Abstract

The increasing prevalence of childhood obesity, which has tripled since 1980 to nearly 17%, has become a major public health concern, resulting in the need for more effective approaches toward weight loss. The estimated annual medical cost of obesity in the U.S. was $147 billion in 2008; the medical costs for people who are obese were $1,429 higher than normal weight people [1]. Current weight loss approaches include nutritional education and exercise, behavioral strategies aimed at lifestyle modifications, or nutritionally restrictive dieting. Numerous randomized trials comparing different diets (e.g., low carbohydrates, low fat) have shown minimal differences in weight loss (mean difference of < 1kg) and metabolic risk factors [1]. Adherence was most strongly associated with weight loss in 4 meta-analyses of diet comparison studies summarizing 13 to 24 clinical trials [2-5].

Highlights

  • The increasing prevalence of childhood obesity, which has tripled since 1980 to nearly 17%, has become a major public health concern, resulting in the need for more effective approaches toward weight loss

  • Biopsychosocial approach did allow the clinicians to shift the focus from biomedical model to a more comprehensive

  • Biomedical model focusses on pathophysiology and other biological approaches to a condition such as any underlying deviation from the normal function fostering potential dualism

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Summary

Background

The increasing prevalence of childhood obesity, which has tripled since 1980 to nearly 17%, has become a major public health concern, resulting in the need for more effective approaches toward weight loss. To demonstrate the efficacy of this approach, a retrospective review of adult patients completing a weight loss program was performed. We will review these findings and describe two cases in how this approach was successful in the treatment of children with obesity. Patients were taught about the five food groups (fruits, vegetables, proteins, sweets, and grains) and how insulin affects these groups They were taught about which food groups increase insulin level and resulted in more fat storage. They were given a weekly meal plan to follow. Two case studies shown below will illustrate the success of this approach to obesity in adolescents

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