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Title & Content |
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Preventing Childhood Overweight and Obesity: The Pediatrician's Role
Renee R. Jenkins, MD, FAAP
President-Elect
American Academy of Pediatrics
October 26, 2006 |
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Childhood Overweight & Obesity
The mission of the American Academy of Pediatrics is to attain optimal physical, mental and social health and well-being for all infants, children, adolescents and young adults. To accomplish this mission, the Academy shall support the professional needs of its members.
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Childhood Overweight & Obesity
- Childhood Obesity is compromising the health and well being of our children
- The American Academy of Pediatrics cares!
- And we are doing something about it!
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Why We Care
Obesity is currently the single most prevalent chronic disease in childhood.
(image: photo of child eating)
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Why We Care
Obesity increases the burden of disease for children and adolescents
- Cardiovascular disease
- Type 2 diabetes, DKA
- Polycystic ovarian syndrome
- Respiratory disease
- Slipped capital femoral epiphysis, Blount's disease
- Nonalcoholic steatohepatitis
- Pseudotumor cerebri
- Depression, low self-esteem, decreased quality of life
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Why We Care
The lifetime risk of diabetes for babies born in 2000:
- 1 in 3 for males
- 2 in 5 for females
Narayan KM, et al. JAMA290 :1884 –1890,2003
(image: photo of baby)
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Why We Care
Minority populations are hardest hit:
In 1998, 21.5 percent of African American children, 21.8 percent of Hispanic children and
12.3 percent of Caucasian children had a Body Mass Index (BMI) greater than the 95 percentile for age and gender.*
*Strauss RS, Pollack HA. Epidemic increase in childhood overweight, 1986-1998. JAMA 2001;286:2845-8.
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Why We Care
Obese children constitute a significant portion of every primary care and specialty practice in Pediatrics
(image: photo of girl toddler)
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Childhood Obesity is a Strategic Priority for the AAP
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Childhood Obesity is an AAP Strategic Priority
(image: Chart titled "AAP Strategic Priorities 2006-2007")
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Obesity-Related Key Objectives
- Obesity prevention is part of every routine child health supervision visit
- Increase clinical skill in identifying and treating overweight and obese children, including
comorbidities
- Collaborate with medical schools, residency programs and fellowship programs to integrate obesity prevention and treatment into the curricula
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Obesity-Related Key Objectives
- Pediatricians will actively promote policies, programs, and interventions that support
- Pediatricians will be recognized by insurers, employers, the medical community, and legislators as critical providers of obesity prevention and treatment
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Obesity Activities
In order to engage in obesity prevention, intervention and treatment of obesity, Pediatricians need:
- Education
- National, state and local advocacy support
- Community networking
- Practice Management Support
- Reimbursement
- Research into causes and effective prevention and treatment strategies.
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Educational Activities
- AAP policy statements, including:
- Prevention of Pediatric Overweight and Obesity
- Active Healthy Living: Prevention of Childhood Obesity Through Increased Physical Activity
- CME programming
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Educational Activities
- Pediatrics for the 21st Century Program: "Fact, Fiction,
or Future of Pediatric Obesity"
- Sample slide sets for public use
- AAP News articles
- Obesity curriculum for pediatric residents
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Resources for Patients & Families
- AAP overweight and obesity web site (average 55K hits; 4K unique visitors PER MONTH)
- Books
- Brochures
(image: photos of books or brochures titled "Pediatric Obesity" and "Childhood Obesity"
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Partnerships With Private Sector and Federal Agencies
- CDC, MCHB, AMA: consensus guidelines
- CDC: VERB! Campaign
- AHRQ: DVD for parents/children
- OSG: Shaping America's Youth
- NIH: We Can!
- American Heart Assoc: dietary guideline/obesity initiative
- Assoc of Children's Museums:"Go Kids!" initiative
- Shape Up America
- Action for Healthy Kids
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Community-level Collaboration
- Grant Opportunities
- Community-based approaches
- Advocacy summit and workshops
- Local wellness policy promotion
- Legislation and public policy tracking/issue briefs
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Practice Management Support and Reimbursement Resources
- Meetings with national carriers
- Recommendations for obesity coverage
- Obesity Coding Fact Sheet
- Template letter and negotiation resources
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Research
- Periodic Survey of Fellows
- Pediatric Research in Office Settings Network: healthy lifestyle study
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For More Info: www.aap.org/obesity
(image: screenshot of www.aap.org/obesity)
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(image: American Academy of Pediatrics logo)
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