Case Study 12.1 Pediatric Overweight Seven-year-old Timothy\'s mother takes him
ID: 243797 • Letter: C
Question
Case Study 12.1 Pediatric Overweight Seven-year-old Timothy's mother takes him to his pediatrician for his annual checkup. His weight is 68 pounds (31 kg), plotted at the 95th percentile, and his height is 50 inches (127 cm), between the 75th and 90th percentiles for his age. His body mass index of 19.25 kgm2 plots at the 95th percentile for his age. His growth percentiles have been in- creasing 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. Questions 1. What is your assessment of Timothy's body size based on his weight-for-age, height-for-age, and BMI-for-age percentilesi 2. What suggestions do you have for Timothy's parents about improving his eating habits? 3. What suggestions do you have for Timothy's parents for increasing his physical activity level? 4. Is it significant that Timothy's mother also has a weight problem? (Answers are located in the Instructor's Manual for the 5th edition of Nutrition Through the Life Cycle.)Explanation / Answer
case study review
As per CDC growth chart:
Weight -31 kg weight and age 7 years old - it comes shows at 95th percentle
height also 127cm for 31kg weight ideal weight is 90cm to 121cm but 127 cm height not an abnormility
As per BMI formula :
BMI is normal for 7 year old boy -19.BMI
Recommendation diet