Where is the A in MCH? A Life-Course Perspective on Adolescent Health Michael C. Lu, MD, MPH Associate Professor Department of Obstetrics & Gynecology David Geffen School of Medicine at UCLA Department of Community Health Sciences UCLA School of Public Health AMCHP Web Conference November 17, 2006
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Where is the A in MCH? A Life-Course Perspective on Adolescent Health Michael C. Lu, MD, MPH Associate Professor Department of Obstetrics & Gynecology.
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Where is the A in MCH?A Life-Course Perspective on
Adolescent Health
Michael C. Lu, MD, MPHAssociate Professor
Department of Obstetrics & GynecologyDavid Geffen School of Medicine at UCLA
Department of Community Health SciencesUCLA School of Public Health
AMCHP Web ConferenceNovember 17, 2006
Life-Course Pespective
A way of looking at life not as disconnected stages, but as an integrated continuum
Life-Course Pespective
To improve adolescent health, we must promote MCH.
To improve MCH, we must promote adolescent health.
MCH
Adolescent Health
0
5
10
15
20
25
1976-1980 1988-1994 1999-2002
Perc
en
t
Black Hispanic White
Children 6-18 Overweight
Source: National Center for Health Statistics, National Health and Nutrition Examination Survey
Note: Estimate not available for 1976-1980 for Hispanic; overweight defined as BMI at or above the 95th percentile ofr the CDC BMI-for-age growth charts
Fetal Origin of Obesity
Fetal Programming
The process whereby a stimulus or insult, at a sensitive or ‘critical’ period, has lasting or lifelong impact on health or function.
Barker DJP. Mothers, babies and health in later life. Edinburgh: Churchill Livingstone. 1998.
R.A. Waterland, R.A. Jirtle, "Transposable elements: targets for early nutritional effects on epigenetic gene regulation," Mol Cell Biol, 23:5293-300, 2003. Reprinted in the New Scientist 2004