Obesity and Metabolism

Last updated February 10, 2005

Saturday, MAY 14

8:00am–11:00am
4155—Institute of Medicine (IOM) Committee on Prevention of Obesity in Children and Youth: Recommendations and Assessment
PAS Educational Workshop
Leader: Thomas N. Robinson, Stanford, CA; Co-leaders: Dennis M. Bier, Vivica I. Kraak

The Institute of Medicine (IOM) Committee on Prevention of Obesity in Children and Youth is charged with assessing the nature of obesity in children and youth in the United States and developing a prevention-oriented action plan to reduce its prevalence. A summary of the report's findings and recommendations will be presented with a focus on public health approaches that promote energy balance by integrating diet and physical activity interventions at home, schools, medical care settings and in communities. Discussion and question-and-answer sessions with members of the Committee will address responses to the recommendations and public and policy reactions after the initial release. Participants will then create an individual action plan to advocate for their choices of specific recommendations.

Objectives:

1. Participants will become familiar with the concept of energy balance and be able to identify factors that contribute to obesogenic environments and promising public health approaches that support obesity prevention in children and youth.

2. Participants will develop a personal plan of action for implementing specific IOM recommendations when they return home from the meeting.

Method of Instruction: Brief presentation of highlighted IOM Committee results followed by (a) question-and-answer, (b) group discussion, and (c) development of action plans.

Target Audience: Trainee, junior faculty, mid-level faculty, senior faculty
 

10:30am–12:30pm
4400—Epidemiology Research I
PAS Original Science Abstracts - Platform Session

11:45am–2:45pm
4572—Obesity
APA Special Interest Group
Chairs: Jennifer Bass, yenbass@aol.com; and Sandy Hassink, shassink@nemours.org

Implementing Obesity Prevention and Treatment—How To Translate What We Know into What Works

A panel discussion will lead off with short presentations of up and running obesity programs. Discussions will include clinic set up and structure, practical patient and family interventions, reimbursement issues and working in hospital and community settings. Attendees will be encouraged to share their own experiences and participate in discussion. The AHRQ video for pediatricians on obesity management will also be previewed and available to the audience.
 

3:15pm–5:15pm
4842—Fetal Origins of Adult Disease
PAS Original Science Abstracts - Poster Symposium

3:15pm–5:15pm
4847—Human Milk or Breastfeeding
PAS Original Science Abstracts - Poster Symposium

5:15pm–7:15pm
Poster Session I
PAS Original Science Abstracts - Poster Session

General Pediatrics and Preventive Pediatrics:
4902—Obesity
 

Sunday, MAY 15

11:45am–1:45pm
Poster Session II
PAS Original Science Abstracts - Poster Session

Endocrinology:
5425—Obesity/Insulin Resistance
 

2:00pm–4:00pm
5520—Consequences of Metabolic Syndrome in Children: Hypertension, Diabetes and Renal Disease
PAS/ASPN/IPHA/LWPES Topic Symposium
Chairs: Joseph Flynn, Montefiore Medical Center, Bronx, NY; and Henry Anhalt, Saint Barnabas Medical Center, Livingston, NJ

The incidence of the metabolic syndrome and of type 2 diabetes mellitus (T2DM) is now exploding in children as a consequence of the obesity epidemic. These children may be at significant risk of target-organ damage, including hypertension, atherosclerosis and diabetic nephropathy. This symposium will examine key aspects of this epidemic, with special focus on the pathogenesis of the target-organ effects of the metabolic syndrome in the young.

Target Audience: Any physician who cares for children with obesity, diabetes or their consequences—pediatricians, pediatric cardiologists, pediatric endocrinologists, pediatric nephrologists.

Can We Agree on a Definition of the Metabolic Syndrome in Children?
Sonia K. Caprio, Yale University School of Medicine, New Haven, CT

Pathogenesis of Structural Vascular Changes in Patients with Hypertension and the Metabolic Syndrome
Albert P. Rocchini, University of Michigan Health Center, Ann Arbor, MI

Diabetic Nephropathy in Patients with Type 1 and Type 2 Diabetes
Kumar Sharma, Jefferson Medical College, Philadelphia, PA

Mechanisms of Diabetic Nephropathy: Insights from Genomics/Proteomics
Erwin Bottinger, Mount Sinai School of Medicine, New York, NY

Sponsored jointly by the American Society of Pediatric Nephrology, International Pediatric Hypertension Association, Lawson Wilkins Pediatric Endocrine Society and the Pediatric Academic Societies
 

2:00pm–4:00pm
5536—Neonatal–Fetal Nutrition and Metabolism I
PAS Original Science Abstracts - Platform Session

2:00pm–5:00pm
5571—Childhood Obesity—Assessment, Surveillance and Intervention Within the School Setting
PAS Educational Workshop
Leader: Linda M. Grant, Boston, MA; Co-leaders: Anne McHugh, Sylvia Stevens-Edouard

This workshop will explore various strategies to address obesity in a school setting without competing with the prime educational mandate of teaching and learning. The pros and cons of conducting school-based obesity surveillance activities will be debated in a point–counterpoint forum that will highlight the challenges and offer solutions. Creative community partnerships to address school-based nutrition and fitness will be presented from several viewpoints, including that of a health insurance company and a school administrator.

Objectives:

1. Understand the supports needed to do school-based obesity surveillance activities.

2. Identify evidence-supported, school-based nutrition and fitness interventions and recognize collaborative partnership opportunities and the strategies to achieve them.

Method of Instruction: There will be point–counterpoint presentations by community partners to highlight issues from different vantage points followed by didactic that illustrates solutions.

Target Audience: Trainee, junior faculty, mid-level faculty, affiliate members.
 

4:15pm–6:15pm
5743—Pediatric Nutrition and Metabolism
PAS Original Science Abstracts - Platform Session

Monday, MAY 16

8:00am–10:00am
6140—Neonatal–Fetal Nutrition and Metabolism II
PAS Original Science Abstracts - Poster Symposium

8:00am–10:00am
6142—Obesity and Metabolism I
PAS Original Science Abstracts - Platform Session

9:00am–12:00pm
6202—Child and Adolescent Bariatrics: Merging Policy, Scholarship, Research and Advocacy
PAS Educational Workshop
Leader: Karen L. Young, Little Rock, AR; Co-leaders: Margaret Harris, Alba Morales, J. Darrell Nesmith, Pippa Simpson, Joseph W. Thompson, Wendy L. Ward-Begnoche, Judith L. Weber, J. Gary Wheeler

Child and adolescent bariatrics (the study of obesity) is a new area in pediatric medicine. The Arkansas experience with the BMI (Body Mass Index) Health Initiative will be presented to show how a statewide initiative can be a collaborative effort, coordinated with research and educational activities. This will serve to jumpstart discussions among the registrants and faculty:

1. Attendees will be given an opportunity to present experiences from their own community involvement and partnership development, specifically discussing how to effect translation of obesity research into policy, clinical care, education or advocacy.

2. Registrant groups will discuss research problems in childhood obesity including

a) how to create and manage databases for clinics or larger populations

b) ethical and psychological issues

c) starting an academic child and adolescent bariatrics center

d) research collaborations

e) policy and politics of obesity

Objectives:

1. Learn how to effect translation of obesity research into policy, clinical care, education and advocacy.

2. The learner will be able to discuss childhood obesity research problems, including creating a database, ethical issues, starting a new obesity center, collaboration, policy and politics.

Method of Instruction: Presentations by faculty, followed by short presentations by selected registrants, then roundtable discussions.

Target Audience: Trainee, junior faculty, mid-level faculty, senior faculty.
 

9:00am–12:00pm
6254—Nutrition
APA Special Interest Group
Chairs: Elizabeth Shepard, elizabeth.shepard@stanford.edu; and Robert J. Karp, robert.karp@downstate.edu

The Nutrition SIG is pleased to announce completion of its “Teacher’s Guide to Pediatric Clinical Nutrition.” It is easy to find at http://downstate.edu/peds/pednutrition. Or just go to the search bar at Google and type “pediatric nutrition and foliate” (or any other nutrient). Pediatric Nutrition Notes, the initial section of the Teacher’s Guide, comes up as the top entry.

The Teacher’s Guide uses the model of “stepping stone education.” The first section is a 44-page primer, Pediatric Nutrition Notes, providing the language of nutrition. The second is a set of introductions to assessing diet and behavior, assessing nutritional status, impact of food cost and culture and an overview of nutrition through the life cycle. The third section includes more than 25 case-based teaching modules on disease processes affected by nutrition.

Residents are invited to a two-hour program with continental breakfast to explore the Teacher’s Guide’s use in fulfilling two objectives of the Residency Review Committee: (1) teaching and (2) community outreach.

1. Training Teachers of Pediatrics: Residents will provide data illustrating use of the Teacher’s Guide in case conferences aids to improve learning and gain confidence and competence.

2. Reaching out to the Community: Residents will demonstrate use of four Teacher’s Guide modules adapted for community use enabling them to fulfill RRC requirement for community outreach.

Faculty and residents are invited to join us for presentations, discussion and continental breakfast. Registration is necessary. Email either robert.karp@downstate.edu or elizabeth.shepard@stanford.edu.
 

10:15am–12:15pm
6352—General Pediatrics II
PAS Original Science Abstracts - Platform Session

3:00pm–5:00pm
6734—Obesity and Metabolism II
PAS Original Science Abstracts - Poster Symposium

Tuesday, MAY 17

8:45am–11:45am
7211—Treating Childhood Obesity in Primary Care
PAS Educational Workshop
Leader: Ellen R. Wald, Pittsburgh, PA; Co-leader: Linda J. Ewing

To overcome barriers to the identification and treatment of obesity in children, we have developed a program directed at primary care providers and families of overweight 8–12 year olds. This program, successful in a research setting, was adapted and applied in the primary care setting. The program consists of a module for primary care providers and a module to train health educators from among the office staff to deliver a behaviorally based group intervention focusing on a modification of dietary and physical activity habits. This interactive workshop will demonstrate all the components of the program through role play.

Objectives:

1. Participants will gain knowledge about obesity and behaviorally based interventions.

2. Participants will acquire skills in reflective listening.

Method of Instruction: Brief didactic session followed by interactive demonstrations of provider and parent modules.

Target Audience: Trainee, junior faculty, mid-level faculty.
 

10:15am–11:45am
7300—Children's Health and the Federal Government: Research and Public Health Policy
PAS State of the Art Plenary
Chairs: Lisa Guay-Woodford, President, Society for Pediatric Research; and Paul Young, Chair, PAS Program Committee

Elias A. Zerhouni, the Director of the NIH and Vice Admiral Richard H. Carmona, the Surgeon General of the United States, will provide PAS attendees with their views of the critical issues related to pediatric research and the health of our nation's children.

Target Audience: All attendees

Introduction
Paul C. Young, University of Utah School of Medicine, Salt Lake City, UT
Lisa M. Guay-Woodford, University of Alabama at Birmingham, Birmingham, AL

The NIH Roadmap for Medical Research
Elias A. Zerhouni, Director, National Institutes of Health, Bethesda, MD

Promoting Health for U.S. Children and Their Families
Vice Admiral Richard H. Carmona, Surgeon General of the United States, Washington, DC

Discussion

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