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Consequences of Childhood Obesity: Prepare to Treat a
Growing Problem
Isabel Cristina Lau, MDMountainstar Ogden Pediatrics
• 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
Consequences of Childhood Overweight
Potential negative psychological outcomes:
• Depressive symptoms
• Poor Body Image • Low Self-Esteem • Risk for Disordered
Eating Behavior
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?
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
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