1. Pediatric Weight Management Program Claudia Fox, MD MPH Director

2. 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

3. 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

4. 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

5. Obesity is a Sign

6. Slide courtesy of Dr. Charles Billington

7. 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

8. Multidisciplinary Team
Physician
Nurse Coordinator
Registered Dietician
Physical Therapist
Psychologist

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

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

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