Pediatric Weight Management Program Claudia Fox, MD MPH Director.

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