Obesity/Overweight Children

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Obesity/Overweight Children by Mind Map: Obesity/Overweight Children

1. Caloric Needs

1.1. equations are used for plotting at >85th for age

1.2. equation for maintenance of weight

1.3. loss of 1/2 to 1 pound decrease caloric needs by 250 -500kcal/day

2. stages of treatment

2.1. stage 1

2.1.1. parameters set

2.1.1.1. more than 5 fruits

2.1.1.2. less than 2 hours of screen time a day

2.1.1.3. 1 hour of physical activity daily

2.1.1.4. no sugar sweetened beverages

2.1.1.5. limiting eating out

2.1.1.6. whole family change

2.1.1.7. reassess in 4-6 weeks

2.2. stage 2

2.2.1. referral to dietitian for more structured meal pla

2.2.2. increase time spent in physical activity

2.2.3. further limit screen time to less than one hour a day

2.2.4. investigate barriers to compliance

2.2.5. reassess in 4-6 weeks

2.3. Stage 3

2.3.1. comprehensive multi disciplinary treatment

2.3.2. assess in 4-6 weeks

2.4. stage 4

2.4.1. continue with diet and activity counseling plus consider

2.4.1.1. meal replacement

2.4.1.2. very low calorie diet

2.4.1.3. medication

2.4.1.4. surgery

3. 2-19 years old

3.1. overweight

3.1.1. BMI for age 85th to 94th precentile

3.2. Obese

3.2.1. BMI for age>/= 95th precentile

4. prevelance

4.1. more than 30% of kids in USA

4.2. African Americans, Hispanic, Native Americans