OBESITY AMONG

MATTAPAN YOUTH

By Corey Best Magnolia Joseph Natalia

Lopez Giselle Moreno Marrisa Noori Mia

Probinsky Hannah Walthall

Mattapan at a Glance

bull Currently over one third (357) of American adults are

obese and 18 of those aged 12-19 are obese

bull Mattapan has the highest overall obesity rate of any Boston

neighborhood at 40

bull 28 of Mattapan residents are overweight

bull Population 36480 (2010)

bull Median income $44376

bull

Why is this Project Important

bull This program will offer quality health services to the community

of Mattapan a neighborhood of Boston Massachusetts

bull Mattapan has a significant number of residents of low

socioeconomic status which makes it very difficult for them to

afford insurance and incur the costs of expensive medical bills

bull By making Mattapan residents more aware of their eating habits

and level of activity this can result in a significant impact in the

public health of the community as well as resulting in healthier

individuals and families

bull Thus this project would help slow down the progression of

obesity and prevent others from becoming obese

Aims of the Project

bull To educate families to stop the trend of obesity in their families

bull To increase awareness of the genetic components that lead to

obesity

bull Give special attention to those who qualify as morbidly obese

bull Provide a sense of autonomy to patients

bull To teach healthy eating and exercise habits

bull To teach how to cook healthy on a budget

Mattapan at a Glance

bull Currently over one third (357) of American adults are

obese and 18 of those aged 12-19 are obese

bull Mattapan has the highest overall obesity rate of any Boston

neighborhood at 40

bull 28 of Mattapan residents are overweight

bull Population 36480 (2010)

bull Median income $44376

bull

Why is this Project Important

bull This program will offer quality health services to the community

of Mattapan a neighborhood of Boston Massachusetts

bull Mattapan has a significant number of residents of low

socioeconomic status which makes it very difficult for them to

afford insurance and incur the costs of expensive medical bills

bull By making Mattapan residents more aware of their eating habits

and level of activity this can result in a significant impact in the

public health of the community as well as resulting in healthier

individuals and families

bull Thus this project would help slow down the progression of

obesity and prevent others from becoming obese

Aims of the Project

bull To educate families to stop the trend of obesity in their families

bull To increase awareness of the genetic components that lead to

obesity

bull Give special attention to those who qualify as morbidly obese

bull Provide a sense of autonomy to patients

bull To teach healthy eating and exercise habits

bull To teach how to cook healthy on a budget

Why is this Project Important

bull This program will offer quality health services to the community

of Mattapan a neighborhood of Boston Massachusetts

bull Mattapan has a significant number of residents of low

socioeconomic status which makes it very difficult for them to

afford insurance and incur the costs of expensive medical bills

bull By making Mattapan residents more aware of their eating habits

and level of activity this can result in a significant impact in the

public health of the community as well as resulting in healthier

individuals and families

bull Thus this project would help slow down the progression of

obesity and prevent others from becoming obese

Aims of the Project

bull To educate families to stop the trend of obesity in their families

bull To increase awareness of the genetic components that lead to

obesity

bull Give special attention to those who qualify as morbidly obese

bull Provide a sense of autonomy to patients

bull To teach healthy eating and exercise habits

bull To teach how to cook healthy on a budget

Aims of the Project

bull To educate families to stop the trend of obesity in their families

bull To increase awareness of the genetic components that lead to

obesity

bull Give special attention to those who qualify as morbidly obese

bull Provide a sense of autonomy to patients

bull To teach healthy eating and exercise habits

bull To teach how to cook healthy on a budget

What Has Already Been Done

Methods of Management

bull Measure body fat composition of our clients

bull Discuss with our clients andor our clients and

their parents the risks that those with obesity have

for developing diseases such as cardiovascular

disease hypertension type-II diabetes etc

bull Explain to them the ways in which obesity can affect their

social lives and prevent them from doing things that they

would want to do in the future on account of health issues

bull Show them the benefits of living a healthy lifestyle

bull Teach clients about what the human body needs in general for

it to work well

Methods of Management bullbull With the help of a genetic counselor develop family pedigree

in regards to these diseases to assess clients personal risk

-As well as have testing for possible obesity related

genes

-Help them plan their exercise and nutritional needs from

the point of view of nutrigenomics

bull Have Bi-weekly weigh-ins

bull Group empowerment sessions

bull Partnership with the local gym or YMCA for

cheaper gym rates for clients

Genes Related to Obesity

GAD2 gene

Gene speeds up production of chemical messenger in the brain

called GABA (gamma-amino butyric acid) which when

combined with another molecule stimulates us to eat

Plin2 gene

Absence of the gene may cause fat to be broken down faster by

the body because the gene produces a protein that regulates

fat storage

FTO gene

Gene on chromosome 16 associated with fat mass and obesity

Sleep Disorders and Depression

Sporadic and irregular sleep may cause a decreased

metabolic rate which could contribute to weight gain and

a variety of long-term health problems

How this Project will be Carried

Out

bull Mattapan Community Health Center (1972)

o Adolescent Medical Services

bull Local high school

health centers

bull Partnership with local

YMCA

bull Partnership with local

grocery stores amp farmers

markets

bull Additional funding from

the Carter Urban Health Initiative

What do we hope to see in the

end

bull Utilization of unique community characteristics

has allowed for best possible approach at

intervention

bull Successful healthy lifestyle transformations in

youth participants

bull Valuable conclusive data on effectiveness of

both genetic testing and community

based interventions on weight loss

and instillation of healthy practices

Down the Line One Year

bull Gather information from previous studies to

understand the community and use success stories to

create the best possible intervention approach

bull Initiate community-based intervention program in

Mattapan Community Health Center

bull Research into and implementation of testing for

genes related to weight gain

bull Develop analyze and improve specific methods for

promoting healthy lifestyles within program

Down the Line Five Years

bull Continue to work with the Mattapan community

bull Evaluate our methods and make positive health changes more attainable for

clients

bull Test community will show significant improvements in major health markers

bull Analyze gathered data on gene testing and intervention impacts on health

outcomes

bull Evaluate effect presentation on gene data to clients has on success with

weight loss

bull

Down the Line Ten Years

bull Address whether early intervention has proven to

be successful in long term weight maintenance

bull Expand program to similar communities in New

England and along East Coast

bull Individualize programs based on needs of the

various communities

bull Pool data for analysis draw conclusions and

present to investors and researchers promote

national interest in community level interventions

How Will This Project Improve

Public Health

bull By furthering knowledge about preventative care amongst individuals of

low socioeconomic status

bull Make those with limited access to medical care aware of affordable care

in their community

o Free health clinics

bull Provide knowledge on the steps needed to be taken in order to ensure a

healthy life

o Medical screenings

o Tests

bull By teaching individuals how to find and gain access to medical care we

plan on decreasing the discrepancy amongst individuals of high and low

socioeconomic status in terms of their access to medical care health

Potential

Government Involvement

bull Taxes

bull Food Assistance Programs

bull Food LabelingAdvertising

bull Education

bull Transportation and Urban Development

Methods of Management

bull Measure body fat composition of our clients

bull Discuss with our clients andor our clients and

their parents the risks that those with obesity have

for developing diseases such as cardiovascular

disease hypertension type-II diabetes etc

bull Explain to them the ways in which obesity can affect their

social lives and prevent them from doing things that they

would want to do in the future on account of health issues

bull Show them the benefits of living a healthy lifestyle

bull Teach clients about what the human body needs in general for

it to work well

Methods of Management bullbull With the help of a genetic counselor develop family pedigree

in regards to these diseases to assess clients personal risk

-As well as have testing for possible obesity related

genes

-Help them plan their exercise and nutritional needs from

the point of view of nutrigenomics

bull Have Bi-weekly weigh-ins

bull Group empowerment sessions

bull Partnership with the local gym or YMCA for

cheaper gym rates for clients

Genes Related to Obesity

GAD2 gene

Gene speeds up production of chemical messenger in the brain

called GABA (gamma-amino butyric acid) which when

combined with another molecule stimulates us to eat

Plin2 gene

Absence of the gene may cause fat to be broken down faster by

the body because the gene produces a protein that regulates

fat storage

FTO gene

Gene on chromosome 16 associated with fat mass and obesity

Sleep Disorders and Depression

Sporadic and irregular sleep may cause a decreased

metabolic rate which could contribute to weight gain and

a variety of long-term health problems

How this Project will be Carried

Out

bull Mattapan Community Health Center (1972)

o Adolescent Medical Services

bull Local high school

health centers

bull Partnership with local

YMCA

bull Partnership with local

grocery stores amp farmers

markets

bull Additional funding from

the Carter Urban Health Initiative

What do we hope to see in the

end

bull Utilization of unique community characteristics

has allowed for best possible approach at

intervention

bull Successful healthy lifestyle transformations in

youth participants

bull Valuable conclusive data on effectiveness of

both genetic testing and community

based interventions on weight loss

and instillation of healthy practices

Down the Line One Year

bull Gather information from previous studies to

understand the community and use success stories to

create the best possible intervention approach

bull Initiate community-based intervention program in

Mattapan Community Health Center

bull Research into and implementation of testing for

genes related to weight gain

bull Develop analyze and improve specific methods for

promoting healthy lifestyles within program

Down the Line Five Years

bull Continue to work with the Mattapan community

bull Evaluate our methods and make positive health changes more attainable for

clients

bull Test community will show significant improvements in major health markers

bull Analyze gathered data on gene testing and intervention impacts on health

outcomes

bull Evaluate effect presentation on gene data to clients has on success with

weight loss

bull

Down the Line Ten Years

bull Address whether early intervention has proven to

be successful in long term weight maintenance

bull Expand program to similar communities in New

England and along East Coast

bull Individualize programs based on needs of the

various communities

bull Pool data for analysis draw conclusions and

present to investors and researchers promote

national interest in community level interventions

How Will This Project Improve

Public Health

bull By furthering knowledge about preventative care amongst individuals of

low socioeconomic status

bull Make those with limited access to medical care aware of affordable care

in their community

o Free health clinics

bull Provide knowledge on the steps needed to be taken in order to ensure a

healthy life

o Medical screenings

o Tests

bull By teaching individuals how to find and gain access to medical care we

plan on decreasing the discrepancy amongst individuals of high and low

socioeconomic status in terms of their access to medical care health

Potential

Government Involvement

bull Taxes

bull Food Assistance Programs

bull Food LabelingAdvertising

bull Education

bull Transportation and Urban Development

Methods of Management bullbull With the help of a genetic counselor develop family pedigree

in regards to these diseases to assess clients personal risk

-As well as have testing for possible obesity related

genes

-Help them plan their exercise and nutritional needs from

the point of view of nutrigenomics

bull Have Bi-weekly weigh-ins

bull Group empowerment sessions

bull Partnership with the local gym or YMCA for

cheaper gym rates for clients

Genes Related to Obesity

GAD2 gene

Gene speeds up production of chemical messenger in the brain

called GABA (gamma-amino butyric acid) which when

combined with another molecule stimulates us to eat

Plin2 gene

Absence of the gene may cause fat to be broken down faster by

the body because the gene produces a protein that regulates

fat storage

FTO gene

Gene on chromosome 16 associated with fat mass and obesity

Sleep Disorders and Depression

Sporadic and irregular sleep may cause a decreased

metabolic rate which could contribute to weight gain and

a variety of long-term health problems

How this Project will be Carried

Out

bull Mattapan Community Health Center (1972)

o Adolescent Medical Services

bull Local high school

health centers

bull Partnership with local

YMCA

bull Partnership with local

grocery stores amp farmers

markets

bull Additional funding from

the Carter Urban Health Initiative

What do we hope to see in the

end

bull Utilization of unique community characteristics

has allowed for best possible approach at

intervention

bull Successful healthy lifestyle transformations in

youth participants

bull Valuable conclusive data on effectiveness of

both genetic testing and community

based interventions on weight loss

and instillation of healthy practices

Down the Line One Year

bull Gather information from previous studies to

understand the community and use success stories to

create the best possible intervention approach

bull Initiate community-based intervention program in

Mattapan Community Health Center

bull Research into and implementation of testing for

genes related to weight gain

bull Develop analyze and improve specific methods for

promoting healthy lifestyles within program

Down the Line Five Years

bull Continue to work with the Mattapan community

bull Evaluate our methods and make positive health changes more attainable for

clients

bull Test community will show significant improvements in major health markers

bull Analyze gathered data on gene testing and intervention impacts on health

outcomes

bull Evaluate effect presentation on gene data to clients has on success with

weight loss

bull

Down the Line Ten Years

bull Address whether early intervention has proven to

be successful in long term weight maintenance

bull Expand program to similar communities in New

England and along East Coast

bull Individualize programs based on needs of the

various communities

bull Pool data for analysis draw conclusions and

present to investors and researchers promote

national interest in community level interventions

How Will This Project Improve

Public Health

bull By furthering knowledge about preventative care amongst individuals of

low socioeconomic status

bull Make those with limited access to medical care aware of affordable care

in their community

o Free health clinics

bull Provide knowledge on the steps needed to be taken in order to ensure a

healthy life

o Medical screenings

o Tests

bull By teaching individuals how to find and gain access to medical care we

plan on decreasing the discrepancy amongst individuals of high and low

socioeconomic status in terms of their access to medical care health

Potential

Government Involvement

bull Taxes

bull Food Assistance Programs

bull Food LabelingAdvertising

bull Education

bull Transportation and Urban Development

Genes Related to Obesity

GAD2 gene

Gene speeds up production of chemical messenger in the brain

called GABA (gamma-amino butyric acid) which when

combined with another molecule stimulates us to eat

Plin2 gene

Absence of the gene may cause fat to be broken down faster by

the body because the gene produces a protein that regulates

fat storage

FTO gene

Gene on chromosome 16 associated with fat mass and obesity

Sleep Disorders and Depression

Sporadic and irregular sleep may cause a decreased

metabolic rate which could contribute to weight gain and

a variety of long-term health problems

How this Project will be Carried

Out

bull Mattapan Community Health Center (1972)

o Adolescent Medical Services

bull Local high school

health centers

bull Partnership with local

YMCA

bull Partnership with local

grocery stores amp farmers

markets

bull Additional funding from

the Carter Urban Health Initiative

What do we hope to see in the

end

bull Utilization of unique community characteristics

has allowed for best possible approach at

intervention

bull Successful healthy lifestyle transformations in

youth participants

bull Valuable conclusive data on effectiveness of

both genetic testing and community

based interventions on weight loss

and instillation of healthy practices

Down the Line One Year

bull Gather information from previous studies to

understand the community and use success stories to

create the best possible intervention approach

bull Initiate community-based intervention program in

Mattapan Community Health Center

bull Research into and implementation of testing for

genes related to weight gain

bull Develop analyze and improve specific methods for

promoting healthy lifestyles within program

Down the Line Five Years

bull Continue to work with the Mattapan community

bull Evaluate our methods and make positive health changes more attainable for

clients

bull Test community will show significant improvements in major health markers

bull Analyze gathered data on gene testing and intervention impacts on health

outcomes

bull Evaluate effect presentation on gene data to clients has on success with

weight loss

bull

Down the Line Ten Years

bull Address whether early intervention has proven to

be successful in long term weight maintenance

bull Expand program to similar communities in New

England and along East Coast

bull Individualize programs based on needs of the

various communities

bull Pool data for analysis draw conclusions and

present to investors and researchers promote

national interest in community level interventions

How Will This Project Improve

Public Health

bull By furthering knowledge about preventative care amongst individuals of

low socioeconomic status

bull Make those with limited access to medical care aware of affordable care

in their community

o Free health clinics

bull Provide knowledge on the steps needed to be taken in order to ensure a

healthy life

o Medical screenings

o Tests

bull By teaching individuals how to find and gain access to medical care we

plan on decreasing the discrepancy amongst individuals of high and low

socioeconomic status in terms of their access to medical care health

Potential

Government Involvement

bull Taxes

bull Food Assistance Programs

bull Food LabelingAdvertising

bull Education

bull Transportation and Urban Development

How this Project will be Carried

Out

bull Mattapan Community Health Center (1972)

o Adolescent Medical Services

bull Local high school

health centers

bull Partnership with local

YMCA

bull Partnership with local

grocery stores amp farmers

markets

bull Additional funding from

the Carter Urban Health Initiative

What do we hope to see in the

end

bull Utilization of unique community characteristics

has allowed for best possible approach at

intervention

bull Successful healthy lifestyle transformations in

youth participants

bull Valuable conclusive data on effectiveness of

both genetic testing and community

based interventions on weight loss

and instillation of healthy practices

Down the Line One Year

bull Gather information from previous studies to

understand the community and use success stories to

create the best possible intervention approach

bull Initiate community-based intervention program in

Mattapan Community Health Center

bull Research into and implementation of testing for

genes related to weight gain

bull Develop analyze and improve specific methods for

promoting healthy lifestyles within program

Down the Line Five Years

bull Continue to work with the Mattapan community

bull Evaluate our methods and make positive health changes more attainable for

clients

bull Test community will show significant improvements in major health markers

bull Analyze gathered data on gene testing and intervention impacts on health

outcomes

bull Evaluate effect presentation on gene data to clients has on success with

weight loss

bull

Down the Line Ten Years

bull Address whether early intervention has proven to

be successful in long term weight maintenance

bull Expand program to similar communities in New

England and along East Coast

bull Individualize programs based on needs of the

various communities

bull Pool data for analysis draw conclusions and

present to investors and researchers promote

national interest in community level interventions

How Will This Project Improve

Public Health

bull By furthering knowledge about preventative care amongst individuals of

low socioeconomic status

bull Make those with limited access to medical care aware of affordable care

in their community

o Free health clinics

bull Provide knowledge on the steps needed to be taken in order to ensure a

healthy life

o Medical screenings

o Tests

bull By teaching individuals how to find and gain access to medical care we

plan on decreasing the discrepancy amongst individuals of high and low

socioeconomic status in terms of their access to medical care health

Potential

Government Involvement

bull Taxes

bull Food Assistance Programs

bull Food LabelingAdvertising

bull Education

bull Transportation and Urban Development

What do we hope to see in the

end

bull Utilization of unique community characteristics

has allowed for best possible approach at

intervention

bull Successful healthy lifestyle transformations in

youth participants

bull Valuable conclusive data on effectiveness of

both genetic testing and community

based interventions on weight loss

and instillation of healthy practices

Down the Line One Year

bull Gather information from previous studies to

understand the community and use success stories to

create the best possible intervention approach

bull Initiate community-based intervention program in

Mattapan Community Health Center

bull Research into and implementation of testing for

genes related to weight gain

bull Develop analyze and improve specific methods for

promoting healthy lifestyles within program

Down the Line Five Years

bull Continue to work with the Mattapan community

bull Evaluate our methods and make positive health changes more attainable for

clients

bull Test community will show significant improvements in major health markers

bull Analyze gathered data on gene testing and intervention impacts on health

outcomes

bull Evaluate effect presentation on gene data to clients has on success with

weight loss

bull

Down the Line Ten Years

bull Address whether early intervention has proven to

be successful in long term weight maintenance

bull Expand program to similar communities in New

England and along East Coast

bull Individualize programs based on needs of the

various communities

bull Pool data for analysis draw conclusions and

present to investors and researchers promote

national interest in community level interventions

How Will This Project Improve

Public Health

bull By furthering knowledge about preventative care amongst individuals of

low socioeconomic status

bull Make those with limited access to medical care aware of affordable care

in their community

o Free health clinics

bull Provide knowledge on the steps needed to be taken in order to ensure a

healthy life

o Medical screenings

o Tests

bull By teaching individuals how to find and gain access to medical care we

plan on decreasing the discrepancy amongst individuals of high and low

socioeconomic status in terms of their access to medical care health

Potential

Government Involvement

bull Taxes

bull Food Assistance Programs

bull Food LabelingAdvertising

bull Education

bull Transportation and Urban Development

Down the Line One Year

bull Gather information from previous studies to

understand the community and use success stories to

create the best possible intervention approach

bull Initiate community-based intervention program in

Mattapan Community Health Center

bull Research into and implementation of testing for

genes related to weight gain

bull Develop analyze and improve specific methods for

promoting healthy lifestyles within program

Down the Line Five Years

bull Continue to work with the Mattapan community

bull Evaluate our methods and make positive health changes more attainable for

clients

bull Test community will show significant improvements in major health markers

bull Analyze gathered data on gene testing and intervention impacts on health

outcomes

bull Evaluate effect presentation on gene data to clients has on success with

weight loss

bull

Down the Line Ten Years

bull Address whether early intervention has proven to

be successful in long term weight maintenance

bull Expand program to similar communities in New

England and along East Coast

bull Individualize programs based on needs of the

various communities

bull Pool data for analysis draw conclusions and

present to investors and researchers promote

national interest in community level interventions

How Will This Project Improve

Public Health

bull By furthering knowledge about preventative care amongst individuals of

low socioeconomic status

bull Make those with limited access to medical care aware of affordable care

in their community

o Free health clinics

bull Provide knowledge on the steps needed to be taken in order to ensure a

healthy life

o Medical screenings

o Tests

bull By teaching individuals how to find and gain access to medical care we

plan on decreasing the discrepancy amongst individuals of high and low

socioeconomic status in terms of their access to medical care health

Potential

Government Involvement

bull Taxes

bull Food Assistance Programs

bull Food LabelingAdvertising

bull Education

bull Transportation and Urban Development

Down the Line Five Years

bull Continue to work with the Mattapan community

bull Evaluate our methods and make positive health changes more attainable for

clients

bull Test community will show significant improvements in major health markers

bull Analyze gathered data on gene testing and intervention impacts on health

outcomes

bull Evaluate effect presentation on gene data to clients has on success with

weight loss

bull

Down the Line Ten Years

bull Address whether early intervention has proven to

be successful in long term weight maintenance

bull Expand program to similar communities in New

England and along East Coast

bull Individualize programs based on needs of the

various communities

bull Pool data for analysis draw conclusions and

present to investors and researchers promote

national interest in community level interventions

How Will This Project Improve

Public Health

bull By furthering knowledge about preventative care amongst individuals of

low socioeconomic status

bull Make those with limited access to medical care aware of affordable care

in their community

o Free health clinics

bull Provide knowledge on the steps needed to be taken in order to ensure a

healthy life

o Medical screenings

o Tests

bull By teaching individuals how to find and gain access to medical care we

plan on decreasing the discrepancy amongst individuals of high and low

socioeconomic status in terms of their access to medical care health

Potential

Government Involvement

bull Taxes

bull Food Assistance Programs

bull Food LabelingAdvertising

bull Education

bull Transportation and Urban Development

Down the Line Ten Years

bull Address whether early intervention has proven to

be successful in long term weight maintenance

bull Expand program to similar communities in New

England and along East Coast

bull Individualize programs based on needs of the

various communities

bull Pool data for analysis draw conclusions and

present to investors and researchers promote

national interest in community level interventions

How Will This Project Improve

Public Health

bull By furthering knowledge about preventative care amongst individuals of

low socioeconomic status

bull Make those with limited access to medical care aware of affordable care

in their community

o Free health clinics

bull Provide knowledge on the steps needed to be taken in order to ensure a

healthy life

o Medical screenings

o Tests

bull By teaching individuals how to find and gain access to medical care we

plan on decreasing the discrepancy amongst individuals of high and low

socioeconomic status in terms of their access to medical care health

Potential

Government Involvement

bull Taxes

bull Food Assistance Programs

bull Food LabelingAdvertising

bull Education

bull Transportation and Urban Development

How Will This Project Improve

Public Health

bull By furthering knowledge about preventative care amongst individuals of

low socioeconomic status

bull Make those with limited access to medical care aware of affordable care

in their community

o Free health clinics

bull Provide knowledge on the steps needed to be taken in order to ensure a

healthy life

o Medical screenings

o Tests

bull By teaching individuals how to find and gain access to medical care we

plan on decreasing the discrepancy amongst individuals of high and low

socioeconomic status in terms of their access to medical care health

Potential

Government Involvement

bull Taxes

bull Food Assistance Programs

bull Food LabelingAdvertising

bull Education

bull Transportation and Urban Development

Potential

Government Involvement

bull Taxes

bull Food Assistance Programs

bull Food LabelingAdvertising

bull Education

bull Transportation and Urban Development

References

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J A (2008) Public Health Genomics Translating Obesity Genomics Research Into Population Health

Benefits Obesity 16(3) 83-94 Retrieved March 25 2013 from

httponlinelibrarywileycomdoi101038oby2008517abstract

Boutin P (2003 December) GAD2 on Chromosome 10p12 Is a Candidate Gene for Human Obesity 1(3)

68 doi 101371journalpbio0000068

Broumlnner G Friedel S Grallert H Hebebrand J Hinney A et al (2007) Genome wide association (GWA) study

for

early onset extreme obesity supports the role of fat mass and obesity associated gene(FTO) variants PLOS

ONE

Retrieved from

httpwwwplosoneorgarticleinfo3Adoi2F1013712Fjournalpone0001361

Danielsen K K Heggebo L K Maehlum S amp Schioll J (2012 February) The Hjelp24 NIMI Ringerike

obesity clinic an inpatient programme to address morbid obesity in adults British Journal of Sports

Medicine 46(2) 91-94 Retrieved from httpgogalegroupcomeproxybuedupsidoid=GALE7CA

References (cont)

Frankish H (2001)Childhood obesity may be related to fathers genes The Lancet 358(9281) 564

Retrieved from httpdxdoiorg101016S0140-6736(01)05750-6

Grace C Summerbell C amp Kopelman P (1998) An audit of dietary treatment modalities and

weight loss outcomes in a specialist obesity clinic Journal of Human Nutrition and

Dietetics 11 197-202

Haas W C Moore J B Kaplan M amp Lazorick S (nd) Outcomes from a medical weight loss

program Primary care clinics versus weight loss clinics (2012) The American Journal of

Medicine 125(6) 603e7-603e11 doi 101016jamjmed20

107039

Obesity amp Genetics (2010 January 13) Centers for Disease Control and Prevention

Retrieved March 25 2013 from httpwwwcdcgovfeaturesobesity

Public Health Genomics - Genomics and Health (nd) Centers for Disease Control and

Prevention Retrieved April 22 2013 from

httpwwwcdcgovgenomicsresourcesdiseasesobesityindexhtm

Reeves G M Postolache T T amp Snitker S (2008 August 1) Childhood Obesity and Depression

Connection between these Growing Problems in Growing Children 1(2) 103-114 Retrieved from

httpwwwncbinlmnihgovpmcarticlesPMC2568994