Pediatric Weight Management Program Claudia Fox, MD MPH Director

Anonymous Age 16, 320 lbs “i really am sick of being fat. honestly i hate it … i hate myself for being the size i am and i pretty much have no self esteem” From Overweight: What Kids Say, Pretlow, 2010

Brooke Age 11, 245 lbs “Im fat!..I do not fit in the desk at school! So I have to sit alone at a table!” From Overweight: What Kids Say, Pretlow, 2010

Francheska Age 11, 171 lbs “Help Me!!!!!!!... I want to lose weight but I can’t stop eating. I try many different things like eating less. I(t) never works. There is always good food in the house…” From Overweight: What Kids Say, Pretlow, 2010

Obesity is a Sign

Slide courtesy of Dr. Charles Billington

Biopsychosocial Framework Biology Genetics Diet Composition Energy Expenditure Sleep Hunger/satiety, Food Cravings Psychology ADHD Depression Binge Eating Sociology Socioeconomic Status Education Eating Habits Physical Activity Habits Parenting Style

Multidisciplinary Team Physician Nurse Coordinator Registered Dietician Physical Therapist Psychologist

Comprehensive Evaluation Diet Eating patterns Physical Activity Medical and psychiatric history Identification of co-morbid conditions

Treatment Dietary interventions Physical activity interventions Behavioral modification & parent education Treatment of co-morbid conditions Weight loss medications Bariatric surgery Frequent follow-up

Clinic Locations University of Minnesota Amplatz Children’s Hospital – Discovery Clinic UMP Pediatric Specialty Clinic for Children St. Paul Burnsville Maple Grove