Transcript TEN EASY STEPS TO CONTROL AND MAINTAIN YOUR CHILD …

Consequences of Childhood
Obesity: Prepare to Treat a Growing
Problem
Isabel Cristina Lau, MD
Mountainstar Ogden Pediatrics
Childhood Obesity
• I have not disclosures
IS IT OK
FOR
BABIES TO
BE OBESE?
• One in five children in the US is
overweight
• More children are becoming overweight,
the heaviest children are getting even
heavier
• Childhood obesity is one of the most
common problems seen by pediatricians
Prevalence of overweight among children
and adolescents ages 6-19 years
Consequences of Childhood
Overweight
Potential negative
psychological
outcomes:
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Depressive symptoms
Poor Body Image
Low Self-Esteem
Risk for Disordered
Eating Behavior
Negative health consequences:
• Insulin Resistance
• Type 2 Diabetes
• Hypertension
Continuation…
• High total and LDL
cholesterol and
triglyceride levels in the
blood
• Low HDL cholesterol
levels in the blood
• Sleep apnea
• GERD
Continuation…
• Early puberty
• Orthopedic problems such as Blount's
disease and slipped capital femoral
epiphysis
• Non-alcoholic steatohepatitis (fatty
infiltration and inflammation of the liver)
NASH. Non- alcoholic fatty liver
disease(NAFDL).
Guidance on coding for
obesity
• Obesity is complex and
multi-factorial condition,
private and public
insurance carriers often
limit reimbursement and
coverage for overweight
/obesity services
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Use time as a key element for
coding.
Use consultation code is
someone other than a family
member request a visit
Coding one of the comorbidities of obesity as the
primary dx and the obesity
Treatment
•
Regular Physical activity.
– Be active and set a
good example.
– Track your individual
physical activity at
www.presidentschallenge.org
•
Medications
Does Metformin works
for kids?
SCREEN TIME
• Limited screen
time to maximum
2 hours daily
References
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www.cdc.org
www. Mypiramid.gov/kids.
www.aap.gov.
Do obese children become obese adults? A review of the literature.
Prev Med 1993;22:167–177 Serdula MK, Ivery D, Coates RJ,
Freedman DS. Williamson DF. Byers T.
Household Routines and Obesity in US preschool-Age Children.
Pediatrics 2010;125;420-428. Sarah E. Anderson and Robert C.
Whitaker.
Obesity and Psychiatric Disorder: Developmental Trajectories.
Pediatrics Vol 111 April 2003. Sarah Mustillo, Carol Worthman, Alaattin
Erkanli, Gordon Keeler, Adrian Angold, E. Jane Costello
Overweight, Obesity and Health-Related Quality of Life Among
Adolescents: The National Longitudinal Study of Adolescent Health.
Pediatrics vol 115 No2 February 2005pp 340-347. Karen C. Swallen,
Eric N. Reither, Steven A. Haas, Ann M. Meier
Weight Teasing and Disordered Eating Behaviors in Adolescents:
Longitudinal Findings From Project EAT(Eating Among Teens).
Pediatrics 2006;117; e 209-e215. Jess Haines, Dianne NeumarkSztainer, Marla E. Eisenberg and PeterJ. Hannan
Isabel Cristina Lau, MD
Mountainstar Ogden Pediatrics
5495 S 500 E suit 120, Ogden UT 84405
801.479.0174