Obesity

COPEDS philosophy for the evaluation and treatment of excess weight gain in children and adolescents is implemented through a five-part program as follows:

 

  1. COPEDS will complete a comprehensive evaluation for any underlying known genetic, endocrine, or metabolic condition that would alter or affect normal growth and development. This will include evaluation through a detailed family and patient history, physical exam, and selected laboratory testing. This evaluation will be directed to uncover any hypothalamic, pituitary, thyroid, adrenal, or identifiable genetic or congenital cause of the abnormal growth pattern.
  2. COPEDS will complete evaluation for any secondary medical condition that might be a consequence of excess growth and weight gain.
  3. Immediate treatment of any identified endocrine or metabolic disorder will be provided.
  4. Immediate treatment of any identifiable complication or risk factor induced by abnormal weight gain will be provided.
  5. COPEDS will develop an individualized program for each child that allows for a livable change in lifestyle to improve health, treat complications (co-morbidities), reduces risks for future problems, and achieves a normal growth and development pattern. In respect to weight, for many children this means slowing the rate of weight gain; for some children, this means stopping weight gain; and for a few, this may mean weight loss.

 

 

Just For You: Low Carb Weight Management Program

Just like no two children are alike, no two calories are alike metabolically. Personalized medicine, also know as precision medicine, may be the next step to solving the puzzle about why a child keeps gaining weight despite being very active. That is why we have developed a personalized weight management program called 'Just For You' to help put the pieces of the puzzle together. We match the metabolic profile, body composition, and family history components of your child to a unique personalized weight management plan. 

 

Over the last 30 years, sugar has been added into many of our processed foods. If pre-diabetes or insulin resistance is a problem that your child has, sugar and carbohydrates are not being metabolized correctly. The natural hormones that tell kids' bodies when they've eaten enough are dampened. Thus, this leads to always feeling hungry and never feeling full despite having just eaten a large amount of food. 

sugarcubes

The COPEDS Just For You Low Carb Weight Management program is an extremely easy nutrition plan for families to follow which temporarily restricts carbohydrates and sugars and increases protein and fiber. The restriction recommendations are personalized for each child based on their specific body composition and resting metabolic rates. This temporary food plan then leads to feeling full, reduced hunger, rapid weight loss and quick resolution of metabolic problems like insulin resistance. The COPEDS Just For You Low Carb Weight Management program is covered by insurance plans. Once metabolic and weight goals are achieved, we transition our families into eating a healthy mediterranean diet which emphasizes primarily plant-based non-processed foods (such as fruits and vegetables, whole grains, legumes and nuts) as well as fish, olive oils, flavorful herbs, lean meats, cheese and yogurt.

 

An excellent documentary called 'Fed Up' discusses the metabolic dangers of added sugars in our processed foods:

 

 

Food Logging

Daily food logging is an important ingredient for weight loss. Our favorite app is the MyFitnessPal app for food logging. This app has one of the most updated and extensive food databases for looking up hidden sugars and carbohydrates in all foods.

The 10,000 Steps Program

If increased activity is what your child needs for weight management, COPEDS offers the 10,000 Steps Program. So how much activity is usually enough for weight management? There are now some studies suggesting that walking 10,000 steps a day is the right ball park to be in. A pedometer tracks theses steps. A basic pedometer is usually recommended and is the least expensive - costing less than $30.  However, to use a basic pedometer correctly, you must firmly clip it to a belt or waistband in order for it to track properly. Smart watches with pedometers and wristband pedometers with smartphone apps may also be used to count steps when worn on the wrist. These fancier techie versions of pedometers track miles walked and calories burned as well as sleep. These additional data points are useful measures to quantify but are not mandatory for the COPEDS 10,000 Steps Program.

 

 

An excellent inspiration video that we love about the importance of persistence and exercise and happiness: