Child Healthy Weight

Question 1

what are the limitations of using BMI to measure children with obesity/underweight

Answer 1

growth in height not always matched by proportionate increase in weight
also growth spurt occurs earlier than in girls than boys

Question 2

how is BMI measured in children under 2

Answer 2

using BMI conversion chart

Question 3

what threshold is used to class overweight and obese children on weight chart

Answer 3

overweight = above 85th centile
obese = above 95th centile

Question 4

what is the threshold used for children that require medical intervention for weight

Answer 4

those in/above 91st or 98th centile

Question 5

describe the correlation between deprived areas and children weight

Answer 5

the more deprived an area is the greater the incidence of obese and overweight children

Question 6

what are some of the negative consequences of overweight and obesity in children

Answer 6

poorer health as child and adult, low self esteem, higher likelihood of bullying, poorer school attendance, poorer employment

Question 7

what are the physical activity guidelines for those 5-18 years old

Answer 7

60 mins of activity every day across the week

Question 8

what general lifestyle measures should be advised for healthy weight in a child

Answer 8

encourage physical activity, reduce sedentary time, reduce/limit screen time, get enough sleep

Question 9

what is always first line form of treatment of being overweight/obese

Answer 9

lifestyle and dietary intervention

Question 10

what pharmacological treatment may be used for obesity

Answer 10

orlistat

Question 11

when should orlistat be considered in adolescents, based on guidelines

Answer 11

only if weight >/= 3.5 SD or >99.6th centile

basically if severe obesity

Question 12

when may surgery be considered in adolescents

Answer 12

in sever obesity, in child who has undergone puberty and the benefits must outweigh the side effects/complications