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Pediatric Obesity
Compiled from across the library · built automatically
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
The heroin epidemic in the Ohio River Valley resulted from a distribution network encountering a population primed by the prescription drug epidemic. — Chris Bowling, Social Determinants of Health: Pediatric Obesity 2017 · 6:10
Welcome & Introduction: Pediatric Obesity 2017
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Dr. Mark Wulkan, Dr. Stephanie Walsh, and Dr. Christopher Bolling introduce the faculty involved in the 2017 Pediatric Obesity course.
video3:14 · Sep 2018
Social Determinants of Health: Pediatric Obesity 2017
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Dr. Christopher Bolling discusses the determinants in the development of childhood obesity, including toxic stress and epigenetics, and resources available, such as Parent Connext.
video42:31 · Sep 2018
Severe obesity is defined as BMI greater than 1.2 times the 95th percentile. — Claudia Fox, Pharmacology: Pediatric Obesity 2017 · 13:00
Pharmacology: Pediatric Obesity 2017
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Dr. Claudia Fox discusses various options for pharmacologic therapy for the management of pediatric obesity.
video45:08 · Sep 2018
In-person professional feedback about food photos using motivational interviewing skills is the most crucial part of the photo food log process and what is missing from commercial apps — Kristen Fuller, Nutrition Journal Club: Pediatric Obesity 2017 · 14:20
Psychology Journal Club: Pediatric Obesity 2017
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Sheethal Reddy, PhD, reviews social and emotional problems and parenting styles in childhood obesity, with the article "Early Child Social-Emotional Problems and Child Obesity: Exploring the Protecting Role of a Primary Care-Based General P
video27:51 · Sep 2018
Nutrition Journal Club: Pediatric Obesity 2017
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Kristen Fuller, MS, RDN, LD, CSP, reviews the role of apps that use photos to motivate weight loss, with the article "Is a Picture Worth a Thousand Words? Few Evidence-Based Features of Dietary Interventions Included in Photo Diet Tracking
video31:44 · Sep 2018
Exercise Journal Club: Pediatric Obesity 2017
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Jodi DeModna, MS, reviews the importance of exercise in the management of pediatric obesity through the article "From Kindergarten through Second Grade, US Children's Obesity Prevalence Grows Only During Summer Vacations."
video25:58 · Sep 2018
Justin Ryder, MD- 2024 Pediatric Bariatric Surgery Update Course
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Justin Ryder, MD presents “Research Hot Topics on the Horizon” at the 2024 Pediatric Bariatric Surgery Update Course.
video12:26 · Feb 2024
The guidelines describe a non-linear continuum of care starting with intensive health, behavior, and lifestyle treatment involving more than 26 contact hours over a 3 to 12-month period. — Justin Ryder, Pediatric Obesity Is a Disease: Treatment, Medications, Surgery & Equity in Care with Dr. Justin Ryder · 1:41
Rapid Fire and Conclusion: Pediatric Obesity 2017
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Dr. Mark Wulkan moderates a multidisciplinary rapid-fire session reviewing topics discussed throughout the day's course.
video23:37 · Sep 2018
Pediatric Obesity Is a Disease: Treatment, Medications, Surgery & Equity in Care with Dr. Justin Ryder
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In this segment from Lurie Children’s Hospital, Dr. Justin Ryder breaks down the evolving science and treatment paradigm of pediatric obesity—highlighting why it must be approached as a chronic, biologically driven disease rather than a lif
video6:48 · Mar 2026
In the 280 schools in Maine's 5210 program, when healthy foods are put in front of kids in a positive way, they eat them; adults and teachers have a harder time adjusting. — Tory, Public Policies to Address Obesity: Pediatric Obesity 2017 · 38:28
Public Policies to Address Obesity: Pediatric Obesity 2017
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Dr. Kelly Brownell reviews how public policy affects obesity in the United States, and interventions to help reduce its prevalence.
video46:10 · Sep 2018
Expert statements from the recordings in this collection.
Rapid Fire and Conclusion: Pediatric Obesity 2017
BMIs in the 40s will predictably achieve post-surgical BMIs less than 30
Earlier intervention in bariatric surgery improves quality of life for patients
Operating at lower degrees of obesity allows moving patients into a much healthier state
Patients above BMI 55 have only about 14% probability of achieving BMI below 30 after surgery (data published by Tom in 2009)
Once BMI crosses 50 threshold, probability of mitigating risks associated with BMI 35+ becomes challenging
Conversation about bariatric surgery should begin when BMI reaches mid-30s, especially with comorbidities
Expert opinion3:59
At BMI 49, surgery may fail to get patients out of the severely obese category
Topiramate and phentermine can be used as bridge therapy to buy time for patient maturity before surgery
Medications can serve as bridge to surgery, primary therapeutic intervention, or post-surgical adjunct depending on patient needs
Obesity is a heterogeneous disease requiring continuous treatment escalation based on individual patient response
Medications should be initiated after 3-6 months in program when healthy living alone is insufficient to control disease
Cites a guideline8:31
Dexamphetamine has evidence base for hypothalamic obesity patients and may be needed pre- and post-surgery
Hypothalamic obesity patients have biological drive to gain weight that defeats surgery, profoundly different from patients without brain injury
Private insurers are limiting dietitian visits to 3 per year, inadequate for chronic disease management
Sugar taxation decreases consumption and generates revenue (data shown by Gellibrano)
Taxing specific products like sugar will not have desired impact because obesity is not caused by sugar per se
Expert opinion15:08
Most obese patients meet objective criteria for binge eating disorder when assessed with questionnaires, even without formal diagnosis
Bariatric surgery demonstrates good resolution of binge eating disorder symptoms in adult literature (Jim Mitchell's work in LABS consortium)
Surgery is effective at extinguishing binge eating behaviors
Prior binge eating disorder diagnosis may pose higher risk for relapse or weight regain long-term after surgery
Rate of true diagnosable binge eating disorder in obese pediatric patients is under 5% when screened with diagnostic criteria
Disordered eating (restricting during day, overeating in evening) is present in many obese patients even without formal eating disorder diagnosis
Patients who develop fear of eating and severe restriction should be referred to eating disorders programs
Cites a guideline21:51
Disordered eating applies to nearly every obese patient, involving feelings and emotions around eating, food, and restricting, even without meeting DSM criteria
Pediatric Obesity Is a Disease: Treatment, Medications, Surgery & Equity in Care with Dr. Justin Ryder
Obesity is a disease impacted by behavior and represents a multifactorial disease impacted by a robust gene-environment interaction.
Justin Ryder0:32
Obesity is influenced by numerous factors including genetics, epigenetics, appetite and satiety hormone dysregulation, stress, economics, adverse life experiences, and environmental factors like calorically dense foods and sedentary lifestyles.
Justin Ryder0:44
Historically, about 90% of efforts over the past 50 years have been on prevention of childhood obesity.
Justin Ryder1:08
The new AAP clinical practice guidelines clearly state that obesity is a disease.
Treatment should be offered to all children above the 85th percentile, and there should be no more watchful waiting.
The guidelines describe a non-linear continuum of care starting with intensive health, behavior, and lifestyle treatment involving more than 26 contact hours over a 3 to 12-month period.