How would you classify this patient’s current weight status? Would a weight loss diet be appropriate for this child? Or would ‘weight-gain stabilization’ be a better approach?

Review Chapter 4, Case 1: Overweight Child with Insulin Resistance (p.173-175)

1) How would you classify this patient’s current weight status? Would a weight loss diet be appropriate for this child? Or would ‘weight-gain stabilization’ be a better approach?

2) Which of this patient’s laboratory values are abnormal? What chronic diseases are you concerned about (also consider the patient’s family history)? Would you discuss these concerns with the patient and his family? Why or why not?

3) What social, emotional, and psychological factors may have supported the development of obesity in this case and may influence the response to the intervention?

4) Describe the recommended dietary/lifestyle intervention for this patient.

5) What behavior modification techniques could be used to help implement the intervention you described previously?