Dr. Salcedo received her medical degree and master of public health from George Washington University. After medical school, Dr. Salcedo became a Fulbright Scholar where she conducted research on the growing prevalence of childhood obesity in Spain. Subsequently, she completed her residency in Pediatrics at Columbia University Medical Center. During residency, she was selected as a New Century Scholar from the Academic Pediatric Association while also serving as Chair of the Council of Residents and Board Member of the National Hispanic Medical Association (NHMA). Dr. Salcedo is a community-academic pediatrician at Union Community Health Center a Federally Health Qualified Center in Bronx, NY. Dr. Salcedo holds a faculty appointment as Assistant Professor of Pediatrics at The City University of New York (CUNY) School of Medicine. Dr. Salcedo’s research interest includes leading the development and implementation of childhood obesity prevention strategies specifically through healthy beverage initiatives.
Background: Residents of underserved communities, especially Blacks and Latinos, are disproportionately targeted by big soda companies. Youth participation in placed-based initiatives at worksites could prove useful in countering such marketing. Methods: In 2015, thirty-three youth participating a six-week summer employment program at an urban federally qualified health center (FQHC) assisted in the launch of the “Sugar Sweetened Beverage (SSB) Free Zone” at the FQHC. Through a train-the-trainer approach, youth received a formal education on SSBs; the youth created and implemented activities to educate and encourage staff along with patients to drink water and reduce their consumption of SSBs; in addition, the youth modeled positive SSB behavior throughout the health center. Results: The youth were 16.5 +/-2.0 years, 80.7% were female, 51.5% were Black, and 61.3% were Latino (n=31) showed that a greater proportion of youth correctly identified the sugar content of soda (57.6% to 87.1%; p-value = 0.0087) and that SSBs were related to liver disease (57.6% to 90.3%; p-value 0.0030). The frequency of drinking Iced-T (54.5% to 29.0%; p-value = 0.0389) decreased significantly. The proportion of youth motivated to consume water several times per day nearly tripled from 12.1% to 35.5% (p-value = 0.0275) and nearly all youth considered drinking less SSBs next year (66.7% vs. 96.7%; p-value = 0.0025). Conclusion: Involvement in a healthy beverage worksite environment may improve youth knowledge of SSBs, decrease consumption of some SSBs, and increase consumption of water. A relatively short worksite placed-based initiatives may result in favorable healthy behavioral changes and intentions among youth.
Background: Intracranial lesions (ICL) may effect hypothalamo-hypophyseal axis and lead to some neuro-endocrinological dysfunctions (hyperphagia, sleep disorders and hormonal dysfunctions). There’s very limited study about childhood obesity and ICL. Aim: Purpose of this study is to evaluate the incidence of ICL and their role in clinical symptoms and etiology in cases with morbid obesity (MO), who has admitted to the pediatric endocrinology department with this complaint. Method: One hundred twenty cases admitted to the pediatric endocrinology department with the complaint of MO in between 2002-2015 were included in this study. Detailed history and physical examination was performed, biochemical, hormonal parameters were evaluated. Contrast dynamic magnetic resonance imaging (CDMRI) was performed in order to visualize cranial pathologies. Results: 16.6 % of the patients had an ICL and 55% of these lesions were adenoma of the hypophysis. Prolactin levels were increased in the 6 patients but front hypophyseal hormone levels were in between normal range in the rest of the patients. Growth velocity of the patients was not affected. Conclusion: In our study incidence of ICL in children and adolescents with MO was much more higher than normal population. It’s an important finding that increment in body weight and body mass index appeared before clinical symptoms (especially decrement in growth velocity) in this cases. According to this data, we are of opinion that CDMRI is helpful in children with MO for early detection of the mass before it causes any clinical or neurological symptoms and prevention of future complications.