Obesity (Pediatric)

Obesity (Pediatric)

Condition Description

Chronic accumulation of excess body fat in children. Obesity is classified as a BMI in the 95th percentile or higher

Common Symptoms

  • Often no symptoms other than excessive weight
  • Psychological distress due to social stigma
  • In rare cases, hypertension (high blood pressure)

Underlying Causes

  • Behavioral and environmental factors are primarily responsible for pediatric obesity
  • Insulin resistance can also be a cause, and can result in development of childhood diabetes
  • Food allergies or food addiction (sometimes caused by allergies)
  • Hypothyroidism

Traditional Approach

  • Lifestyle changes to improve diet (eliminate sugar and high calorie foods) and increase physical activity
  • Counseling to modify behavior regarding diet and exercise
  • In extreme cases, use of medications like Orlistat, Sibutramine or Metformin

EHC Approach

  • In conjunction with diet improvements and increased exercise, it is important to look for other underlying causes
  • Test for insulin resistance
  • Test for food allergies and eliminate any foods to which the child is sensitive
  • Test for and treat hypothyroidism as necessary
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