Paed: Nutrition

Question 1

What are the 5 dietary guidelines?

Answer 1

1. Maintain healthy weight, exercise
2. Wide variety of foods
3. Limit sugar, saturated fat, salt, alcohol
4. Encourage breastfeeding
5. Care for food, prepare and store safely.

Question 2

Are reduced fat diary suitable for children under 2?

Answer 2

No!!!

Question 3

How much physical activity does a

2-5 yo need?

5-17 yo need?

Answer 3

2-5 years = 180 mins per day

5-17 years = 60 minutes per day

Question 4

Which nutrients are at risk?

Answer 4

1. Iron
   Teen girls need = 15mg/d
2. Calcium

Question 5

Are malnourished children more likely to become obese?

Answer 5

Yes later in life.

Consequences include:
Stunting, rickets, bone malformation, poor concentration,

Question 6

Which allergies persist thogihout life?

Answer 6

Nut, fish and shellfish allergies

Question 7

Which allergies get OUTGROWN

Answer 7

Milk, wheat, egg and soy

Question 8

What does Australia rank for obesity gor boys and girls around the world

Answer 8

Girls - 5th

Boys - 8th

Question 9

Preferred method for obesity evaluation?

Answer 9

BMI (high correlation with body fat %)

Question 10

What percentile is considered Obese?

Answer 10

95% percentile

85-95 = overweight

Question 11

Risk Factors for obesity

Answer 11

1. Higher in Aboriginal children
2. Increase with age
3. Urban living

Question 12

Medical complications of obesity

Answer 12

1. Pulmonary = sleep apnoea, asthma
2. CV = hypertension, dislipidaemia
3. Musculosketal = slipped capital femoral epiphysis
4. Endocrine = T2D, PCOS, metabolic syndrome( >97%ile, high HDL, high BP)
5. GI =NAFLD (75% OF CHILDREN!)
6. Psychological = social isolation

Question 13

Who should consider VERY LOW ENERGY DIET

Answer 13

1. adolescent with severe obesity, and related comorbidities
2. Not achieved weight loss through conventional approaches

Question 14

What does VLED consist of??

Answer 14

Intense
Short term
Calorie restrixtion (<800 kcal/day)