Childhood Obesity

Childhood Obesity

January 7, 2020 0 By Bertrand Dibbert


childhood obesity by Laura Villanueva
the objectives of this presentation are to demonstrate the effects that
childhood obesity can happen a case study patient to discuss the risk
factors associated with the development overweight and obesity and adolescents
by presenting an obesity case study to provide education and nutritional
recommendations to help corrupt the case study patients diet the discussions
available to assist the case study patient with combating obesity and to
provide a three day meal plan for the case study patients follow outline we’re
going to discuss the overview of the patient childhood obesity research and
development current research on that recommendations and the programs
available in a sample three day meal plan
fourteen-year-old Jane is referred by her primary care physician for
counseling on weight management Jane has been in the overweight BMI category for
a most recent annual well visit child visit has shown she has progressed into
the obese BMI category for rage over the past six years her weight has increased
by 10 and 15 pounds each year the weight is 152 pounds point nine pounds plotted
her between the 90th and 95th percentile and her height is 62 inches her growth
percentiles have been increasing over the last several years jane currently
lives at home with both her parents and younger siblings Jane’s mother is obese
with the diagnosis of hyperlipidemia Jane’s father is also obese with the
diagnosis of type 2 diabetes Jane’s parents report they often run out of
money for food before the end of the month and frequently go to fast food
restaurants to save time and money Jane usually eats lunch at school during
the week and a review of her systems for Jane is normal except for weight status
medical history indicates a fractured ulna at age 4 and suffers from seasonal
allergies the increase in the prevalence of overweight and obesity among
adolescents has nearly doubled for the past two decades although genese is
known to contribute to the occurrence of obesity and having one or more
overweight parents increases a team’s risk of it develop developing obesity it
alone cannot account for the dramatic increase in overweight during the past
two decades environmental factors for interactions
between genetic and factors are the most likely causes of
the dramatic rise in overweight and obesity risk factors so risk factors
contribute to the development overweight and obesity in adolescence having at
least one parent one parent who is considered overweight coming from a
low-income poor family poor physical activity levels and diets high excess
fats and sugar intake all play a role in the risk of an adolescent developing an
obesity problem the nutritional intervention goals for overweight
obesity and children and adolescents needs to be addressed early on once the
overweight obesity status has been established the first stage is in
prevention Plus which stresses the education of limiting fast food
consumption increasing physical activity reducing screen time to no more than two
hours daily and increase the fruit and vegetable consumption the second stage
is incorporating in structured weight management program this stage stresses
the further reduction of screen time to less than one hour a day in structured
mail fan plans should also be followed to emphasize nutrient-dense foods while
minimizing energy dense foods food journaling is highly recommended in this
stage Stage three is a comprehensive multidisciplinary intervention program
the stage focus is on a structured behavior models of behavior modification
program while incorporating a highly structured meal into the laxity plan
Stage four is for severely obese patients this stage includes gastric
bypass surgery meal replacement therapy and a very low energy day diet and
medication plan you trust the nutritional assessment patient has a 14
year old female no pregnancy or lactation activity what level of
sedentary her weight is one is fifty two foot nine pounds plotted her between
90th and 95th percentile and her height is six and two inches flooded her the
fiftieth percentile for age her body mass index is twenty eight point nine
kilograms plus at above 95 percent percentile for her age her growth
percentiles have been increasing over the last several years her BMI puts her
in the obesity category her current energy need needs are estimated to be
one hundred and eighty to one thousand eighty eight hundred seventy two K k’t
kilocalories for weight management weight maintenance
carbohydrate needs are between 211 to 304 grams a day total fiber needs is 26
grams per day protein needs is 59 grams a day that means is 52 to 73 grams per
day food nutrition related history the 72-hour recall Festa needs her daily
kilocalories to be 2842 a day 78 grams of protein a day which is 73 percent of
her daily requirement 128 grams of fat per day 5 hours 20 point 6 grams for
cholesterol is 2276 milligrams caloric and macro nutrient intakes far exceed
the daily energy needs for this patient she’s currently meeting her vitamin
needs for folate which is the 594 she’s also currently meeting her nice and
needs recommended daily allowance is 14 milligrams her pathologic acid is also
she’s meeting those needs production she’s also meeting those
needs meaning her mineral needs calcium copper iron phosphorus potassium and
zinc she’s insufficient in her vitamin intake
to the low consumption as evidenced by 72-hour recall her vitamin D level is
there only 31% of the recognized daily allowance and she has insufficient
mineral intake due to low consumption as evidenced by 72-hour recall her
magnesium levels are 244 milligrams which is only 60% of the recommended
daily requirement of 360 milligrams a day
nutritional diagnosis she has excessive vitamin intake due to high consumption
as evidenced by her 72-hour recall vitamin A levels are excessively high
thiamine levels are high right riboflavin excessively high vitamin b12
vitamin C levels and vitamin K levels are all excessively high
obsessive mineral intake Museum selenium and sodium sodium is
very important to be let wording in this instance recommend recommendations are
to bury the diet to incorporate more foods rich in magnesium vitamin D and
vitamin E these fruits include eggs almonds yogurt wheat germ nuts seeds and
mushrooms and seok’s beef liver and fatty fishes such as salmon
he needs a decrease for cleric intake – 1718 kilocalories day we need to have
the patient start a food journal to track her car intake educate the patient
on proper portion control sizes increased nutrient dense low energy
foods high in fiber content for the patient to primary care for approval a
statin medication to increase weight loss spike causing a fountain fat
malabsorption recheck weight loss after six months if adequate least weight loss
is not established refer the patient for counseling our bariatric surgeon to a
bariatric surgeon to assess the P there are many assistance programs available
for gene the National School Lunch Program is just one program that J will
qualify Jaynes family indicated low in that she’s low-income and they can
definitely to inadequate money for food program eligibility is based on family
income children benefiting from the Supplemental Nutrition Assistance
Program otherwise known as snap automatically qualify for free meals
additionally children of families with income a poor below one hundred and
thirty percent of the federal poverty line qualify for free lunches while
children of families with income between 130 and 185 percent of the federal
poverty line qualify for reduced price lunches criteria eligibility must be
reassessed and demonstrated yearly in order for her to qualify the program
snap programs such as the thrift food plan our federal assistant programs that
supply whatever our funds are required to provide benefits to all eligible
applicants so I’m using snap following through thrifty food plan can meet their
nutritional needs because nutrient constraints are based on recommendations
in the recommended daily allowances however evidence suggests that the
National School Lunch Program could be contributing to the obesity epidemic
analysis yield a consistent picture of the effects of school nutrition programs
first to school breakfast program participation is
likely related to unobservable correlated with trajectories for weight
child weight and initiative child weight and levels whereas there is
much weaker evidence that the National School Lunch Program participation is
affected by selection on observable particularly after conditioning on risk
type ii ignoring the selection biases estimates of the average treatment
effect of school breakfast program participation participation upward
downward regardless of whether one examines measures of child weight and
levels for changes finally allowing for even modest positive selection into the
school breakfast program is sufficient to yield a negative positive causal
effect of school breakfast program national school lunch participant
participation on child weight thus constraint with the results in the
analysis does not point to the school breakfast program as a contributing
factor to the current obesity epidemic and the school breakfast program may
actually constitute a valuable tool in the battle but the national school lunch
program is contributing to the problem I provided a sample three day meal plan
for this child on day one for breakfast the child will have a cinnamon apple
protein smoothie which consists of half a banana a half an apple 1/2 cup of
spinach a quarter cup of rolled oats 1 tbsp unsalted peanut butter 1/2 a
teaspoon cinnamon 8 ounces of 1 ounce 1% low-fat milk 1 scoop of protein powder
lunch will be grilled chicken salad with low-fat Italian dressing 6 6 ounces of
grilled chicken 1/4 cup of tomatoes 1 cup of raw spinach 1 cup of raw kale 8
ounces of 1% low-fat milk a snap will be 6 ounces of non-fat Greek yogurt with 1
tbsp unsalted peanut butter dinner is 6 ounces they chicken with 1 cup steamed
green beans 1/2 a cup of steamed baby carrots 1/2 a cup cooked brown rice 8
ounces of 1% low-fat milk day 2 breakfast a quarter cup egg whites 2
slices of the whole grain toast 1 tbsp unsalted peanut butter 1 cup of
blueberries 8 ounces of 1% low-fat milk lunch would consist of grilled chicken
salad with 2 tablespoons of low-fat Italian dressing
6 real chicken 1/4 cup tomatoes 1 cup of
spinach 1 cup of raw kale 8 ounces of 1% low-fat milk snack will be 1 medium pair
1 tbsp peanut butter unsalted dinner is Wegmans cauliflower crust veggie pizza
1/3 of the pizza one cup of steamed broccoli 8 ounces of 1% low-fat milk day
3 consists of breakfast is a cinnamon apple protein smoothie which is 1/4 cup
banana 1/2 cup apple 1 cup spinach 1/4 cup rolled oats 1 tablespoon of peanut
butter 1/2 a teaspoon cinnamon 8 ounces of 1% low-fat milk 1 scoop of protein
powder well I should say ground turkey burger 4 ounces of that whole wheat
hamburger bun 2 slices green leaf lettuce to slice the tomato what one
slice of low-fat cheddar cheese and 70 grams of sweet potato fries dinner
consists of ground turkey tacos which consists of 3/4 cup ground turkey turkey
taco meat 1 cup shredded green lettuce 2 tablespoons of salsa 2 whole green
tortillas one ounce of low-fat feta cheese and one cup of steamed broccoli
and 8 ounces of low of 1% low-fat milk that concludes this presentation thank
you