fat kids

Question 1

1 in __ fat by year 6

Answer 1

3

Question 2

risk factors for fat at 3

Answer 2

fat parents
black 
fat as baby 
smoking durng preg
single mother 
prepreg overweight
mum working >21hrs/wk 
solid food before 4mnths (breastfeeding protective)

Question 3

pader-willi syndrome (1:25000) is a disease which presents at birth as a child who is very __, unable/weak at __, however during childhood they are seen as beiing ___ (food seeking/lack of satiety) and reduced energy requirements due to low ___ __. These kids will have __ difficulties, a short ___ and hypogonadism

Answer 3

floppy
suck

hyperphagia
muscle tone

stature

Question 4

bardet-biedl syndrome (1:100,000) will also have hyperphagia (And so obesity) and hypogonadism, but will likely see __ impairment, renal abnormalities, ___ and __ difficulties

Answer 4

visual
polydactyly
learning

Question 5

reduction of >___ associated with significant decrease in insulin resistance

Answer 5

0.5

Question 6

assoc co-morbs of obesity

Answer 6

metabolic syndrome 
resp 
hip and knee probs 
diabetes 
CHD 
sleep apnoea 
HT

Question 7

referral made if under __ months and sev obese

Answer 7

24

Question 8

treatment goals for sev obese children

Answer 8

0.5-1kg/month

Question 9

orlistat is effective in treating obesity since it inhibits __ and ___ ___, reducing __ of dietary fat (30%)

the side effects are __ stools, faecal ___, nausea, __ pain.

It should only be prescribed in adolescents with a v.sev. obesity (BMI >___ above median) with comorbidities

Answer 9

gastric and pancreatic lipase
absorption

oily stools, faecal urgency
abdo

3.5SD