14 Questions
What is the primary reason for using body mass index to screen children for obesity?
To predict obesity-related complications in adulthood
What is the recommended method for assessing energy requirements of obese hospitalized children?
Indirect calorimetry
What is a potential complication of undernutrition in obese children?
Energy and protein deprivation
What is a recommended laboratory test for pediatric obese inpatients?
All of the above
What is a complication associated with overzealous nutrition support in obese children?
Hyperglycemia
Why is it important to recognize obesity in children?
To predict obesity-related complications in adulthood
What is the role of nutrition support in obese children?
To prevent complications associated with enteral or parenteral feedings
What is a recommended screening method for pediatric obesity?
Body mass index (BMI)
What is the current limitation of using BMI as a screening method for obesity in children?
It lacks precision at younger ages
What is the relationship between BMI percentile in childhood and adult outcomes?
A BMI ≥95th percentile in childhood predicts adult BMI, obesity, adiposity, and mortality
What is the grade of evidence supporting the use of BMI as a screening method for obesity in children?
D
What is the primary advantage of using BMI as a screening method for obesity in children?
It is a measure of relative weight rather than adiposity
What is the recommendation for energy provision to pediatric obese inpatients?
Similar to their nonobese counterparts
What type of studies provide the best available evidence to support the validity of BMI as a screening criterion for obesity in children and adolescents?
Longitudinal studies
Study Notes
Pediatric Obesity
- Pediatric obesity has reached epidemic proportions in the United States.
- Reports of obesity-related complications such as diabetes, sleep apnea, and gallbladder disease are increasing, leading to longer length of stay.
Complications of Pediatric Obesity
- The origin of pediatric obesity is multifactorial, leading to numerous complications.
- Complications affect inflammatory processes and nutrient metabolism.
- Obesity-related complications can affect children even in adulthood.
Defining Obesity
- BMI (Body Mass Index) is used to screen children for obesity, with a BMI ≥ 95th percentile indicating obesity.
- The Institute of Medicine (IOM) and the American Academy of Pediatrics (AAP) recommend using BMI to define obesity in children aged 2-20 years.
Nutrition Support
- The role of nutrition support is to prevent complications associated with enteral or parenteral feedings.
- Undernutrition can result in energy and protein deprivation, while overnutrition can lead to hypophosphatemia and hyperglycemia.
Practice Guidelines
- BMI is the preferred practical method to screen children for obesity.
- Pediatric obese inpatients may be at increased nutrition risk, requiring testing for laboratory abnormalities.
- Energy requirements of obese hospitalized children should be assessed using indirect calorimetry.
- Goals for energy provision should be similar to those of non-obese counterparts.
This quiz covers the complications of pediatric obesity, including diabetes, sleep apnea, and gallbladder disease, as well as its effects on nutrition status and requirements.
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