Managing Childhood and Adolescent Obesity

Question 1

Which percentile is classed as

a) Overweight
b) Obese

Answer 1

a) 91^st
b) 98^th

Question 2

How is BMI calculated?

Answer 2

BMI = Weight (Kg) / Height (M²)

Question 3

What are the main endocrine causes for obesity?

Answer 3

1. Hypothyroidism
2. GH insufficiency
3. Hypopituitarism
4. Hypogonadotrophic hypogonadism
5. Hypogonadism
6. Excessive corticosteroid administration
7. Pseudohypoparathyroidism
8. Craniopharyngioma

Question 4

Which inheritable conditions may be associated with obesity?

Answer 4

1. Prader-Willi syndrome
2. Down’s syndrome
3. Duchennes muscular dystrophy
4. Fragile X

Question 5

How physical activity is recommended for those under 5 years old?

Answer 5

3 hours per day

(children older than this require 1 hour)

Question 6

What is meant by the “obesogenic environment”?

Answer 6

Modern environment encouraging

1. Highly calorific and energy dense foods
2. Low levels of physical activity

Question 7

What is the limit to screen time per day for children?

Answer 7

2 hours

Question 8

Anti-obesity drugs such as orlistat should only be prescribed in which circumstances?

Answer 8

1. Severly obese adolescents
2. Comorbidities
3. Specialist clinic

Question 9

When would bariatric surgery be indicated for adolescents?

Answer 9

1. Post-puberty
2. Very severe/extreme obesity (BMI >/= 3.5SD above mean)
3. Severe comorbidities