Pediatric Weight Management Program Claudia Fox, MD MPH Director

1. Pediatric Weight Management ProgramClaudia Fox, MD MPHDirector

2. AnonymousAge 16, 320 lbs “i really am sick of being fat. honestly i hate it … i hate myself for being the size i am and i pretty much have no self esteem” From Overweight: What Kids Say, Pretlow, 2010

3. BrookeAge 11, 245 lbs “Im fat!..I do not fit in the desk at school! So I have to sit alone at a table!” From Overweight: What Kids Say, Pretlow, 2010

4. FrancheskaAge 11, 171 lbs “Help Me!!!!!!!... I want to lose weight but I can’t stop eating. I try many different things like eating less. I(t) never works. There is always good food in the house…” From Overweight: What Kids Say, Pretlow, 2010

5. Obesity is a Sign

6. Slide courtesy of Dr. Charles Billington

7. Biopsychosocial Framework Sociology Socioeconomic Status Education Eating Habits Physical Activity Habits Parenting Style Psychology ADHD Depression Binge Eating

8. Multidisciplinary Team • Physician • Nurse Coordinator • Registered Dietician • Physical Therapist • Psychologist

9. Diet Eating patterns Physical Activity Medical and psychiatric history Identification of co-morbid conditions Comprehensive Evaluation

10. Dietary interventions Physical activity interventions Behavioral modification & parent education Treatment of co-morbid conditions Weight loss medications Bariatric surgery Frequent follow-up Treatment

11. University of Minnesota Amplatz Children’s Hospital – Discovery Clinic UMP Pediatric Specialty Clinic for Children St. Paul Burnsville Maple Grove Clinic Locations