Pediatric Weight Management Program Claudia Fox, MD MPH Director
Feb 23, 2016
Pediatric Weight Management ProgramClaudia Fox, MD MPH
Director
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
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
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
Obesity is a Sign
Slide courtesy of Dr. Charles Billington
Biopsychosocial Framework
BiologyGenetics
Diet Composition Energy Expenditure
SleepHunger/satiety, Food Cravings
SociologySocioeconomic Status
Education Eating Habits
Physical Activity Habits Parenting Style
PsychologyADHD
DepressionBinge Eating
Multidisciplinary Team
• Physician• Nurse Coordinator• Registered Dietician• Physical Therapist• Psychologist
Comprehensive Evaluation• Diet• Eating patterns• Physical Activity• Medical and psychiatric history• Identification of co-morbid conditions
Treatment• Dietary interventions• Physical activity interventions• Behavioral modification & parent education• Treatment of co-morbid conditions• Weight loss medications• Bariatric surgery• Frequent follow-up
Clinic Locations• University of Minnesota Amplatz Children’s
Hospital – Discovery Clinic• UMP Pediatric Specialty Clinic for Children
– St. Paul – Burnsville– Maple Grove