2003 Summit on Childhood Obesity Prevention and Treatment: A Research Focus August 18, 2003

Division of Health Sciences Manually Advance the Slide Brody School of Medicine School of Nursing School of Allied Health Sciences Laupus Library

Health of the Population NC ranks 38th Manually Advance the Slide YLL-75 per 10,000 < 75 0.0 – 648.5 648.6 – 740.3 740.4 – 825.8 Premature Mortality in the United States Counties 825.9 – 922.7 922.8 – 1,067.0 1,067.1 – 3,254.3 Rates for 3 year period (1996-1998) Age-adjusted to the 2000 US Standard Million

Eastern North Carolina … Would rank 50th NC Ranks 38th Obesity Diabetes Cholesterol High Blood Pressure Heart Attacks Strokes Manually Advance the Slide

Case Study: Coronary Disease in Americans Killed in Korea (1953) Autopsied 300 men KIA Average age 22.1 years Coronary Arteries sectioned Enos, et al, JAMA, 1953

Findings 77.3% Demonstrated gross evidence of coronary disease

Comparison Japanese Natives 30 males, same approx. age as Americans 1.7% of cases suggested coronary disease Study suggested difference in American and Japanese diet as the source of the lipids

Key Points Obesity is the most common chronic medical problem in children Overfeeding in the first 4 months of life is associated with Diabetes Type 2 Diabetes increasing in children and adolescents Traditionally associated with middle-aged adults If untreated, 80% of obese 10 to 13 year olds will be obese as adults Obesity status of children over 6 years of age strong predictor of adult diabetes Pediatric Case Reviews 2002

Devastating Consequences of Obesity 65% of obese children 5 to 10 years of age have at least one cardiovascular risk factor 25% have two or more risk factors J Pediatr 1999; 134:535

Key Components to Healthier North Carolinians Prevention Early Diagnosis Advanced Treatment

Foster Dynamic Partnerships in Health Care Delivery, Health Professions Education, and Research in Eastern North Carolina Universities, continuum AHEC

Model Partnership with University Health Systems / Pitt County Memorial Hospital Major Educational Mission Approximately 1,600 Physicians, 4,500 Nurses, and 2,000 Allied Health Professions Major Service Mission Regional Quaternary and Tertiary Services Level One Trauma Center Advanced Diagnostics Advanced Treatments Level One Trauma Center Advanced Diagnostics Cancer Center Cardiovascular Center Neonatal Intensive Care

Health Sciences Division Strategic Plan “Obesity and Diabetes are Cornerstone”

Diabetes and Obesity Program Pediatric Obesity Program Diabetes and Obesity Core Nutrition and Exercise Nationally-recognized Bariatric Surgery Nationally-recognized Clinicians Research World-renowned Scientists External support from non-state grants and contracts

“The child is the father Goal: Grow One Healthy Generation “The child is the father of the man.” Wordsworth

VISION: Healthier North Carolinians A Healthy Tomorrow Starts Here … with Prevention