TEST YOUR KNOWLEDGE: SCREENING FOR CHILDHOOD AND ADOLESCENCE OBESITY
Year : 2017 | Volume
: 5 | Issue : 2 | Page : 91--92
Test your knowledge: Screening for childhood and adolescence obesity
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. Test your knowledge: Screening for childhood and adolescence obesity.Saudi J Obesity 2017;5:91-92
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. Test your knowledge: Screening for childhood and adolescence obesity. Saudi J Obesity [serial online] 2017 [cited 2019 Oct 22 ];5:91-92
Available from: http://www.saudijobesity.com/text.asp?2017/5/2/91/221991
CHOOSE ONE BEST ANSWER FOR EACH OF THE FOLLOWING QUESTIONS
(1) USPSTF recommends screening for obesity among children at:
A. 4 years
B. 5 years
C. 6 years
D. 7 years
(2) Obesity among children is diagnosed if body mass index (BMI) is:
A. >99th centile
B. ≥95th centile
C. ≥97th centile
D. ≥90th centile
(3) Which one of the following is not considered a risk factor for childhood obesity?
A. Family history of obesity
B. Physical inactivity
C. High family income
D. Inadequate sleep
(4) Which of the following drugs is approved to manage childhood obesity?
C. The above two drugs
D. None of the above
(5) Comprehensive, intensive behavioral intervention program to manage childhood obesity includes all of the following components except:
A. Pharmacological therapy
B. Problem solving
C. Family involvement
D. Intake of health diet
ANSWERS AND EXPLANATIONS
Q-1 = (C), Q-2 = (B), Q-3 = (C), Q-4 = (D), and Q-5 = (A).
Because a high percentage (17%) of children and adolescents in the United States have obesity, the US Preventive Services Task Force (USPSTF) recommended to start screening for obesity among children and adolescents at 6 years (Recommendation-B). Appropriate age and gender BMI chart is used for obesity screening. Those with BMI ≥95th centile are considered as obese, whereas those between 85th and 94th centile are considered as overweight.
There are many risk factors for developing obesity among children and adolescents; parent’s obesity, poor nutrition, physical inactivity, inadequate sleep, sedentary behavior, and low family income are some of the factors. Prescribing drugs for managing obesity among children was inadequate and lacking of evidence. USPSTF found that comprehensive, intensive behavioral program intervention of 26 contact hours over a period of 2–12 months resulted in weight loss. This program involves child and family and includes many components including information about goals setting (healthy diet, safe exercise, reading food labels, and limiting television watching), self-monitoring, and problem solving.
US Preventive Services Task Force, Grossman DC, Bibbins-Domingo K, Curry SJ, Barry MJ, Davidson KW et al. Screening for obesity in children and adolescents: US Preventive Services Task Force recommendation statement. JAMA 2017; 317:2417–26.