Review Note

Last Update: 06/08/2024 11:02 PM

Current Deck: SLS Cards::10. Pediatric growth and nutrition

New Card (Unpublished)

No published tags.

What are some risk factors/ causes of childhood obesity?

Primary endocrine, neurological, and hypothalamic conditions: rare, < 1% of all cases
Medications and procedures, e.g.: glucocorticoids, TCAs, antipsychotics (risperidone, olanzapine), antiseizure
Genetics, e.g.: Prader-Willi syndrome, Bardet-Biedl syndrome
Ethnicity
Perinatal factors, e.g.: maternal smoking during pregnancy, maternal prepregnancy obesity, high infant birth weight
Diet, e.g.: formula-fed, and formula + breast-fed, prolonged bottle use at 24 months, consumption of sugar-sweetened beverages, sweet snacks, skipping breakfast, fast food, eating out of home, large portion size, food desert/ lack of access to healthy food
Physical activity and screen time: > 4 hrs/ day associated with severe obesity
Sleep duration and quality
Parental and family, e.g.: 2-3x risk if 1 parents with obesity, up to 15x risk if 2 parents with obesity; stress and depression in home (esp maternal); maternal diet, physical activity, smoking, EtOH use; indulgent or restrictive eating; authoritarian or indulgent parenting styles; emotional, physical, and sexual abuse; use of food for reward or punishment
Race due to SES factors
Other psychosocial factors, e.g.: depression, stress