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On-Demand | Two Generations, One Challenge: Confro ...
Two Generations, One Challenge: Confronting Obesit ...
Two Generations, One Challenge: Confronting Obesity in Pregnancy and Pediatrics
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Video Transcription
Video Summary
Dr. Shagun Bindlish from California presented on the pressing issue of intergenerational obesity, focusing on maternal and pediatric obesity as interconnected epidemics with significant biological and social links. She emphasized how maternal obesity and excessive gestational weight gain affect fetal programming, increasing childhood obesity and long-term cardiovascular risks. Obesity’s roots start before birth, influenced by maternal metabolism, inflammation, insulin resistance, and gut microbiota, which affect fetal development and later child health. Dr. Bindlish highlighted the importance of appropriate, culturally sensitive gestational weight gain, nutrition, physical activity, sleep, and glycemic control during pregnancy. She stressed the need for stigma-free, family-centered care, proper equipment in pregnancy care, and multidisciplinary collaboration.<br /><br />In pediatrics, she discussed screening for obesity using BMI percentiles, assessing comorbidities, and addressing social determinants like food insecurity and mental health. Behavioral interventions like family-based lifestyle therapy and the 5-2-1-0 framework guide early treatment. Pharmacotherapy and bariatric surgery are options for severe obesity but require comprehensive, culturally sensitive care. Integration of maternal and pediatric care via multidisciplinary teams and shared electronic health records is key to breaking the cycle. Dr. Bindlish concluded by emphasizing prevention, addressing stigma, and the provider’s role in influencing both generations through coordinated, compassionate care and community advocacy.
Keywords
intergenerational obesity
maternal obesity
pediatric obesity
gestational weight gain
fetal programming
childhood obesity
multidisciplinary care
family-based lifestyle therapy
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