Download A clinical guide to pediatric weight management and obesity by Sandra Gibson Hassink MD PDF

By Sandra Gibson Hassink MD

This convenient, sensible advisor offers clinicians with a complete method of the scientific administration of obese childrens and youth. insurance starts with the epidemiology, pathophysiology, and developmental elements of kid and adolescent weight problems and a consultant to review of overweight young ones. next chapters handle respiration, cardiovascular, endocrine, metabolic, orthopaedic, gastrointestinal, renal, and neurologic problems and comorbid stipulations in addition to psychological health and wellbeing concerns, acute obesity-related emergencies, and weight problems as a part of genetic syndromes. Pathophysiology is associated with medical presentation, evaluate, and therapy, and way of life matters are mentioned the place acceptable. Highlighted containers and algorithms support clinicians locate and digest details quickly.

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Sample text

One month later, LJ comes back to your office with her grandmother. Her mother is at school but wrote a note saying that the family has been trying hard to work on LJ’s weight. In reviewing the results from the laboratory studies you just received, you see that LJ has an increased triglyceride level of 175 mg/dL and a high fasting insulin level of 40 µU/mL, with all other studies within normal limits. You weigh LJ and she has lost 1 lb. The grandmother says the family is “doing well,” but about 2 weeks after the last visit, a great aunt passed away and this resulted in more eating away from home and decreased exercise.

ENERGY INTAKE Energy intake can be affected by multiple factors that represent the complex interaction between the external environment and the internal interplay of energy stores, central nervous system feedback, and psychological predisposition. 1). 1. Influence on energy intake Hunger Satiety Palatability Food availability Emotions Psychological states Depression Anxiety Reaction to stress Visual cues Social expectations Social situations Hunger Hunger is the internal experience of a desire to eat.

Unexpectedly, infants born small for gestational age have also been found to have an increased incidence of obesity in childhood (5), particularly if they are introduced into an energy-rich environment, which causes rapid growth. Intrauterine growth in a restrictive nutritional environment due to maternal undernutrition may lead to exposure to increased amounts of fatty acids, which can stimulate adipose tissue hyperplasia (6). External factors such as maternal hypertension and smoking can increase the risk for reduced intrauterine growth and become additive risk factors for obesity.

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