Childhood Obesity Flashcards
What centile on a growth chart is classed as overweight?
91st or above
What centile on a growth chart is classed as obese?
98th or above
What condition in childhood/adolescence is always caused by obesity?
Type 2 diabetes
What are some management options for a childhood obesity problem in a family who are willing to change?
Healthy eating, physical activity, behaviour advice. Refer to local childhood obesity services if they meet the guidelines.
How do you calculate BMI?
Weight in kg divided by (height in metres) squared
What are some endocrine causes of obesity?
Hypothyroidism, hypogonadism, lack of growth hormone, hypopituitarism, Cushing’s
What are some inheritable disorders which can cause obesity?
Fragile X, Prader-Willi syndrome, Down’s syndrome, DMD
If a child is undergoing management for obesity and succeeding, what would you expect their growth chart to show?
It will stay the same (you don’t expect them to be dropping centiles because obviously they are still growing)
How much physical activity should a child > 5 do in a day?
1 hour
How much physical activity should a child < 5 who can walk do in a day?
3 hours
How much screen time should children be allowed in a day?
2 hours
By what age is the consultation about lifestyle changes for obesity aimed mostly at the child instead of the parent?
By 8 years
By what age is the consultation about lifestyle changes for obesity undertaken with only the child and no parent (for the most part)?
13 years
Which children qualify for treatment with orlistat?
Severely obese (> 99.6th centile) adolescents, with comorbidities, attending a specialist clinic
What needs to happen in terms of monitoring for adolescents on orlistat?
Need regular reviews, including careful monitoring for side effects
