Question

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CASE STUDY: WEIGHT Seven-year-old Timothy's mother takes him to his pediatrician for his annual checkup. His weight is 68 pounds (31 kg), plotted at the 95th percentile, and his height is 50 inches (127 cm), between the 75th and 90th percentiles for his age. His body mass index of 19.25 kg/m2 plots at the 95th percentile for his age. His growth percentiles have been increasing over the last several years. Timothy's mother expresses concern to the pediatrician about her son's weight. His older and younger brothers are both thinner than Timothy. Timothy's mother is obese, but his father is a normal weight for his height. Timothy is in the second grade. He rides the school bus to and from school. He participates in the School Lunch Program at his school, but his parents give him extra money in case he wants to buy some additional a la carte food items from the cafeteria or items from the vending machines. After school, Timothy and his brothers stay in their home with a babysitter until one of their parents returns home from work. Timothy usually watches TV or plays video games after school. His parents leave snack foods-chips, cookies, and sodas-in the house for their sons to have after school. His mother usually prepares their evening meal, which consists of a meat, starch, vegetables, and a dessert item. After dinner, Timothy does his homework and then usually watches more TV with his parents. He usually has a dish of ice cream before going to bed. Questions: How would you categorize Timothy's weight? Like Timothy's mother, are you concerned about him? If so, what, specifically, are you concerned about? What would you recommend to Timothy's mother (and father!). I

Answer 1

Thimothy's weight categorization

Weight: 31 kg.

Height: 127 cm

BMI : 19.25

Thimothy's Body mass index for age is 19.2 at 95th percentile in growth chart. This indicates that his weight is coming under obese category.

Thimothy's weight indicates that he is an obese child. This information and Thimothy's daily routine really  gives much concern not only to his mother but any health worker, who knows the adverse effects of Childhood Obesity.  

Obesity is a state of being obese due to an excess of body fat. weight Childhood Obesity is a serious condition which leads to various other co- morbidities like Diabetes Mellitus, hyperlipidemia etc. The main risk factors of Childhood are genetic factors, unhealthy eating patterns, inadequate physical activity or may be due to some hormonal conditions. Thimothy's case history shows that he is at risk for Obesity as his mother is an obese person. But the unhealthy eating patterns and lack of physical activity are very much evident, that really gives the concern.

Childhood Obesity affected approximately 13 million children in Us. Childhood Obesity put the children into the risk of various chronic diseases such as cardiovascular diseases, Diabetes Mellitus, abnormal bone growth, musculoskeletal problems and also causes psychological stress in children. This may affect the quality of life of children.

Recommendations to Thimothy's mother:

Express your concern to his mother and Encourage her that she and her husband can manage the child 's health, if they put a little effort to attend the child as the early diagnosis can help the initiation of interventions to control child's weight.  

Tips for the mother ( explain to her the causes and effects of Childhood Obesity, as mentioned above):

* Family should have a balanced diet according to My Plate guidelines. ( Inclusion of whole grains, vegetables and fruits in the diet)

* Encourage physical activity such as out door games and sports activity at least half an hour daily.

* Discourage gaming behaviours, video games, it has a harmful effect for both physically and psychologically.

* Discourage frequent snacking, resrict extra money to spend on snacks and sofy drinks. Discourage the use of vending machine.

* Encourage for veggies snacks and adequate drinking of water.

* Don't give food or snacks while watching TV or computer .

* Include the children while buying vegetables and fruits and also in preparation of diet and food items.  

* Add lean meat and fish in the diet, reduce oily fried items.