In general, what are the goals for weight loss in the pediatric population? Are there concerns to consider when developing recommendations for an overweight child who is still growing?

Question

What will be an ideal response?

Answer 1

• Since children are still growing in height, weight-loss goals should be realistic and should not necessarily attempt to fully normalize weight.
• For children at risk for overweight with no identified complications, maintenance of current weight is recommended. Prolonged maintenance will allow a gradual decline in BMI units as children grow in height.
• For children who are overweight and those overweight with complications, gradual weight loss is recommended.
• Rate of weight loss should be based on health risks and recommended with caution. Primary goals of treatment are:
• Promote healthful lifestyle behaviors to achieve and maintain a desirable body weight
• Well-balanced diet that supports growth and development
• Behavior modification
• Increased physical activity
• Family involvement
• Improve/resolve complications of obesity if present
• In children, generally weight loss should not exceed 2 lbs per week and this high rate of weight loss is generally reserved for the 6-11 yr olds in the 99th %-tile or 12-18 yr olds with ≥ 95%-tile