Nerissa's parents are concerned about her weight. At age 15, Nerissa is 5?5? tall, and 1 year ago she was 28 pounds overweight. She entered an exercise program, went on a calorie reduction diet, and lost 25 pounds. Now, it seems as if Nerissa is obsessed with diet and exercise. She has reduced her caloric intake to fewer than 1,000 calories per day, and exercises several times a day. Her
mother's efforts to talk her into eating more have been to no avail. The school nurse has asked Nerissa's mother to come in for a conference. The nurse asks her to explore some of the reasons for the initial overweight problem.
What are some factors that can worsen an adolescent's weight problem?
Overweight children are often the center of classmates' jokes and can develop diminished self-esteem. This consequently can exclude them from social life, which can further alienate an adolescent. Spending time alone, watching television, finding comfort in food, and a low self-esteem compound the condition.
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