Preventing Childhood Overweight and Obesity: The Pediatrician's Role

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Slide # Title & Content
1 Preventing Childhood Overweight and Obesity: The Pediatrician's Role
Renee R. Jenkins, MD, FAAP
President-Elect
American Academy of Pediatrics
October 26, 2006
2 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.

3 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!
4 Why We Care

Obesity is currently the single most prevalent chronic disease in childhood.

(image: photo of child eating)

5 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
6 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)

7 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.

8 Why We Care

Obese children constitute a significant portion of every primary care and specialty practice in Pediatrics

(image: photo of girl toddler)

9 Childhood Obesity is a Strategic Priority for the AAP
10 Childhood Obesity is an AAP Strategic Priority

(image: Chart titled "AAP Strategic Priorities 2006-2007")

11 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
12 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
13 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.
14 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
15 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
16 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"

17 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
18 Community-level Collaboration

  • Grant Opportunities
  • Community-based approaches
  • Advocacy summit and workshops
  • Local wellness policy promotion
  • Legislation and public policy tracking/issue briefs
19 Practice Management Support and Reimbursement Resources

  • Meetings with national carriers
  • Recommendations for obesity coverage
  • Obesity Coding Fact Sheet
  • Template letter and negotiation resources
20 Research

  • Periodic Survey of Fellows
  • Pediatric Research in Office Settings Network: healthy lifestyle study
21 For More Info: www.aap.org/obesity

(image: screenshot of www.aap.org/obesity)

22

(image: American Academy of Pediatrics logo)

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