Grace Brown, 14, adjusts her fitness tracker at the park where she does her jogging workouts for her "online PE" class, in Alexandria, Va., Friday, Nov. 1, 2019. Brown chose to take "online PE," utilizing a fitness tracker, so that she could take a piano lab as an extra elective. The Associated PressEarlier this year, the American Academy of Pediatrics released new guidance on how to treat childhood obesity, saying it’s no longer best to see if children outgrow obesity.
“There is no evidence that ‘watchful waiting’ or delayed treatment is appropriate for children with obesity,” said Dr. Sandra Hassink, an author of the guideline and vice chair of the Clinical Practice Guideline Subcommittee on Obesity, in a Edwards said there can be many barriers to fighting obesity in Alabama. Some people have a genetic predispositions to gaining weight. Other people live in food deserts and can only buy food at a Dollar General, or live in rural communities where health care specialists are far away.
Bariatric surgery is usually only recommended for young people who have additional health problems related to obesity like sleep apnea, diabetes or high blood pressure, according to Edwards, and “would not be the first, second or third step in treatment.” He also notes that there are possible complications from the surgery that could require additional procedures to address them.
Edwards asks his patients to make a food diary for him to review what they are eating on a daily basis. They will then pick one or two goals they can accomplish in the next month, like no more than one soda or sweet tea for a month. With his rural patients, he said telemedicine has also helped to maintain more regular contact, and he helps them map out where they can access healthy foods near their home.
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