you
you [Music]
we just lost another child Brandi Vila
we just lost another child Brandi Vila from Texas City Texas she took her life
from Texas City Texas she took her life
from Texas City Texas she took her life on November 29 2016 and brandy she had
on November 29 2016 and brandy she had
on November 29 2016 and brandy she had aspirations Brandi wanted to be a
aspirations Brandi wanted to be a
aspirations Brandi wanted to be a veterinarian and she had her whole life
veterinarian and she had her whole life
veterinarian and she had her whole life ahead of her but children bullied her
ahead of her but children bullied her
ahead of her but children bullied her and cyber bullied her about her weight
and cyber bullied her about her weight
and cyber bullied her about her weight she couldn’t take it anymore she killed
she couldn’t take it anymore she killed
she couldn’t take it anymore she killed herself this type of bullying and
herself this type of bullying and
herself this type of bullying and teasing is extraordinarily common
teasing is extraordinarily common
teasing is extraordinarily common towards people who struggle with obesity
obesity is a single most common reason
obesity is a single most common reason that children are teased on the
that children are teased on the
that children are teased on the playground it’s getting worse we have an
playground it’s getting worse we have an
playground it’s getting worse we have an epidemic of childhood obesity forty
epidemic of childhood obesity forty
epidemic of childhood obesity forty years ago it was one out of 20 today
years ago it was one out of 20 today
years ago it was one out of 20 today it’s one out of six children one out of
it’s one out of six children one out of
it’s one out of six children one out of six think about that one out of six of
six think about that one out of six of
six think about that one out of six of our children our precious children are
our children our precious children are
our children our precious children are suffering from obesity in this country
not only do they get harassed and teased
not only do they get harassed and teased they feel badly about their bodies they
they feel badly about their bodies they
they feel badly about their bodies they internalize this they feel shame about
internalize this they feel shame about
internalize this they feel shame about their body they go on to get depression
their body they go on to get depression
their body they go on to get depression they get eating disorders and also they
they get eating disorders and also they
they get eating disorders and also they end up wanting to take their lives
end up wanting to take their lives
end up wanting to take their lives sometimes and some of them do but as if
sometimes and some of them do but as if
sometimes and some of them do but as if that were enough these children
that were enough these children
that were enough these children they don’t breathe well they don’t move
they don’t breathe well they don’t move
they don’t breathe well they don’t move very well and on top of it they also
very well and on top of it they also
very well and on top of it they also don’t sleep at night very well and they
don’t sleep at night very well and they
don’t sleep at night very well and they have chronic pain and diseases that were
have chronic pain and diseases that were
have chronic pain and diseases that were once thought to be adult diseases like
once thought to be adult diseases like
once thought to be adult diseases like type 2 diabetes liver disease sleep
type 2 diabetes liver disease sleep
type 2 diabetes liver disease sleep apnea up to 30 other diseases these
apnea up to 30 other diseases these
apnea up to 30 other diseases these children are getting enough is enough we
children are getting enough is enough we
children are getting enough is enough we have to do better for our children so
have to do better for our children so
have to do better for our children so what’s causes 40 years ago it wasn’t
what’s causes 40 years ago it wasn’t
what’s causes 40 years ago it wasn’t there weren’t many people that were
there weren’t many people that were
there weren’t many people that were struggling with obesity over the past 40
struggling with obesity over the past 40
struggling with obesity over the past 40 years of our genes changed no what’s
years of our genes changed no what’s
years of our genes changed no what’s changed is our lifestyle it’s really
changed is our lifestyle it’s really
changed is our lifestyle it’s really dramatically change we’re eating larger
dramatically change we’re eating larger
dramatically change we’re eating larger portions we’re eating out more
portions we’re eating out more
portions we’re eating out more inexpensive cheap food or drinking
inexpensive cheap food or drinking
inexpensive cheap food or drinking sugar-sweetened beverages we’re sitting
sugar-sweetened beverages we’re sitting
sugar-sweetened beverages we’re sitting around all the time because TV and
around all the time because TV and
around all the time because TV and screens are so persuasive we can’t get
screens are so persuasive we can’t get
screens are so persuasive we can’t get out anymore and also now we’re stayin up
out anymore and also now we’re stayin up
out anymore and also now we’re stayin up late to watch these screens and we’re
late to watch these screens and we’re
late to watch these screens and we’re not getting the rest and all these
not getting the rest and all these
not getting the rest and all these things accumulate to cause weight gain
things accumulate to cause weight gain
things accumulate to cause weight gain and for individuals who are vulnerable
and for individuals who are vulnerable
and for individuals who are vulnerable it’s worse obesity runs and families
it’s worse obesity runs and families
it’s worse obesity runs and families it’s sixty to eighty percent heritable
it’s sixty to eighty percent heritable
it’s sixty to eighty percent heritable it’s more heritable than other complex
it’s more heritable than other complex
it’s more heritable than other complex diseases like breast cancer heart
diseases like breast cancer heart
diseases like breast cancer heart disease and depression you put someone
disease and depression you put someone
disease and depression you put someone who has these genes in a permissive
who has these genes in a permissive
who has these genes in a permissive environment like we have where there’s
environment like we have where there’s
environment like we have where there’s food all the time and you put them in an
food all the time and you put them in an
food all the time and you put them in an environment where you have all these
environment where you have all these
environment where you have all these compelling message
compelling message
compelling message is to sit sit sit they develop obesity
is to sit sit sit they develop obesity
is to sit sit sit they develop obesity these genetics it affects her metabolism
these genetics it affects her metabolism
these genetics it affects her metabolism their physiology it affects your brain
their physiology it affects your brain
their physiology it affects your brain they have more cravings they have a
they have more cravings they have a
they have more cravings they have a harder time stopping eating once they
harder time stopping eating once they
harder time stopping eating once they get started now in a period of famine
get started now in a period of famine
get started now in a period of famine there was an obesity and these
there was an obesity and these
there was an obesity and these individuals they would be our survivors
individuals they would be our survivors
individuals they would be our survivors but today it’s a genetic liability it’s
but today it’s a genetic liability it’s
but today it’s a genetic liability it’s similar to skin cancer people who are
similar to skin cancer people who are
similar to skin cancer people who are fair-skinned they get the rough into the
fair-skinned they get the rough into the
fair-skinned they get the rough into the deal right they have to wear sunscreen
deal right they have to wear sunscreen
deal right they have to wear sunscreen and some people can’t get into the Sun
and some people can’t get into the Sun
and some people can’t get into the Sun at all so we have to be able to provide
at all so we have to be able to provide
at all so we have to be able to provide care for these children that have this
care for these children that have this
care for these children that have this liability just this past week Santa
liability just this past week Santa
liability just this past week Santa Claus told a boy when he got down boy
Claus told a boy when he got down boy
Claus told a boy when he got down boy was having a happy day in North Carolina
was having a happy day in North Carolina
was having a happy day in North Carolina Santa said better eat less french fries
Santa said better eat less french fries
Santa said better eat less french fries better eat less hamburgers that boy went
better eat less hamburgers that boy went
better eat less hamburgers that boy went to beg crying that night now is that
to beg crying that night now is that
to beg crying that night now is that okay no it’s not okay there is so much
okay no it’s not okay there is so much
okay no it’s not okay there is so much weight bias and stigma obesity is
weight bias and stigma obesity is
weight bias and stigma obesity is treated like it’s a moral failure to
treated like it’s a moral failure to
treated like it’s a moral failure to person they don’t have self-control it’s
person they don’t have self-control it’s
person they don’t have self-control it’s not about that it’s about a disease
not about that it’s about a disease
not about that it’s about a disease these kids need to be treated seriously
so what about intervention we know for
so what about intervention we know for diseases earlier intervention is better
diseases earlier intervention is better
diseases earlier intervention is better so I want you to think about a child
so I want you to think about a child
so I want you to think about a child they’re eight years old and they just
they’re eight years old and they just
they’re eight years old and they just now meet criteria for obesity you know
now meet criteria for obesity you know
now meet criteria for obesity you know how much weight that child would need to
how much weight that child would need to
how much weight that child would need to lose in a year to become normal weight
lose in a year to become normal weight
lose in a year to become normal weight in the normal weight range four pounds
in the normal weight range four pounds
in the normal weight range four pounds how many of you have ever lost four
how many of you have ever lost four
how many of you have ever lost four pounds it’s quite a few it’s pretty it’s
pounds it’s quite a few it’s pretty it’s
pounds it’s quite a few it’s pretty it’s doable achievable now let’s think about
doable achievable now let’s think about
doable achievable now let’s think about that child they already have the
that child they already have the
that child they already have the vulnerability they’re showing excess
vulnerability they’re showing excess
vulnerability they’re showing excess weight gain they have a genetic
weight gain they have a genetic
weight gain they have a genetic liability so now let’s fast forward and
liability so now let’s fast forward and
liability so now let’s fast forward and that child is now 18 years old ten years
that child is now 18 years old ten years
that child is now 18 years old ten years later you know how much weight they need
later you know how much weight they need
later you know how much weight they need to lose 65 pounds how many of you have
to lose 65 pounds how many of you have
to lose 65 pounds how many of you have lost 65 pounds a couple how many of you
lost 65 pounds a couple how many of you
lost 65 pounds a couple how many of you know someone who’s lost 65 pounds not
know someone who’s lost 65 pounds not
know someone who’s lost 65 pounds not that many right it’s a lot harder so I’d
that many right it’s a lot harder so I’d
that many right it’s a lot harder so I’d like you to visualize four pounds versus
like you to visualize four pounds versus
like you to visualize four pounds versus 65 pounds and that kind of gives you a
65 pounds and that kind of gives you a
65 pounds and that kind of gives you a sense about why it’s so critical to
sense about why it’s so critical to
sense about why it’s so critical to intervene with these children early and
intervene with these children early and
intervene with these children early and the good news is we have treatments that
the good news is we have treatments that
the good news is we have treatments that work we’ve been evaluating these for 20
work we’ve been evaluating these for 20
work we’ve been evaluating these for 20 and 30 years we know how to help kids
and 30 years we know how to help kids
and 30 years we know how to help kids take weight off we know how to help him
take weight off we know how to help him
take weight off we know how to help him develop eating and activity habits we
develop eating and activity habits we
develop eating and activity habits we know how to make him happier and have
know how to make him happier and have
know how to make him happier and have better body esteem but children are not
better body esteem but children are not
better body esteem but children are not getting these treatments there’s a big
getting these treatments there’s a big
getting these treatments there’s a big treatment gap but I want to share with
treatment gap but I want to share with
treatment gap but I want to share with you a little bit about some children
you a little bit about some children
you a little bit about some children that we treated in the context of a
that we treated in the context of a
that we treated in the context of a clinical trial there was a girl her name
clinical trial there was a girl her name
clinical trial there was a girl her name is Nora and she too like Brandi she was
is Nora and she too like Brandi she was
is Nora and she too like Brandi she was being bullied at school she was told she
being bullied at school she was told she
being bullied at school she was told she was the biggest girl in her class and
was the biggest girl in her class and
was the biggest girl in her class and that’s unacceptable right and she went
that’s unacceptable right and she went
that’s unacceptable right and she went to go get some clothes at a store and
to go get some clothes at a store and
to go get some clothes at a store and she tried these clothes on well guess
she tried these clothes on well guess
she tried these clothes on well guess what she couldn’t fit into any of the
what she couldn’t fit into any of the
what she couldn’t fit into any of the clothes she had to get such big sizes
clothes she had to get such big sizes
clothes she had to get such big sizes that the sleeves were hanging along and
that the sleeves were hanging along and
that the sleeves were hanging along and she just broke into tears and she
she just broke into tears and she
she just broke into tears and she started sobbing well her mom said I need
started sobbing well her mom said I need
started sobbing well her mom said I need to get her to treatment mom goes to the
to get her to treatment mom goes to the
to get her to treatment mom goes to the pediatrician pediatrician says don’t
pediatrician pediatrician says don’t
pediatrician pediatrician says don’t worry about it
worry about it
worry about it you’ll grow out of it well we already
you’ll grow out of it well we already
you’ll grow out of it well we already know that’s not going to happen because
know that’s not going to happen because
know that’s not going to happen because eighty percent of kids actually don’t
eighty percent of kids actually don’t
eighty percent of kids actually don’t grow out of their obesity but the
grow out of their obesity but the
grow out of their obesity but the pediatrician doesn’t know that mom knows
pediatrician doesn’t know that mom knows
pediatrician doesn’t know that mom knows I already got her in six hours of
I already got her in six hours of
I already got her in six hours of physical activity a week she’s on this
physical activity a week she’s on this
physical activity a week she’s on this sports team what is going on
sports team what is going on
sports team what is going on unfortunately we had a clinical trial so
unfortunately we had a clinical trial so
unfortunately we had a clinical trial so mom brings ran we do a very
mom brings ran we do a very
mom brings ran we do a very individualized the treatment that works
individualized the treatment that works
individualized the treatment that works it’s a family-based behavioral
it’s a family-based behavioral
it’s a family-based behavioral multi-component treatment we have the
multi-component treatment we have the
multi-component treatment we have the family engineer healthy habits what we
family engineer healthy habits what we
family engineer healthy habits what we found out for mom is that she’s juggling
found out for mom is that she’s juggling
found out for mom is that she’s juggling trying to get her to her sports teams
trying to get her to her sports teams
trying to get her to her sports teams and they were eating foods on the fly
and they were eating foods on the fly
and they were eating foods on the fly they’re eating a lot of fast food well
they’re eating a lot of fast food well
they’re eating a lot of fast food well unbeknownst to mom a typical meal fast
unbeknownst to mom a typical meal fast
unbeknownst to mom a typical meal fast food meal is about a thousand calories
food meal is about a thousand calories
food meal is about a thousand calories well in how long it takes a child to
well in how long it takes a child to
well in how long it takes a child to work off a thousand calories if they’re
work off a thousand calories if they’re
work off a thousand calories if they’re eight years old you think it’s one hour
eight years old you think it’s one hour
eight years old you think it’s one hour two hours three hours it takes three
two hours three hours it takes three
two hours three hours it takes three hours of physical activity for a child
hours of physical activity for a child
hours of physical activity for a child to burn off a thousand calories and
to burn off a thousand calories and
to burn off a thousand calories and that’s already more than half of what
that’s already more than half of what
that’s already more than half of what they should be having for that day so
they should be having for that day so
they should be having for that day so you can see how these repeated caloric
you can see how these repeated caloric
you can see how these repeated caloric over exposures can easily mount up so we
over exposures can easily mount up so we
over exposures can easily mount up so we worked with mom we worked with Nora we
worked with mom we worked with Nora we
worked with mom we worked with Nora we planned some healthy meals healthy
planned some healthy meals healthy
planned some healthy meals healthy snacks we found places that they could
snacks we found places that they could
snacks we found places that they could go that would be better in terms of
go that would be better in terms of
go that would be better in terms of healthier food options and also we built
healthier food options and also we built
healthier food options and also we built a culture of Health in her home we don’t
a culture of Health in her home we don’t
a culture of Health in her home we don’t single out these kids we don’t bully
single out these kids we don’t bully
single out these kids we don’t bully them we teach that teasing is off limits
them we teach that teasing is off limits
them we teach that teasing is off limits that doesn’t motivate people but it
that doesn’t motivate people but it
that doesn’t motivate people but it doesn’t makes people have body image
doesn’t makes people have body image
doesn’t makes people have body image problems and what it does is it makes
problems and what it does is it makes
problems and what it does is it makes kids not want to get activity so we teed
kids not want to get activity so we teed
kids not want to get activity so we teed taught Nora’s mom about praising all
taught Nora’s mom about praising all
taught Nora’s mom about praising all those healthy choices that Nora was
those healthy choices that Nora was
those healthy choices that Nora was doing and also the great thing is that
doing and also the great thing is that
doing and also the great thing is that we were able to get Nora’s older brother
we were able to get Nora’s older brother
we were able to get Nora’s older brother on board and the sister on board they
on board and the sister on board they
on board and the sister on board they didn’t know Nora was being bullied like
didn’t know Nora was being bullied like
didn’t know Nora was being bullied like that they didn’t know how sad she was
that they didn’t know how sad she was
that they didn’t know how sad she was feeling so they became really
feeling so they became really
feeling so they became really support advocates and also Nora’s mom
support advocates and also Nora’s mom
support advocates and also Nora’s mom and Nora they went to school we
and Nora they went to school we
and Nora they went to school we categorize foods and activities into
categorize foods and activities into
categorize foods and activities into green yellow red green foods Argo foods
green yellow red green foods Argo foods
green yellow red green foods Argo foods green activities or go activities and
green activities or go activities and
green activities or go activities and red foods are sedentary behavior and
red foods are sedentary behavior and
red foods are sedentary behavior and unhealthy foods and those are stop and
unhealthy foods and those are stop and
unhealthy foods and those are stop and thing so what they did is they took the
thing so what they did is they took the
thing so what they did is they took the cafeteria and they put the traffic light
cafeteria and they put the traffic light
cafeteria and they put the traffic light all over and when there were green foods
all over and when there were green foods
all over and when there were green foods they got the green go ahead sign and so
they got the green go ahead sign and so
they got the green go ahead sign and so it was great for Nora all our peers
it was great for Nora all our peers
it was great for Nora all our peers could start joining in with this and
could start joining in with this and
could start joining in with this and then we also planned great playdates for
then we also planned great playdates for
then we also planned great playdates for her Nora didn’t feel like she had
her Nora didn’t feel like she had
her Nora didn’t feel like she had friends she wasn’t really being accepted
friends she wasn’t really being accepted
friends she wasn’t really being accepted on our sports team she was certainly
on our sports team she was certainly
on our sports team she was certainly working a lot harder than everybody else
working a lot harder than everybody else
working a lot harder than everybody else she was breathing harder so the great
she was breathing harder so the great
she was breathing harder so the great thing is the mom planned playdates and
thing is the mom planned playdates and
thing is the mom planned playdates and Nora got so excited because she had
Nora got so excited because she had
Nora got so excited because she had really fun things to do and now today
really fun things to do and now today
really fun things to do and now today Nora is a 15 year old girl young woman
Nora is a 15 year old girl young woman
Nora is a 15 year old girl young woman who’s actually in a very healthy weight
who’s actually in a very healthy weight
who’s actually in a very healthy weight range and best of all Nora’s happy and
range and best of all Nora’s happy and
range and best of all Nora’s happy and she’s healthy and she is modeling for
she’s healthy and she is modeling for
she’s healthy and she is modeling for other children how small changes can
other children how small changes can
other children how small changes can have a big impact this is Tanya she went
have a big impact this is Tanya she went
have a big impact this is Tanya she went at age 8 and her pediatrician mom was
at age 8 and her pediatrician mom was
at age 8 and her pediatrician mom was concerned she’s gaining weight
concerned she’s gaining weight
concerned she’s gaining weight pediatrician says well we’ll just
pediatrician says well we’ll just
pediatrician says well we’ll just monitor it you’ll be ok well aged 14
monitor it you’ll be ok well aged 14
monitor it you’ll be ok well aged 14 shows up pediatricians concern or blood
shows up pediatricians concern or blood
shows up pediatricians concern or blood sugars are out of control Tanya sadly
sugars are out of control Tanya sadly
sugars are out of control Tanya sadly had type 2 diabetes and what we know
had type 2 diabetes and what we know
had type 2 diabetes and what we know about children with type 2 diabetes and
about children with type 2 diabetes and
about children with type 2 diabetes and again children with type 2 diabetes 20
again children with type 2 diabetes 20
again children with type 2 diabetes 20 years ago there was no children with
years ago there was no children with
years ago there was no children with type 2 diabetes today it’s becoming an
type 2 diabetes today it’s becoming an
type 2 diabetes today it’s becoming an epidemic because of childhood obesity
epidemic because of childhood obesity
epidemic because of childhood obesity these children within five years they
these children within five years they
these children within five years they have cardiac disease they have kidney
have cardiac disease they have kidney
have cardiac disease they have kidney disease and the problem is that the
disease and the problem is that the
disease and the problem is that the diabetes is even more aggressive than
diabetes is even more aggressive than
diabetes is even more aggressive than what we see with the dull
what we see with the dull
what we see with the dull so they’re on insulin three to four
so they’re on insulin three to four
so they’re on insulin three to four times faster these kids are taking shots
times faster these kids are taking shots
times faster these kids are taking shots and you know by ten years there are
and you know by ten years there are
and you know by ten years there are children in this country who have type 2
children in this country who have type 2
children in this country who have type 2 diabetes who have lost their vision and
diabetes who have lost their vision and
diabetes who have lost their vision and they’ve had amputations from type 2
they’ve had amputations from type 2
they’ve had amputations from type 2 diabetes so these children are going
diabetes so these children are going
diabetes so these children are going into young adulthood managing chronic
into young adulthood managing chronic
into young adulthood managing chronic diseases while other kids are entering
diseases while other kids are entering
diseases while other kids are entering adulthood getting to go to college
adulthood getting to go to college
adulthood getting to go to college getting to get a job getting married
getting to get a job getting married
getting to get a job getting married this is unacceptable it’s not okay we
this is unacceptable it’s not okay we
this is unacceptable it’s not okay we can’t allow this so what are we going to
can’t allow this so what are we going to
can’t allow this so what are we going to do it seems easy right got a treatment
do it seems easy right got a treatment
do it seems easy right got a treatment it works it’s been shown numerous labs
it works it’s been shown numerous labs
it works it’s been shown numerous labs around the country you just go to the
around the country you just go to the
around the country you just go to the doctor you have a disease and you get
doctor you have a disease and you get
doctor you have a disease and you get treatment right you have cancer and
treatment right you have cancer and
treatment right you have cancer and childhood you get treatment you have a
childhood you get treatment you have a
childhood you get treatment you have a vision problem you get glasses well if
vision problem you get glasses well if
vision problem you get glasses well if you have obesity you either get handed a
you have obesity you either get handed a
you have obesity you either get handed a brochure and told eat less exercise more
brochure and told eat less exercise more
brochure and told eat less exercise more or you get told you know what it’ll be a
or you get told you know what it’ll be a
or you get told you know what it’ll be a peg because you’re going to grow out of
peg because you’re going to grow out of
peg because you’re going to grow out of it and that doesn’t work those little
it and that doesn’t work those little
it and that doesn’t work those little bitty interventions they don’t work kids
bitty interventions they don’t work kids
bitty interventions they don’t work kids gain weight or they don’t change their
gain weight or they don’t change their
gain weight or they don’t change their way so what we did we thought well we
way so what we did we thought well we
way so what we did we thought well we can’t get the insurer’s to cover what
can’t get the insurer’s to cover what
can’t get the insurer’s to cover what are we going to do so we held a meeting
are we going to do so we held a meeting
are we going to do so we held a meeting there was a group of us through the
there was a group of us through the
there was a group of us through the obesity Society the American Academy of
obesity Society the American Academy of
obesity Society the American Academy of Pediatrics we got together we all got
Pediatrics we got together we all got
Pediatrics we got together we all got together we got policymakers we’ve got
together we got policymakers we’ve got
together we got policymakers we’ve got payers we got private payers we got
payers we got private payers we got
payers we got private payers we got public payers we’ve got clinicians we
public payers we’ve got clinicians we
public payers we’ve got clinicians we got scientists we got a mother and a
got scientists we got a mother and a
got scientists we got a mother and a child who’d been through no treatments
child who’d been through no treatments
child who’d been through no treatments and a lot of bullying for their child
and a lot of bullying for their child
and a lot of bullying for their child and we all got together and said what do
and we all got together and said what do
and we all got together and said what do we need to do these children are
we need to do these children are
we need to do these children are invisible nobody’s helping them what do
invisible nobody’s helping them what do
invisible nobody’s helping them what do we need to do well first off they need
we need to do well first off they need
we need to do well first off they need care from a pediatrician and someone
care from a pediatrician and someone
care from a pediatrician and someone who’s a specialist to help them develop
who’s a specialist to help them develop
who’s a specialist to help them develop these healthy habits sustain these
these healthy habits sustain these
these healthy habits sustain these healthy
healthy
healthy abbott’s create a safe zone so that they
abbott’s create a safe zone so that they
abbott’s create a safe zone so that they can push back these outside forces so
can push back these outside forces so
can push back these outside forces so they need the pediatrician they need the
they need the pediatrician they need the
they need the pediatrician they need the behavioral interventionist and you know
behavioral interventionist and you know
behavioral interventionist and you know what will we do that we know that people
what will we do that we know that people
what will we do that we know that people have health behavior problems if you
have health behavior problems if you
have health behavior problems if you give them access to care and you cover
give them access to care and you cover
give them access to care and you cover their care they do well so that’s what
their care they do well so that’s what
their care they do well so that’s what we need to do for childhood obesity so
we need to do for childhood obesity so
we need to do for childhood obesity so what I’m asking you to do is I’m asking
what I’m asking you to do is I’m asking
what I’m asking you to do is I’m asking you to go to your legislators tell them
you to go to your legislators tell them
you to go to your legislators tell them about the problem with childhood obesity
about the problem with childhood obesity
about the problem with childhood obesity in this country tell them while you’re
in this country tell them while you’re
in this country tell them while you’re concerned about our children use your
concerned about our children use your
concerned about our children use your voice I’m also asking you go to your
voice I’m also asking you go to your
voice I’m also asking you go to your insurer the government has mandated that
insurer the government has mandated that
insurer the government has mandated that these kids should get care there’s
these kids should get care there’s
these kids should get care there’s enough evidence we know it’s a disease
enough evidence we know it’s a disease
enough evidence we know it’s a disease they’re not getting care why are they
they’re not getting care why are they
they’re not getting care why are they not paying for treatment great thing is
not paying for treatment great thing is
not paying for treatment great thing is we’ll get return on investment we can
we’ll get return on investment we can
we’ll get return on investment we can treat the child we can help them with
treat the child we can help them with
treat the child we can help them with their weight they feel better they’re
their weight they feel better they’re
their weight they feel better they’re happy we can help mom or dad or any
happy we can help mom or dad or any
happy we can help mom or dad or any caregiver usually obesity runs and
caregiver usually obesity runs and
caregiver usually obesity runs and families help them lose temper send
families help them lose temper send
families help them lose temper send their body weight which is associated
their body weight which is associated
their body weight which is associated with cost savings and improves health we
with cost savings and improves health we
with cost savings and improves health we can do that and we actually have dated a
can do that and we actually have dated a
can do that and we actually have dated a show that we can help the other kids in
show that we can help the other kids in
show that we can help the other kids in the family we can prevent further weight
the family we can prevent further weight
the family we can prevent further weight gain and we can actually help those
gain and we can actually help those
gain and we can actually help those other kids who are at high risk so
other kids who are at high risk so
other kids who are at high risk so that’s pretty good bang for your buck
that’s pretty good bang for your buck
that’s pretty good bang for your buck right and the other thing we can do is
right and the other thing we can do is
right and the other thing we can do is we can likely bend the cost curve we
we can likely bend the cost curve we
we can likely bend the cost curve we don’t have those data yet but what we do
don’t have those data yet but what we do
don’t have those data yet but what we do know is childhood obesity annually costs
know is childhood obesity annually costs
know is childhood obesity annually costs 14 billion dollars and this isn’t 14
14 billion dollars and this isn’t 14
14 billion dollars and this isn’t 14 billion dollars for treatment this is to
billion dollars for treatment this is to
billion dollars for treatment this is to pay for the associated medical cause you
pay for the associated medical cause you
pay for the associated medical cause you know what it costs for adult obesity 200
know what it costs for adult obesity 200
know what it costs for adult obesity 200 billion again not for treatment but for
billion again not for treatment but for
billion again not for treatment but for the associated medical consequences 14
the associated medical consequences 14
the associated medical consequences 14 billion 200 billion but we can’t get
billion 200 billion but we can’t get
billion 200 billion but we can’t get these kids care it just
these kids care it just
these kids care it just doesn’t make sense does it because
doesn’t make sense does it because
doesn’t make sense does it because obesity is stigmatized people do not
obesity is stigmatized people do not
obesity is stigmatized people do not advocate for them people do not
advocate for them people do not
advocate for them people do not understand it seems simple by treating
understand it seems simple by treating
understand it seems simple by treating childhood obesity seriously we are
childhood obesity seriously we are
childhood obesity seriously we are certain to avert medical costs we will
certain to avert medical costs we will
certain to avert medical costs we will help our children and we will save our
help our children and we will save our
help our children and we will save our future generations thank you
future generations thank you
future generations thank you [Applause]
you [Music]
we just lost another child Brandi Vila
we just lost another child Brandi Vila from Texas City Texas she took her life
from Texas City Texas she took her life
from Texas City Texas she took her life on November 29 2016 and brandy she had
on November 29 2016 and brandy she had
on November 29 2016 and brandy she had aspirations Brandi wanted to be a
aspirations Brandi wanted to be a
aspirations Brandi wanted to be a veterinarian and she had her whole life
veterinarian and she had her whole life
veterinarian and she had her whole life ahead of her but children bullied her
ahead of her but children bullied her
ahead of her but children bullied her and cyber bullied her about her weight
and cyber bullied her about her weight
and cyber bullied her about her weight she couldn’t take it anymore she killed
she couldn’t take it anymore she killed
she couldn’t take it anymore she killed herself this type of bullying and
herself this type of bullying and
herself this type of bullying and teasing is extraordinarily common
teasing is extraordinarily common
teasing is extraordinarily common towards people who struggle with obesity
obesity is a single most common reason
obesity is a single most common reason that children are teased on the
that children are teased on the
that children are teased on the playground it’s getting worse we have an
playground it’s getting worse we have an
playground it’s getting worse we have an epidemic of childhood obesity forty
epidemic of childhood obesity forty
epidemic of childhood obesity forty years ago it was one out of 20 today
years ago it was one out of 20 today
years ago it was one out of 20 today it’s one out of six children one out of
it’s one out of six children one out of
it’s one out of six children one out of six think about that one out of six of
six think about that one out of six of
six think about that one out of six of our children our precious children are
our children our precious children are
our children our precious children are suffering from obesity in this country
not only do they get harassed and teased
not only do they get harassed and teased they feel badly about their bodies they
they feel badly about their bodies they
they feel badly about their bodies they internalize this they feel shame about
internalize this they feel shame about
internalize this they feel shame about their body they go on to get depression
their body they go on to get depression
their body they go on to get depression they get eating disorders and also they
they get eating disorders and also they
they get eating disorders and also they end up wanting to take their lives
end up wanting to take their lives
end up wanting to take their lives sometimes and some of them do but as if
sometimes and some of them do but as if
sometimes and some of them do but as if that were enough these children
that were enough these children
that were enough these children they don’t breathe well they don’t move
they don’t breathe well they don’t move
they don’t breathe well they don’t move very well and on top of it they also
very well and on top of it they also
very well and on top of it they also don’t sleep at night very well and they
don’t sleep at night very well and they
don’t sleep at night very well and they have chronic pain and diseases that were
have chronic pain and diseases that were
have chronic pain and diseases that were once thought to be adult diseases like
once thought to be adult diseases like
once thought to be adult diseases like type 2 diabetes liver disease sleep
type 2 diabetes liver disease sleep
type 2 diabetes liver disease sleep apnea up to 30 other diseases these
apnea up to 30 other diseases these
apnea up to 30 other diseases these children are getting enough is enough we
children are getting enough is enough we
children are getting enough is enough we have to do better for our children so
have to do better for our children so
have to do better for our children so what’s causes 40 years ago it wasn’t
what’s causes 40 years ago it wasn’t
what’s causes 40 years ago it wasn’t there weren’t many people that were
there weren’t many people that were
there weren’t many people that were struggling with obesity over the past 40
struggling with obesity over the past 40
struggling with obesity over the past 40 years of our genes changed no what’s
years of our genes changed no what’s
years of our genes changed no what’s changed is our lifestyle it’s really
changed is our lifestyle it’s really
changed is our lifestyle it’s really dramatically change we’re eating larger
dramatically change we’re eating larger
dramatically change we’re eating larger portions we’re eating out more
portions we’re eating out more
portions we’re eating out more inexpensive cheap food or drinking
inexpensive cheap food or drinking
inexpensive cheap food or drinking sugar-sweetened beverages we’re sitting
sugar-sweetened beverages we’re sitting
sugar-sweetened beverages we’re sitting around all the time because TV and
around all the time because TV and
around all the time because TV and screens are so persuasive we can’t get
screens are so persuasive we can’t get
screens are so persuasive we can’t get out anymore and also now we’re stayin up
out anymore and also now we’re stayin up
out anymore and also now we’re stayin up late to watch these screens and we’re
late to watch these screens and we’re
late to watch these screens and we’re not getting the rest and all these
not getting the rest and all these
not getting the rest and all these things accumulate to cause weight gain
things accumulate to cause weight gain
things accumulate to cause weight gain and for individuals who are vulnerable
and for individuals who are vulnerable
and for individuals who are vulnerable it’s worse obesity runs and families
it’s worse obesity runs and families
it’s worse obesity runs and families it’s sixty to eighty percent heritable
it’s sixty to eighty percent heritable
it’s sixty to eighty percent heritable it’s more heritable than other complex
it’s more heritable than other complex
it’s more heritable than other complex diseases like breast cancer heart
diseases like breast cancer heart
diseases like breast cancer heart disease and depression you put someone
disease and depression you put someone
disease and depression you put someone who has these genes in a permissive
who has these genes in a permissive
who has these genes in a permissive environment like we have where there’s
environment like we have where there’s
environment like we have where there’s food all the time and you put them in an
food all the time and you put them in an
food all the time and you put them in an environment where you have all these
environment where you have all these
environment where you have all these compelling message
compelling message
compelling message is to sit sit sit they develop obesity
is to sit sit sit they develop obesity
is to sit sit sit they develop obesity these genetics it affects her metabolism
these genetics it affects her metabolism
these genetics it affects her metabolism their physiology it affects your brain
their physiology it affects your brain
their physiology it affects your brain they have more cravings they have a
they have more cravings they have a
they have more cravings they have a harder time stopping eating once they
harder time stopping eating once they
harder time stopping eating once they get started now in a period of famine
get started now in a period of famine
get started now in a period of famine there was an obesity and these
there was an obesity and these
there was an obesity and these individuals they would be our survivors
individuals they would be our survivors
individuals they would be our survivors but today it’s a genetic liability it’s
but today it’s a genetic liability it’s
but today it’s a genetic liability it’s similar to skin cancer people who are
similar to skin cancer people who are
similar to skin cancer people who are fair-skinned they get the rough into the
fair-skinned they get the rough into the
fair-skinned they get the rough into the deal right they have to wear sunscreen
deal right they have to wear sunscreen
deal right they have to wear sunscreen and some people can’t get into the Sun
and some people can’t get into the Sun
and some people can’t get into the Sun at all so we have to be able to provide
at all so we have to be able to provide
at all so we have to be able to provide care for these children that have this
care for these children that have this
care for these children that have this liability just this past week Santa
liability just this past week Santa
liability just this past week Santa Claus told a boy when he got down boy
Claus told a boy when he got down boy
Claus told a boy when he got down boy was having a happy day in North Carolina
was having a happy day in North Carolina
was having a happy day in North Carolina Santa said better eat less french fries
Santa said better eat less french fries
Santa said better eat less french fries better eat less hamburgers that boy went
better eat less hamburgers that boy went
better eat less hamburgers that boy went to beg crying that night now is that
to beg crying that night now is that
to beg crying that night now is that okay no it’s not okay there is so much
okay no it’s not okay there is so much
okay no it’s not okay there is so much weight bias and stigma obesity is
weight bias and stigma obesity is
weight bias and stigma obesity is treated like it’s a moral failure to
treated like it’s a moral failure to
treated like it’s a moral failure to person they don’t have self-control it’s
person they don’t have self-control it’s
person they don’t have self-control it’s not about that it’s about a disease
not about that it’s about a disease
not about that it’s about a disease these kids need to be treated seriously
so what about intervention we know for
so what about intervention we know for diseases earlier intervention is better
diseases earlier intervention is better
diseases earlier intervention is better so I want you to think about a child
so I want you to think about a child
so I want you to think about a child they’re eight years old and they just
they’re eight years old and they just
they’re eight years old and they just now meet criteria for obesity you know
now meet criteria for obesity you know
now meet criteria for obesity you know how much weight that child would need to
how much weight that child would need to
how much weight that child would need to lose in a year to become normal weight
lose in a year to become normal weight
lose in a year to become normal weight in the normal weight range four pounds
in the normal weight range four pounds
in the normal weight range four pounds how many of you have ever lost four
how many of you have ever lost four
how many of you have ever lost four pounds it’s quite a few it’s pretty it’s
pounds it’s quite a few it’s pretty it’s
pounds it’s quite a few it’s pretty it’s doable achievable now let’s think about
doable achievable now let’s think about
doable achievable now let’s think about that child they already have the
that child they already have the
that child they already have the vulnerability they’re showing excess
vulnerability they’re showing excess
vulnerability they’re showing excess weight gain they have a genetic
weight gain they have a genetic
weight gain they have a genetic liability so now let’s fast forward and
liability so now let’s fast forward and
liability so now let’s fast forward and that child is now 18 years old ten years
that child is now 18 years old ten years
that child is now 18 years old ten years later you know how much weight they need
later you know how much weight they need
later you know how much weight they need to lose 65 pounds how many of you have
to lose 65 pounds how many of you have
to lose 65 pounds how many of you have lost 65 pounds a couple how many of you
lost 65 pounds a couple how many of you
lost 65 pounds a couple how many of you know someone who’s lost 65 pounds not
know someone who’s lost 65 pounds not
know someone who’s lost 65 pounds not that many right it’s a lot harder so I’d
that many right it’s a lot harder so I’d
that many right it’s a lot harder so I’d like you to visualize four pounds versus
like you to visualize four pounds versus
like you to visualize four pounds versus 65 pounds and that kind of gives you a
65 pounds and that kind of gives you a
65 pounds and that kind of gives you a sense about why it’s so critical to
sense about why it’s so critical to
sense about why it’s so critical to intervene with these children early and
intervene with these children early and
intervene with these children early and the good news is we have treatments that
the good news is we have treatments that
the good news is we have treatments that work we’ve been evaluating these for 20
work we’ve been evaluating these for 20
work we’ve been evaluating these for 20 and 30 years we know how to help kids
and 30 years we know how to help kids
and 30 years we know how to help kids take weight off we know how to help him
take weight off we know how to help him
take weight off we know how to help him develop eating and activity habits we
develop eating and activity habits we
develop eating and activity habits we know how to make him happier and have
know how to make him happier and have
know how to make him happier and have better body esteem but children are not
better body esteem but children are not
better body esteem but children are not getting these treatments there’s a big
getting these treatments there’s a big
getting these treatments there’s a big treatment gap but I want to share with
treatment gap but I want to share with
treatment gap but I want to share with you a little bit about some children
you a little bit about some children
you a little bit about some children that we treated in the context of a
that we treated in the context of a
that we treated in the context of a clinical trial there was a girl her name
clinical trial there was a girl her name
clinical trial there was a girl her name is Nora and she too like Brandi she was
is Nora and she too like Brandi she was
is Nora and she too like Brandi she was being bullied at school she was told she
being bullied at school she was told she
being bullied at school she was told she was the biggest girl in her class and
was the biggest girl in her class and
was the biggest girl in her class and that’s unacceptable right and she went
that’s unacceptable right and she went
that’s unacceptable right and she went to go get some clothes at a store and
to go get some clothes at a store and
to go get some clothes at a store and she tried these clothes on well guess
she tried these clothes on well guess
she tried these clothes on well guess what she couldn’t fit into any of the
what she couldn’t fit into any of the
what she couldn’t fit into any of the clothes she had to get such big sizes
clothes she had to get such big sizes
clothes she had to get such big sizes that the sleeves were hanging along and
that the sleeves were hanging along and
that the sleeves were hanging along and she just broke into tears and she
she just broke into tears and she
she just broke into tears and she started sobbing well her mom said I need
started sobbing well her mom said I need
started sobbing well her mom said I need to get her to treatment mom goes to the
to get her to treatment mom goes to the
to get her to treatment mom goes to the pediatrician pediatrician says don’t
pediatrician pediatrician says don’t
pediatrician pediatrician says don’t worry about it
worry about it
worry about it you’ll grow out of it well we already
you’ll grow out of it well we already
you’ll grow out of it well we already know that’s not going to happen because
know that’s not going to happen because
know that’s not going to happen because eighty percent of kids actually don’t
eighty percent of kids actually don’t
eighty percent of kids actually don’t grow out of their obesity but the
grow out of their obesity but the
grow out of their obesity but the pediatrician doesn’t know that mom knows
pediatrician doesn’t know that mom knows
pediatrician doesn’t know that mom knows I already got her in six hours of
I already got her in six hours of
I already got her in six hours of physical activity a week she’s on this
physical activity a week she’s on this
physical activity a week she’s on this sports team what is going on
sports team what is going on
sports team what is going on unfortunately we had a clinical trial so
unfortunately we had a clinical trial so
unfortunately we had a clinical trial so mom brings ran we do a very
mom brings ran we do a very
mom brings ran we do a very individualized the treatment that works
individualized the treatment that works
individualized the treatment that works it’s a family-based behavioral
it’s a family-based behavioral
it’s a family-based behavioral multi-component treatment we have the
multi-component treatment we have the
multi-component treatment we have the family engineer healthy habits what we
family engineer healthy habits what we
family engineer healthy habits what we found out for mom is that she’s juggling
found out for mom is that she’s juggling
found out for mom is that she’s juggling trying to get her to her sports teams
trying to get her to her sports teams
trying to get her to her sports teams and they were eating foods on the fly
and they were eating foods on the fly
and they were eating foods on the fly they’re eating a lot of fast food well
they’re eating a lot of fast food well
they’re eating a lot of fast food well unbeknownst to mom a typical meal fast
unbeknownst to mom a typical meal fast
unbeknownst to mom a typical meal fast food meal is about a thousand calories
food meal is about a thousand calories
food meal is about a thousand calories well in how long it takes a child to
well in how long it takes a child to
well in how long it takes a child to work off a thousand calories if they’re
work off a thousand calories if they’re
work off a thousand calories if they’re eight years old you think it’s one hour
eight years old you think it’s one hour
eight years old you think it’s one hour two hours three hours it takes three
two hours three hours it takes three
two hours three hours it takes three hours of physical activity for a child
hours of physical activity for a child
hours of physical activity for a child to burn off a thousand calories and
to burn off a thousand calories and
to burn off a thousand calories and that’s already more than half of what
that’s already more than half of what
that’s already more than half of what they should be having for that day so
they should be having for that day so
they should be having for that day so you can see how these repeated caloric
you can see how these repeated caloric
you can see how these repeated caloric over exposures can easily mount up so we
over exposures can easily mount up so we
over exposures can easily mount up so we worked with mom we worked with Nora we
worked with mom we worked with Nora we
worked with mom we worked with Nora we planned some healthy meals healthy
planned some healthy meals healthy
planned some healthy meals healthy snacks we found places that they could
snacks we found places that they could
snacks we found places that they could go that would be better in terms of
go that would be better in terms of
go that would be better in terms of healthier food options and also we built
healthier food options and also we built
healthier food options and also we built a culture of Health in her home we don’t
a culture of Health in her home we don’t
a culture of Health in her home we don’t single out these kids we don’t bully
single out these kids we don’t bully
single out these kids we don’t bully them we teach that teasing is off limits
them we teach that teasing is off limits
them we teach that teasing is off limits that doesn’t motivate people but it
that doesn’t motivate people but it
that doesn’t motivate people but it doesn’t makes people have body image
doesn’t makes people have body image
doesn’t makes people have body image problems and what it does is it makes
problems and what it does is it makes
problems and what it does is it makes kids not want to get activity so we teed
kids not want to get activity so we teed
kids not want to get activity so we teed taught Nora’s mom about praising all
taught Nora’s mom about praising all
taught Nora’s mom about praising all those healthy choices that Nora was
those healthy choices that Nora was
those healthy choices that Nora was doing and also the great thing is that
doing and also the great thing is that
doing and also the great thing is that we were able to get Nora’s older brother
we were able to get Nora’s older brother
we were able to get Nora’s older brother on board and the sister on board they
on board and the sister on board they
on board and the sister on board they didn’t know Nora was being bullied like
didn’t know Nora was being bullied like
didn’t know Nora was being bullied like that they didn’t know how sad she was
that they didn’t know how sad she was
that they didn’t know how sad she was feeling so they became really
feeling so they became really
feeling so they became really support advocates and also Nora’s mom
support advocates and also Nora’s mom
support advocates and also Nora’s mom and Nora they went to school we
and Nora they went to school we
and Nora they went to school we categorize foods and activities into
categorize foods and activities into
categorize foods and activities into green yellow red green foods Argo foods
green yellow red green foods Argo foods
green yellow red green foods Argo foods green activities or go activities and
green activities or go activities and
green activities or go activities and red foods are sedentary behavior and
red foods are sedentary behavior and
red foods are sedentary behavior and unhealthy foods and those are stop and
unhealthy foods and those are stop and
unhealthy foods and those are stop and thing so what they did is they took the
thing so what they did is they took the
thing so what they did is they took the cafeteria and they put the traffic light
cafeteria and they put the traffic light
cafeteria and they put the traffic light all over and when there were green foods
all over and when there were green foods
all over and when there were green foods they got the green go ahead sign and so
they got the green go ahead sign and so
they got the green go ahead sign and so it was great for Nora all our peers
it was great for Nora all our peers
it was great for Nora all our peers could start joining in with this and
could start joining in with this and
could start joining in with this and then we also planned great playdates for
then we also planned great playdates for
then we also planned great playdates for her Nora didn’t feel like she had
her Nora didn’t feel like she had
her Nora didn’t feel like she had friends she wasn’t really being accepted
friends she wasn’t really being accepted
friends she wasn’t really being accepted on our sports team she was certainly
on our sports team she was certainly
on our sports team she was certainly working a lot harder than everybody else
working a lot harder than everybody else
working a lot harder than everybody else she was breathing harder so the great
she was breathing harder so the great
she was breathing harder so the great thing is the mom planned playdates and
thing is the mom planned playdates and
thing is the mom planned playdates and Nora got so excited because she had
Nora got so excited because she had
Nora got so excited because she had really fun things to do and now today
really fun things to do and now today
really fun things to do and now today Nora is a 15 year old girl young woman
Nora is a 15 year old girl young woman
Nora is a 15 year old girl young woman who’s actually in a very healthy weight
who’s actually in a very healthy weight
who’s actually in a very healthy weight range and best of all Nora’s happy and
range and best of all Nora’s happy and
range and best of all Nora’s happy and she’s healthy and she is modeling for
she’s healthy and she is modeling for
she’s healthy and she is modeling for other children how small changes can
other children how small changes can
other children how small changes can have a big impact this is Tanya she went
have a big impact this is Tanya she went
have a big impact this is Tanya she went at age 8 and her pediatrician mom was
at age 8 and her pediatrician mom was
at age 8 and her pediatrician mom was concerned she’s gaining weight
concerned she’s gaining weight
concerned she’s gaining weight pediatrician says well we’ll just
pediatrician says well we’ll just
pediatrician says well we’ll just monitor it you’ll be ok well aged 14
monitor it you’ll be ok well aged 14
monitor it you’ll be ok well aged 14 shows up pediatricians concern or blood
shows up pediatricians concern or blood
shows up pediatricians concern or blood sugars are out of control Tanya sadly
sugars are out of control Tanya sadly
sugars are out of control Tanya sadly had type 2 diabetes and what we know
had type 2 diabetes and what we know
had type 2 diabetes and what we know about children with type 2 diabetes and
about children with type 2 diabetes and
about children with type 2 diabetes and again children with type 2 diabetes 20
again children with type 2 diabetes 20
again children with type 2 diabetes 20 years ago there was no children with
years ago there was no children with
years ago there was no children with type 2 diabetes today it’s becoming an
type 2 diabetes today it’s becoming an
type 2 diabetes today it’s becoming an epidemic because of childhood obesity
epidemic because of childhood obesity
epidemic because of childhood obesity these children within five years they
these children within five years they
these children within five years they have cardiac disease they have kidney
have cardiac disease they have kidney
have cardiac disease they have kidney disease and the problem is that the
disease and the problem is that the
disease and the problem is that the diabetes is even more aggressive than
diabetes is even more aggressive than
diabetes is even more aggressive than what we see with the dull
what we see with the dull
what we see with the dull so they’re on insulin three to four
so they’re on insulin three to four
so they’re on insulin three to four times faster these kids are taking shots
times faster these kids are taking shots
times faster these kids are taking shots and you know by ten years there are
and you know by ten years there are
and you know by ten years there are children in this country who have type 2
children in this country who have type 2
children in this country who have type 2 diabetes who have lost their vision and
diabetes who have lost their vision and
diabetes who have lost their vision and they’ve had amputations from type 2
they’ve had amputations from type 2
they’ve had amputations from type 2 diabetes so these children are going
diabetes so these children are going
diabetes so these children are going into young adulthood managing chronic
into young adulthood managing chronic
into young adulthood managing chronic diseases while other kids are entering
diseases while other kids are entering
diseases while other kids are entering adulthood getting to go to college
adulthood getting to go to college
adulthood getting to go to college getting to get a job getting married
getting to get a job getting married
getting to get a job getting married this is unacceptable it’s not okay we
this is unacceptable it’s not okay we
this is unacceptable it’s not okay we can’t allow this so what are we going to
can’t allow this so what are we going to
can’t allow this so what are we going to do it seems easy right got a treatment
do it seems easy right got a treatment
do it seems easy right got a treatment it works it’s been shown numerous labs
it works it’s been shown numerous labs
it works it’s been shown numerous labs around the country you just go to the
around the country you just go to the
around the country you just go to the doctor you have a disease and you get
doctor you have a disease and you get
doctor you have a disease and you get treatment right you have cancer and
treatment right you have cancer and
treatment right you have cancer and childhood you get treatment you have a
childhood you get treatment you have a
childhood you get treatment you have a vision problem you get glasses well if
vision problem you get glasses well if
vision problem you get glasses well if you have obesity you either get handed a
you have obesity you either get handed a
you have obesity you either get handed a brochure and told eat less exercise more
brochure and told eat less exercise more
brochure and told eat less exercise more or you get told you know what it’ll be a
or you get told you know what it’ll be a
or you get told you know what it’ll be a peg because you’re going to grow out of
peg because you’re going to grow out of
peg because you’re going to grow out of it and that doesn’t work those little
it and that doesn’t work those little
it and that doesn’t work those little bitty interventions they don’t work kids
bitty interventions they don’t work kids
bitty interventions they don’t work kids gain weight or they don’t change their
gain weight or they don’t change their
gain weight or they don’t change their way so what we did we thought well we
way so what we did we thought well we
way so what we did we thought well we can’t get the insurer’s to cover what
can’t get the insurer’s to cover what
can’t get the insurer’s to cover what are we going to do so we held a meeting
are we going to do so we held a meeting
are we going to do so we held a meeting there was a group of us through the
there was a group of us through the
there was a group of us through the obesity Society the American Academy of
obesity Society the American Academy of
obesity Society the American Academy of Pediatrics we got together we all got
Pediatrics we got together we all got
Pediatrics we got together we all got together we got policymakers we’ve got
together we got policymakers we’ve got
together we got policymakers we’ve got payers we got private payers we got
payers we got private payers we got
payers we got private payers we got public payers we’ve got clinicians we
public payers we’ve got clinicians we
public payers we’ve got clinicians we got scientists we got a mother and a
got scientists we got a mother and a
got scientists we got a mother and a child who’d been through no treatments
child who’d been through no treatments
child who’d been through no treatments and a lot of bullying for their child
and a lot of bullying for their child
and a lot of bullying for their child and we all got together and said what do
and we all got together and said what do
and we all got together and said what do we need to do these children are
we need to do these children are
we need to do these children are invisible nobody’s helping them what do
invisible nobody’s helping them what do
invisible nobody’s helping them what do we need to do well first off they need
we need to do well first off they need
we need to do well first off they need care from a pediatrician and someone
care from a pediatrician and someone
care from a pediatrician and someone who’s a specialist to help them develop
who’s a specialist to help them develop
who’s a specialist to help them develop these healthy habits sustain these
these healthy habits sustain these
these healthy habits sustain these healthy
healthy
healthy abbott’s create a safe zone so that they
abbott’s create a safe zone so that they
abbott’s create a safe zone so that they can push back these outside forces so
can push back these outside forces so
can push back these outside forces so they need the pediatrician they need the
they need the pediatrician they need the
they need the pediatrician they need the behavioral interventionist and you know
behavioral interventionist and you know
behavioral interventionist and you know what will we do that we know that people
what will we do that we know that people
what will we do that we know that people have health behavior problems if you
have health behavior problems if you
have health behavior problems if you give them access to care and you cover
give them access to care and you cover
give them access to care and you cover their care they do well so that’s what
their care they do well so that’s what
their care they do well so that’s what we need to do for childhood obesity so
we need to do for childhood obesity so
we need to do for childhood obesity so what I’m asking you to do is I’m asking
what I’m asking you to do is I’m asking
what I’m asking you to do is I’m asking you to go to your legislators tell them
you to go to your legislators tell them
you to go to your legislators tell them about the problem with childhood obesity
about the problem with childhood obesity
about the problem with childhood obesity in this country tell them while you’re
in this country tell them while you’re
in this country tell them while you’re concerned about our children use your
concerned about our children use your
concerned about our children use your voice I’m also asking you go to your
voice I’m also asking you go to your
voice I’m also asking you go to your insurer the government has mandated that
insurer the government has mandated that
insurer the government has mandated that these kids should get care there’s
these kids should get care there’s
these kids should get care there’s enough evidence we know it’s a disease
enough evidence we know it’s a disease
enough evidence we know it’s a disease they’re not getting care why are they
they’re not getting care why are they
they’re not getting care why are they not paying for treatment great thing is
not paying for treatment great thing is
not paying for treatment great thing is we’ll get return on investment we can
we’ll get return on investment we can
we’ll get return on investment we can treat the child we can help them with
treat the child we can help them with
treat the child we can help them with their weight they feel better they’re
their weight they feel better they’re
their weight they feel better they’re happy we can help mom or dad or any
happy we can help mom or dad or any
happy we can help mom or dad or any caregiver usually obesity runs and
caregiver usually obesity runs and
caregiver usually obesity runs and families help them lose temper send
families help them lose temper send
families help them lose temper send their body weight which is associated
their body weight which is associated
their body weight which is associated with cost savings and improves health we
with cost savings and improves health we
with cost savings and improves health we can do that and we actually have dated a
can do that and we actually have dated a
can do that and we actually have dated a show that we can help the other kids in
show that we can help the other kids in
show that we can help the other kids in the family we can prevent further weight
the family we can prevent further weight
the family we can prevent further weight gain and we can actually help those
gain and we can actually help those
gain and we can actually help those other kids who are at high risk so
other kids who are at high risk so
other kids who are at high risk so that’s pretty good bang for your buck
that’s pretty good bang for your buck
that’s pretty good bang for your buck right and the other thing we can do is
right and the other thing we can do is
right and the other thing we can do is we can likely bend the cost curve we
we can likely bend the cost curve we
we can likely bend the cost curve we don’t have those data yet but what we do
don’t have those data yet but what we do
don’t have those data yet but what we do know is childhood obesity annually costs
know is childhood obesity annually costs
know is childhood obesity annually costs 14 billion dollars and this isn’t 14
14 billion dollars and this isn’t 14
14 billion dollars and this isn’t 14 billion dollars for treatment this is to
billion dollars for treatment this is to
billion dollars for treatment this is to pay for the associated medical cause you
pay for the associated medical cause you
pay for the associated medical cause you know what it costs for adult obesity 200
know what it costs for adult obesity 200
know what it costs for adult obesity 200 billion again not for treatment but for
billion again not for treatment but for
billion again not for treatment but for the associated medical consequences 14
the associated medical consequences 14
the associated medical consequences 14 billion 200 billion but we can’t get
billion 200 billion but we can’t get
billion 200 billion but we can’t get these kids care it just
these kids care it just
these kids care it just doesn’t make sense does it because
doesn’t make sense does it because
doesn’t make sense does it because obesity is stigmatized people do not
obesity is stigmatized people do not
obesity is stigmatized people do not advocate for them people do not
advocate for them people do not
advocate for them people do not understand it seems simple by treating
understand it seems simple by treating
understand it seems simple by treating childhood obesity seriously we are
childhood obesity seriously we are
childhood obesity seriously we are certain to avert medical costs we will
certain to avert medical costs we will
certain to avert medical costs we will help our children and we will save our
help our children and we will save our
help our children and we will save our future generations thank you
future generations thank you
future generations thank you [Applause]
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