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Peds 2 (Exam 3) > Healthy Weight and Nutrition > Flashcards

Healthy Weight and Nutrition Flashcards

1
Q

what are the qualifications for an adult to be considered obese?

A

BMI above 30, or about 30 pounds overweight for a 5’ 4” person

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2
Q

when does universal screening for BMI start?

A

age 2 (when it becomes reliable unit of measurment)

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3
Q

what is BMI categorization based on?

A

age and gender

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4
Q

what is the BMI of an adult who is severely overweight?

A

over 40

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5
Q

what is the cutoff for childhood BMI for obesity?

A

30

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6
Q

how many kids, age 2-19 are overweight? how many are obese?

A 
overweight = 31.7%
obese = 16.9%
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7
Q

since 1970, how has the number of obese kids 6-11 changed?

A

it has quadrupled

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8
Q

since 1970, how has the number of obese teens 12-19 change?

A

it has tripled

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9
Q

what are the racial groups that have the highest number of obese ppl?

A 
black girls (24%)
mexican boys (22%)
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10
Q

what age group of obesity is the most closely linked to more morbidity and mortality as they age?

A

adolescent

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11
Q

what is the cost of obesity?

A

~120 billion $

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12
Q

what are some genetic things that can cause obesity?

A
  • family ties

- prader willi, down syndrome, turner syndrome

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13
Q

what are some hormonal conditions that can lead to obesity?

A
  • hypothyroidism
  • cushing syndrome
  • GH deficiency
  • danage to CNS
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14
Q

rare, autosomal recessive condition that includes inferrtility and T-cell defects and recurrent infections. has early onset morbid obesity and high fat mass

A

Leptin deficiency

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15
Q

what is more severe, Leptin deficiency or Leptin receptor deficiency?

A

receptor

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16
Q

what is the key determinant to childhood obesity

A

energy balance

17
Q

what is the energy balance dependent on?

A
  • parental BMI : SES and parental education
  • built environment : urban sprawl, safety, grocery stores
  • sedentary lifestyle : TV, video games, computer, texting
  • energy dense nutrient poor foods
  • poor distortion
  • daily convieniences : snack food
  • psychological issues : depression,
18
Q

what is it called if you are in the 85 percentile for weight?

A

overweight

19
Q

what is it called if you are in the 95 percetile for weight?

A

obese

20
Q

what is it called if you are in the 99th percentile for weight?

A

severe/morbidly obese

21
Q

is a sign of insulin resistance that has a velvety texture, has many false positives, and may fade with weight loss

A

acanthosis nigricans

22
Q

is BMI or insulin a better was to screen for obesity?

A

BMI

23
Q

is there a connection between a high glycemic index and dental disease?

A

yes, fermentable carbs, such as refined wheat flour, potatoes, rice, and pasta convert into simple sugars in the mouth. simple sugars are then converted to plaque

24
Q

does the level of oral inflammation correlate directly with BMI?

A

yes

25
Q

are there any gender differences for the chance of getting dental caries?

A

no

26
Q

regarding stages of childhood obesity management, what is stage one?

A

primary care provider office

27
Q

regarding stages of childhood obesity management, what is stage 2?

A

primary care office with allied health provider (dietician)

28
Q

regarding stages of childhood obesity management, waht is stage 3/

A

intensive care with multidisciplinary team

29
Q

regarding stages of childhood obesity management, what is stage 4?

A

bariatric surgery, very low caloric diets, meds

30
Q

what are some recommendations to help an obese child with dental problems?

A
  • encourage regular nutritious meals and avoid snacking
  • use fluoride toothpaste if over 7
  • dental sealants
  • brushing 2X a day and flossing
  • regular dental exams
31
Q

what is the goal for selecting food choices?

A

no just to take it out, but give options for its replacement

32
Q

what is the max a kid should watch TV

A

2 hours apparently

33
Q

what are the benefits of adolescent bariatric surgery?

A
  • lower operative costs
  • earlier resolution of comorbidities
  • lower achieveable weight loss
  • earlier improvement in depression and quality of life measures
34
Q

what are the weight loss surgery options?

A
  • gastric bypass
  • gastric sleeve
  • adjustable gastric band

Peds 2 (Exam 3) (9 decks)

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