Obesity and Children Love and Respect Acceptance and Fun By: Candance Gabel, M.S. R.D.L.D.
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Transcript of Obesity and Children Love and Respect Acceptance and Fun By: Candance Gabel, M.S. R.D.L.D.
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Obesity and Children
Love and Respect Acceptance and Fun
By: Candance Gabel, M.S. R.D.L.D.
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“Overweight” = BMI > 95th percentile
“At risk for Overweight” = BMI > 85th percentile but < 95th
percentile
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What Causes Obesity?•Genetics
•Familial Factors
•Socio-demographic Factors
•Dietary Factors
•Physical Activity and Sedentary Activity
•Psychological Factors
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Medical Reasons
• Hypothyroidism
• Cushing’s Syndrome
• Prader-Willi
• Turner’s Syndrome
• Laurence-Moon-Biedl
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Hereditary?
Somewhere between 30 – 75% of the variance in adiposity within a population can be explained by genetics.
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What do Parents have to do with it?
Parental education and raceAge of mother and race
Number of siblings and race
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Prevalence of Overweight in 9-10 Year Old Girls by Parental Education and Race
Black Girls White Girlsn=1213 n=1166
Parental Education< High School 31% 29%Some College 31% 25%>4 Years College32% 16%
Patterson, Crawford, et al 1997
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Prevalence of overweight in 9-10 year old girls by age of mother and
race Black Girls White
GirlsAge of Mother/Female Guardian<31 26% 20%31-35 29% 23%36-40 33% 19%41-45 37% 21%>45 36% 27%
Patterson, Crawford, et al 1997
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Prevalence of overweight in 9-10 year old girls by number of siblings and race
Black Girls White Girls
Number of Siblings
0 35% 29%1 34% 21%2 28% 20%>3 26% 14%
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Eating Practice yes no
Eating while watching TV 1900 1790Eat while doing homework 1920 1820Eat when not hungry 1900 1830Sneak food 1880 1830Buy snacks 1870 1820Eat big helpings 1880 1820
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Vulnerable Times
• Prenatal• Adiposity rebound (Age 5 to 7)• Adolescence• Early Adulthood• Pregnancy• Menopause
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Health Risks
• Increased blood pressure• Increased total cholesterol • Abnormal lipoproteins• Hyperinsulineamia
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Psycho Social
• Depression• Low self-esteem• Work difficulties• Social difficulties
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Seeing Things Differently
Factors to consider when assessing weight in Adolescents
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Redefining “success” with overweight intervention
• Improved body image• Division of responsibility• Physically active life-style• Healthful eating pattern• Ability to deal with peers• Normal medical indicators• Weight stabilization • Improved self-esteem
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