Obesity_Flashcards

Question 1

Where is obesity managed, and when should referral for specialist paediatric assessment be considered?

Answer 1

Managed in primary care, only refer for specialist paediatric assessment if there are any complications or an endogenous cause is suspected

Question 2

What approach is used in managing obesity?

Answer 2

MDT (Multidisciplinary Team) approach

Question 3

When is treatment for obesity considered in children?

Answer 3

If the child’s BMI is above the 98th decile

Question 4

What is the main goal in managing obesity?

Answer 4

Weight maintenance, with BMI reduction achieved as height increases

Question 5

What are the key aspects of lifestyle modification for obesity management?

Answer 5

Healthier diet – regular meals, decreased portions, eating together as a family, nutrient-rich foods etc. Increase physical activity – aim for fun activities, family participation is encouraged, structured physical activity. Limiting television and other small screen recreational activities to less than 2 hours per day. Counselling

Question 6

When is pharmacotherapy indicated for obesity?

Answer 6

In a small subgroup of children over the age of 12 with extreme obesity

Question 7

What pharmacotherapy is used for obesity?

Answer 7

Orlistat – lipase inhibitor

Question 8

Is bariatric surgery considered for children with obesity?

Answer 8

Generally not considered