infant nutrition

Question 1

benefits to mum for breastfeeding

Answer 1

lowers risk of cancers, heart disease, obesity, osteoperosis- increase ca

Question 2

centile for high risk of overweight

Answer 2

85th
91rst

Question 3

centile high risk of obesity
clinical obesity

Answer 3

95th
98th

Question 4

when is BMI used in kids and what is used otherwise

Answer 4

age 2

BMI conversion chart to provide an approximate BMI centile

Question 5

is waist circumference used

Answer 5

no

Question 6

risk of kids in primary school risk of overweight and obesity

Answer 6

12%
1%

overall risk is 24%

Question 7

risk factors for childhood obesity

Answer 7

Parental overweight
Black ethnicity
Greater birthweight
Smoking during pregnancy
Lone motherhood
Prepregnancy overweight
Maternal employment ≥21 hrs/week
Solid foods before 4 months

Question 8

when to refer

Answer 8

serious co-morbidities related to obesity
genetic cause
under 2 yo obesity

Question 9

treatment

Answer 9

weight maintenance

Question 10

Sugar recommendations

Answer 10

Free sugars ≤ 5% daily dietary energy intake
Free sugars - added to foods plus those naturally present in fruit juices, syrups and honey.

Question 11

Physical activity guidelines <5 years

Answer 11

not walking - play

walking- 180 mins, spread throughout the day
On average extra 30-60 mins per day

Question 12

physical activity 5+

Answer 12

60m per day and strength

Question 13

orlistat

Answer 13

Inhibits gastric and pancreatic lipase to reduce absorption of dietary fat ~30%
GI side effects if not a low fat diet – oily stools, faecal urgency, nausea, abdo pain

only for teens
BMI 99.6

only above 12 is severe co morbidities