pediatric weight management program claudia fox, md mph director
TRANSCRIPT
Pediatric Weight Management ProgramClaudia Fox, MD MPH
Director
AnonymousAge 16, 320 lbs
“i really am sick of being fat. honestly i hate it … i hate myself for being the size i am and i pretty much have no self esteem”
From Overweight: What Kids Say, Pretlow, 2010
BrookeAge 11, 245 lbs
“Im fat!..I do not fit in the desk at school! So I have to sit alone at a table!”
From Overweight: What Kids Say, Pretlow, 2010
FrancheskaAge 11, 171 lbs
“Help Me!!!!!!!... I want to lose weight but I can’t stop eating. I try many different things like eating less. I(t) never works. There is always good food in the house…”
From Overweight: What Kids Say, Pretlow, 2010
Obesity is a Sign
Slide courtesy of Dr. Charles Billington
Biopsychosocial Framework
BiologyGenetics
Diet Composition Energy Expenditure
SleepHunger/satiety, Food Cravings
SociologySocioeconomic Status
Education Eating Habits
Physical Activity Habits Parenting Style
PsychologyADHD
DepressionBinge Eating
Multidisciplinary Team
• Physician• Nurse Coordinator• Registered Dietician• Physical Therapist• Psychologist
Comprehensive Evaluation
• Diet• Eating patterns• Physical Activity• Medical and psychiatric history• Identification of co-morbid conditions
Treatment• Dietary interventions• Physical activity interventions• Behavioral modification & parent education• Treatment of co-morbid conditions• Weight loss medications• Bariatric surgery• Frequent follow-up
Clinic Locations• University of Minnesota Amplatz Children’s
Hospital – Discovery Clinic• UMP Pediatric Specialty Clinic for Children
– St. Paul – Burnsville– Maple Grove