Pediatric Obesity: A Look at the Epidemic

Obesity in America is at an epidemic level. It is a global issue and the statistics only prove that it continues to rise. The world’s children face the threats of this global obesity epidemic and the prevalence of obesity in children continue to rise. Over the last 30 years the number of overweight children has doubled. Over 30% of children ages 6-19 are considered overweight. Of these, 15% are considered obese. Unfortunately, excess weight and obesity in childhood has been found to be an indicator of obesity in adulthood and statistics further show that teenagers have an 80% probability of being obese in adulthood.

Beyond the numbers……

Beyond the statistics are real people facing this epidemic. Evan, a 10-year old from Wisconsin, is considered clinically obese. His mother, Janice, began to face the health risks that her son faced at this early age and took him to a specialist. Janice recalls that in addition to her son’s growing health problems, it was the constant teasing and cruel behavior from the other kids that began to make an impact on him socially. In addition to constant weight-gain, Evan began a behavioral decline in almost all social situations. He was an unhealthy 10-year old who had become withdrawn. His mother no longer saw the smile on her son’s face. The combination was devastating. The clinical findings shed some light on a potentially frightening future. Aside from the immediate health issues, Janice learned that her son was extremely deficient in key minerals and nutrients that protect children from childhood diseases and illnesses encountered in adulthood. Janice learned that Evan was not alone. A high percentage of obese children are found to be deficient in Vitamin D, which is a crucial vitamin involved in insulin resistance syndrome and is present in over half of overweight children and teens. Janice saw a life of constant struggle for her son in terms of his health. An immediate course of action was designed, and a new approach to re-nourish her child was introduced. In addition to pharmacological management to address his high cholesterol, Evan was started on a supplement to replace those nutrients he will need for his healthy future.

Obesity not only includes the extra weight, but clinical evidence shows that obesity in children leads to a multitude of health issues. Some of these health issues have only been seen in the adult population. Liver disease, heart disease, cancers, vascular disease, certain sleep disorders, orthopedic issues, and hypercholesterolemia have all presented in children who are obese. The statistics are overwhelming; approximately 25% of children who are considered obese have been shown to have high blood pressure. Obese children are almost 10 times as likely to have hypertension, and the link of diabetes to obesity is staggering. 85% of children diagnosed with Type-2 diabetes are obese.

To further the severity of the obesity epidemic in children, social issues add to the stigma. Children who are teased about their weight often develop social stigmas including low self-esteem and self-worth. Children are also at risk of developing eating disorders and clinical depression.

What can families do to prevent the future disease linked to pediatric obesity?

Most clinicians agree that the first step to addressing this issue is diagnosing the problem. Recognition that your child is obese may be the most important step in positive change. Other medical issues, such as hypothyroidism, should be ruled out before determining the appropriate plan of action. Once determined to be obese, or if a child begins to gain excess weight, family intervention is essential. A well-balanced program consisting of diet, exercise, behavior modification, supplementation, and possible pharmacological agents should be considered.

Can Pediatric Obesity be prevented?

The prevention of Pediatric Obesity may be aided by the following suggestions:

Avoid pre-packaged or pre-prepared foods high in preservatives, sugars, and fats.

Limit snack or junk foods kept in the home.

Provide foods for your child that are rich in fiber.

Provide foods for your child that have less than 30% of calories that are derived from fat.

Don’t offer foods as rewards.

Don’t negotiate with your child using food as a tool.

Limit “couch potato” behavior. Monitor the time your child watches TV and plays video games.

Plan family exercise.

The Pharmaceutical and Nutracuetical Approach

There are few pharmaceutical treatments approved for children. Some diet pills, such as Xenical, Didrex, and Bontril may be used in children as young as 12 years old. As with all medications, there have been some reported adverse reactions associated with these medications, although some are minimal. Over the counter (OTC) weight-loss products should be avoided at all costs when considering use by children. These products are not approved by the FDA and therefore do not provide the sense of security required by most parents.

What are the options?

When considering a plan for children, most clinicians suggest a systematic approach to weight-loss, which includes a healthy diet, plenty of exercise, positive emotional reinforcement, and follow up with physicians. One physician has taken this a step further. Considering the above approach valid, Dr. Henry Anhalt has designed a special formula based on his life work and the clinical findings of studies from around the world. Dr. Anhalt has designed a supplement to replace those nutrients and vitamins that been found to be deficient in many, if not all, obese and overweight children. The purpose for this design was to provide a great tasting vitamin and mineral chewable that children could take to replace these vital nutrients. Pediatric obesity can lead to multiple future diseases, as mentioned before.

Dr. Anhalt believes that by creating a positive supplement to be incorporated into a lifestyle program, he can help eliminate the potential for future disease of these children and give them a fighting chance. For example, Vitamin E, an important vitamin for heart disease and cancer prevention, is lower in obese children thus increasing their risks for complications like fatty liver disease or non-alcoholic steatohepatitis. Dr. Anhalt’ formula, EssentiaLean(TM), addresses this deficiency and more. EssentiaLean(TM) is NOT a weight loss product. When preparing this article, Dr. Anhalt stressed that point. EssentiaLean(TM) was designed to provide families with a vitamin supplement geared specifically for the over weight child. As one of the world’s most renowned and respected Pediatric Endocrinologists, Dr. Anhalt has accepted the responsibility and challenge to educate the public and provide vitamin supplements and food products to help the pediatric population fight the epidemic of obesity. Dr. Anhalt has found that the most successful obesity treatments for children involve the entire family.

Whatever the approach, this is certain: Pediatric obesity is an epidemic. Treatment and prevention will require the effort of the entire family. There is help available in the form of healthy foods, exercise plan options, and supplements aimed at helping restore your child’s internal defenses. Children need this help in order to fight the battles they may face as adults if not addressed now.

Pediatric EMR

Why the need for a special Pediatric EMR module or program? The original EMR system was developed primarily for out-patient adult services. Since EMR is the wave of the future as deemed by the Federal Government, there became a necessity to include pediatric information.

The information previously lacking was:

  • Newborn Screening records
  • Immunization Records
  • Wellness Child Exams
  • Growth Records
  • Pediatric Narrative Templates
  • Pediatric Examination Templates (by age)
  • Pediatric SOAP Note Templates
  • Patient Pictures
  • Pediatric Image Management
  • Collection of Family Structure
    • Birth
    • Adoption
    • Step-Children
    • Child-Abuse
    • Foster Children
  • Genetic Information Collection
  • Newer Family Identification Methods, indexing the family together

Although every EMR system contains templates, the earlier versions did not include an easy way to accept the additional information relating to pediatric care. Physicians and caregivers simply did not have the time to design their own database structure and care for patients at the same time.
With the newer enhanced systems, Pediatric EMR has become a reality and “paper-less” offices are becoming a standard way of practice. From scanners to hospital networking, the physician can now retrieve 98% of a patient’s information:

  • Lab Tests and Results
  • Radiology Tests and Results
  • Cardiology Tests and Results
  • Dictated Reports

And much more…

How is all this possible? Hospitals and medical facilities are storing all this data. As they strive for a consistent Master Patient Index (MPI) repository, this data can be gathered from disparate systems and stored in a central location. Most facilities and medical systems are capable of sending HL7 (Health Level 7) messages. This is a real-time connection between systems that keeps data current across all applications and available immediately to be viewed by an authorized person.

So now, a pediatrician with a Pediatric EMR equipped solution, can have data fed to their “stand-alone” application at their local office. Although, this arrangement needs to be authorized by the medical facility, which brings up another issue – HIPPA!

Medical Billing services are now offering EMR as an add-on to the services they provide along with scheduling, billing, collection, and all the back-office services. Primarily physicians of a medium to large group can benefit from such a service.

There’s multiple solutions depending on the needs of the physician and the amount of staff to support the infrastructure. Favorably, this segment has grown in regards to the quantity of EMR vendors and their capabilities.

Soon will be the day when you walk into a doctor’s office and no longer see rows and rows of manila folders (charts). Instead, you will see them viewing Pediatric EMR information from a touch-screen computer in the patient room.

What Is Pediatric Physical Therapy?

Pediatric physical therapy is a healthcare profession that encompasses evaluation and treatment of infants, toddlers, children and adolescents. It’s very important to discover and treat problems in children on time. Research proves that early intervention works well with many pediatric diagnoses including but not limited to ADHD/ADD, ataxia, autism, brachial plexus injuries like Erb’s palsy, cerebral palsy, developmental coordination disorder, developmental delays, down syndrome, gait abnormalities, muscular dystrophy, neurological impairments, orthopedic conditions, plagiocephaly, premature birth, scoliosis, sensory processing disorder, torticollis, toe walking, and traumatic brain injuries.

Physical therapists’ entry level degree has changed throughout the years. It started with the bachelor’s, continued to the master’s, and now its the doctorate in physical therapy. Now little patients are treated by highly professional people with the highest possible degree.

Did you know that not every pediatrician specializes in child development? Only 15% of pediatricians are such specialists. Also, it is easy to miss signs of developmental delays during routine visits. That is when pediatric physical therapists can help.

Physical therapy evaluation usually starts with observation of child’s appearance, movements, activities, behaviors. It may then continue to neurological and orthopedic exam, and it continues to testing with peer-reviewed assessment tools like Peabody Developmental Motor Scales – 2 (PDMS-2). The scores are then carefully calculated and conclusions are drawn as to whether the child requires physical therapy intervention.

To treat children, therapists may utilize stretching, strengthening, thermal treatments, aquatic therapy, and joint mobilization. However, children do not usually even notice that they undergo “therapy”. They are engaged in games and activities thus they have lots of fun while exercising and working on improvement of their health.

Another important part of pediatric physical therapy is family education with home exercise programs. Family plays a crucial role in fast recovery and progress in therapy. To insure carryover, exercises need to be practiced daily.

It is convenient to have pediatric physical therapist come to children’s houses to provide care in the natural environment where the children spend most of their time. Home pediatric physical therapy companies are happy to help their little patients. If you or somebody you know have a child that may benefit from pediatric physical therapy, research and find a home pediatric physical therapy company providing services in your area.

Besides watching and taking care of children’s physical health, pediatric physical therapists always screen kids for potential problems in other areas like speech pathology, occupational problems, as well as learning and behavioral delays. If necessary, they may refer their little patients to other specialists in child development. That is how every aspect of child development is covered, and children can grow happy and healthy.