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This addition to the Junior Master Gardener series is packed with basic gardening information that includes growing techniques, food safety, healthy eating tips, and nutritious snack food preparation. One in three children in North Carolina are overweight and suffer health problems, poor quality of life, and social isolation.
Obesity-related co-morbid health conditions are the second leading cause of preventable death, following tobacco use.
The foundation of Duke's Childhood Obesity treatment is lifestyle modification, called "Healthy Lifestyles Basics." Through individual and group visits with medical, dietary, physical therapy and behavioral specialists, families learn the skills and knowledge needed to live a life of healthy eating and active lifestyles. DietThe Staged Transitional Eating Plans (STEPS) diet was designed by Duke Healthy Lifestyles faculty specifically for children. MedicationsCurrently, only one medication is FDA-approved for the treatment of obesity in adolescents (Orlistat, Xenical). SurgeryFor teens aged 14 and older who have attempted weight loss for at least six months in the Healthy Lifestyles Clinic, and who have significant health problems as a result of their obesity, may be eligible for gastric bypass surgery. Healthy Lifestyles is a one-year, family-based intervention for children with a body mass index (BMI) over the 95th percentile. Children will earn incentive prizes at each visit for setting goals and working to achieve them.
These programs advocate within Durham and the surrounding communities to prevent disease, promote health, and provide opportunities for healthy food access and active living. Dietician specializing in eating disorders in children and teenagers, including binge eating disorder and bulimia.
Director of Community Outreach specializing in community resources to support a healthy and active lifestyle for children, adolescents, and their families.
Clinical social worker providing individual and group counseling services for patients and families with disordered eating patterns, family stress, and emotional problems. Physician assistant in general pediatrics specializing in family-based childhood and adolescent obesity care. Nurse practitioner in general pediatrics specializing in family-based childhood and adolescent obesity care. Research focused on developing novel treatments for individuals with eating disorders and children who struggle with weight management; integration of family members into effective treatment strategies.


To serve our patients and referring physicians, faculty physicians covering pediatric weight management are always on call to answer questions and provide consultation.
For urgent calls during business hours, call the divisional office at 919-620-5394 or 866-530-5356. For physicians requesting consultations or making referrals, please call the division office at 919-620-5356 or 866-530-5356 and speak with Kim. Referrals are accepted from providers, but family members may also call directly to set up an appointment. There are many ways you can help to support research and treatment for childhood obesity-related conditions. Nike is an official sponsor of the Healthy Lifestyles Program and provides patients with Nike gear and gift cards as incentives for improving their lifestyles. This book is a great tool for educators who use garden programs to teach students about health, nutrition, food safety, and wise decision-making skills. JMG engages children in novel, “hands-on” group and individual learning experiences that provide a love of gardening, develop an appreciation for the environment, and cultivate the mind. The Healthy Lifestyles Program seeks to answer this challenge by offering caring providers, family-centered treatment programs, highly trained educators and researchers, and strong community partnerships.
One-third of children and adolescents in the United States are overweight or obese, and the dramatic rise in the prevalence of pediatric obesity has been predicted to lead to a decline in overall life expectancy. This program is offered in conjunction with the Duke Metabolic and Bariatric Weight Loss Surgery Center of Excellence. We partner with many local organizations to move toward our shared goal of a healthy tomorrow.
It is located at Edison Johnson Community Center on Murray Avenue in Durham (adjacent to the Museum of Life and Science).
Healthy Lifestyles Girls on the Run is a character development program for girls ages 8-12 years.
Healthy Lifestyles conducts community awareness and education programs throughout the Triangle, including school and preschool teaching, a childhood wellness-promoting media campaign, and appearances at large community events, such as health fairs and the North Carolina State Fair.
You may also contact the Duke Consultation and Referral Center at 800-MED-DUKE (800-633-3853) or fax a referral form [PDF, 216KB] to 919-471-6930.


Concerned individuals, companies and organizations have made it possible for Duke University to continue its research efforts and programs to aid those with childhood obesity and their families. Obese children are at high risk for dyslipidemia, hypertension, and type 2 diabetes mellitus.
More than 5,000 families have received care from the Healthy Lifestyles clinic, and those who complete approximately one year of treatment show a significant drop in body mass index, body fat percent, blood pressure, and cholesterol, as well as an increase in self-esteem and nutritional knowledge. If you are interested, please check first with your insurance plan to verify that it is NOT an excluded benefit in patients under the age of 18. Healthy Lifestyles has partnered with the Triangle Girls on the Run chapter to host its own Girls on the Run team, open only to Healthy Lifestyles participants. Bull City Fit is free, open only to Healthy Lifestyles Clinic families, and involves a wide variety of programming, including fitness instruction, dance, sports, moderated peer support group sessions, gardening, cooking classes and more. Twelve-week sessions are held twice a year and culminate with a 5k fun run and celebration. Given the large number of children who are overweight or obese, there is an overwhelming need for effective treatment for overweight and obese children. For these patients, and those who do not succeed with the standard intervention, we offer advanced treatments including specialized diets, pharmacotherapy and surgical options for qualifying adolescents.
Please bring your child fasting (nothing to eat or drink except sips of water for at least eight hours prior, or midnight the night before the visit) to this appointment. If your child is not appropriate for a group setting for any reason, please call the Healthy Lifestyles Program Coordinator at 919-620-5394 to discuss. Return AppointmentsFollowing this initial visit, you will be scheduled to return within two weeks to meet with your individual Healthy Lifestyles team which will include a medical provider and a registered dietician specializing in childhood weight management. You will be offered the option of meeting with a pediatric physical therapist and a mental health provider specializing in eating behaviors at any time during the year-long intervention.
Some people prefer more intense, frequent visits; others feel they need time to work on changes and would rather have fewer appointments.



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