Obese children and adolescents suffer from gaps in care and discrimination



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In addition, many prejudices in society often prevent even the early and necessary initiation of therapy. Experts at the Congress press conference at the 12th Diabetes Autumn Conference of the German Diabetes Society (DDG) and the 34th Annual Meeting of German Obesity Discuss Gaps in Care in Germany and the consequences of the disease badociated with stigmatization Society (DAG). This will take place on Friday, November 9, 2018 in Wiesbaden.

"Overweight and obesity in children and adolescents have a negative impact on adolescent health – for example, a high body mbad index (BMI) promotes lipid and glucose metabolism disorders, which increases the risk of developing type 2 diabetes. "med. Martin Wabitsch, president of the German Obesity Society. "In addition, overweight and obesity are badociated with a high level of suffering," adds Wabitsch. Already in childhood, people suffering from overweight are stigmatized, which continues in adolescence and in adulthood. "Victims are exposed to discrimination on a daily basis – in the family, at work, in the media and, unfortunately, in the health system." Inadmissible badignments are often "fat, lazy and greedy" as well as "weak wills". and to weak wills, "said the head of the pediatric endocrinology and diabetology section of the Ulm University Hospital. "These prejudices are often a barrier to entering the world of work, and when hiring young adolescents, they are often disadvantaged because of their appearance and their equal or even higher professional qualifications."

The devaluation and social exclusion often experienced by people with severe obesity often lead to mental disorders. "Many patients have low self-esteem and depression," said Stefanie Wirtz, first president of Obesity Aid Germany e. V. In part, stigma turns into a vicious circle: "Many people respond to mental stress by adopting unhealthy eating habits – the so-called" eating frustration. "This leads to weight gain and therefore maintaining and worsening obesity, "adds Wabitsch.

Especially in children and adolescents, the responsibility for too much body weight does not fall on them. "The body weight of a person is determined genetically and characterized early in life," says the pediatrician. "The living conditions in which children and adolescents are growing today, namely a highly processed food offer too rich, too oily, too sweet and too salty and the general lack of exercise , then promote the expression of obesity and have an adverse effect on metabolism. " In addition, affected families often face conflict. "Although parents try to help their children, but usually have no point of contact to get help." Helplessness is often released as allegations and ends up in conflict ", says Wirtz.

Teens suffering from extreme obesity (BMI greater than 30) are medically hard to reach. "Only a small percentage is actively seeking treatment," said Wabitsch. "Why is this not clear?" This can be explained by many reasons, such as the young age of the people affected, the low level of education and social status. Due to reduced physical mobility and mental illness can also be the cause.Young people are simply frustrated after unsuccessful attempts to lose weight, "says the expert.

The treatment of adolescents with extreme obesity is very complex and requires new methods. "Conventional behavioral weight loss programs are generally unsuccessful, bariatric surgeries are often impossible because of the strict indication needed," said Wabitsch. As part of the JA study, funded by the Federal Ministry of Education and Research as part of the Obesity Competence Network since 2012, young people aged 14 to 21 with a BMI greater than 30 will receive new comprehensive care in five different clinics in Germany. Free. "Teens suffering from extreme obesity participate in the project through various pathways, including social institutions, medical treatment centers and patient registries," says Wabitsch. The study also helps young people to find a training or a job.

What are the steps needed to improve the therapy of overweight children and adolescents and to fight stigma in society ?, explain the participants at the DDG joint conference and the annual DAG conference as part of the program. a press conference of the congress held on November 9, 2018 in Wiesbaden. The conference will take place from 9 to 10 November 2018 at the RheinMain CongressCenter Wiesbaden. All conference information is available on the Internet at the address.

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

sources:
(1) Robert Koch Institute: The general health status of children and adolescents in Germany – cross-sectional results of Wave 2 and KiGGS trends.
(2) adolescents with extreme obesity. Medical and Psychosocial Consequences of Obesity in Adolescents – Acceptance and Impact of Structured Care: The JA Study.

Information Date:

Congress press conference in Wiesbaden
12th Fall Conference of the German Diabetes Society (DDG)
34th Annual Meeting of the German Society of Obesity (DAG)
Date: Friday, November 9, 2018, from 12:30 to 13:30.
Location: RheinMain CongressCenter Wiesbaden, Studio 1.2 B + C, 1st floor
Address: Friedrich-Ebert-Allee 1, 65185 Wiesbaden

Preliminary topics and speakers:

Drugs in diabetes therapy: What's new?
Professor med. Jens Aberle
Chair of the conference, 12th Fall Conference on Diabetes; III. Medical and polyclinic clinic UKE – University Hospital Hamburg-Eppendorf

Obesity in children and adolescents: a shortage of considerable supplies in Germany – adolescents suffering from extreme obesity are the losers
Professor med. Martin Wabitsch
Chairman of the conference, 34th Annual Meeting of the German Society of Obesity (DAG); Head of the Department of Pediatric Endocrinology and Diabetology, Center for Research on Rare Endocrine Diseases of the University Department of Pediatric and Adolescent Medicine at the Ulm University Hospital

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
Institute of Movement and Neuroscience at the German University of Sport Cologne

Diabetes Digital: How can new technologies support diabetic patients?
Dr. med. Matthias Kaltheuner
Member of the Board of the German Diabetes Society, Diabetologist based in Leverkusen

Obesity and social consequences: people affected suffer from stigma on a daily basis
Stefanie Wirtz
1. President ObesityHilfe Germany e.V.

12th Autumn Diabetes Conference of the German Diabetes Society (DDG)
34th Annual Meeting of the German Society of Obesity (DAG)
"Interdisciplinary care – the patient at the center"
Deadline: 9th to 10th November 2018
Location: RheinMain CongressCenter Wiesbaden
Address: Friedrich-Ebert-Allee 1, 65185 Wiesbaden

DAG Symposium
The Patient in Focus – A Self-Help Symposium
Date: November 10, 2018, from 8:30 to 10:30.
Location: RheinMain CongressCenter Wiesbaden, Terrbaden-Saal C

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About the German Diabetes Society (DDG):
The German Diabetes Association (DDG), which has over 9,000 members, is one of the largest medical scientific societies in Germany. It supports science and research, participates in continuing education, certifies treatment facilities and develops guidelines. The goal is more effective prevention and treatment of diabetes, a widespread disease that affects more than six million people in Germany. To this end, he also undertakes extensive health policy activities.

Your contact for questions / accreditation:
DDG Fall Conference / DAG Annual Conference
Press office
Stéphanie Balz
PO Box 30 11 20
70451 Stuttgart
Phone: 0711 8931-168
Fax: 0711 8931-167
E-mail:

idw 2018/11

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