child healthy weight Flashcards
healthy range BMI for over 18s
18.5-25
overweight BMI for over 18s
25-30
what are some risk factors for being overweight at 3 years
- parental overweight
- black ethnicity
- greater birthweight
- smoking during pregnancy
- lone motherhood
- prepregnancy overweight
- materal employment >21hrs/week
- solid foods before 4 months
- genetics
what are the two most common genetic causes of severe obesity
- prader-willi syndrome
- bardet-biedl syndrome
how does prader-willi syndrome present
in babies
- very floppy
- ability to suck is weak or absent
- tube feeding common
childhood
- hyperphagia
- reduced energy requirements due to low muscle tone
- learning difficulties
- hypogonadism
- short stature
clinical assessment for weight
- BMI
- eating habits
- physical activity
- screen time
- social circumstances
- school history
- emotional/psychological issues
- family support
- stature of close family relatives
- family history
what children are automatically referred for paediatric review
- serious obesity-related morbidity that requires weight loss
- children with suspected underlying medical cause of obesity
- children under 24 months who’s BMI is >= 99.6th centile
what does orlistat do
inhibits gastric and pancreatic lipase to reduce absorption of dietary fat
GI side effects of orlistat
- oily stools
- faecal urgency
- nausea
- abdo pain
who should get orlistat
adolescents with very severe to extreme obesity (BMI >3.5 SD above median) or severe obesity with comorbidities
surgical management of obesity
- LAGB
- RYGB
- LSG
what is LAGB
-acts like a belt around the top of stomach to create a small pouch thus limiting the amount of food eaten
what is an RYGB
top section of stomach divided off by staples to form small pouch
-new exit from pouch made into Y loop from small intestine so food bypasses old stomach and part of small intestine
what is LSG
divides stomach vertically from top to bottom to reduce size of stomach by around 75%
