Weight Bias: Child & Adolescent Obesity 2015
Healthcare professionals cannot visually identify which children fall into high-risk BMI categories without actually obtaining and plotting BMI percentile.
clinicalSteve15:00 ↗
Weight bias has increased substantially over the last decade since 2006, with rates continuing to rise in more recent data.
Host summarySteve summarizing the discussion — not the host's own clinical position20:00 ↗
Weight bias is more prevalent in women than men and increases with severity of obesity.
Host summarySteve summarizing the discussion — not the host's own clinical position20:30 ↗
Children experience weight bias from peers, family members, school environments, and healthcare professionals.
Host summarySteve summarizing the discussion — not the host's own clinical position21:00 ↗
Studies document that individuals affected by obesity experience differences in hiring preferences, promotions, wages, and early termination in the workplace.
Host summarySteve summarizing the discussion — not the host's own clinical position21:30 ↗
Healthcare professionals are among the worst offenders of weight bias as experienced by patients, according to research studies.
Host summarySteve summarizing the discussion — not the host's own clinical position23:00 ↗
Physicians view individuals challenged by weight as noncompliant, dishonest, lazy, lacking self-control, weak-willed, unintelligent, and unsuccessful.
Host summarySteve summarizing the discussion — not the host's own clinical position23:30 ↗
In one study, 31% of nurses said they would prefer not to care for individuals affected by obesity and 24% said individuals with obesity repulse them.
Host summarySteve summarizing the discussion — not the host's own clinical position24:00 ↗
Psychologists in controlled studies endorse that patients with obesity have more pathology, more severe symptoms, more negative family qualities, and worse prognosis on initial assessment.
Host summarySteve summarizing the discussion — not the host's own clinical position24:30 ↗
Individuals endorsing more weight bias have higher levels of depression, anxiety, low self-esteem, and poor body image.
Host summarySteve summarizing the discussion — not the host's own clinical position22:00 ↗
Weight bias leads to less preventative health services, fewer exams, more appointment cancellations, more delays in care, and less healthcare access.
Host summarySteve summarizing the discussion — not the host's own clinical position22:30 ↗
Using guilt, shame, and blame to motivate individuals to make healthy changes is not supported by evidence and makes individuals less likely to make healthy changes.
clinicalSteve25:00 ↗
Clinical environments should have chairs that allow larger patients and parents to sit comfortably, as chairs with handrails may be too small for some families.
clinicalSteve26:30 ↗
Examination tables should be rated for weights higher than 350 pounds to accommodate larger patients safely.
clinicalSteve27:00 ↗
Weight scales should be placed in private areas rather than in open office spaces when dealing with the sensitive topic of weight.
clinicalSteve28:00 ↗
A patient-centered, empowering approach utilizing motivational interviewing techniques can save time, improve clinical impact, and result in more pleasant provider encounters.
opinionSteve26:00 ↗
For larger teenagers, it takes a long time to reach their current weight status and will take a long time to achieve weight reduction, requiring patience from providers.
clinicalSteve25:30 ↗
Parents and children come to obesity clinic visits with high defensive walls due to previous experiences with weight bias, requiring creation of a safe environment before productive conversation can occur.
clinicalSteve28:30 ↗
The American Academy of Pediatrics will be releasing a policy statement regarding weight bias in the next couple of years.
guidelineSteve29:40 ↗
Parents often do not recognize when their child has obesity because weight gain happens gradually, and they may be very upset and emotional when given the diagnosis.
clinical30:10 ↗
How early can we start? Early Childhood Feeding Practices and How to...
Children who are introduced to solid foods before 4 months have an increased risk of developing childhood obesity later on.
epidemiologicalNatalie14:29 ↗
Babies who gain weight very rapidly in the first year of life are more likely to have troubles with weight as children later on.
epidemiologicalNatalie19:25 ↗
Flavors pass in the amniotic fluid to the baby and also pass through breast milk, providing first flavor experiences.
clinicalNatalie15:20 ↗
Babies who are breastfed are more likely to try a variety of different foods later, possibly related to early flavor exposure through breast milk.
epidemiologicalNatalie15:45 ↗
Pregnant women need no extra calories in the first trimester, about 350 extra calories in the second trimester, and about 450 extra in the third trimester.
guidelineNatalie6:20 ↗
Children who are born to a mother who had gestational diabetes are more likely to suffer from obesity and complications later on.
epidemiologicalNatalie4:40 ↗
By the time a child enters elementary school, food preferences are already very well established.
clinicalNatalie3:15 ↗
About 40% of 2nd and 5th graders had zero vegetables on any given day in one study.
epidemiologicalNatalie2:10 ↗
About 1 out of 5 kids and teenagers eat the recommended 5 servings a day of vegetables and fruits, with french fries counting as about a quarter of those servings.
epidemiologicalNatalie2:25 ↗
About a third of toddlers don't eat any fruit each day, but they're eating baked desserts, candy, and sweetened beverages.
epidemiologicalNatalie2:45 ↗