Childhood ObesityThomas N. Robinson, MD, MPH

Division of General PediatricsSolutions Science

Center for Healthy WeightStanford Prevention Research Center

http://prevention.stanford.eduhttp://healthyweight.lpch.org

Childhood Obesity in the U.S.

Hedley AA, et al. JAMA 2004;291:2847-50Ogden C, et al. JAMA 2006;295:1549-55Ogden C, et al. JAMA 2008;299:2401-05Ogden C, et al. JAMA 2012;307:483-90

Childhood Obesity in the U.S.

Hedley AA, et al. JAMA 2004;291:2847-50Ogden C, et al. JAMA 2006;295:1549-55Ogden C, et al. JAMA 2008;299:2401-05Ogden C, et al. JAMA 2012;307:483-90

Childhood Obesity in the U.S.

Hedley AA, et al. JAMA 2004;291:2847-50Ogden C, et al. JAMA 2006;295:1549-55Ogden C, et al. JAMA 2008;299:2401-05Ogden C, et al. JAMA 2012;307:483-90

Childhood Obesity in the U.S.

Hedley AA, et al. JAMA 2004;291:2847-50Ogden C, et al. JAMA 2006;295:1549-55Ogden C, et al. JAMA 2008;299:2401-05Ogden C, et al. JAMA 2012;307:483-90

Lord of the Flies, 1963

1963

Complications and Co-morbiditiesComplications and Co-morbiditiesCardiovascular

Hypercholesterolemia, High LDL

High Triglycerides, Low HDLHypertensionCoronary Artery DiseaseStroke

Surgical complications

GastrointestinalGallstonesNon-Alcoholic Fatty Liver Disease (NAFLD)/Steato-Hepatitis (NASH)

Central Nervous SystemPseudotumor CerebriObstructive Sleep ApneaPickwickian Syndrome

EndocrineHyperinsulinemia/Pre-DiabetesType 2 DiabetesPolycystic Ovary Syndrome (PCOS)

SkinDermatitis

ReproductivePregnancy & post-partum complications (gestational diabetes, hypertension, C-section, prematurity/low birth weight, birth defects)

PsychiatricEating disordersDepression

Genito-UrinaryErectile dysfunction

OrthopedicSlipped capital femoral epiphysisBlount disease (tibia vara)Osteoarthritis

Cancer (>100,000 cases per year)prostate, endometrial, uterine, cervical, ovarian, colon, kidney, postmenopausal breast

Premature DeathStigmatization & Prejudice

Societal Costs of ObesitySocietal Costs of Obesity

> $150 Billion per year in Medical Costs> $150 Billion per year in Medical Costs

Absenteeism from work and schoolAbsenteeism from work and schoolReduced productivityReduced productivityMore disabilityMore disabilityRe-engineering the school, work and life Re-engineering the school, work and life

environmentenvironment

Fernando Botero, Familia (1989)

Center for Healthy Weight

Cutting-Edge ResearchState-of-the-Art Patient CareCommunity ProgramsProfessional EducationAdvocacy for Public Policy

ChangeHealthy Hospital Environment

http://healthyweight.lpch.org

Childhood ObesityA Public Health CrisisA Problem in Families

Solutions are AvailableAll Sectors Need to Play a Role

http://healthyweight.lpch.org

Alberto, 16 years old