By Sandra Gibson Hassink MD
This convenient, sensible consultant offers clinicians with a complete method of the clinical administration of obese childrens and children. assurance starts off with the epidemiology, pathophysiology, and developmental points of kid and adolescent weight problems and a consultant to assessment of overweight little ones. next chapters handle breathing, cardiovascular, endocrine, metabolic, orthopaedic, gastrointestinal, renal, and neurologic issues and comorbid stipulations in addition to psychological well-being matters, acute obesity-related emergencies, and weight problems as a part of genetic syndromes. Pathophysiology is associated with medical presentation, assessment, and remedy, and way of life matters are mentioned the place acceptable. Highlighted containers and algorithms support clinicians locate and digest details quickly.
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Extra info for A clinical guide to pediatric weight management and obesity
Parents were encouraged to assume a leadership role in the environmental change, allowing for appropriate granting of a child’s autonomy in modifying family and child nutrition and activity (18). Parenting skills that target gradual increases in activity and reduction in highfat, high-calorie foods are considered essential in obesity treatment (19). ACTIVITY OPPORTUNITIES Energy expenditure is the other modifiable component of the energy equation. Energy expenditure in childhood and adolescence varies with developmental stage; opportunities in the community for physical activity; and family, school, and peer influences.
Body mass index-for-age percentiles: girls 2 to 20 years. 3. Weight-for-length percentiles: girls birth to 36 months. ) 5592_LWW_Ch05pp039-050 9/22/06 7:34 AM Page 43 EVALUATION OF THE OBESE CHILD 43 FIG. 4. Weight-for-length percentiles: boys birth to 36 months. ) 5592_LWW_Ch05pp039-050 44 9/22/06 7:34 AM Page 44 PEDIATRIC WEIGHT MANAGEMENT AND OBESITY In addition, weight gain may often accompany stressful situations in a young person’s life, such as the following: • • • • Parental divorce Family illness Difficult school change Onset of depression (4) Examining the child’s situation at the time weight gain occurred may give direction to the kind of intervention required to regain energy balance.
Factors affecting energy balance in children and adolescents • Genetic predisposition • Requirements for growth • Interactions with the nutritional environment • • • • Family influences Activity opportunities Motor development Emotional/psychological states 30 5592_LWW_Ch04pp030-038 9/22/06 3:42 PM Page 31 OBESITY IN CHILD AND ADOLESCENT DEVELOPMENT 31 Energy Balance in the Child Early feeding Portion sizes Eating frequency Family eating patterns High-calorie beverage consumption Genetic Predisposition Intrauterine Environment Growth Motor development Family activity Screen time Physical education Built environment Energy Expenditure Energy Intake FIG.
A clinical guide to pediatric weight management and obesity by Sandra Gibson Hassink MD