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By
Bosede A
Christiana I
Honorine M
Objectives
Background
Body Mass Index equal to or greater 95th percentile OR
''abnormal or excessive fat accumulation that presents a
risk to health'' (CDC, 2014).
Childhood obesity has more than doubled in the past 30
years from 7% in 1980 to 18% in 2012 among children
between the ages of 6-11 (CDC, 2014)
An obese child has a 70% chance of becoming an obese
adult (Fletcher, Cooper, Helms, Northingtion, & Winters,
2009)
1/3 of American children who are overweight or obese,
are at an increased risk for obesity-related health
problems (Koh, 2010; Centers for Disease Control and
Prevention).
Background Cont
80% teens do not eat fruits and veg, 63% do < the
recommended 60min/day, 5days/wk of physical
activities, 33% watch >3hrs of TV, 25% spend > 3hrs on
nonacademic computer and game activities (CDC,
2013)
Hospitalizations associated with obesity in children
increased from 2.1% from 1981 to 4.8% during 19971999,costing society about $150 billion every year
(Orszag, 2010; Trasande & Elbel, 2012 ).
The current First Lady of the U.S, Michelle Obama, has
directly acknowledged this epidemic and launched a
national campaign in February 2010 (Stolberg, 2010).
Screening Test
BMI
History of dietary behavior, physical activities, family history
PE: BP , distribution of adiposity, comorbidities
Test: Fasting lipid level, thyroid function test, AST and ALT,
fasting serum glucose
Differential diagnosis
Acromegaly
Ascites
Cushing Syndrome
Hirsutism
Management
Life style modification
Self-monitoring of caloric intake and physical activity, goal
setting, stimulus control, nonfood rewards, relapse prevention
Surgery
Bariatric surgery
Questions