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Obesity and Children

Obesity and Children. Love and Respect Acceptance and Fun By: Candance Gabel, M.S. R.D.L.D. “Overweight” = BMI > 95 th percentile “At risk for Overweight” = BMI > 85 th percentile but < 95 th percentile. What Causes Obesity?. Genetics Familial Factors Socio-demographic Factors

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Obesity and Children

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  1. Obesity and Children Love and Respect Acceptance and Fun By: Candance Gabel, M.S. R.D.L.D.

  2. “Overweight” = BMI > 95th percentile “At risk for Overweight” = BMI > 85th percentile but < 95th percentile

  3. What Causes Obesity? • Genetics • Familial Factors • Socio-demographic Factors • Dietary Factors • Physical Activity and Sedentary Activity • Psychological Factors

  4. Medical Reasons • Hypothyroidism • Cushing’s Syndrome • Prader-Willi • Turner’s Syndrome • Laurence-Moon-Biedl

  5. Hereditary? Somewhere between 30 – 75% of the variance in adiposity within a population can be explained by genetics.

  6. What do Parents have to do with it? Parental education and race Age of mother and race Number of siblings and race

  7. Prevalence of Overweight in 9-10 Year Old Girls by Parental Education and Race Black Girls White Girls n=1213 n=1166 Parental Education < High School 31% 29% Some College 31% 25% >4 Years College 32% 16% Patterson, Crawford, et al1997

  8. Prevalence of overweight in 9-10 year old girls by age of mother and race Black Girls White Girls Age of Mother/Female Guardian <31 26% 20% 31-35 29% 23% 36-40 33% 19% 41-45 37% 21% >45 36% 27% Patterson, Crawford, et al 1997

  9. Prevalence of overweight in 9-10 year old girls by number of siblings and race Black Girls White Girls Number of Siblings 0 35% 29% 1 34% 21% 2 28% 20% >3 26% 14%

  10. Eating Practice yes no Eating while watching TV 1900 1790 Eat while doing homework 1920 1820 Eat when not hungry 1900 1830 Sneak food 1880 1830 Buy snacks 1870 1820 Eat big helpings 1880 1820

  11. Vulnerable Times • Prenatal • Adiposity rebound (Age 5 to 7) • Adolescence • Early Adulthood • Pregnancy • Menopause

  12. Health Risks • Increased blood pressure • Increased total cholesterol • Abnormal lipoproteins • Hyperinsulineamia

  13. Psycho Social • Depression • Low self-esteem • Work difficulties • Social difficulties

  14. Seeing Things Differently Factors to consider when assessing weight in Adolescents

  15. Redefining “success” with overweight intervention • Improved body image • Division of responsibility • Physically active life-style • Healthful eating pattern • Ability to deal with peers • Normal medical indicators • Weight stabilization • Improved self-esteem

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