Flashcards in Pediatric Obesity: Health Implications Deck (19):
BMI is less specific for ____________ in the 85th to 95th percentile.
"Severely obese" children have a BMI greater than the ________. Why is this an important delineation?
99th percentile; because in this range comorbidities rise sharply
___________ (a sign on the BMI chart) is predictive of future obesity.
Early nadir – happening around 3 years of age as opposed to the normal 4 years
What three things have been shown to be increased by childhood obesity?
- Carotid atherosclerosis
What is it called when obesity impedes lung opening?
Obesity hypoventilation syndrome
Acanthosis nigricans is thought to be caused by _________.
excess insulin acting on IGFR
Hypothyroidism is associated with what growth patterns?
Obesity and poor linear growth
Pain in the knee and groin in an obese child can be a sign of _________________.
slipped capital femoral epiphysis (SCFE)
What are the principles of motivational interviewing?
- Open-ended questions
- Roll with resistance
A BMI of greater than 120% of the 95th percentile corresponds to ________ in adults.
stage II obesity (this also approximates the 99th percentile in kids)
What percent of U.S. children are obese?
Weight-for-length charts should be used for children younger than _________.
What is the 5210 plan?
5 servings of fruits or vegetables per day
2 hours or less of screen time
1 hour or more of physical activity
0 sugar-sweetened beverages
What BMI range is considered healthy weight?
5th - 85th percentile
True or false: obesity is more common in adolescents compared to children.
70% of obese children had two or more of the following lab abnormalities: _______________.
- low HDL
- high LDL
- high blood pressure
- insulin resistance
What are some clinical signs that an adolescent female may have a syndrome that is the most common cause of infertility?
Hirsutism, oligomenorrhea, and acne (being signs of polycystic ovarian syndrome)
Pseudotumor cerebri is a complication of ____________.