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Volume 8 Journal of Obesity & Weight Loss Therapy Obesity Middle East 2018
June 25-26, 2018
Page 32
conferenceseries.com
June 25-26, 2018 Dubai, UAE
Middle East Obesity, Bariatric Surgery
and Endocrinology Congress
Chubby child is a cute child or not!
Obesity epidemic is a very serious concern for the medical professionals as well as the community. It is estimated that
30-35 % of children in US are overweight or obese, and probably higher percentages apply in our community. Local
data will be presented. Overweight is defined as a BMI of >85% and obesity if BMI >95%. BMI correlates very well with
comorbidities. Obesity occurs when there is imbalance between energy intake and energy output. There is a universal trend
towards decreasing physical activity and increasing dietary intake among adults and children. Unlike the animal model,
most obese humans are leptin resistant rather than deficient. Childhood obesity is clearly associated with adulthood obesity
with the strongest association if obesity occurs at later childhood. Obese children are usually taller with advanced bone age
and enter puberty earlier. Comorbidities are many and involve almost all body systems: (1) CVS: Hypertension, coronary
artery disease, pulmonary hypertension cor pulmonale, cardiomyopathy and atherosclerosis. (2) Pulmonary: Obstructive
sleep apnea and Pickwickian syndrome. (3) Gastrointestinal: Gallbladder diseases, nonalcoholic steatohepatitis and reflux.
(4) CNS: Stroke and increased intracranial pressure. (5) Orthopedic: Osteoarthritis, slipped capital femoral epiphyses, low
back pain and Legg-Calvé-Perthes disease. (6) Psychological: Social stigmatization, depression and lack of self-esteem.
(7) Endocrine: Early puberty, hyperandrogenism, anovulation, infertility, polycystic ovaries and hypogonadotrophic
hypogonadism. (8) Malignancy: Increased risk of malignancy: Endometrial cancer, prostate cancer, gall bladder cancer,
breast cancer and colon cancer. (9) Metabolic: Insulin resistance, type-2 DM, dyslipidemia ( cholesterol,  TG,  LDL,
HDL). Although genetic and hormonal causes are rare causes of obesity; they should always be kept in mind. Managing
obese individuals is challenging and with limited success. Management should include exercise, diet and behavioral
modification. Exercise should be 30-60 minutes 5-7 days a week. Normal or low calorie diets with the appropriate use of
the food pyramid are to be used in most individuals. Medications and surgery can be included in certain indications in
conjunction with diet and exercise.
Biography
Mohamad Miqdady is American board certified in Pediatric Gastroenterology, Hepatology and Nutrition. He is the Division Chief, Pediatric Gastroenterology,
Hepatology and Nutrition Division at Sheikh Khalifa Medical City in UAE. He is also an Adjunct Staff at Cleveland Clinic, Ohio, USA, Member of the FISPGHAN
Council (Federation of International Societies of Pediatric Gastroenterology Hepatology and Nutrition) and Expert Member of FISPGHAN Malnutrition/Obesity
Expert team. He has completed his Fellowship in Pediatric Gastroenterology at Baylor College of Medicine and Texas Children’s Hospital in Houston, USA. He
held the position of Assistant Professor at Jordan University of Science and Technology in Jordan for six years prior to joining SKMC. His main research interests
include feeding difficulties, picky eating, obesity, procedural sedation, allergic GI disorders and celiac disease. He has several publications and authored few book
chapters. He is on the Editorial Board of few journals including Gastroenterology & Hepatology.
Mohamad Miqdady
Sheikh Khalifa Medical City, UAE
Mohamad Miqdady, J Obes Weight Loss Ther 2018, Volume 8
DOI: 10.4172/2165-7904-C3-062