healthy weight

Question 1

what is healthy BMI, overweight BMI, obese BMI?

Answer 1

healthy = 18.5-25 kg/m
overweight = 25-30 kg/m
obese = >30 kg/m

Question 2

what are 2 examples of genetic causes of obesity in kids?

Answer 2

• prader willi syndrome (hyperphagia, learning difficulties, hypogonadism, short stature- very floppy at birth, trouble sucking to eat, tube feeding common)
• bardet biedl syndrome ( visual impairment, renal abnormalities, polydactyly, learning difficulties, hypogonadism, obesity)

Question 3

how do BMI in child?

Answer 3

plot on centile chart of appropriate age & gender

Question 4

when should you refer for paediatric review in obesity?

Answer 4

• serious obesity related morbidity needing weight loss
• children with suspected underlying medical cause of obesity e.g. endocrine
• children under 24 months who are severely obese (>99.6 centile)

Question 5

what are some extreme management done if super severe obesity in kid?

Answer 5

• orlistat medication
• surgery if in post pubertal adolescent