Question

Instructions

Read the case study details below then answer the questions.

Dave is a five-year-old sedentary male who was referred to a pediatric dietitian due to his pediatrician’s concerns with his weight gain over the past year. His parents recently divorced and both parents have equal custody. Prior to the divorce Dave was physically active and on a regular schedule of meals and snacks. Now Dave has unlimited access to snacks at both parents’ homes and his favorite pastimes include watching cartoons and playing video games with his brothers. Dave often snacks while dinner is being made and frequently drinks juice and soda. He often eats meals and sacks while watching TV with or without his mom or dad. He usually refuses to sit down and eat at the dinner table.

1. At 3 years old Dave weighed 32 pounds and was 37 inches tall. At 4 years old Dave weighed 40 pounds and was 40 inches tall. At 5 years old Dave weighed 45 pounds and was 41 inches tall. What is Dave's weight for age %, height for age %, BMI, and BMI for age % at ages 3, 4, and 5? (see http://www.cdc.gov/growthcharts/ (Links to an external site.) for growth charts; 5 Points).
2. Use one word to correctly interpret the current status of Dave’s weight according to his BMI for age percentile (1 point)?
3. Do you have any other concerns about Dave’s growth based on the data in the above table (2 points)?
4. What suggestions do you have for helping Dave’s parents decrease his risk of illness related to his weight (2 points)?
5. Calculate the energy and protein requirements for a Dave at five years old (4 points). The EER for Boys 3 through 8 years is:

• EER = 88.5 − (61.9 × age [y]) + PA × (26.7 × weight [kg] + 903 × height [m]) + 20 kcal
• PA = 1.00 if PAL is estimated to be ≥ 1.0 < 1.4 (sedentary)
• PA = 1.13 if PAL is estimated to be ≥ 1.4 < 1.6 (low active)
• PA = 1.26 if PAL is estimated to be ≥ 1.6 < 1.9 (active)
• PA = 1.42 if PAL is estimated to be ≥ 1.9 < 2.5 (very active)

6. Describe the issues surrounding Dave’s mealtime behaviors (3 points).
7. What concerns do you have about giving Dave unlimited access to snacks, juice, and soda (4 points)?
8. How can healthy eating behaviors be developed in Dave?

Answer 1

paediatric obesity is the serioous problem'

BMI for 3 year=16.4 according to davide's weight and height the BMI is 16.4placing the BMI for the age at 64th percentile for boys aged 3years.healthy weight ,5th%to 85%.so in this age he is heathy.

BMI for 4 year=17.6,placing the BM for the ahe at the 93th percentile for boys.that means in this age child is over weight.This is not obesity the child more prone to get obese.

BMI for 5 year=18.8,placing the BMI for age at the99th percentile for boys aged 4 years'in this age xhild has obesity.and may get health related problems.

if the parents identified his weight gain in the 3year itself we can prevent him to become obese.in the 5 year he become obese and he may experience somany health related issues like type2dm,cad,hypertension etc

practice heathy weight habits by

1.provide low fat low sugar low salt foods,vegies annd fruits

2.help children stay active

3.reduce sedentary time

4.ensure adequate sleep

enegy requirement at 5year of age is 394kcal/day,protein requirement at 5year116mgN/kg per day this requrement is enough for a 5year old child.more than it si cause overweight and obesity.

the issue surrounding mealtime behaviour is mainly don't have regular schedule of meals and snacks.he often uses snacks and beverages all the time not a healthy foods.meal time he refuses to sit down and eat athe dinner table.so he wil sit in front of tv and watch cartoon by this he eat more and put on weight.stop eating while watching tv.

childhood obesety may occur due to the over intake of high calorie food without exercise. it may leads to type2dm,metabolic syndrome,high cholestrole,asthma,sleep disorders,NAFLD,bone fracturesbehaviour and learning problem,depression.

it can be prevented by

1.limit consumption of sugar-sweetened beverages

2.eat meals as family as often

3.limit eating out,especially fast food restaurant,teach child how to choose healthier food

4.adjust portion size apropriate for age

5.limit tv and other screen time less than 2hrs a day..make him to play physically

6.be sure child get adequate sleep