Overweight and Obesity

Question 1

What is the definition of overweight?

Answer 1

Abnormal or excessive fat accumulation which may impair health, resulting from long term energy imbalance.

Question 2

How is BMI calculated <2 years

Answer 2

BMI conversion chart is used

Question 3

In those 2-18 years, BMI is plotted against what to give you the centile that child is in?

Answer 3

Age

Question 4

> 91st centile means what about the child’s weight?

Answer 4

Child is overweight

Question 5

> 98th centile means what about the child’s weight?

Answer 5

Child is clinically obese

Question 6

What is Prader Willi Syndrome?

Answer 6

Loss of the parental contribution of the proximal part of the long arm chromosome.

Question 7

What are signs of Prader Willi Syndrome in infacny?

Answer 7

• Hypotonia
• Poor feeding
• Genital hypoplasia
• Delayed motor milestones

Question 8

What are signs of Prader Willi Syndrome in childhood?

Answer 8

• Hyperphagia
• Obesity
• Short stature
• Behavioural problems

Question 9

What is the goal for treating overweight and obese children in terms of their weight?

Answer 9

Maintenance

Question 10

What is the recommended weight loss per month for a severely obese child

Answer 10

0.5-1 kg per month

Question 11

What is the recommended amount of physical activity children should be doing at ages:

• <5 not walking
• <5 walking
• 5-18 years

Answer 11

<5 not walking = encourage floor play, 30 mins tummy time
<5 walking = physically active for 180 minutes per day
5-18 year olds = 60 minutes everyday

Question 12

What is the name of a pharmacological treatment to aid weight loss in adults and how does it work

Answer 12

Orlistat - inhibits gastric emptying and pancreatic lipase activity to reduce absorption of dietary fat.