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32 Cards in this Set
- Front
- Back
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Prevalence of Obesity Among U.S. Children and Adolescents Aged 2–19
AGE ___ NHANES 1976-1980 = 5% 1988-1994 = 7.2% 1999-2002 = 10.3 2003-2006 = 12.4% |
Age 2-5
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Prevalence of Obesity Among U.S. Children and Adolescents Aged 2–19
AGE ___ NHANES 1976-1980 = 6.5% 1988-1994 = 11.3% 1999-2002 = 15.8 2003-2006 = 17.0% |
Age 6-11
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Prevalence of Obesity Among U.S. Children and Adolescents Aged 2–19
AGE ___ NHANES 1976-1980 = 5% 1988-1994 = 10.5% 1999-2002 = 16.1% 2003-2006 = 17.6% |
Age 12-19
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Adolescent Boys Prevalence of Obesity by Race/Ethnicity Aged 12–19 Years
___ NHANES 1988-1994= 11.6% 2003-2006 = 17.3% |
NON HISPANIC WHITE
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Adolescent Boys Prevalence of Obesity by Race/Ethnicity Aged 12–19 Years
___ NHANES 1988-1994 = 10.7% 2003-2006 = 18.5% |
NON HISPANIC BLACK
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Adolescent Boys Prevalence of Obesity by Race/Ethnicity Aged 12–19 Years
___ NHANES 1988-1994 = 14.1% 2003-2006 = 22.1% |
MEXICAN AMERICAN
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Adolescent Girls Prevalence of Obesity by Race/Ethnicity Aged 12–19 Years
___ NHANES 1988-1994 = 7.4% 2003-2006 = 14.5% |
NON HISPANIC WHITE
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Adolescent Girls Prevalence of Obesity by Race/Ethnicity Aged 12–19 Years
___ NHANES 1988-1994 = 13.2% 2003-2006 = 27.7% |
NON HISPANIC BLACK
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Adolescent Girls Prevalence of Obesity by Race/Ethnicity Aged 12–19 Years
___ NHANES 1988-1994 = 9.2% 2003-2006 = 19.9% |
MEXICAN AMERICAN
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AT RISK MEDICAL CONDITIONS
Dys___ Hypertension Glucose ___ Type II diabetes Sleep ___ Asthma |
Dyslipidemia
Glucose intolerance Sleep disturbances |
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AT RISK MUSCULOSKELETAL CONDITIONS
Pes ___ Excessive tibial varum (___’s disease) SCFE - slipped capital femoral epiphysis Abnormal knee alignment (valgus or varus) Increased risk for ___ Musculoskeletal pain (low back, LEs) Musculoskeletal injury (sprain, tendonitis) |
Pes planus
Blount’s disease Increased risk for fracture |
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ASSOCIATED RISK
PSYCHOLOGICAL IMPACT -DEPRESSION -DISCRIMINATION -___TRAUMA |
EMOTIONAL TRAUMA
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ROLE OF PHYSICAL THERAPY
Treat obesity as a ___ Provide thorough musculoskeletal evaluation Identify impairments and risk for injury Provide prescribed therapeutic intervention Teach ___ |
Treat obesity as a medical condition
Teach lifestyle modification |
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ROLE OF PHYSICAL THERAPY
Teach behavior modification Gradually increase age appropriate physical activity as part of weight management Act as a resource for nutrition and physical activity Monitor physical activity for ___ |
injury prevention
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EVALUATION
Anthropometrics - Height, weight, girth measurements(chest, waist, hips) BMI IBW Pain Strength ROM Flexibility Joint biomechanics Movement analysis Aerobic capacity |
ok
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WHAT IS BMI?
Reliable indicator of body fat for most children and teens Evaluates weight relative to height •www.surgeongeneral.gov/obesityprevention/resources/ Formula: weight (kg) / [height (m)]2 (2 means squared) |
Example: Weight = 68 kg, Height = 165 cm (1.65 m)
Calculation: 68 ÷ (1.65)2 = 24.98 Example: Weight = 150 lbs, Height = 5'5" (65") Calculation: [150 ÷ (65)2] x 703 = 24.96 |
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Body Mass Index-for-age percentiles
CDC GROWTH CHART •Age and gender specific ___ < 5th percentile |
Underweight
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Body Mass Index-for-age percentiles
CDC GROWTH CHART •Age and gender specific ___ 5th to < 85th percentile |
Healthy weight
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Body Mass Index-for-age percentiles
CDC GROWTH CHART •Age and gender specific ___ 85th to < 95th percentile |
Overweight
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Body Mass Index-for-age percentiles
CDC GROWTH CHART •Age and gender specific ___ > 95th percentile |
Obese
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Age: 2-7
BMI: 85-95th% (overweight) Family History/Medical Problem: Yes or No Goal: ___ |
Goal: Maintain Weight
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Age: 2-7
BMI: > 95th% (obese) Family History/Medical Problem: No Goal: ___ |
Goal: Maintain Weight
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Age: 2-7
BMI: > 95th% (obese) Family History/Medical Problem: Yes Goal: ___ |
Goal: Weight Loss
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Age: >7
BMI: 85-95th% (overweight) Family History/Medical Problem: No Goal: ___ |
Goal: Maintain Weight
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Age: >7
BMI: 85-95th% (overweight) Family History/Medical Problem: Yes Goal: ___ |
Goal: Weight Loss
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Age: >7
BMI: > 95th% Family History/Medical Problem: Yes or No Goal: ___ |
Goal: Weight Loss
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PHYSICAL THERAPY INTERVENTION
Flexibility Strength Balance Aerobic prescription Orthotics Bracing, taping Injury prevention |
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MONITOR
Vital signs Respiration rate; SOB RPE Pain -FACES scale -VAS -Numeric scale |
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Borg Rate of Perceived Exertion
6-20 7 = VERY, VERY LIGHT 9 = VERY LIGHT 11 = FAIRLY LIGHT 13 = SOMEWHAT HARD 15 = HARD 17 = VERY HARD 19 = VERY VERY HARD |
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CHILDREN’S EFFORT RATING TABLE
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has pictures of kids exercising, easy -> on knees exhausted
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PACING SKILLS
Teach children and parent how to monitor intensity level Monitoring resting hr/ max hr Talking test ___ = light intensity ___ = moderate intensity ___ during conversation= vigorous intensity |
Singing = light intensity
Conversation = moderate intensity Out of breath during conversation= vigorous intensity |
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SUCCESS
Self monitoring increases awareness; “habit chart” Teaching age appropriate behavior strategies Positive reinforcement => positive consequences Parent participation/ parent modeling Low calorie diet + increased physical activity + behavior modification At least ___ minutes physical activity 6/7 days per week (dietary guidelines for Americans 2005) |
60 minutes
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