The Educated Patient Podcast: Tackling Childhood Obesity Early

In this episode of The Educated Patient Podcast, Shagun Bindlish, M.D., a diabetologist with One Medical Group in California, discusses the growing epidemic of childhood obesity and the urgent need for early intervention. She emphasizes that obesity is not simply a matter of weight but a chronic disease with long-term consequences, including Type 2 diabetes, fatty liver disease, heart disease, and mental health challenges such as low self-esteem and bullying.

Bindlish highlights a critical shift needed in how we approach this issue: moving from blame to empowerment. Too often, children and families experience stigma and denial around obesity, which delays important interventions. She stresses that support, education and small, sustainable changes can transform not only a child’s health but also the well-being of the entire family.

Family dynamics play a major role in shaping health habits. Children rely on parents and caregivers for food choices, activity levels and emotional support. Bindlish explains that conversations about health should go beyond the number on the scale, focusing instead on “nonscale victories,” such as improved sleep, energy levels, confidence and healthy routines.

She also emphasizes the importance of early prevention, starting in preschool years, where exposure to healthy foods, limiting processed products and establishing routines around physical activity can help set children on a healthier path. The impact of social media, screen time and misinformation is another challenge that must be addressed through family and community support.

On the topic of GLP-1 medications, such as semaglutide, Bindlish sees them as a potential tool for adolescents with obesity complicated by other health conditions, but stresses that they are not a “magic pill” and must always be combined with lifestyle changes, medical supervision and family support.

Looking forward, Bindlish is excited about initiatives that bring obesity education into schools and communities, reducing stigma and fostering healthier environments for children. Her central message is one of empowerment: Prevention is possible, and by addressing obesity with compassion and proactive care, we can improve both individual and family health for generations to come.