Childhood Obesity

Did you know that 1 out of 5 children in the United States ages 6 to 19 are overweight or obese?

Dr. Jamie Lawson, a Pediatric Hospitalist, joins Pediatric Resident Ashley Miller to discuss the evaluation and management pediatric obesity. Specifically, they will:

• Review the key history and physical exam findings associated with obesity.
• Discuss the initial diagnostic approach to obesity
• Identify associated co-morbidities of patients with obesity
• Guide pediatricians on how to initiate appropriate therapy for children who are overweight or obese
• Advise on strategies to counsel patients and their families

Special thanks to Dr. Rebecca Yang and Dr. April Hartman who peer reviewed today’s episode. 

Free CME Credit Available: https://mcg.cloud-cme.com/course/courseoverview?P=0&EID=7596

References:

Alizadeh, Zahra, et al. “Obese and Overweight Children and Adolescents: an Algorithmic Clinical Approach.” Iranian Journal of Pediatrics, Tehran University of Medical Sciences, Dec. 2013, www.ncbi.nlm.nih.gov/pmc/articles/PMC4025117/. 

Barlow, Sarah E. “Expert Committee Recommendations Regarding the Prevention, Assessment, and Treatment of Child and Adolescent Overweight and Obesity: Summary Report.” Pediatrics, vol. 120, no. Supplement 4, 2007, doi:10.1542/peds.2007-2329c. 

Cuda, Suzanne E., and Marisa Censani. “Pediatric Obesity Algorithm: A Practical Approach to Obesity Diagnosis and Management.” Frontiers in Pediatrics, vol. 6, 2019, doi:10.3389/fped.2018.00431. 

“Defining Childhood Obesity.” Centers for Disease Control and Prevention, Centers for Disease Control and Prevention, 3 July 2018, www.cdc.gov/obesity/childhood/defining.html. 

Flegal, Katherine M, et al. “Characterizing Extreme Values of Body Mass Index–for-Age by Using the 2000 Centers for Disease Control and Prevention Growth Charts.” The American Journal of Clinical Nutrition, vol. 90, no. 5, 2009, pp. 1314–1320., doi:10.3945/ajcn.2009.28335. 

Gulati, A. K., et al. “Clinical Tracking of Severely Obese Children: A New Growth Chart.” PEDIATRICS, vol. 130, no. 6, 2012, pp. 1136–1140., doi:10.1542/peds.2012-0596. 

Lang, Jason E., et al. “Being Overweight or Obese and the Development of Asthma.” Pediatrics, vol. 142, no. 6, 2018, doi:10.1542/peds.2018-2119. 

Ludwig, David S. “Epidemic Childhood Obesity: Not Yet the End of the Beginning.” Pediatrics, vol. 141, no. 3, 2018, doi:10.1542/peds.2017-4078. 

“Overweight & Obesity.” Centers for Disease Control and Prevention, Centers for Disease Control and Prevention, 29 Oct. 2020, www.cdc.gov/obesity/index.html. 

Pont, Stephen J., et al. “Stigma Experienced by Children and Adolescents With Obesity.” Pediatrics, vol. 140, no. 6, 2017, doi:10.1542/peds.2017-3034. 

Puhl, R. M., and M. S. Himmelstein. “Adolescent Preferences for Weight Terminology Used by Health Care Providers.” Pediatric Obesity, vol. 13, no. 9, 2018, pp. 533–540., doi:10.1111/ijpo.12275. 

Yanovski, Jack A. “Pediatric Obesity. An Introduction.” Appetite, vol. 93, 2015, pp. 3–12., doi:10.1016/j.appet.2015.03.028.