Ryan is a 6-year-old elementary school student. At his last well child exam, his
ID: 100682 • Letter: R
Question
Ryan is a 6-year-old elementary school student. At his last well child exam, his measured height was 46 inches and his weight was 80 pounds. His pediatrician is concerned that Ryan has gained an excessive amount of weight over the past year. His usual diet consists of sweetened cereal with whole milk and fruit juice for breakfast and a juice drink and crackers for his mid-morning snack. During the week, Ryan buys his lunch at school; his favorite menu items are pizza and tacos. His mother states that she started a new job this past year, which requires that Ryan attend an after-school program until 5:30 or 6 in the evening. He receives a snack there, usually an 8-ounce box of fruit juice and crackers. Ryan’s parents report that Ryan is “always hungry” and they will often stop for his favorite chicken nuggets, fries, and a soda on late evenings when the family is too tired to cook. Ryan likes to play video games and has a computer and television in his room. His father complains that he spends more time in his room than playing outside. Ryan’s mother is overweight and his father is of normal weight, although he states he was overweight as a child. The family has discussed getting more exercise on the weekends but are not sure how to add this to their busy schedules.
1. What is Ryan’s body mass index? Using the criteria set forth in your text, how would Ryan’s BMI be classified?
2. Choose the following: What would a reasonable goal be for Ryan?
3. What percentage of U.S. children and adolescents, ages 2 through 19, are overweight?
4. If a teen has at least one obese parent, what are the teen’s chances of becoming an obese adult?
5. In the U.S. how much time do 8 to 18 year-olds spend watching television each day, on average?
6. As a sedentary 6 year-old boy, what is Ryan’s estimated daily energy need?
7. Design a meal plan with snacks, suitable for a 6 year old, that will help Ryan maintain healthy weight as he grows. Provide a sample one day menu.
8. Discuss at least three lifestyle changes that Ryan’s parents could implement to help him.
a. Maintain his current weight as he grows tallerExplanation / Answer
1. Overweight and Obesity are measured in terms of Body Mass Index (BMI). BMI is the relationship ratio of weight to height which is given by:
BMI= (weight in pounds / height in inches 2 ) * 703
Ryan's BMI= (80/462 ) * 703
= 26.58
The BMI is 26.6 which says that he is above 95th percentile which indicates he is obese.
2 answer a The reasonable goal for the ryan should be to maintain his current weught as he grows taller.
3 answer (a) 32%
4 answer (a) greater than 80%
5 answer (a) 4.5 hrs
6 answer (a) 1200Kcalories. Kids of 6yrs need around 1200 to 1600 calories each day.
7 Meal Plan for 6 yrs old
Milk: 1cup, vegetables and or fruits : 3/4 cups, Bread : 1 piece or cooked cereal grains: 1/2 cups, combread or biscuits or rolls or muffins: 1 serving,
peanuts/soyanuts/other nuts: 1Oz.
A sample one day menu
8. Three lifestyle changes
1) Physica activity : it helps a childmaintain healthy weight and decrease blood pressure and inceases bone stength. Minimum 1 hour of physical activity or play is required for healthy life.
2) Provide a healthy diet with 30 % or less calories from fat.
3)Reduce added sugars like sugar-sweetened drinks and food.
Meals Meals components +serving size Breakfast Milk: 1 cup, vegetable or fruit juice: 1/2 cup, Bread: 1 piece or cooked cereal grains: 1/2 cup Lunch / Supper Milk: 1cup, vegetables and or fruits : 3/4 cups, Bread : 1 piece or cooked cereal grains: 1/2 cups,Lean meat or poultry or fish or cheese: 2 oz., cooked dry peas or beans : 1/2 cups, peanut butter or other nut seeds butter : 4 table spoon, yogurt : 1cup ; (NOTE: 5 items to be consumed) SnacksMilk: 1cup, vegetables and or fruits : 3/4 cups, Bread : 1 piece or cooked cereal grains: 1/2 cups, combread or biscuits or rolls or muffins: 1 serving,
peanuts/soyanuts/other nuts: 1Oz.
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