Kyung E. (Kay) Rhee, MD, MSc, MA, Assistant Professor of Pediatrics
Dr. Rhee is a pediatric hospitalist with special interest in childhood eating and weight related disorders. Specifically, she conducts research on the behavioral, cognitive and biologic factors contributing to the development and management of childhood obesity. She has multidisciplinary training in pediatric hospital medicine, childhood obesity, eating disorders, behavior modification and therapy, parent-child interactions, parenting skills training, motivational interviewing, epidemiology, and social psychology. Her work focuses on identifying novel targets for obesity prevention and treatment including, parenting styles, parent feeding behaviors, child eating behaviors, executive functioning, genetic and epigenetic influences, and gut peptides and the microbiome.
DR. RHEE Funding ACKNOWLEDGEMENTS:
- National Institutes of Health:
NICHD: HD057299 (PI: Rhee), R21HD074987 (PI: Rhee),
NIDDK: R01DK094475 (PI: Boutelle, co-I: Rhee)
- Rady Children’s Hospital (PI: Rhee)
- UCSD (co-PI: Rhee and Boutelle)
- USDA/Egg Board (co-PI Rhee and Boutelle)
About the Research
Childhood Obesity projects
1: Role of Parent feeding skills, parenting style and family functioning in pediatric weight loss
The purpose of this project is to determine the impact of parent feeding skills, parenting style and family functioning on children trying to obtain a healthy weight in a family-based weight control program, and to determine if there is variability in these components between families with overweight children and normal weight children.
2: Promoting Child Inhibitory Control Skills around Food (CHIC Play)
Given the growing evidence regarding inhibitory control skills and its role in the development of obesity, the purpose of this proposal is to develop a protocol that promotes executive functioning, particularly inhibitory control, in young children age 4-6 years old. We propose to test a play-based method of training preschool-age children to develop inhibitory control skills around energy-dense snack foods. This proposal will provide the basis for the development of a new and innovative means of treating/preventing obesity by focusing on higher-level executive functions.
3: Gut Microbiome, Adiposity and Probiotics (G-MAP)
The purpose of this project is to examine the effect of probiotics on the gut biome, adiposity and inflammatory markers in 7-16 year old children as they increase fruit and vegetable consumption and decrease fat intake.
4: Learning Theory to Improve Obesity Treatments (iROC)
The purpose of this application is to study extinction processes related to food cues, as a means of enhancing a cue exposure treatment (CET-Food) to improve obesity treatment for children. This project will evaluate key components of CET-Food in a series of laboratory studies, will conduct a proof of concept trial based on the laboratory studies, and will culminate in a randomized controlled trial comparing family-based behavioral treatment with and without CET-Food. This project could result in identifying basic behavioral mechanisms which can lead to promising childhood obesity interventions
5: Families and Breakfast study (FAB)
The purpose of this pilot randomized control trial is to examine the impact of eggs for breakfast on weight loss, hunger, and metabolic profile in obese children.
6: Factors in early infancy affecting weight gain
Using the Infant Feeding Practices Survey II, we are conducting several analyses examining early life factors such as breast feeding and antibiotic use on the weight gain trajectory of infants in the first year of life.
7: Improving Childhood Obesity Management in the Primary Care Setting: ICOM-PC
The goal of this study is to examine provider views on obesity management in the primary care setting and test the implementation of a Guided Self-Help model of treatment that can be delivered by health educators in the primary care setting.
8: Preventing Emotional Eating Routines in Adolescents: PEER
This project will test a newly developed model of obesity treatment for adolescent females who emotionally eat. Dialectical Behavioral Therapy and traditional Family-Based Behavioral Treatment for obesity will be combined to provide treatment for these teens and their mothers.
Eating Disorder projects
9: Safety and effectiveness of vegetarian refeeding diets among hospitalized adolescents and young adults with eating disorders
The purpose of this study is to examine whether the rate of refeeding and type of diet used to refeed anorexic patients impacts outcomes (including medical consequences and length of stay).
10: Changes in Gut microbiome among treatment seeking anorexic patients
The purpose of this study is to examine differences in the gut microbiome among sibling pairs who are discordant for anorexia, and how the microbiome of the eating disordered sibling changes with weight restoration.