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Obesity can cause a range of problems in children including:

  • Anxiety/depression
  • Type II diabetes
  • Worsened asthma
  • Hypertension
  • Obstructive sleep apnea
  • Elevated cholesterol and triglycerides
  • Joint pain
  • Non alcoholic fatty liver disease
  • Nutritional deficiencies

Dr. Dyan Hes is a leader in the successful medical management of childhood obesity and, for the past fifteen years, has been in the forefront of clinical pediatric obesity research. She is among the handful of U.S. pediatricians to be board certfied in both pediatric and bariatric medicine, and is a member of the select committee of The Obesity Society chosen to create a competency examination for obesity physicians. Importantly, Dr. Hes’ weight loss program has served as a teaching model for pediatricians confronting this serious epidemic.

Weight Loss Program

Dr. Hes’ weight loss patients range in age from 2 to 21 years of age, and Dr. Hes designs an individual plan for each patient. The plans include education, lifestyle modification, behavior modification, and a fitness component. Dr. Hes does not believe in using meal plans for children, as they are often very expensive and usually yield only temporary results. The goal of Dr. Hes’ weight loss program is to provide both her patients and their families the tools for healthy living.

Initially, weight loss patients will have a thorough physical exam, followed by a panel of tests. Each patient is screened for type II diabetes, hyperlipidemia, and other complications from excess weight. All blood tests are done in office. If a child already has medical complications from his/her weight, Dr. Hes will work with a team of subspecialists to address these problems. Depending on the gravity of the patient’s health status, Dr. Hes may see the patient every two weeks, and then transition to monthly visits.

During the patient’s initial visit, Dr. Hes will obtain a detailed family, social, and medical history. She will set realistic goals and discuss possible setbacks that the patient may experience when trying to lose weight. In addition, she will spotlight the pitfalls associated with school lunch, juice, soda, sweetened drinks, junk food and large portions. Basic nutrition will be discussed at a level that both the child and the family can clearly understand. Dr. Hes will also discuss the role of the family and caregiver, as weight loss programs are usually much more successful if there is a support network in place.

Finally, Dr. Hes will discuss the correlation between physical activity, weight loss and overall well being. It is important to note that in addition to being a physician, Dr. Hes is also a personal trainer, and works to develop the best possible fitness plan for each child.

 

Bariatric Surgery

Bariatric surgery is an option for some morbidly obese patients aged 18 years and above. Dr. Hes is fully qualified to develop and supervise pre-surgery weight loss programs for these patients. She will ensure that the patient is in optimal health for the surgery, and that all pre-operative screenings are complete. After surgery, Dr. Hes can help patients manage their nutrition requirements and weight loss efforts. In addition, her expert staff can simplify the insurance process and help to ensure that the procedure will be covered.

 

In The News – Dr. Hes On Obesity