Question

Help !!!!! Please TWO PHOTOS !!

What should her mother watch for to determine whether Samuel is hungry or needs something else (i.e., comfort). (1 point) Part I1: Nutrition During Childhood Seven-year old Emily's mother took her to the pediatrician for her annual check-up. Her weight is 72 pounds and her height is 51 inches. Emily's mom is concerned about her daughter's weight. Her current weight-for-age plots at the 95th percentile and her height-for-age plots between the 75th and 90th percentile. Her BMI-for-age percentile is at the 92nd percentile and it has been increasing over the last 3-4 years. (Her BMI at 3 yr old was at the 70th percentile and her BMI at 5 yr old was at the 85th percentile.) Her siblings, one younger and one older, are much slim than Emily and don't have as much of an appetite as Emily, so they tend to eat less. Emily's mom is obese and has struggled with her weight for many years, but her father is at a healthy weight for his height. Emily is currently in second grade and rides the bus to and from school every day. She participates in the School Lunch Program every day, but her parents give her some money in case she is still hungry and wants to buy additional a la carte food items from the cafeteria. After school Emily and her siblings stay at home with a sitter until one of the parents comes home

Answer 1

1. Ans

• Emily's body size based on her BMI for age percentile is Obese.
• The trend of her graph increased significantly with age over past 5 years from healthy weight to over weight and obesity.

2. Ans

• Suggest Emily's parents about healthy foods and to drink alot of water. Limit the intake of sugar sweetened beverages and consumption of saturated fats and serve small sized portions of food. Encourage to provide vegetables, fruits and whole grain products and to include low fat dairy products.

3. Ans

• Emily's parents should be suggested not to place the child on weight reduction diet prior to the health provider consultation. Also to participate in physical activities by limiting the screen time and make sure Emily gets adequate sleep.

4. Ans

• It is significant that Emily's mother is obese because the diet plan of the family shows the consumption of meat, saturated fats and large sugar intake. The family spends time by watching TV and not having physical activity. This inreturn causing obesity or risk of obesity in the family.

BMI BMI-for-age percentiles: Girls, 2 to 20 years 34 31 31 30 30 Girls 26 25 24 24 Emily's growth (BMI for age) 3 years- brown 5 years- green 7 years- red 50 21 20 20 25 19 19 10 18 18 Weight Status Percentle 15 Underweight | s.rcentile per- 385th-95th range thon 5th esh p 15 14 eclthy Weight cen 13 Overweightpercentile Obesilty 95th percentile kg/m kg/m Age (Years) DC