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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/m 2 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.

BuyFind

Nutrition Through the Life Cycle (...

6th Edition
Judith E. Brown
Publisher: Cengage Learning
ISBN: 9781305628007
BuyFind

Nutrition Through the Life Cycle (...

6th Edition
Judith E. Brown
Publisher: Cengage Learning
ISBN: 9781305628007

Solutions

Chapter
Section
Chapter 12, Problem 4RQ
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.

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