Childhood Obesity

What is the standard measurement of obesity/overweight in children 2 yo? - BMI What percentile is overweight? What percentile is obese? - 85-95th 95 What is the definition of severe obesity in children - Not defined True or False: Fat cells increase in number when caloric intake is increased and can decrease in number during weight reduction - False (Can NOT decrease # of fat cells only decrease size) Is parental obesity or child's weight a stronger predictor of obesity? - Parental obesity What part of the country has lowest rate of obesity - West (Oregon) leptin - increases concentration, decrease food intake neuropeptide Y - increase concentration, increase food intake galanin - increase concentration, increase food intake What disease states are risk factors for obesity - hypothyrodism, GH deficiency, Prader-Willi, Bardet-biedl, smith-magenis syndroms What are sedentary risk factors - amount of time spent watching tv, playing video games, surfing the internet low cognitive stimulation not as many chores, everything is convenient Is there an association of hours of tv watched and BMI - increased hours of tv, increased BMI What subject do public high schools need to include - PE what is the target goal for childhood obesity and adolescent obesity in Healthy People 2020 - 10% improvement 16.2% -- 14.6% When do parents influence nutrition - before going to school, younger pre-school age once in school/kindergarten, the school is main influence AAP statement TV - limit kids to no more than 1-2 hours of total media time a day remove tv from bedroom children 2 yo discourage tv impact of tv on fruit and veggie consumption - for every hour of tv, decrease amount of veggies and fruits how much physical activity is suggested - 1 hr/day, 3 days vigorous exercise What were the results of the health report card - parents were more aware with report card wasnt accepted socially What are dietary RF of obesity - lack of breastfeeding, intrauterine malnutrition (central adiposity, metabolic syndrome, DM, CVD), overcontrol of parental behavior, early introduction to high calorie solids, fruit juices and soft drinks, lack of consistent access to healthy food choices Western diet and fast food - western diet more likely to be consumer of fast food