a good physical exam BMI-for-age relates to health risks Correlates with clinical risk factors for cardiovascular disease BMI-for-age during pubescence is related to lipid levels and high blood pressure in middle age

    8. Make a weight-category diagnosis using BMI percentile for age

    9. Transmitting diagnosis Do not use hurtful words Fat Chubby, husky Obese Suggested terms: “Carrying more weight than is healthy” “Weight more than bone mass can manage” “Weight is a risk factor for disease”

    10. Offering a prescription for a healthier life Assess what families do now around eating and activity Provide guided options Provide education Provide resources

    11. 5-2-1-0 5 servings of fruits and vegetables each day No, corn and potatoes do not count 2 hours, maximum, of screen time each day 1 hour of active exercise (play) each day 0 sweet drinks Yes, juice is a sweet drink

    16. Resources www.mnaap.org/obesity.htm www.aap.org www.cdc.gov www.mypyramid.gov www.kidnetic.com www.weigh2rock.com

    20. Promote breastfeeding Small, but real protective effect on child obesity Confounded by maternal obesity and variation in breastfeeding practices Engage obstetricians in promoting healthy weight gain during pregnancy and breastfeeding

    21. Doom and Gloom There is no treatment that really works for obese kids

    22. HIKCUPS 165 OW/OB children (5-10 years old) Randomized to: Parent-centered dietary program Child-centered activity program Both 10 wks treatment, 3 mo follow-up phone calls, results assessed after 12 months

    23. Intervention Weekly 2 hr face-to-face sessions for 10 weeks Small changes in diet with emphasis on their power to improve family health Homework activities to be completed between sessions

    24. Results ALL groups showed reduction in BMI All groups sustained the changes for 12 months Parent-based dietary intervention was most effective treatment

    25. Advocacy MN-AAP and Pediatricians are respected at the State Capitol You have more power than you realize to change policy at the local and state level You can improve the lives of children by engaging at the level of school boards, youth programs, day cares, and religious programs State legislators want to know that Pediatricians are doing something about obesity--let them know

    26. Policy tools: Obesity prevention www.aap.org/obesity/matrix_1.html Tools for health care professionals with or without experience in advocacy Matrix allows you to choose which health issues interest you (5-2-1-0, BMI, breastfeeding) AND at what level you want to work (practice, community, schools, state, federal)

    29. Education Development of slide sets to be made available on the MN-AAP website Webinars to address key topics in evaluation and management of obesity in children: email us and tell us what you want to hear debilzan@mnaap.org

    30. Conclusions Pediatricians have been offered an opportunity to contribute to a nation-wide program to improve child health MN-AAP is providing tools to allow providers to respond to the challenges of “Let’s Move” Email ideas and suggestions to: debilzan@mnaap.org

    31. MN-AAP Obesity Taskforce Angela Fitch, MD Brian Lynch, MD David Smith, MD Jean Fahey, MD Julie Boman, MD Marissa Hendrickson, MD Millie Santiago, MD Nancy Beery, DO Tom Scott, MD

More Related