Why We Are Needed

Poor cardiometabolic health is not a chronic problem. It is a true epidemic in U.S. youth.

Children now have diseases that were formerly only found in adults:

  • Type 2 diabetes

  • Atherosclerotic heart disease

  • Fatty liver disease

  • Cognitive dysfunction and mental health diseases

Trends in obesity prevalence among youth aged 2-19 years: United States, 1999-2000 through 2013-2014

Rates of pediatric obesity have more than doubled in children, and quadrupled in adolescents, over the last 30 years — and it only continues to rise.

Poor dietary habits and a sedentary lifestyle in children leads to:

  • Insulin resistance and increased cardiometabolic risk… which can result in

  • Cognitive dysfunction

  • Poor student academic performance, test scores, and attendance

  • Psychiatric and psychological disorders, including

  • Psychiatric and psychological disorders, including

    • Depression
    • ADHD
    • Bullying
    • Learning disabilities
    • Poor stress regulation

The disease of obesity discriminates.

Minority and low-income children continue to bear the greatest burden of risk.

Overweight and Obesity Among U.S. Children Ages 10-17 by Insurance Status
Prevalence of besity among girls aged 12-19 years, by race/ethnicity: United States, 1988-1994 and 2007-2008

This was true 20 years ago and it’s true now.

After COVID, this disparity has only risen.

The people we traditionally look to solve the problem can’t do it by themselves.

  • We typically think that taking care of child health is a pediatrician’s job

  • BUT peditricians have about 15-30 minutes ANNUALLY to discuss growth, development, anticipatory guidance, immunizations, and additional concerns… and to address all of the physical, social, psychologic, AND economic factors that play a role in cardiometabolic health

  • Pediatricians can’t control the built environment of a child and have a limited ability to change it

  • Medical students have limited exposure to lifestyle counseling in medical school and residency

Factors that Affect Cardiometabolic Health

  • Healthy food availability

  • Cost of healthy food

  • Availability of safe places to play and supervision

  • Genetics

  • Metabolic rate

  • The list goes on!

We need to think BIG and think DIFFERENTLY!

Children spend approximately 943 hours per year in school.

Schools control a significant portion of a built environment for youth and present a big opportunity for change.