Nutrition Through the Life Cycle (...

6th Edition
Judith E. Brown
ISBN: 9781305628007



Nutrition Through the Life Cycle (...

6th Edition
Judith E. Brown
ISBN: 9781305628007
Textbook Problem

Seven-year-old Timothy’s mother takes him to his pediatrician for his annual checkup. His weight is 68 lb (31 kg), plotted at the 95th percentile, and his height is 50 in. (127 cm), between the 75th and 90th percentiles for his age. His body mass index of 19.25 kg/m2 plots at the 95th percentile for his age. His growth percentiles have been increasing over the last several years.

Timothy’s mother expresses concern to the pediatrician about her son’s weight. His older and younger brothers are both thinner than Timothy. Timothy’s mother is obese, but his father is a normal weight for height. Timothy is in the second grade. He rides the school bus to and from school. He participates in the School Lunch Program at his school, but his parents gave him extra money in case he wants to buy some additional à la carte food items from the cafeteria or items from the vending machines. After school, Timothy and his brothers stay in their home with a babysitter until one of their parents returns home from work. Timothy usually watches TV or plays video games after school. His parents leave snack foods—chips, cookies, and sodas—in the house for their sons to have after school. His mother usually prepares their evening meal, which consists of a meat, starch, vegetables, and a dessert item. After dinner, Timothy does his homework and then usually watches more TV with his parents. He usually has a dish of ice cream before going to bed.

Timothy in Case Study 12.1 returns to his pediatrician 6 months later at 7½ years of age for a weight check. He has gained 10 kg in 6 months and now weighs 90 lb (41 kg). His height has increased to 51 in. (130 cm).

Based on the staged treatment plan for pediatric obesity, describe the recommended approach to treatment for Timothy.

Summary Introduction

To describe: The recommended approach to treatment for Person T based on a staged treatment plan for pediatric obesity.

Introduction: Pediatric obesity is a nutritional disorder that can cause serious health concern in affected children. Therefore, a systematic approach should be followed for proper assessment for nutritional intervention to treat them. The staged treatment is a four-stage based approach for the treatment of pediatric obesity. These stages are as follows:

1. Stage 1 (Prevention Plus).

2. Stage 2 (Structured Weight Management).

3. Stage3 (Comprehensive Multidisciplinary Approach).

4. Stage 4 (Tertiary Care intervention): this stage is for highly obese children who had previously failed other interventions.


During an annual visit to the pediatrician when Person T was 7 years old, he weighed 68 lb (31 kg), which was at 95th percentile and had a height of 50 in. (127 cm) between 75th and 90th percentiles. With the body mass index (BMI) 19.25 at 95th percentile for his age, his growth percentiles were observed to be increasing every year. Person T has a habit of snacking and his lifestyle is void of much physical activities. Person T returned to his pediatrician after 6 months for a weight check. He has gained 10 kg weight, which is 90 lb (41 kg) and his height is 51 in. (130 cm).

According to the case summary, Person T’s current weight is 41 kg and height is 130 cm, which is equal to 1.3 m. The body mass index is calculated using the expression as follows:

Body mass index (BMI)=Weight in (kg)[height in (m)]2=41(1

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