Wednesday , August 17 2022

Children and adolescents with obesity suffer from current care gaps and discrimination


In addition, there are many prejudices in the society that often completely eliminate the need for early, early onset therapy. Experts at the Congressional Press Conference at the German diabetes association (DDG) 12th Diabetes Autumn Conference and 34th Annual German Obesity Meeting discuss gaps in care in Germany and the Dangers of Disease-Related Disease Society (DAG). It will take place on Friday 9 November 2018 in Wiesbaden.

"Overweight and obesity in childhood and adolescence have a negative impact on adolescent health. For example, a high body mass index (BMI) contributes to a decrease in fat and glucose metabolism, which increases the likelihood of developing type 2 diabetes." Med. Martin Wabitsch, President of the German Obesity Association. "In addition, overweight and obesity are associated with a high level of suffering," adds Wabitsch. Already in childhood, people are overweight and stigmatized, which will continue in adolescents and adults. "Victims are subjected to discrimination on a daily basis – in the family, at work, in the media and, unfortunately, in the health care system. The unacceptable assumptions are often:" fat, lazy and covetous "as well as" insane and insane "," says Ulm University Hospital Pediatric Endocrinology and head of diabetes department. "These prejudices often hinder access to the world of work. When hiring young adolescents, they are often disadvantaged for their appearance and with the same or even higher professional qualifications."

The devaluation and social exclusion often encountered by people with severe obesity often result in psychiatric disturbances. "Many sufferers have low self-esteem and suffer from depression," said Stefanie Wirtz, chairman of Obesity Support Germany. V. Partially, stigma turns into a ghastly vicious circle: "Many people react to mental stress with bad eating habits – the so-called" eating disappointment. "This, in turn, leads to weight gain and, therefore, the maintenance and deterioration of obesity," adds Wabitsch.

Especially with children and adolescents, the culprit for excessive body weight is not dependent on them. "What kind of human body weight is genetically determined and characterized in early childhood," says the pediatrician. "The living conditions of today's grown children and adolescents, that is, overly rich, too thin, too sweet, too salty, highly processed foods and lack of physical activity, are supported by the manifestation of obesity and have a detrimental effect on metabolism." In addition, affected families are often faced with conflicts. "Although parents try to help their children, they usually have no contact point to receive support. Helplessness often pretends to be accusations and end in a dispute," says Wirtz.

Adolescents with extreme obesity (BMI greater than 30) are medically difficult to reach. "Only a small percentage of people are actively seeking treatment," Wabitsch said. "This is not the case, it is not clear. There may be many reasons for this, for example, the age of the affected youth, mostly low educational level and low social status. are simply frustrated at unsuccessful attempts to lose weight, "says an expert.

Adolescent treatment with extreme obesity is very complicated and requires new types of treatment. "Traditional behavioral weight loss programs are generally unsuccessful. Bariatric surgery is often not feasible, because strong indications are needed," Wabitsch said. As part of the JA study, funded by the Federal Ministry of Education and Science since 1985 as a Compilation Network for Obesity, young people aged 14 to 21 with BMI over 30 years will receive new, comprehensive care in five different clinics offered in Germany. "Adolescents with excessive obesity participate in the project using a variety of access paths – including social institutions, medical institutions and patient registries," explains Wabitsch. The research also helps young people find training or work.

Explaining what measures are needed to improve the treatment of children and adolescents with a strong overweight and fight against stigmatization in the community, participants at the joint DDG Autumn Conference and DAG annual conference will be briefed at a congressional press conference to be held on November 9, 2018 in Wiesbaden. The conference will be held from November 9-10, 2018 at the RheinMain Congress Center in Wiesbaden. All information about the conference can be found on the Internet.

Journalists and media professionals can do this to prevent stigmatization / discrimination of people overweight and obese:
"Media Guide Obesity" for free download on the site

(1) Robert Koch Institute: General Health of Children and Teenagers in Germany – Comprehensive KiGGS 2. wave and trends.
(2) adolescents with extreme obesity. Adolescent Obesity Medical and Psychosocial Consequences – Adoption and Impact of Structured Care: A JA Study.

Date info:

Congress Press Conference in Wiesbaden
German Diabetes Society 12th Autumn Conference (DDG)
The 34th Annual Meeting of the German Obesity Association (DAG)
Date: Friday 9 November 2018, from. 12.30 to 13.30
Venue: RheinMain CongressCenter Wiesbaden, Studio 1.2 B + C, 1st Floor
Address: Friedrich-Ebert-Allee 1, 65185 Wiesbaden

Foregrounds and speakers:

Medicines for diabetes: What's new?
Professor Med. Jens Aberle
12th Diabetes Autumn Conference Chair; III. Medical Clinic and Clinic at UKE – Hamburg-Eppendorf University Hospital

Obesity in childhood and adolescence: significant differences in supply in Germany – adolescents with extreme obesity are losers
Professor Med. Martin Wabitsch
The 34th Annual Meeting of the German Obesity Association (DAG); Head of Children's Endocrinology and Diabetics Department, Department of Pediatric and Adolescent Medicine, University of Ulm University Hospital, Rare Endocrinology Center of Disease

Prevention and treatment of obesity and type 2 diabetes: the importance of physical activity to reduce morbidity and mortality
Professor Med. Dr. Sportwiss Christine Graf
Cologne Movement and Neuroscience Institute, German Sports University

Diabetes Digital: How New Technologies Can Support Diabetes Patients?
Dr. med Matthias Kaltheuner
Member of the Board of the German Society for Diabetes, Diabetic Leverkusen

Obesity and social consequences: victims suffer stigma in everyday life
Stefanie Wirtz
1. Chairman ObesityHilfe Germany e.V.

German diabetes association's 12th Diabetes Autumn Conference (DDG)
The 34th Annual Meeting of the German Obesity Association (DAG)
"Interdisciplinary Care – Patient in the Center"
Deadline: November 9, 10, 2018
Location: RheinMain CongressCenter Wiesbaden
Address: Friedrich-Ebert-Allee 1, 65185 Wiesbaden

DAG symposium
Focus on patients – a symposium organized by self-help
Date: November 10, 2018, at noon. 8.30 to 10.30
Venue: RheinMain CongressCenter Wiesbaden, Terrassen-Hall C

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About the German Diabetes Society (DDG):
The German Diabetes Association (DDG) with more than 9,000 participants is one of the largest medical research societies in Germany. It supports science and research, engages in continuing education and training, certifies healthcare institutions and develops guidelines. The goal is to more effectively prevent and treat the widespread illness of diabetes affecting more than six million people in Germany. To this end, it also carries out extensive health policy interventions.

Your contact person / Accreditation:
DDG Autumn Conference / DAG Annual Conference
press office
Stephanie Balz
PO Box 30 11 20
70451 Stuttgart
Phone: 0711 8931-168
Fax: 0711 8931-167

idw 2018/11

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