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ObesityInKids
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> Defining obesity is difficult in children BMI varies with age - so use BMI age and gender percentile charts ''NICE recommend'' tailored clinical intervention if BMI >91% assessing for comorbidities if BMI>98% most common cause - lifestyle Other associations ... Asian children: 4x > white kids female children taller children: often >50% Also ... growth hormone deficiency hypothyroidism Down's syndrome Cushing's syndrome Prader-Willi syndrome ''Consequences'' orthopaedic problems: slipped upper femoral epiphyses, Blount's disease (a development abnormality of the tibia resulting in bowing of the legs), musculoskeletal pains psychological consequences: poor self-esteem, bullying sleep apnoea benign intracranial hypertension long-term consequences: increased incidence of type 2 diabetes mellitus, hypertension and ischaemic heart disease
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