pediatric obesity Flashcards
Most common chronic disease of childhood
pediatric obesity
Definition of pediatric obesity
overweight: BMI 85-95%. obese: BMI > 95%
Which population has the highest percentage of childhood obesity?
native american
Meds that may cause weight gain
sulfonylureas, TCAs, contraceptives, risperidone, clozapine
Risk of obesity if one or both parents are obese
3x if one obese. 10x if both parents are obese
Most concerning consequence of childhood obesity
adult obesity
Brown to black, poorly defined, velvety hyperpigmentation of the skin usually found in body folds
acathosis nigricans
Percentage of children diagnosed with HTN who are obese
60%
Large vacuoles of triglyceride fat accumulate in liver cells via the process of steatosis
hepatic steatosis
Fracture through the growth plate
slipped capital femoral epiphysis
Most effective tool for the assessment of overweight and obese children
BMI
Labs for obese patients
hgb A1C, TSH, lipid panel, CMP
A theory that the body maintains its normal weight and body fat level with internal regulatory controls that dictate how much fat we store
set point theory
First step in treating childhood obesity
achieve weight maintenance
Maximum recommended daily calorie intake for children, teen girls, active women, sedentary men
2200
