Bma Case Study Essay

1. What are Stephanie’s current BMI and BMI-for-age percentile? How is her weight classified based on the recommendations?

• Stephanie’s calculated BMI is 17.9. According to the CDC growth charts, she is in the 90th% BMI-for-age and the NICH classifies her as overweight (Brown et al., 2016).

2. What areas should the registered dietitian focus on during the dietary assessment according to these recommendations?

• The NICH suggests that diet, physical activity, and attitudes be assessed. Dietary behaviors that should be evaluated includes the consumption of products such as sweetened-beverages, fruits and vegetables, and unnecessary portion sizes. The amount of time the child spends on the computer and watching television should be managed and

She is classified as obese with the new recommendations (Brown et al., 2016).

5. What treatment changes are recommended at this point?

• Stephanie should now be referred to a staged approach because she is in the 97th%. In stage 1 she will be visiting a physician or health professional that can help her to manage her weight. She now has behavior goals such as no sugar-sweetened beverages, limiting meals outside of the home, increasing physical activity equal to or more than 1 hour each day (Barlow, 2007). Her weight goals should be aimed towards the 85-94th% range with a long term goal of less than the 85th%.

6. What are the next stages and recommended treatments?

• Once Stephanie has gone through the initial first stage with no improvements in 3-6 months, then she will move onto stages 2-4. In stage two the physician will meet with the child monthly in order to help them with a more structured weight management plan. In stage 3 there will be a team assigned to the child that will meet with them on a weekly basis for about 3 months. This can include dieticians, personal trainers, and a primary care physician. The goal for the child is a gradual weight loss of one pound her month. Stage 4 is not recommended for children from ages 6-11 (Barlow,