Obesity in Adolescents with Autism Spectrum Disorders BRANDY STRAHAN, PHD, RN Assistant Professor.
Caring for adolescents with obesity in an urban clinic
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Transcript of Caring for adolescents with obesity in an urban clinic
![Page 1: Caring for adolescents with obesity in an urban clinic](https://reader036.fdocuments.in/reader036/viewer/2022081404/55a1574d1a28ab350e8b4595/html5/thumbnails/1.jpg)
Caring for Adolescents with Obesity in an
Urban Clinic
Julia Joseph-Di Caprio, M.D., M.P.H.
HCMC Chief of Pediatrics
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I have nothing to disclose.
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Objectives
Upon completion of this session, participants should be better able to:
• Discuss an adolescent’s obesity with them and their parent.
• Develop plans with adolescents from diverse backgrounds and their parents for the management of the adolescents’ obesity (plans that have a chance of working).
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Clinical Pearls• Clinicians should talk about an adolescent’s weight with
them, but the focus should be on healthy living, not dieting.
• Parents should not talk about weight with their adolescent, but modeling healthy behaviors is recommended.
• Most youth will not take part in intensive weight loss programs, but clinicians can use diet and exercise recommendations, community programs, and new media technologies to manage an adolescent’s obesity with them and their parents.
![Page 5: Caring for adolescents with obesity in an urban clinic](https://reader036.fdocuments.in/reader036/viewer/2022081404/55a1574d1a28ab350e8b4595/html5/thumbnails/5.jpg)
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Adolescent Obesity in the U.S.
Percentage of high school students who were obese* — selected U.S. states, Youth Risk Behavior Survey, 2003
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Adolescent Obesity in the U.S.
Percentage of high school students who were obese* — selected U.S. states, Youth Risk Behavior Survey, 2005
![Page 8: Caring for adolescents with obesity in an urban clinic](https://reader036.fdocuments.in/reader036/viewer/2022081404/55a1574d1a28ab350e8b4595/html5/thumbnails/8.jpg)
Adolescent Obesity in the U.S.
Percentage of high school students who were obese* — selected U.S. states, Youth Risk Behavior Survey, 2007
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Adolescent Obesity in the U.S.
Percentage of high school students who were obese* — selected U.S. states, Youth Risk Behavior Survey, 2009
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Adolescent Obesity in the U.S.
Percentage of high school students who were obese* — selected U.S. states, Youth Risk Behavior Survey, 2011
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Adolescent Obesity in the U.S.
American Heart Association. Circulation, 2011
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Adolescent Obesity in the U.S.
Ogden CL, et al. JAMA. 2012
Prevalence of Obesity and Trends in Body Mass Index Among US Children and Adolescents, 1999-2010
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Adolescent Obesity in the U.S.
Ogden CL, et al. JAMA. 2012
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Adolescent Obesity in Minnesota
Minnesota Student Survey Trends Report 2010
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Adolescent Obesity in Minnesota
Minnesota Student Survey Trends Report 2010
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Adolescent Obesity in Minnesota
Minnesota Student Survey Trends Report 2010
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Adolescent Obesity in Hennepin County
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Adolescent Obesity in Hennepin County
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Mental health and overweight
BeLue, et al. Pediatrics, 2008
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Objectives
Upon completion of this session, participants should be better able to:
• Discuss an adolescent’s obesity with them and their parent.
• Develop plans with adolescents from diverse backgrounds and their parents for the management of the adolescents’ obesity (plans that have a chance of working).
![Page 21: Caring for adolescents with obesity in an urban clinic](https://reader036.fdocuments.in/reader036/viewer/2022081404/55a1574d1a28ab350e8b4595/html5/thumbnails/21.jpg)
How to talk about weight
Puhl, et al, Pediatrics 2011
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How to talk about weight
Puhl, et al, Pediatrics 2011
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Neumark-Sztainer, et al. Pediatrics, 2008
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Objectives
Upon completion of this session, participants should be better able to:
• Discuss an adolescent’s obesity with them and their parent.
• Develop plans with adolescents from diverse backgrounds and their parents for the management of the adolescents’ obesity (plans that have a chance of working).
![Page 26: Caring for adolescents with obesity in an urban clinic](https://reader036.fdocuments.in/reader036/viewer/2022081404/55a1574d1a28ab350e8b4595/html5/thumbnails/26.jpg)
The twenty minute office visit
evaluation/intervention
• Labs, family history-the “hook”?
• Diet review with recommendations
• Exercise and media review with recommendations
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[wpvideo mReQjjZY]
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You need to drop a few pounds
• Nutrition• Psychology• Medications• Bariatric surgery• Community programs
Taking Steps TogetherYouth Determined to Succeed
• Apps and other new technology solutions
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You need to drop a few pounds
Chanoine, et al. JAMA, 2005
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You need to drop a few pounds
Srinivasan, et al. J Clin Endocrinol Metab, 2006
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You need to drop a few pounds
O’Brien PE, et al. JAMA, 2010
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You need to drop a few pounds
• Nutrition• Psychology• Medications• Bariatric surgery• Community programs
Taking Steps TogetherYouth Determined to Succeed
• Apps and other new technology solutions
![Page 35: Caring for adolescents with obesity in an urban clinic](https://reader036.fdocuments.in/reader036/viewer/2022081404/55a1574d1a28ab350e8b4595/html5/thumbnails/35.jpg)
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YDS focus groups
• 6 males and 8 females• 13-18 years• Grades: 8th to college• Social media used:Instagram, Twitter, Snap Chat, Tumblr,
Facebook, You Tube, Pinterest, Gmail, Facetime, Skype, text messages
• To get YDS message out: Facebook and Twitter• Twitter: must be inspiring tweets, don’t retweet, don’t
recycle tweets, no more than 3-12 tweets per day• Use Instagram for before and after pictures• Use You Tube for training videos, PSAs
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You need to drop a few pounds
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Clinical Pearls• Clinicians should talk about an adolescent’s weight with
them, but the focus should be on healthy living, not dieting.
• Parents should not talk about weight with their adolescent, but modeling healthy behaviors is recommended.
• Most youth will not take part in intensive weight loss programs, but clinicians can use diet and exercise recommendations, community programs, and new media technologies to manage an adolescent’s obesity with them and their parents.