Childhood obesity is difficult .
It’s difficult for parents.
It’s difficult for children.
It’s difficult to talk about .
It’s difficult to deal with .
It’s difficult because unlike other medical issues this will need family to change their lifestyle habits
In the childhood obesity series I have talked about the following:
Paediatric obesity needs medical assessment.
You need to record the weight and height ,family tree.
Medical history of child.
Screening height and physical factors.
Parents will need screening for cigarette smoking.
Child will need complete physical examination and laboratory test.
What tests are needed for assessment ?
Anthropometry weight status based on BMI.
There are steps to identify obesity risk factors.
BMI is a screening tool not diagnostic tool.
What is ABCD of medical nutrition assessment for childhood obesity?
A for anthropometry based on BMI
B for biochemical tests.Laboratory signs.
C fot Clinical signs.
D for diet and activity
Plotting BMI on growth charts helps your doctor track growth over time and significant weight changes.
Blood test recommended American Academy of Pediatrics
- Thyroid stimulating hormone
- Glycated hemoglobin
- Liver function test
- Lipid profile
- Vitamin D screen maybe needed
Tests are repeated every 2 months.
How to assess diet and physical activity ?
Behaviour with food and diet is checked using two methods .
Record 24 hour recall of food.
Frequency questions .
The child is asked to list the food items portion size and brands.
Food frequency questions help to find out how often a child eats .
How often veggies or cookies are eaten?
Whether family eats with family or all alone Eating infront of T.V or not
Snacking habits .Schedule snack or not.
Any history of forced feeding ?
Any bribing with food ?
How will your doctor assess physical activity?
Whether physical education activities at school.
Sports programs participation.
Active play after school.
Whether child gets hot and sweaty during any of the activities.
How much time watching TV and time spent using computers ,smart phones and other digital devices.
How is childhood obesity managed?
The model of managing children with obesity problems is called “Readiness to change Lifestyle behaviour model”.
This tests the families motivation to change.
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Get the plan to improve food habits in children
Originally posted 2016-10-17 20:46:38.Pages: Page 1 Page 2