Case Study Peads Obesity

Calculate MK’s BMI. What is MK’s BMI percentile. How is his weight status classified?

• BMI 23.5 kg/m2. At 90th percentile. Severe obesity class 1 

• BMI 23.5 kg/m2. At  99th percentile. Severe obesity class 2

• BMI 25 kg/m2. At > 85th percentile < 90th percentile. Overweight

Use the growth chart to determine MK’s optimal weight for height and age.

• Weight: 18 kg (at BMI 85th percentile) 

• Weight: 16.4 kg (at BMI 50th percentile) 

• Weight: 17.5 kg (at BMI 75th percentile) 

What is the goal for the patient's weight management?

• Prolonged weight maintenance 

• Weight loss

• Acceptable slow weight gain

What would you recommend as the current focus for nutrition therapy of MK?

• Encourage 3 servings of vegetables and 2 servings of fruits daily. 

• Restrict calorie intake by following strict diet regimens. 

• Reduce junk food, limit milk intake to < 500 ml/ day. 

What is your recommendation for MK besides nutrition therapy?

• Limit screen time to less than 2 hours per day.

• Increase physical activity to 60 minutes per day.

• To have adequate sleeping time.