Day :
Keynote Forum
Mohamad Miqdady
Sheikh Khalifa Medical City, UAE
Keynote: Chubby child ≠Cute child!
Time : 10:00-11:00
Biography:
Mohamad Miqdady is American Board certified in Pediatric Gastroenterology, Hepatology and Nutrition. He is the Division Chief, Ped. GI,
Hepatology & Nutrition Division at Sheikh Khalifa Medical City in UAE. Program Director, Pediatric Gastroenterology Fellowship Training
program, SKMC, Abu Dhabi, UAE. Also an Adjunct Staff at Cleveland Clinic, Ohio USA. Expert member of the FISPGHAN Council (Federation
of International Societies of Pediatric Gastroenterology, Hepatology, and Nutrition); Malnutrition/Obesity Expert team. Dr. Miqdady completed
his Fellowship in Pediatric Gastroenterology at Baylor College of Medicine and Texas Children’s Hospital in Houston, TX, USA. He held the
position of Assistant Professor at Jordan University of Science and Technology in Jordan for six years prior joining. SKMC Main research
interests include nutritional disorders, feeding difficulties, picky eating, obesity, procedural sedation, allergic GI disorders and celiac disease.
He has 20 publications in peer reviewed journals. On the Editorial Board of few journals including Gastroenterology & Hepatology.
Abstract:
Obesity epidemic is a very serious concern for the medical professionals as well as the community. It is
estimated that 30-35 % of children in US are overweight or obese, and probably higher percentages apply
in our community. Local data will be presented. Overweight is defined as a BMI of & gt; 85%, and obesity if BMI
> 95%. BMI correlates very well with comorbidities. Obesity occurs when there is imbalance between energy
intake and energy output. There is a universal trend towards decreasing physical activity and increasing dietary
intake among adults and children. Unlike the animal model, most obese humans are leptin resistant rather
than deficient. Childhood obesity is clearly associated with adulthood obesity, with the strongest association if
obesity occurs at later childhood. Obese children are usually taller with advanced bone age and enter puberty
earlier. Comorbidities are many and involve almost all body systems: CVS: Hypertension, coronary artery
disease, pulmonary hypertension corpulmonale. Cardiomyopathy and atherosclerosis.Pulmonary: Obstructive
sleep apnea, and Pickwickian syndrome. Gastrointestinal: Gallbladder diseases, nonalcoholic steatohepatitis
and reflux. CNS: Stroke and increased intracranial pressure. Orthopedic: Osteoarthritis, slipped capital femoral
epiphyses, low back pain, and Legg-Calve-Perthes disease Psychological: Social stigmatization, Depression and
lack of self esteem Endocrine: Early puberty, hyperandrogenism, anovulation, infertility, polycystic Ovaries and
hypo-gonadotrophic hypogonadism Malignancy: Increased risk of malignancy: endometrial cancer, prostate
cancer, gall bladder cancer, Breast cancer, colon cancer Metabolic: Insulin resistance, type II DM, Dyslipidemia
(cholesterol, TG, LDL, HDL) Although genetic and hormonal causes are rare causes of obesity; they should
always be kept in mind. Managing obese individuals is challenging and with limited success. Management
should include exercise, diet, and behavioral modification. Exercise should be 30-60 minutes 5-7 days a week.
Normal or, low calorie diets with the appropriate use of the food pyramid are to be used in most individuals.
Medications and surgery can be included in certain indications in conjunction with diet and exercise.