Centre of Excellence in Adolescent Severe Obesity

Obesity is recognized as chronic disease that affects over 10% of youth in Canada. As a chronic illness, obesity can affect other systems in the body and eventually lead to death when it is not managed.  Obesity is a complex condition that is influenced by a number of environmental, social, familial, and personal factors.  Therefore ‘quick fix’ approaches often result in only temporary weight loss, and is detrimental to the overall mental and physical health of the individual living with obesity.  A long-term, integrated treatment and management strategy is the best way to promote overall health and well-being.


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About the Program

Our interdisciplinary program provides comprehensive assessment and follow-up of patients with severe obesity. We offer a variety of treatment options including a pathway towards bariatric surgery

  • We are a tertiary care program dedicated to improving the lives and well being of adolescents living with the chronic disease of severe obesity.
  • We offer a comprehensive interdisciplinary assessment of severely obese patients including the consequences of this disease in the domains of physical, psychosocial and mental health.
  • We offer a variety of interventions aimed at producing behavioral changes that can lead to improved health.
  • We provide referrals to community partners for ongoing support.
  • We offer a pathway towards bariatric surgery, which is now understood to be an effective intervention for some patients.
  • We facilitate transition to adult care for patients needing on-going follow-up.
  • We strive to enhance knowledge and care for these patients through education and research.
To Refer a Patient

Referral criterion for the program:

A)    Patient must be 13 years or older

and

B)    BMI of >35 kg/m2  with major co-morbidities (i.e., type 2 diabetes mellitus, moderate to severe sleep apnea [apnea-hypopnea index>15], pseudotumor cerebri, or severe Non Alcoholic fatty liver disease (ALT >25)) 

or

C)    BMI of > 40 kg/m2  with other co-morbidities (e.g., hypertension, insulin resistance, glucose intolerance, substantially impaired quality of life or activities of daily living, dyslipidemia, sleep apnea with apnea-hypopnea index >5)

To refer a patient for evaluation, please complete the following referral form and fax it to 514-412-4319. For more information contact the Centre of Excellence in Adolescent Severe Obesity at 514-412-4481.

Assessment Clinic

Once referred to the program, the team will review the information provided to ensure the patient is eligible to be seen.  If so, the Administrative Assistant will contact the family to schedule a baseline assessment in order to better understand the needs of the patient.  The assessment will include blood tests, an electrocardiogram (captures heart rate and rhythm), pulmonary function tests (how well the lungs work), exercise testing, lifestyle questionnaires, and meeting with the different team members including the physician for a physical examination. The assessment may take up to several different visits to complete.  After the initial assessment, a follow-up appointment will be scheduled to share the findings with the family and patient and determine the most appropriate next steps. In addition, you may be invited to participate in one of our on-going research projects.

Our Team

The Centre of Excellence in Adolescent Severe Obesity at the Montreal Children’s Hospital includes a team of professionals from a variety of disciplines and departments.

Team members

Research

Our specialists are often pursuing research projects.  Families may be approached about participation in research aimed at improving our knowledge and treatment of patients living with severe obesity.  Participation in research is not required and refusal to be part of a study will not affect treatment in any way.

Partnerships

We are continually working to enhance our partnerships with credible community organizations willing and able to provide additional support services to patients living with Obesity.

Clinique 180          

Refer a patient 

To refer a patient for evaluation, please complete the following referral form and fax it to 514-412-4319. For more information contact the Centre of Excellence in Adolescent Severe Obesity at 514-412-4481.

 


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