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The NEW Kids ™ Program

The NEW Kids ™ Program. High Prevalence of CV Factors in Children seen in a Pediatric Weight Management Program JA Skelton, D Kilway, S Lerret, G Telega. 284 new patients seen over 18 months Very overweight BMI Mean = 35 kg/m 2 (99.8 th percentile) BMI > 40 = 27%

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The NEW Kids ™ Program

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  1. The NEW Kids™ Program

  2. High Prevalence of CV Factors in Children seen in a Pediatric Weight Management Program JA Skelton, D Kilway, S Lerret, G Telega • 284 new patients seen over 18 months • Very overweight • BMI Mean = 35 kg/m2 (99.8th percentile) • BMI > 40 = 27% • BMI Range: 17 – 78 kg/m2 • High risk for later CVD • 56% elevated cholesterol • 43% elevated LDL • 14% low HDL • 44% elevated triglycerides • 65% elevated insulin levels

  3. Steatohepatitis in Overweight Children S Lerret, JA Skelton, D Kilway, G Telega • 284 overweight patients (age 2-18 years) • 60 children (21%) demonstrated an elevated ALT • 15 children (5%) demonstrated an elevated AST • 8 children (3%) were biopsied • Mean BMI of patients biopsied = 35.1 (+/- 7.3) • All 8 children had NASH • 7/8 had fibrosis with cirrhosis

  4. Psychosocial factors in a multidisciplinary pediatric obesity treatment programL Miller, JA Skelton, M Otto, J Mao, H Hackbarth, G Flores • 58 patients followed in program for > 9 months • 64% had successful reduction in weight status • Overall group had a reduction in CVRFs • No association with race/ethnicity, income, gender

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