Childhood Obesity and National Security

Childhood Obesity Awareness Month encompasses many areas of life, including military preparedness. NPR journalist Yuki Noguchi wrote,

Across all segments of the military, 31% of young adults ages 17 to 24 cannot enlist because they’re too heavy, according to the Department of Defense. The Army, the military’s largest branch, needs to recruit about 130,000 people a year to carry out its missions, and therefore faces the brunt of the recruitment challenge that childhood obesity presents.

Some experts even go so far as to predict that within a generation or two, the shortage of fit recruits could become an “existential threat” to the country. To complicate the problem, a disproportionate number of new military members come from the American South, where obesity rates are higher than in the North. Of course, when the COVID-19 pandemic came along, that did not help matters at all, on any front. People of all ages, from all parts of the country, have tended to put on pounds.

Taking responsibility

No official program is involved, but starting about 10 years ago, some individual recruiters have been taking it upon themselves to work with potential recruits in order to get them down to acceptable enlistment weight. They have seized the initiative to do things like start workout sessions in recruitment office parking lots.

The reporter spoke with one such mentor, Staff Sgt. Stephen Ahlstrom, who has even been known to pick up the teens he is trying to help at home and drive them to workout sessions. Some of the young folks will hang in there for months, determined to meet the standard. One of Ahlstrom’s mentees eventually dropped 100 pounds.

A recruiter might periodically record weights and measurements to monitor the progress of the young people who show up. They also listen and talk, helping with the various mental challenges involved in making such an extreme life change. They might remind a struggling overweight youth that having a weekly “cheat day” does not mean eating like a fool all day, but allows, for instance, one cheeseburger on Saturday night. Even small hints can help, like downing a daily gallon of water.

The brass get involved

Even for dedicated mentors, many factors are beyond their control, like low family incomes and lack of access to healthful foods. The reporter spoke with Maj. Gen. Malcolm Frost, who belongs to the nonprofit group Mission Readiness. He and others like him have been focusing on preventative measures, like championing food subsidies for low-income families so that basic nutrition can be assured.

Retired major general Jeffrey Snow is another high-ranking military person who issued warnings. Of him, Noguchi wrote,

“It’s a wicked problem,” he says, adding that he’d spent years “talking myself blue in the face” but without much success. “I can’t even tell you that I had an impact on this issue.”

Still, thanks to such organizations and to the recruiters’ unofficial efforts, it is estimated that between one and two thousand people per year are rendered fit for acceptance into the armed forces’ basic training programs.

Your responses and feedback are welcome!

Source: “Fighting Weight: How Military Recruiters Take On Obesity, Case By Case,” NPR.org, 05/17/21
Image by U.S. Army Europe/Public Domain

Awareness Month All Year

Earlier this year, the U.S. Conference of Mayors and the American Beverage Foundation for a Healthy America gave nine American cities awards of various amounts, totaling $745,000. The winners were recognized for supporting “programs to enhance health, wellness and environmental quality of life for children and families.”

Salisbury, NC, and Daytona Beach, FL, are both intensely addressing childhood obesity prevention. Denver, CO, is home to Food Matters: Solutions for Food Waste Reduction…

[…] an innovative two-part project that aims to address both environmental sustainability and food insecurity. The program will teach Denver residents to make full use of the food they purchase and consume and incentivize local restaurants to donate surplus food to those in need.

In Des Moines, IA, a program provides fruits and vegetables for children with diet-related diseases, “while delivering nutrition education and collecting and monitoring biometrics on a routine basis.” Baltimore, MD, focuses on gardening and cooking. Montgomery, AL, also concentrates on outdoor gardening for the sake of both fitness, and better food.

In Orlando, FL, a program trains young people to become certified beekeepers. Bridgeport, CT, wants to improve the public health and fitness facilities in two city parks. The program that won for White Plains, NY, sounds very serious:

Peer Advocates for Healthy Living (PAHL) will recruit 40 high school youth who will undergo rigorous 12-week (36-hour) training in nutrition; healthy cooking on a budget; barriers to achieving health (emotional, social, and/or physical); and public speaking and presentation skills.

For Physicians Weekly, Sara Karjoo, M.D., delineated several principles that are important for every doctor to bear in mind. Why? Because:

By addressing obesity in pediatric patient care, physicians can potentially slow the progression of metabolic disease, along with numerous serious chronic diseases. By taking these steps, we can serve as better advocates for our patients’ future health.

While other factors may come into play, healthful food and sufficient exercise are the foundation on which everything else rests. The societal, cultural, personal and medical risks of obesity are different for children and teens than they are for adults. It is definitely not a one-size-fits-all situation. And with children, it is not useful to make a big deal out of poundage:

Weight loss is not as critical a parameter in children. Rather than weight loss, the emphasis for children should be on promoting healthy habits and improving body composition.

Doctors are also advised not to ignore new tools or treatments, or advances in such formerly science-fictional areas as genetic testing, to identify traits that lead to obesity. Another suggestion is to take a second look at something formerly shunned, like bariatric surgery, which can greatly benefit a teen with multiple co-morbidities.

Your responses and feedback are welcome!

Source: “Nine Cities Share $745,000 in Grants to Promote Childhood Obesity Prevention…,” USMayors.org, 01/29/22
Source: “CDC Study Finds Alarming Increase in Pediatric Obesity Rates 5 Points for Physicians to Understand,” PhysiciansWeekly.com, 01/13/22
Image by Nicholas Wang/CC BY-SA 2.0

Awareness by the Numbers

Speaking of surveillance, the National Collaborative on Childhood Obesity Research (NCCOR) maintains a Catalogue of Surveillance Systems that provides access to more than 100 available datasets related to childhood obesity research in the United States.

The available information, gathered over the past 10 years, encompasses health behaviors, outcomes, and determinants, along with environmental factors and determinants. Users can search and filter the research by level, racial/ethnic groups, scope, sampling design, key variables, cost, age group, time frame, geocodes, sample size, and more.

The four NCCOR collaborators are the leading funders of childhood obesity research: the Centers for Disease Control and Prevention), the National Institutes of Health, the U.S. Department of Agriculture, and the Robert Wood Johnson Foundation. According to NCCOR,

This free online resource helps researchers and practitioners more easily investigate childhood obesity in America by increasing efficiency, effectiveness, and innovation in obesity research.

NCCOR’s most recent annual report is titled “Creating Environments to Grow, Move, & Thrive.” The featured projects include a report on how COVID-19 has impacted child care programs, along with potential solutions and emerging opportunities to better deal with the ongoing crisis. One report covers the difficult question of how better to surveil and measure youth active travel to school, and another identifies programs that promote trial use by the young.

This one sounds essential — “A Toolkit for Evaluating Childhood Healthy Weight Program”:

NCCOR developed this toolkit to help researchers, practitioners, and community programs gain confidence in conducting program evaluations. It reviews key concepts and provides detailed guidance on the core components of effective evaluations. It also features a resource library, with links to guides, databases, research articles, and other public health toolkits.

A report from the CDC suggests that the pandemic worsened the nation’s pediatric obesity rates. The percentage of children and teens with obesity accelerated from 19% before the pandemic to 22% today.

Some oldies but goodies

These are useful posts from Childhood Obesity Awareness Month in recent years:

Awareness Month — Settle in for a Read
Childhood Obesity Awareness Month Retrospective
9 Ways to Avoid Enabling
Passive Enabling and Child Obesity

Your responses and feedback are welcome!

Source: “Catalogue of Surveillance Systems,” NCCOR.org, undated
Source: “NCCOR’s 2021 Annual Report Looks at Strides Made in Promoting Healthy Environments for Kids,” NCCOR.org, 03/22/22
Source: “CDC Study Finds Alarming Increase in Pediatric Obesity Rates 5 Points for Physicians to Understand,” PhysiciansWeekly.com, 01/13/22
Image by Jim Rush/CC BY-SA 2.0

Cosy Up With COSI

The concept of Childhood Obesity Awareness Month contains a cruel irony. One might be tempted to say, “Oh, really? Childhood obesity is still a thing? Glad you brought it up. I wouldn’t have guessed, just from seeing all these, you know, severely obese and ominously overweight children everywhere.”

Are more children dangerously heavy than ever before?

“Surveillance” is not everyone’s favorite word, but the European Childhood Obesity Surveillance Initiative (COSI) is trying to do something useful.

The system was established by the World Health Organization with the intention of providing “regular, reliable, timely, and accurate data on children’s weight status.” This is accomplished by recording the weight and height of every child in 45 European Region countries, according to a standardized measurement system.

Much information is gathered, on the kids’ family backgrounds, school environments, diet, activity, proneness to a sedentary lifestyle, and so forth. The goal is to “standardize conditions around data collection as much as possible, while still allowing participating countries some flexibility to adapt the system to their national context”:

Data are collected according to a common protocol devised by the WHO Regional Office for Europe and Member States… The first five data collection rounds, between 2007 and 2021, yielded measured anthropometric data on over 1.3 million children…

The system they have worked out to avoid being rejected by some countries, while still keeping up the standard, is very interesting. Even the translation protocols are elaborate and demanding. COSI’s most recent research indicates that…

Overall, the prevalence of overweight (including obesity) was 29% in boys and 27% in girls aged 6 to 9 years; the prevalence of obesity was 13% in boys and 9% in girls.

The highest proportions of childhood overweight and obesity were observed in Mediterranean countries such as Cyprus, Greece, Italy and Spain…

The lowest […] were observed in central Asian countries such as Kyrgyzstan, Tajikistan and Turkmenistan.

Bear in mind that it takes a burdensome amount of time to collect and collate all the numbers involved, from so many different places and bureaucracies, and in various different languages. So, nothing about this is up-to-the-minute. But anyone who assumes that since the information was gathered, the situation has only become worse, will probably be correct.

Your responses and feedback are welcome!

Source: “Methodology and implementation of the WHO European Childhood Obesity Surveillance Initiative (COSI),” Wiley.com, 11/04/21
Source: “WHO Joint Session Including the Results of the Latest Childhood Obesity Surveillance Initiative (COSI) Report,” EASO.org, 04/11/21
Image by Mohd Fazlin Mohd Effendy Ooi/CC BY 2.0

Formerly Fat, Latterly Lapsed 4

By the fall of 2019, weighing 500 pounds and coming up fast on 60 years of age, a broken man financially, physically and mentally, Paul Mason was back in England, in taxpayer-funded housing, with round-the-clock care. Journalist Adam Aspinall wrote for the Daily Mirror:

The world’s former fattest man is begging the NHS to save his life after being admitted to hospital four times in the past five months.

Speaking from a secret location, a desperate Paul told the Mirror: “The NHS have saved my life time and again. I could be dead without them. I’m determined to get my health back so I don’t let them down — I just need them to help me one last time… I have thought about taking my own life but I cannot let it come to that.”

In mid-2021 his medical situation was worse. Along with the gastric bypass needing repair, and the broken stapled parts inside him, and the wrecked knees, now one hip needed serious attention. But meanwhile, the COVID pandemic had drastically changed the social and medical landscapes. Of everything they needed, everyone was getting even less than ever before.

With all those problems, plus the misery of arthritis, Paul Mason was in constant distress. So he did what he always had done — he ate more. Reporters Adam Aspinall & Holly Hume quoted him as leading off with potato chips:

Crisps have always been my go-to snack. I use them to keep the edge off because I’m in terrible pain through the arthritis and I have a doctor who will not give me any proper pain relief. She said I’ve just got to live with it.

On top of that I wasn’t getting the minerals I needed due to my gastric bypass needing to be altered and that made by depression worse which led to me becoming very unhappy.

Despite the doctor’s caution with pain meds, Mason attempted suicide by overdose. Then, toward the year’s end, the long-awaited documentary, 10 years in the making, was finally wrapped up and released. By now Mason was a significant figure to many people who empathized with his struggles against obesity, and possibly with his unrelenting tendency to be his own worst enemy. The television premiere of “The World’s Fattest Man — 10 Years On” garnered wide attention.

By this time, he was living by himself in what the British call “sheltered housing.” He had gained even more weight and seemed, in his public pronouncements, to solely blame the pandemic for his epic backsliding. Reporter Jaymi McCann quoted the ITV synopsis of the production:

This unique documentary, filmed over 11 years, charts how Paul Mason from Ipswich took his life to the extreme, reaching nearly 80 stone (1,120 lbs.) as his food addiction became out of control.

While surgeons try to fix his body as his weight is on a rollercoaster, the question needs to be asked: is the real battle in his mind? Can therapy provide an answer to his compulsive eating?

At last, Paul, once the world’s fattest man, is going to face his demons in order to tackle the addiction which has devastated his life.

Your responses and feedback are welcome!

Source: “World’s fattest man begs NHS to save his life with £100k weight loss surgery,” Mirror.co.uk. 09/29/19
Source: “Former world’s fattest man Paul Mason took overdose after pandemic weight gain,” Archive.ph, 11/03/21
Source: “Paul Mason now: What happened to the ‘World’s Fattest Man’ as ITV documentary catches up 10 years on,” Inews.co.uk, 11/03/21
Image by Leonard J. Matthews/CC BY-ND 2.0

Formerly Fat, Latterly Lapsed 3

But the plans that Paul Mason and Rebecca Mountain had made for their mutual future soon dissolved. (For the backstory, see our previous posts about Paul Mason). Mason got tired of small portion sizes, healthful foods, and no potato chips. He was bored and went back to night eating, which is never good. The couple tried a Paleo diet, against which he rebelled.

Basically, he cheated on his lady — not with other women, but with carbs. Ms. Mountain told journalist Emma Parker:

I came home and there was a big loaf of bread in the refrigerator. We had an agreement that we were not going to tempt each other. I felt he wasn’t taking my feelings into consideration. In the weeks after, he went back to his old habits.

Despite their broken engagement, Mountain and Mason continued as roommates until some point in 2018. A real downward spiral began when another woman offered to take him in, and he moved. He told reporter Adam Aspinall,

I met someone out there and we became friendly, she said she had a spare bedroom and offered me a place rent free so I said, yeah OK.

She started demanding things like money for cigarettes, and she took opioids and demanded my prescription from me. I was trapped.

This is what led to me stealing, she would give me a whole A4 list of stuff and would get me to go in the supermarket and steal it — I did not have any choice — it was like an entrapment situation…

I got arrested and taken to court but I paid the fine, there is no outstanding warrant or anything like that…

Apparently though, the thievery was more extensive than he made it sound, but that belongs in the upcoming Addiction discussion.

Another rupture

In 2019, at age 58, Mason was back up to 500 pounds and planned to return to his homeland. His gastric bypass needed adjustment. At least eight of his stomach staples had been defeated by the brute force of his eating and needed surgical repair. His joints were wrecked from the weight they bore in the times when he could walk, and he needed bilateral knee replacements. He told social media friends that during his five years in the U.S., he had made wrong decisions and earned negative consequences.

Mason called his second roommate a “bad influence” and admitted that through his own fault, he had let his visa expire, and also acknowledged that he needed therapeutic counseling on a regular basis. He wanted to go home, but a lot of his fellow Brits did not want him back. Journalist Terri-Ann Williams wrote,

The former world’s fattest man has denied he is a scrounger as he is set to return to the UK to receive £100,000 of NHS care — as the US won’t pay for his treatment…

Tam Fry, of the National Obesity Forum, said that bypass patients know they have to reduce their food intake and think more carefully about what they eat.

He added: “Paul’s health problems are therefore his fault. The NHS should not be forced to clean up this mess… As far as I’m concerned when he moved to America he forfeited his right to NHS treatment.”

Your responses and feedback are welcome!

Source: “Sex with World’s fattest man Paul Mason ‘great’ says ex — but he cheated on her with bread,” Archive.ph, 06/07/19
Source: “World’s fattest man begs NHS to save his life with £100k weight loss surgery,” Mirror.co.uk, 09/29/19
Source: “Former world’s fattest man — who now weighs 40 stone — denies he is a scrounger,” DailyMail.co.uk, 05/27/19
Image by Nathan Cooprider/CC BY 2.0

Formerly Fat, Latterly Lapsed 2

On a day in 2010, Paul Mason lay on the largest available surgical bed, and yet fat still cascaded off both sides. He was prepped for a bariatric procedure called a keyhole gastric bypass. Because of his pre-existing conditions, mainly morbid obesity, his chance of living through any surgery was only 50/50. Nobody knew how much anesthetic it took to numb such a huge body without killing the patient.

How did he get there? In the most immediate and literal sense, as told by the GQ journalist Justin Heckert:

[F]ive paramedics in yellow suits wheeled Mason out of his home on the bed where he lived. Using a motorized winch, they hoisted his extra-wide reinforced stretcher into the back of the supersized ambulance that the Suffolk branch of the NHS had scoured all of Great Britain to find…

Engineers had realized before he arrived that the operating room probably wouldn’t be sturdy enough to hold him. After consulting blueprints, they ultimately installed metal supports beneath the floor.

The following summer, at age 50, Mason made the news again. Having lost enough weight to fit into a wheelchair, he was out and about, and suffered a fall when about a mile from home. When paramedics arrived, they treated a head injury, and the fire department transferred him into a reinforced ambulance using specialized lifting equipment.

Some time later, Sarah Lyall wrote for The New York Times about Mason’s life when in his mid-50s. Despite having lost about 650 pounds (which is more than a quarter of a ton) he was in the undesirable position of having about 100 pounds of loose skin hanging off his body “like a living shroud.” It often developed infected areas, and he still had to be in a wheelchair most of the time.

Transatlantic cousins

Not a doctor in England was willing to take on the task of excising such a massive amount of tissue. Thanks to media attention in the USA, plastic surgeon Dr. Jennifer Capla heard about Mason’s plight and offered to do the surgery pro bono if he could get to New York. Meanwhile, another American woman, Rebecca Mountain, had seen a BBC documentary about the (former) world’s fattest man. She visited Mason in England and invited him to stay with her in Massachusetts.

So, in mid-2015, about 56 pounds of sagging skin were removed from the patient by Dr. Capla and two other doctors who also waived their fees. The following year, another 20 pounds (or so) of skin were removed from his arms and hips. That may not sound like much, but seeing it spread out on a table is a shocker.

Between Mason and his hostess, a romance developed. When they appeared on a TV show together, she proposed to him on air, and they became engaged. In a later interview, Ms. Mountain reminisced about the enormous emotional attraction the two had shared, and their very satisfactory intimate relationship. She recalled how happy Mason had been when they went out for a movie date, because for the first time in years, he could fit into a theater seat.

(To be continued…)

Your responses and feedback are welcome!

Source: “How the World’s Heaviest Man Lost It All,” GQ.com, 03/07/17
Source: “Fattest man hurt in his wheelchair,” Trem.media/news/uk, 07/03/11
Source: “Losing 650 Pounds, and Preparing to Shed a Reminder of That Weight,” NYTimes.com, 04/25/15
Source: “Paul Mason celebrates ‘feather light’ arms after surgeons remove 10lbs of loose skin,” IpswichStar.co.uk, 09/07/16
Source: “The World’s Fattest Man: 10 Years On, review: do documentaries like this really help?,” Telegraph.co.uk, 11/02/21
Image by Emma Forsberg/CC BY 2.0

Formerly Fat, Latterly Lapsed 1

Paul Mason, born a subject of the British queen, has lived one of the saddest obesity stories of all time, and also one of the most frustrating. His biography has caused people to mutter, “How much help does one person deserve, anyway?” and brought to mind other questions such as, “How does a person, unable to stand or walk, obtain mind-boggling amounts of food?”

An excessive number of news stories have been published about Mason’s personal journey, as well as TV shows and documentaries. Anyone who cared to has been able to view nude photos of him at his most corpulent, inspiring such comments as “Exactly what body part is that?” Despite or perhaps because of this intensive coverage, the timelines of his weight fluctuations and personal life are sometimes confusing.

Apparently, the most he ever weighed was around 980 lbs. However, another source says his max was in the neighborhood of 80 stone, which would be well over a thousand pounds — 1,120 to be exact. Bear in mind, it is very difficult to weigh a large, mostly bedridden person.

The narrative

In 2001, at a relatively modest weight of around 600 pounds, Mason needed a hernia surgically repaired. The local fire department had to demolish a wall and use heavy machinery to extract his bed. Hospital authorities informed him that if he did not survive the surgery, neither the morgue nor other facilities would be able to deal with the situation. For cremation, his remains would be sent to a slaughterhouse.

The administrators even had to write up a special consent form. Twenty years later, Mason told a reporter that this had made a big impression, but in light of many subsequent events, it is hard to connect the dots.

At any rate, Mason remained at that hospital for around two years, and seems to have been a cheering influence, and even the life of the party at times. He was then moved to a retirement home where, Justin Heckert reported, health care workers would sneak him extra food. At 800 pounds, he was moved to a custom-built house. At this point, he was regarded by some as a public enemy who soaked up around $115,000 per year of the nation’s insufficient health care funds. Heckert wrote,

He spent his entire disposable income on food. At one point he gained more than 150 pounds in six months… He never even got a real night’s sleep — his life was a series of catnaps from which he would awake to eat, 24 hours a day…

Mason applied several times for gastric bypass surgery, and apparently, the government finally decided that it would be less expensive than continuing to cover the expenses of a pretty much inert mass.

Your responses and feedback are welcome!

Source: “How the World’s Heaviest Man Lost It All,” GQ.com, 03/07/17
Image by DocChewbacca/CC BY-SA 2.0

More Dread and Action

The BrainWeighve Welcome page tells what it expects from you, and what you can expect from it. For instance,

For in-the-moment, immediate stressful situations with eating urges, you should tap the Rescue button. The Rescue area asks you what is stressing you out the most in your life, at that moment, and then helps you come up with an Action Plan.

A person often feels alone in a problem, and a few even think they must be absolute freaks, because it’s just not possible that anybody has ever been so messed up before. The thing is, they are mistaken in that belief. Chances are, plenty of others face it too — whatever it is — and many of them have a head start toward figuring it out. A lot of the figure-outers are willing to share how they grappled with issues and fought them to a standstill.

Adults are aware that a kid would believe another kid, over an adult. And some grownups tend to upset themselves about how kids influence each other in unhealthy ways. They talk about “peer group pressure” as if it were a totally bad thing. But let’s use a kinder, gentler word and talk about peer influence instead.

At the end of this paragraph, just shrug

Now, here is where this gets really juicy. To help create the BrainWeighve app, many peers have taken the time to share the insights gained from their successful experiences with reversing or avoiding obesity. Also, in the tradition of Dr. Pretlow’s Weigh2Rock website, the app itself continues to accept input from users, to share with noobs and veterans alike, about what works. Of course, not every approach is guaranteed to work for everyone, all the time. Nothing ever is. (Cue shrug).

Some things do work, well enough and often enough to make them worth telling other people about. So, instead of peer group pressure, let’s talk about peer group treasure. Okay, the rhyme isn’t perfect, but it’s the beat that counts, anyway.

Or, consider peer group pleasure. Imagine a collection of people a lot like you, who have gone through some stuff and come out the other side. And they’re happy to share the cheat code! Okay, the comparison is not exact. We would never recommend cheating of any kind. It’s only a figure of speech. In fact, an idea that changes your life might turn out to be as much fun as getting away with something outrageous. (Not that anyone here would advise trying that either.)

The point being…

Others who have walked this path left little keys to success along the way, hidden beneath stones, in tree bark crevices, and in rock niches. They did this on purpose, for you to find, because they are so happy with their new selves, they can’t help wanting to share the wealth. If your philosophical worldview tends in that direction, chances are that before too long, you yourself will be in a position to improve the world by sharing your hard-earned knowledge.

No, there is not one big Key to Success. It’s a variety of little keys that have worked for somebody, and even for a lot of somebodies, and any one of them just might make your life a different place.

Your responses and feedback are welcome!

Image by Jeremy Segrott/CC BY 2.0

Happy Labor Day!

happy-labor-day-flag-bbq-composite

Happy Labor Day!

Holidays are tough for the nutrition-conscious. Drive carefully and eat sanely. Forget the soda, drink lots of water. Have fun being healthy!

Image by vectorfusionart/123RF Stock Photo.

FAQs and Media Requests: Click here…

Profiles: Kids Struggling with Weight

Profiles: Kids Struggling with Obesity top bottom

The Book

OVERWEIGHT: What Kids Say explores the obesity problem from the often-overlooked perspective of children struggling with being overweight.

About Dr. Robert A. Pretlow

Dr. Robert A. Pretlow is a pediatrician and childhood obesity specialist. He has been researching and spreading awareness on the childhood obesity epidemic in the US for more than a decade.
You can contact Dr. Pretlow at:

Presentations

Dr. Pretlow’s invited presentation at the American Society of Animal Science 2020 Conference
What’s Causing Obesity in Companion Animals and What Can We Do About It

Dr. Pretlow’s invited presentation at the World Obesity Federation 2019 Conference:
Food/Eating Addiction and the Displacement Mechanism

Dr. Pretlow’s Multi-Center Clinical Trial Kick-off Speech 2018:
Obesity: Tackling the Root Cause

Dr. Pretlow’s 2017 Workshop on
Treatment of Obesity Using the Addiction Model

Dr. Pretlow’s invited presentation for
TEC and UNC 2016

Dr. Pretlow’s invited presentation at the 2015 Obesity Summit in London, UK.

Dr. Pretlow’s invited keynote at the 2014 European Childhood Obesity Group Congress in Salzburg, Austria.

Dr. Pretlow’s presentation at the 2013 European Congress on Obesity in Liverpool, UK.

Dr. Pretlow’s presentation at the 2011 International Conference on Childhood Obesity in Lisbon, Portugal.

Dr. Pretlow’s presentation at the 2010 Uniting Against Childhood Obesity Conference in Houston, TX.

Food & Health Resources