Obesity

Question 1

what does a child’s weight in the 91st or above centile indicate?

Answer 1

overweight

Question 2

what does a child’s weight in the 98th or above centile indicate?

Answer 2

obese

Question 3

what does a child’s weight on the 99.6th centile indicate

Answer 3

severe obesity

Question 4

risk factors for being overweight by the age of 3

Answer 4

parental overweight
greater birthweight
smoking during pregnancy
lone motherhood
pre-pregnancy overweight
maternal employment more than 21 hours a week
solids before 4 months as breastmilk is protective

Question 5

example of a genetic cause of obesity

Answer 5

Prader-Willi syndrome

Question 6

presentation of Prader-Willi at birth

Answer 6

floppy
ability to suck/wean is absent
feeding tube

Question 7

presentation of Prader-Willi in childhood

Answer 7

hyperphagia
reduced energy requirements due to low muscle tone
learning difficulties
hypogonadism
short stature

Question 8

when to refer for paediatric review

Answer 8

severe obesity-related morbidity that requires weight loss e.g. sleep apnoea
suspected underlying cause e.g. endocrine
under 24 months with BMI 99.6th centile

Question 9

pharmacological management of obesity

Answer 9

orlistat

Question 10

when is surgery considered?

Answer 10

post-puberty