Consequences of Childhood Obesity: Prepare to Treat a

Growing Problem

Isabel Cristina Lau, MDMountainstar 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:

• 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

• 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 co-morbidities 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• 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 Neumark- Sztainer, Marla E. Eisenberg and PeterJ. Hannan

Isabel Cristina Lau, MDMountainstar Ogden Pediatrics5495 S 500 E suit 120, Ogden UT 84405801.479.0174