Overweight Children and Adolescents

A seven-year-old girl is 130 cm tall (the 90th percentile for girls of the same age) and weighs 34.6 kg (above the 95th percentile), with a body-mass index of 20.5 (above the 95th percentile). Physical examination reveals no abnormalities aside from her excess weight. She eats fast food and drinks s...

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Published in:The New England journal of medicine Vol. 352; no. 20; pp. 2100 - 2109
Main Authors: Dietz, William H, Robinson, Thomas N
Format: Journal Article
Language:English
Published: Boston, MA Massachusetts Medical Society 19-05-2005
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Abstract A seven-year-old girl is 130 cm tall (the 90th percentile for girls of the same age) and weighs 34.6 kg (above the 95th percentile), with a body-mass index of 20.5 (above the 95th percentile). Physical examination reveals no abnormalities aside from her excess weight. She eats fast food and drinks soft drinks regularly, has limited exercise, and watches television or uses the computer for hours each day. What should you advise? Physical examination of a seven-year-old girl reveals no abnormalities aside from her excess weight. She eats fast food and drinks soft drinks regularly, has limited exercise, and watches television or uses the computer for hours each day. What should you advise? Foreword This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the authors' clinical recommendations. Stage A seven-year-old girl is 130 cm tall (51 in., the 90th percentile for girls of the same age) and weighs 34.6 kg (76 lb, above the 95th percentile), with a body-mass index (defined as the weight in kilograms divided by the square of the height in meters) of 20.5 (above the 95th percentile). Physical examination reveals no abnormalities aside from her excess weight. Her family eats at a quick-service restaurant once a week, and she drinks approximately 16 oz (450 ml) of soft drinks and 8 oz (225 ml) of whole milk per day. Her physical activity is limited . . .
AbstractList A seven-year-old girl is 130 cm tall (the 90th percentile for girls of the same age) and weighs 34.6 kg (above the 95th percentile), with a body-mass index of 20.5 (above the 95th percentile). Physical examination reveals no abnormalities aside from her excess weight. She eats fast food and drinks soft drinks regularly, has limited exercise, and watches television or uses the computer for hours each day. What should you advise?
A seven-year-old girl is 130 cm tall (the 90th percentile for girls of the same age) and weighs 34.6 kg (above the 95th percentile), with a body-mass index of 20.5 (above the 95th percentile). Physical examination reveals no abnormalities aside from her excess weight. She eats fast food and drinks soft drinks regularly, has limited exercise, and watches television or uses the computer for hours each day. What should you advise? Physical examination of a seven-year-old girl reveals no abnormalities aside from her excess weight. She eats fast food and drinks soft drinks regularly, has limited exercise, and watches television or uses the computer for hours each day. What should you advise? Foreword This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the authors' clinical recommendations. Stage A seven-year-old girl is 130 cm tall (51 in., the 90th percentile for girls of the same age) and weighs 34.6 kg (76 lb, above the 95th percentile), with a body-mass index (defined as the weight in kilograms divided by the square of the height in meters) of 20.5 (above the 95th percentile). Physical examination reveals no abnormalities aside from her excess weight. Her family eats at a quick-service restaurant once a week, and she drinks approximately 16 oz (450 ml) of soft drinks and 8 oz (225 ml) of whole milk per day. Her physical activity is limited . . .
Author Dietz, William H
Robinson, Thomas N
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  givenname: William H
  surname: Dietz
  fullname: Dietz, William H
– sequence: 2
  givenname: Thomas N
  surname: Robinson
  fullname: Robinson, Thomas N
BackLink http://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16779485$$DView record in Pascal Francis
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Snippet A seven-year-old girl is 130 cm tall (the 90th percentile for girls of the same age) and weighs 34.6 kg (above the 95th percentile), with a body-mass index of...
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SubjectTerms Age
Biological and medical sciences
Disease
General aspects
Medical sciences
Metabolic diseases
Native North Americans
Obesity
Teenagers
Weight control
Title Overweight Children and Adolescents
URI http://dx.doi.org/10.1056/NEJMcp043052
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