Reference no: EM133260501
A 10-year-old girl is brought to the office by her mother to discuss concerns about the child's weight, which is 59 kg (130 lb). Her height is 140 cm (55 in), giving her a body mass index (BMI) of 30 (>95th percentile for age). The remainder of the physical examination, including vital signs, is normal. The mother, who also has overweight, says she does not want her daughter to "end up like me." The patient says she gets teased at school about her weight. The history reveals that this patient is an only child who lives with her single mother in low-income housing in a large city. The mother works the day shift as a nurse's aide at a nearby nursing home. Because the mother is often tired, meals are simple and frequently consist of prepackaged foods, such as pastries for breakfast and frozen dinners for supper. At school, the girl buys her lunch, which usually includes whole milk, a processed entre´e, and a dessert. After school, the girl goes home, where she watches television and snacks on chips and soda until her mother arrives home from work. The mother does not allow her daughter to play outside because the neighborhood is not safe.
How is obesity defined and measured, and what are some pitfalls in measurement?
How do genetics and envorinoment interact to influence an child's risk for obesity?
What are the complications of childhood obesity?
What role does the pcp play in addressing childhood obesity?
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