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The Obesity Epidemic: What is our role?

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by

Jared Tucker

on 14 November 2012

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Transcript of The Obesity Epidemic: What is our role?

Epidemiology photo credit Nasa / Goddard Space Flight Center / Reto Stöckli Research and Treatment The Obesity Epidemic Tale of the Tape For the first time in human history,
2/3 of an adult population, and 1/3 of their children are overweight or obese ...Including
Michigan Obesity Statistics - Childhood obesity has more than doubled in the last three decades
- $147 billion is spent on obesity every year, up to 5 times the cost for obese children as those of normal weight
- Children who are obese miss 4 times as many school days as non-obese children
- Today’s children’s life expectancy may be less than their parents
- Projections in several states including Michigan are that by 2030 up to over 60% of adults will be obese. Everyone has a Role Research Treatment Primary Care Healthy Weight Center Interventions - Parents
- Schools
- Workplaces
- Government
- Researchers
- Restaurants
- Hospitals
- Physicians
- Insurance Co.
- Food companies
- Media
- etc. What are the causes and consequences of obesity? How can we help people live healthy, lose weight & prevent weight gain? - Family visits with primary care provider
- Tailored goal setting and plan
- Focused messaging
- Monitoring of behavior changes and BMI COPTER: Childhood Obesity Prevention, Treatment and Evaluation in Residency - A practical multi-site cluster randomized controlled trial - Comprehensive Clinical and Research Program
- Complete medical & health assessment
- Access to subspecialists (Endo, Ortho, etc.)
- Healthy lifestyle program (2/wk)
- Potential eligibility for surgical procedure Multidisciplinary Obesity Care Team - Medical (MD)
- Nutrition (RD)
- Behavioral Therapy (PhysD, MSW)
- Physical Activity (Ex. Phys.)
- Care Coordination (RN, MSW)
- Bariatric Surgeon (MD) - Behavior modification
- Goal setting
- Self monitoring
- Systematic Measuring
- Anthropometrics
- Diet & PA assessment
- Fitness testing Stage 3 Treatment Stage 1
"We Are For Children" Stage 2 Orientation + Six weekly sessions – meeting once per week for 2 hours

Taught by professionals who have expertise in childhood obesity and weight management

Focus each week on behavior, nutrition and exercise

Parents actively participate in the program

Ages 5-16 with a BMI at or above the 85th percentile for age and weight

Physician or health care provider referral, based on BMI Overview of FitKids 360 A healthy lifestyle program that helps overweight children practice healthier behaviors and improve their overall health.

Combines education about nutrition, behavioral health and physical activity with opportunities for exercise and other activities. What is FitKids 360? FitKids360 Community Partners Curriculum Overview - Evidence based
- Standardized and outcome based
- Free
- Accessible
- Low cost
- Duplicable
- Collaborative
- Multi-disciplinary FitKids360 is Unique Claystone Clinical Associates

First Steps, Children’s Healthcare Access Program (CHAP)

Forest Hills Pediatrics

Gazelle Sports

Grand Rapids Public Schools

Grand Valley State University and Graduate Programs

Helen DeVos Children’s Hospital Pediatric Clinic

Helen DeVos Children’s Hospital HWC

Kent Intermediate School District

Kent Medical Foundation

MAC/East Hills Athletic Club MSU College of Human Medicine
MSU School of Kinesiology
MVP Sportsplex
New Balance
Priority Health
Reagan Marketing + Design, LLC
Salvation Army Kroc Center
Spectrum Health Healthier Communities
Founders Trust
Saint Mary’s Family Practice Residency
Spectrum Health Gerber Memorial Hospital/Tamarac
Spectrum Health Zeeland Community Hospital
YMCA Stage 3
Healthy Weight Center 8-11 hours of sleep each night
7 breakfasts every week
6 home-cooked meals a week
5 servings of fruits and vegetables each day
4 positive self-messages each day
3 servings of low fat dairy each day
2 hours or less of screen time each day
1 hour or more of physical activity
0 sugar sweetened beverages 8-0 Healthy Habits Message Percent of Adolescents Meeting 5-2-1-0 Goals f Percent of Adolescents Meeting Guidelines
by Weight Status Stage 4: Tertiary Care
Medications, Bariatric Surgery Stage 3: Comprehensive Treatment
Visits w/ Multidisciplinary Obesity Team Stage 2: Structured Treatment
Family visits with Health Professional Stage 1: Prevention Plus
Visits with Primary Care Provider Staged Treatment Approach: An Overview Stage 4
Tertiary Care
Full transcript