Dear Friends and Colleagues,
The Scientific Committee cordially invites you to register for this webinar that deals with perinatal and nutritional programming of blood pressure and hypertension in adolescents with severe obesity. We have assembled an outstanding international faculty of speakers to deliver state of the art lectures on these important topics. This includes Dr Julie Ingelfinger, Dr Mark Mitsnefes and Professor Piotr Socha. These talks are highly relevant to important issues of understanding and treating children and adolescents with raised blood pressure.
Dr. Julie Ingelfinger
Dr. Piotr Socha
Dr. Mark Mitsnefes
Professor of Pediatrics at Harvard Medical School, Senior Consultant in Pediatric Nephrology at MassGeneral Hospital for Children at Massachusetts General Hospital, and Deputy Editor of the New England Journal of Medicine, USA
Professor of Pediatrics and Gastroenterology in the Department of Gastroenterology, at the Children’ s Memorial Health Institute (CMHI) in Warsaw, Poland
Professor of Pediatrics, University of Cincinnati, Cincinnati Children’s Hospital Medical Center, Division of Nephrology and Hypertension, USA
This talk will describe the concept of perinatal programming, also called developmental origins of health and disease as it pertains to blood pressure during the lifestyle. I will discuss the pathogenesis as currently understood, and then will talk about identification of at-risk persons, as well as their follow-up and both preventive and possible active therapy.
Learning Objectives: The listener should be able to identify and discuss
1. The Pathogenesis and Putative Mechanism of Perinatal Programming.
2. The Identification and Follow-Up of At-Risk Persons.
3. Possible Therapy of At-Risk Persons.
There is growing evidence from observational and interventional clinical trials on long term effects of early diet in infancy on later health and developmental outcomes. Breastfeeding has been shown to support normal growth and protein intake additionally thought to be a major player. The evidence for metabolic programming is strong in relation to high protein intake but we do not have data strong enough for other nutrients. Still, it seems that microbiota in infancy could also play a role in metabolic programming of obesity.
The prevalence of severe obesity and its complications including hypertension is increasing in adolescents. Treatment of severe obesity is challenging and conventional therapy consistent of diet and exercise is frequently unsuccessful. Bariatric surgery becomes more acceptable option to treat severe obesity. In this talk, the effect of bariatric surgery on hypertension and other CV risk factors in adolescents will be discussed.