I received this on Medscape for Nurses yesterday. It seems to me to be valuable information for those in the lactation community as well, and also may be a path to some CE credit through professional organizations. (It is free to sign up for Medscape, and you can cancel when you no longer want it.)

 http://www.medscape.org/viewprogram/32316
 
<Clinical Insights: Prevention and Management of Obesity-Related Comorbidities in Children CME/CE 
Sandra G. Hassink, MD; Daniel L. Marks, MD, PhD; Amy R. Sternstein, MD
CME/CE Released: 01/31/2012; Valid for credit through 01/31/2013

Continue to CME Activity This activity is intended for clinicians such as physicians, nurse practitioners, school nurses, and dietitians as well as coaches, teachers, and daycare providers.
 
The goal of this activity is to review comorbidities associated with pediatric obesity and provide strategies for their prevention and management.
 
Upon completion of this activity, participants will be able to:
1.Identify serious obesity-related comorbidities and the risk factors that are associated with their development in children who are overweight or obese.
2.Describe specific strategies used by clinicians who successfully diagnose and manage obesity-related comorbidities in children
 
Part 1. Comorbidities in Childhood Obesity: A Special Focus on Type 2 Diabetes Mellitus 
Part 2. Eating for 2: Maternal Nutrition and Childhood Obesity 
Part 3. An Ounce of Prevention is Worth a Pound: Shaping the Habits that Shape the Child >
 
 
Part 2 gives conclusions gained partly from fascinating research concerning the lifetime-health fall-out of the Dutch Hunger Winter during WW 2.  Of particular interest to me was this new information: 
 
<. . . . . . .the role of breastfeeding in childhood metabolic programming and flavor preference modeling, and then very briefly mention a few developmental aspects of how children learn to eat. . . . sample biopsy from a liver of a developing nonhuman primate is stained with a red stain to show fat. If the primate “mom” is on a typical high-fat “Western” diet, there is tremendous deposition of this red stain in the liver of the baby as it develops. In fact, the baby is developing fairly severe fatty liver disease before it is even born.. . . . . . .We can show, for example, that during lactation, infant fatty acids are very strongly linked to maternal fatty acids and that this is conveyed via the breast milk. So, if we look back at that n-6 to n-3 fatty-acid ratio, the higher it is in mom, then the higher it is in the breast milk and the higher it is in the baby. So, the bottom line is, if mom is consuming unhealthy fats, so is the baby and that is reflected in their development.>


K. Jean Cotterman RNC-E IBCLC
WIC Volunteer     Dayton OH

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