Obesity Medicine for the Adolescent Patient: It Takes The Village

Transcription

1 Obesity Medicine for the Adolescent Patient: It Takes The Village

2 Topic: The Biology of Adolescent Sleep; Chronic Pain and Adolescents; Adolescents and Obesity ATLANTIC REGIONAL OSTEOPATHIC CONVENTION, APRIL 25-26, 2018 GOLDEN NUGGET, ATLANTIC CITY Session: 2:00-5:00 pm on Wednesday, April 26, 2018 Presenter: Carol Penn, D.O., M.A. Board Certified in Family Medicine and Osteopathic Manipulative Treatment Ambassador and Scholar National Health Corps Preceptor Faculty, Rowan University School of Osteopathic Medicine Faculty, Center for Mind Body Medicine Certified Health, Wellness, and Fitness Coach

3 Presentation Objectives At the conclusion of this activity the learner will be able to: Define Pediatric Obesity and have an Understanding of the Epidemiology of Pediatric Obesity as it relates to the Adolescent; Understand Pediatric Weight Loss Goals in the Adolescent Population; Understand How to Apply to the Adolescent Population; Understand the Stages of Intervention When Treating an Adolescent Child with Obesity

4 Childhood overweight and obesity are determined by BMI percentiles In adults, body fat is determined using BMI In children, BMI percentiles correspond to total body fat as they are not only gaining height, but also weight as they grow. BMI percentiles are based on CDC 2000 growth charts determined by national surveys on children for ages 2-20; applicable to all racial/ethnic backgrounds

5 95 th Percentile = Pediatric Obesity Expert Committee Recommendations 85 th -95 th BMI percentile: overweight 95 th BMI percentile: obesity Severe obesity 99% BMI percentile for youths years BMI 34kg/m 2 for years

6 BMI growth curve may not be reflective of adolescent growth velocity Some children may have relatively high weights due to: High lean mass Most common in male adolescents, for whom weight by reflect large component of lean body mass

7 Screen for Parental Obesity in Family Hx Parental obesity (1 st and 2 nd degree relatives) is the strongest predictor of childhood obesity Strongest predictor for children < 6 yrs. of age After 6 yrs. of age, child s own weight status becomes the stronger predictor of adult obesity Screen for T2DM and CVD risk factors in family Hyperlipidemia and HTN Parental eating patterns & motivation

8 Focus on Prevention The primary goal in childhood obesity treatment is the improvement of long-term physical health through permanent health lifestyle habits.

9 Pediatrics: Patient Management The 4 stages of intervention for childhood overweight and obesity

10 Pediatrics: Patient Management The 4 stages of intervention for childhood overweight and obesity

11 Pediatrics: Patient Management The 4 stages of intervention for childhood overweight and obesity

12 Pediatrics: Patient Management The 4 stages of intervention for childhood overweight and obesity

13 Weight Loss Goals Per Age and BMI

14 Recommended Selection Criteria

15 Review Systems

16 Physical Exam Findings in Childhood Obesity

17 Laboratory Tests

18 Risk Assessment

19 References Obesity Medicine Association ( Pediatric Algorithm ( Harvard Blackburn Obesity Medicine Review Course ( The Association for the Advancement of Restorative Medicine AARM

20 Acknowledgements Restorative Medicine Conference: 2018 Trends in Nutrition, Pain Management and Mind Body Therapies Jen Palmer, ND Dr. Claudia Huegel, Ms. Lisa Kaplan and the Team at Medimorphosis Physician Assisted Weight Loss The Manchester Clinical Team at Ocean Health Initiatives Mr. Diem Jones, All One Consulting, LLC My first teachers, my parents: Alma & Arthur Penn My husband my Diem Jones & our sons Keita and Dima A special gratitude to my primary teachers in the Art of Medicine: My Patients

21 Obesity Medicine for the Adolescent Patient: It Takes The Village Dr. Carol Penn (732)