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Childhood Obesity

Childhood Obesity. Thomas N. Robinson, MD, MPH Division of General Pediatrics Solutions Science Center for Healthy Weight Stanford Prevention Research Center http://prevention.stanford.edu http://healthyweight.lpch.org. Childhood Obesity in the U.S.

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Childhood Obesity

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  1. Childhood Obesity Thomas N. Robinson, MD, MPH Division of General Pediatrics Solutions Science Center for Healthy Weight Stanford Prevention Research Center http://prevention.stanford.edu http://healthyweight.lpch.org

  2. Childhood Obesity in the U.S. Hedley AA, et al. JAMA 2004;291:2847-50 Ogden C, et al. JAMA 2006;295:1549-55 Ogden C, et al. JAMA 2008;299:2401-05 Ogden C, et al. JAMA 2012;307:483-90

  3. Childhood Obesity in the U.S. Hedley AA, et al. JAMA 2004;291:2847-50 Ogden C, et al. JAMA 2006;295:1549-55 Ogden C, et al. JAMA 2008;299:2401-05 Ogden C, et al. JAMA 2012;307:483-90

  4. Childhood Obesity in the U.S. Hedley AA, et al. JAMA 2004;291:2847-50 Ogden C, et al. JAMA 2006;295:1549-55 Ogden C, et al. JAMA 2008;299:2401-05 Ogden C, et al. JAMA 2012;307:483-90

  5. Childhood Obesity in the U.S. Hedley AA, et al. JAMA 2004;291:2847-50 Ogden C, et al. JAMA 2006;295:1549-55 Ogden C, et al. JAMA 2008;299:2401-05 Ogden C, et al. JAMA 2012;307:483-90

  6. Lord of the Flies, 1963

  7. 1963

  8. Cardiovascular Hypercholesterolemia, High LDL High Triglycerides, Low HDL Hypertension Coronary Artery Disease Stroke Surgical complications Complications and Co-morbidities Reproductive Pregnancy & post-partum complications (gestational diabetes, hypertension, C-section, prematurity/low birth weight, birth defects) Genito-Urinary Erectile dysfunction Endocrine Hyperinsulinemia/Pre-Diabetes Type 2 Diabetes Polycystic Ovary Syndrome (PCOS) Skin Dermatitis Psychiatric Eating disorders Depression Gastrointestinal Gallstones Non-Alcoholic Fatty Liver Disease (NAFLD)/Steato-Hepatitis (NASH) Cancer (>100,000 cases per year) prostate, endometrial, uterine, cervical, ovarian, colon, kidney, postmenopausal breast Central Nervous System PseudotumorCerebri Obstructive Sleep Apnea Pickwickian Syndrome Premature Death Orthopedic Slipped capital femoral epiphysis Blount disease (tibia vara) Osteoarthritis Stigmatization & Prejudice

  9. Societal Costs of Obesity • > $150 Billion per year in Medical Costs • Absenteeism from work and school • Reduced productivity • More disability • Re-engineering the school, work and life environment

  10. Fernando Botero, Familia (1989)

  11. 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

  12. Childhood Obesity A Public Health Crisis A Problem in Families Solutions are Available All Sectors Need to Play a Role The Right Thing to Do The Smart Thing to Do http://healthyweight.lpch.org

  13. Alberto, 16 years old

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