Teenager heart of the matter

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Teenage Health predicts the future health of the society. COnsidering that, statistics donot favour a very healthy future ! Have a look at this presentation.

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Teenager heart of the matter

  1. 1. TEENAGERS HEART OF THE MATTER<br />Dr. Vikas Kohli MD FAAP FACC<br />AMERICAN BOARD CERTIFIED<br />SENIOR CONSULTANT <br />PEDS CARDIOLOGY<br />INDRAPRASTHA APOLLO HOSPITAL<br />
  2. 2. HOW MANY ADULTS IN THIS ROOM …..<br />WILL NOT HAVE A HEART ATTACK IN THE NEXT 10 YEARS ?<br />SIMILARLY, WILL YOUR TEENAGE CHILD OR GRANDCHILD NOT HAVE A HEART ATTACK BEFORE HE/SHE IS 45 YRS OF AGE ?<br />ARE WE DOING ENOUGH OR HEADING STRAIGHT THERE ?<br />
  3. 3. OBESITY IN CHILDREN<br />
  4. 4. Adolescent Overweight and Future AdultCoronary Heart Disease<br />New England Journal of Medicine<br /> 2007<br />
  5. 5. OBESE TEENAGERS BECOME OBESE ADULTS<br />Study from California: <br />Based on statistics and current obesity rates, by 2020:<br />37% males and 44% females would be obese when they are 35 yrs<br />This is based on overweight adolescents in 2000 in USA<br />This would add 19% extra load of heart patients<br />
  6. 6. "Today's adolescents are the young adults of tomorrow -- young adults who would ordinarily be working, raising their families, and not worried about heart disease until they are much older.”<br />
  7. 7. But actually majority of them would be spending a lot of time in hospitalizations and treatment and with medications before they turn 50.<br />Eighty percent of overweight adolescents become obese adults<br />
  8. 8. Indian Children<br />13–18 years (n=4700, M:F 2382:2318) were studied. Body mass index (BMI) was measured. Data on physical activity, food habits, occupation of parents and their economic status, birth weight of the children and age at menarche <br />prevalence of overweight was 17.8% for boys and 15.8% for girls<br />Diabetes Research and Clinical Practice2002<br />
  9. 9.
  10. 10. Asia Pac J Clin Nutr 2008<br />
  11. 11. Factors influencing Obesity<br />Birth Weight<br />Life Style Index<br />Diet<br />Parental Obesity<br />Activity Level<br />Time on Computer/TV<br />Snacking<br />
  12. 12. PREVELANCE OF OBESITY<br />childhood obesity varies from over 30% in<br />USA <br />Less than 2% in sub- Saharan Africa.<br />20% in U K and Australia<br />15.8% in Saudi Arabia<br />15.6% in Thailand, 10% in Japan<br />6.2% in Chennai, 7.4% in New Delhi <br />
  13. 13. Hypertension and Obesity<br />Incidence of HTN in Obese kids is 17% vs in 10% of normal kids<br />The 10% in a particular study appears very high<br />
  14. 14. HEART PROBLEMS AT YOUNG AGE<br />
  15. 15. How common is fat deposition<br />This study demonstrates that coronary atherosclerosis begins at a young age and that <br />lesions are present in 1 of 6 teenagers. These findings suggest the need for intensive efforts at coronary disease prevention in young adults.<br />
  16. 16. What is Fat deposition<br />
  17. 17. General Comments<br />Arteriosclerosis<br />Thickening and loss of elasticity of arterial walls <br />Hardening of the arteries<br />Greatest morbidity and mortality of all human diseases via<br /> Narrowing<br /> Weakening<br />
  18. 18. 18<br />ATHEROSCLEROTIC PLAQUE<br />NORMAL ARTERY<br /> ATHEROSCLEROTIC <br /> PLAQUE<br />
  19. 19. Non-Modifiable Risk Factors<br />Age<br />A dominant influence<br />Atherosclerosis begins in the young, but does not precipitate organ injury until later in life<br />Gender<br />Men more prone than women, but by age 60-70 about equal frequency<br />Family History<br />Familial cluster of risk factors<br />Genetic differences<br />
  20. 20. Modifiable Risk Factors(potentially controllable)<br />Hyperlipidemia<br />Hypertension<br />Cigarette smoking<br />Diabetes Mellitus<br />Elevated Homocysteine<br />Factors that affect hemostasis and thrombosis<br />Infections: Herpes virus; Chlamydia pneumoniae<br />Obesity, sedentary lifestyle, stress<br />
  21. 21. Normal Artery<br />
  22. 22.                                                                                                      <br />                                               <br />
  23. 23.
  24. 24. Response to Injury<br />
  25. 25. Endothelial Dysfunction<br />
  26. 26. Initiation of Fatty Streak<br />
  27. 27. Fatty Streak<br />
  28. 28. Fibro-fatty Atheroma<br />
  29. 29. Fatty Streak-Aorta<br />
  30. 30. Fatty Streak-Coronary Artery<br />
  31. 31. Normal Artery<br />
  32. 32. Unstable angina with plaque disruption<br />The plaque cap is torn,<br />projects into the lumen, exposing a mass of thrombus filling the lipid core<br />used with permission from<br />M.J. Davies<br />Atlas of Coronary Artery Disease 1998<br />Lippincott-Raven Publishers<br />
  33. 33. WHY THIS IS HAPPENING<br />
  34. 34. Life Style<br />Diet<br />Exercise<br />TV<br />Snacking<br />Computer<br />Lack of urban planning<br />Peer group<br />
  35. 35. ROLE OF FAMILY<br />
  36. 36. Primary Role<br />Estab right dietary habits<br />Exercise as a part of life<br />Be a role Model<br />Decrease In House time: spend time at Sports complexes<br />
  37. 37. ROLE OF SCHOOL<br />
  38. 38. Peer Group & Social Impact<br />This is where they see and decide complex things in their life<br />They also listen to teachers differently as compared to parents<br />Exercise and good health a routine<br />REMOVING ACADEMIC PRESSURE<br />
  39. 39. ROLE OF DOCTOR<br />
  40. 40. GUIDING<br />Main role is to guide<br />Dietary Implications of Protein VS Carbs Vs. Fat<br />Early Assessment and Sounding the Alarm<br />
  41. 41. ROLE OF MEDIA<br />
  42. 42. RESPONSIBLE<br />They carry responsibility of not drilling into heads of kids the great value of Junk Food<br />They should understand the implications of advertisements<br />
  43. 43. WHAT ARE OTHER COUNTRIES DOING ABOUT IT<br />
  44. 44. LETS MOVE<br />
  45. 45. Active Families: Engage in physical activity each day : a total of 60 minutes for children, 30 minutes for adults.<br />Active Schools: A variety of opportunities are available for schools to add more physical activity into the school day, including additional physical education classes, before–and afterschool programs, recess, and opening school facilities for student and family recreation in the late afternoon and evening.<br />Active Communities: Mayors and community leaders can promote physical fitness by working to increase safe routes for kids to walk and ride to school; by revitalizing parks, playgrounds, and community centers; and by providing fun and affordable sports and fitness programs.<br />
  46. 46. Lets Move<br />Healthy Moms<br />Healthy Communities<br />Healthy Families <br />Healthy Schools<br />
  47. 47. WHAT CAN WE DO IT FOR OUR KIDS<br />
  48. 48. OURSELVES<br />EDUCATE OURSLEVES MORE ABOUT DIET AND EXERCISE RELATED ISSUES<br />
  49. 49. AT HOME<br />IMPROVE DIETARY HABITS<br />INCREASE SPORTS AND ACTIVITY <br />DECREASE TV AND COMPUTER TIME<br />DON’T BUY OR ALLOW KIDS TO BUY SNACKS<br />
  50. 50. AT SCHOOL<br />MAKE HEALTHY FOOD AVAILABLE AT SCHOOL<br />INCREASE ACTIVITY/SPORTS INVOLVEMENT<br />DECREASE ACADEMIC PRESSURE<br />
  51. 51. AT COMMUNITY LEVEL<br />INCREASE AVAILABILITY OF SPORTS COMPLEXES<br />MAKE MALLS PLACES WHERE MORE PHYSICAL ACTIVITY IS INVOLVED<br />DIETARY HAZARD FOODS WITH WARNING AND LABEL<br />
  52. 52. WE CAN DO IT<br />THANK YOU<br />

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