Growth Charts Flashcards

1
Q

Growth charts are used to plot what?

A

weight, head and head circumference against the normal distribution

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2
Q

How is a growth chart set up?

A

x - axis = age
y - axis = weight, height, and head circumference

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3
Q

Growth charts have curves that depict what?

A

a normal distribution of growth over time

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4
Q

50th centile on a growth chart means what?

A

Basically average for age

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5
Q

What does 1% centile mean?

A

Shorter, weighs less, smaller head circumference than 99% of population

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6
Q

What does a 95% centile mean?

A

Taller, weighs more, greater head circumference than 95% of children that age.

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7
Q

It is important for a child to do what in regards to centile?

A

Maintain their centile

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8
Q

What are the phases of growth for children?

A

first two years: growth driven by nutritional factors
2 years to puberty: steady slow growth
during puberty: rapid growth driven by hormones

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9
Q

Overweight is defined as?

A

a BMI over the 85th percentile

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9
Q

Obesity in children results from?

A

consuming more calories than expended through activity and growth

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10
Q

Obesity is defined as?

A

a BMI over the 95th percentile

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11
Q

Why has obesity increased?

A

acess to readily available, affordable, hyperpalatable, high calorie foods and overconsumption, shift from physical activities to sedentary activities

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12
Q

Obese children are often?

A

Tall for age, and come from overweight families

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13
Q

Short obese children should be worked up for?

A

endocrine investigations for underlying cause like hypothyroidism

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14
Q

Biggest immediate effect of obesity in children is?

A

bullying

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15
Q

Obese children are at a greater risk of developing?

A

impaired glucose tolerance, type 2 DM, CVD, arthritis, and certain types of cancer