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Childhood Obesity
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Educational content from recorded physician discussions — not medical advice. Always talk to your child's care team about your child's situation.
Content of this collection
There are no current guidelines on when to start laboratory testing for patients with obesity; based on health risks, some experts may start screening as early as 2 years of age. — Corey, Making the Assessment, Management and Treatment of Obesity Come Alive in Your... · 39:00
Making the Assessment, Management and Treatment of Obesity Come Alive in Your...
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The Child Adolescent Obesity-Prevention to Treatment Plans You Can Implement Today Course in 2015, led by directors Drs Stephanie Walsh, Mark Wulkan and Christopher Bolling, reviewed the latest in care and management of overweight and obese
video46:57 · Jan 2019
If a pregnant woman is already physically active, she should continue that activity; if previously inactive, it is safe to begin basic physical activity during pregnancy. — Natalie, How early can we start? Early Childhood Feeding Practices and How to... · 11:50
How early can we start? Early Childhood Feeding Practices and How to...
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The Child Adolescent Obesity-Prevention to Treatment Plans You Can Implement Today Course in 2015, led by directors Drs Stephanie Walsh, Mark Wulkan and Christopher Bolling, reviewed the latest in care and management of overweight and obese
video43:47 · Jan 2019
Clinical waiting rooms must have chairs that can accommodate larger patients and parents, as chairs with handrails may be too small for some families to sit comfortably. — Steve, Weight Bias: Child & Adolescent Obesity 2015 · 25:50
Weight Bias: Child & Adolescent Obesity 2015
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The Child Adolescent Obesity-Prevention to Treatment Plans You Can Implement Today Course in 2015, led by directors Drs Stephanie Walsh, Mark Wulkan and Christopher Bolling, reviewed the latest in care and management of overweight and obese
video34:43 · Jan 2019
Expert statements from the recordings in this collection.
Weight Bias: Child & Adolescent Obesity 2015
Weight bias has increased substantially over the last decade since 2006 and rates continue to rise according to UConn Rudd Center research.
Women experience weight bias more than men, and individuals with more severe obesity experience more bias.
Children experience weight bias from peers, family members, and healthcare professionals.
Healthcare professionals are some of the worst offenders of weight bias as experienced by patients according to research studies.
Physicians view patients with obesity as noncompliant, dishonest, lazy, lacking self-control, weak-willed, unintelligent, and unsuccessful.
31% of nurses said they would prefer not to care for individuals affected by obesity.
24% of nurses said that folks with obesity repulse them.
Psychologists endorse that patients with obesity have more pathology, more severe symptoms, negative family qualities, and worse prognosis on initial assessment.
Individuals experiencing weight bias have higher levels of depression, anxiety, low self-esteem, and poor body image.
Weight bias leads to less preventative health services, fewer exams, more appointment cancellations, and delays in healthcare access.
Using guilt, shame, and blame does not motivate individuals to make healthy changes and instead makes them less likely to improve or more likely to worsen.
Steve19:40
Healthcare providers cannot visually identify which children fall into obesity risk categories without calculating BMI percentile.
A child at 55th percentile BMI, 75th percentile, and obese category cannot be reliably distinguished visually by healthcare providers due to the high prevalence of childhood obesity.
Clinical waiting rooms must have chairs that can accommodate larger patients and parents, as chairs with handrails may be too small for some families to sit comfortably.
Examination tables should be checked for weight capacity; some older tables only support up to 350 pounds.
Clinical scales must be able to measure the patient's weight and should be located in a private area rather than an open office space.
Bathroom toilets should be checked for weight capacity and accessibility for patients to get up and down safely.
The term 'obesity' can cause damage and hurt to patients, so it should be used sensitively as a medical diagnosis without intending guilt or blame.
A patient-centered, empowering approach utilizing motivational interviewing techniques can save time, improve clinical impact, and create more pleasant encounters for providers.
Steve28:10
Parents often do not recognize their child's obesity because weight gain happens gradually, and they should not be blamed when they don't see it themselves.
The American Academy of Pediatrics will be releasing a policy statement regarding weight bias in the next couple of years.
The solution to the obesity epidemic is not in the doctor's office alone, but the doctor's office has to be part of the solution.
How early can we start? Early Childhood Feeding Practices and How to...
Children's nutrition habits start very early, and interventions before age 2 can prevent obesity from developing in the first place.
Natalie0:00
About 40% of 2nd and 5th graders consume zero vegetables on any given day.
Natalie1:00
About one out of 5 children and teenagers eat the recommended 5 servings per day of vegetables and fruits, with french fries counting as about a quarter of those servings.
Natalie1:00
About a third of toddlers don't eat any fruit each day, but they are eating baked desserts, candy, and sweetened beverages.
Natalie1:00
By the time a child enters elementary school, food preferences are already very well established.
Natalie2:00
Women who gain excessive weight during pregnancy are more likely to develop gestational diabetes, and children born to mothers with gestational diabetes are more likely to suffer from obesity and complications later.
Natalie3:00
No extra calories are needed in the first trimester of pregnancy, about 350 extra calories in the second trimester, and about 450 extra calories in the third trimester.
Pregnant women often misunderstand calorie needs; a salad at a fast food restaurant is typically 750-800 calories, not the 350 extra calories needed in second trimester.