Oscar Purugganan, MD, MPH Columbia University Medical Center Department of Pediatrics
Childhood Obesity Thomas N. Robinson, MD, MPH Division of General Pediatrics Solutions Science...
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Transcript of Childhood Obesity Thomas N. Robinson, MD, MPH Division of General Pediatrics Solutions Science...
Childhood ObesityChildhood 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
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 Death
Stigmatization & Prejudice
Societal Costs of ObesitySocietal Costs of ObesitySocietal 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 school
Reduced productivityReduced productivity
More disabilityMore disability
Re-engineering the school, work and life Re-engineering the school, work and life environmentenvironment
> $150 Billion per year in Medical Costs> $150 Billion per year in Medical Costs
Absenteeism from work and schoolAbsenteeism from work and school
Reduced productivityReduced productivity
More disabilityMore disability
Re-engineering the school, work and life Re-engineering the school, work and life environmentenvironment
Center for Healthy Weight
Cutting-Edge Research
State-of-the-Art Patient Care
Community Programs
Professional Education
Advocacy for Public Policy Change
Healthy Hospital Environment
http://healthyweight.lpch.org
Childhood ObesityA Public Health Crisis
A Problem in Families
Solutions are Available
All Sectors Need to Play a Role
http://healthyweight.lpch.org