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32 Cards in this Set

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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
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
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
Adolescent Boys Prevalence of Obesity by Race/Ethnicity Aged 12–19 Years

___

NHANES
1988-1994= 11.6%
2003-2006 = 17.3%
NON HISPANIC WHITE
Adolescent Boys Prevalence of Obesity by Race/Ethnicity Aged 12–19 Years

___

NHANES
1988-1994 = 10.7%
2003-2006 = 18.5%
NON HISPANIC BLACK
Adolescent Boys Prevalence of Obesity by Race/Ethnicity Aged 12–19 Years

___

NHANES
1988-1994 = 14.1%
2003-2006 = 22.1%
MEXICAN AMERICAN
Adolescent Girls Prevalence of Obesity by Race/Ethnicity Aged 12–19 Years

___

NHANES
1988-1994 = 7.4%
2003-2006 = 14.5%
NON HISPANIC WHITE
Adolescent Girls Prevalence of Obesity by Race/Ethnicity Aged 12–19 Years

___

NHANES
1988-1994 = 13.2%
2003-2006 = 27.7%
NON HISPANIC BLACK
Adolescent Girls Prevalence of Obesity by Race/Ethnicity Aged 12–19 Years

___

NHANES
1988-1994 = 9.2%
2003-2006 = 19.9%
MEXICAN AMERICAN
AT RISK MEDICAL CONDITIONS

Dys___
Hypertension
Glucose ___
Type II diabetes
Sleep ___
Asthma
Dyslipidemia

Glucose intolerance

Sleep disturbances
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
ASSOCIATED RISK

PSYCHOLOGICAL IMPACT
-DEPRESSION
-DISCRIMINATION
-___TRAUMA
EMOTIONAL TRAUMA
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
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
EVALUATION

Anthropometrics - Height, weight, girth measurements(chest, waist, hips)
BMI
IBW
Pain
Strength
ROM
Flexibility
Joint biomechanics
Movement analysis
Aerobic capacity
ok
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
Body Mass Index-for-age percentiles
CDC GROWTH CHART
•Age and gender specific

___ < 5th percentile
Underweight
Body Mass Index-for-age percentiles
CDC GROWTH CHART
•Age and gender specific

___ 5th to < 85th percentile
Healthy weight
Body Mass Index-for-age percentiles
CDC GROWTH CHART
•Age and gender specific

___ 85th to < 95th percentile
Overweight
Body Mass Index-for-age percentiles
CDC GROWTH CHART
•Age and gender specific

___ > 95th percentile
Obese
Age: 2-7
BMI: 85-95th% (overweight)
Family History/Medical Problem: Yes or No
Goal: ___
Goal: Maintain Weight
Age: 2-7
BMI: > 95th% (obese)
Family History/Medical Problem: No
Goal: ___
Goal: Maintain Weight
Age: 2-7
BMI: > 95th% (obese)
Family History/Medical Problem: Yes
Goal: ___
Goal: Weight Loss
Age: >7
BMI: 85-95th% (overweight)
Family History/Medical Problem: No
Goal: ___
Goal: Maintain Weight
Age: >7
BMI: 85-95th% (overweight)
Family History/Medical Problem: Yes
Goal: ___
Goal: Weight Loss
Age: >7
BMI: > 95th%
Family History/Medical Problem: Yes or No
Goal: ___
Goal: Weight Loss
PHYSICAL THERAPY INTERVENTION

Flexibility
Strength
Balance
Aerobic prescription
Orthotics
Bracing, taping
Injury prevention
ok
MONITOR

Vital signs
Respiration rate; SOB
RPE
Pain
-FACES scale
-VAS
-Numeric scale
ok
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
ok
CHILDREN’S EFFORT RATING TABLE
has pictures of kids exercising, easy -> on knees exhausted
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
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