Paeds Vivas · adolescent-and-young-adult-medicine
Obesity and body-image concerns in adolescents — branching viva
Branching viva on BMI classification with adult crossover, comorbidity and body-image screening, staged weight-neutral management, severe-obesity escalation to pharmacotherapy and surgery, and the parallel mental-health track.
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Target exams
RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
You are the paediatric registrar in adolescent clinic. The examiner will move from classification and screening through staged management to severe-obesity escalation and the parallel mental-health and body-image track.
Stem
The examiner will test whether you can reason through adolescent obesity classification under pressure, integrate body-image and mental-health screening, and defend a staged, weight-neutral management plan that escalates appropriately for severe disease. [1] [8]
References8ShowHide
- [1]Hampl SE, Hassink SG, Skinner AC Clinical Practice Guideline for the Evaluation and Treatment of Children and Adolescents With Obesity. Pediatrics, 2023.PMID 36622115
- [2]Styne DM, Arslanian SA, Connor EL Pediatric Obesity-Assessment, Treatment, and Prevention: An Endocrine Society Clinical Practice Guideline. Journal of clinical endocrinology and metabolism, 2017.PMID 28359099
- [5]Simmonds M, Llewellyn A, Owen CG Predicting adult obesity from childhood obesity: a systematic review and meta-analysis. Obesity reviews, 2016.PMID 26696565
- [7]Kelly AS, Barlow SE, Rao G Severe obesity in children and adolescents: identification, associated health risks, and treatment approaches: a scientific statement from the American Heart Association. Circulation, 2013.PMID 24016455
- [8]Puhl RM, Lessard LM Weight Stigma in Youth: Prevalence, Consequences, and Considerations for Clinical Practice. Current obesity reports, 2020.PMID 33079337
- [9]Inge TH, Laffel LM, Jenkins TM Comparison of Surgical and Medical Therapy for Type 2 Diabetes in Severely Obese Adolescents. JAMA pediatrics, 2018.PMID 29532078
- [10]Neumark-Sztainer D, Wall MM, Chen C Eating, Activity, and Weight-related Problems From Adolescence to Adulthood. American journal of preventive medicine, 2018.PMID 29937114
- [15]Mannan M, Mamun A, Doi S Prospective Associations between Depression and Obesity for Adolescent Males and Females- A Systematic Review and Meta-Analysis of Longitudinal Studies. PLoS one, 2016.PMID 27285386