Childhood neglect: Another perspective on childhood obesity

Detalhes bibliográficos
Autor(a) principal: Azevedo, Inês Alexandra
Data de Publicação: 2024
Outros Autores: Aguiar, Benedita Bianchi, Silva, Joana, Marques, Elizabeth, Silva, Maria José, Monteiro, Virgínia, Gomes, Lúcia, Costa, Miguel
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
DOI: 10.25753/BirthGrowthMJ.v32.i4.26514
Texto Completo: https://doi.org/10.25753/BirthGrowthMJ.v32.i4.26514
Resumo: Childhood obesity is a multifactorial condition. Extreme cases are often associated with the inability of caregivers to follow the recommended diet plan, despite prior warnings of the potential risks associated of non-compliance. A seven-year-old girl with a body mass index (BMI) of 38.6 kg/m2 (z-score +7.3) and multiple comorbidities was seen in a Pediatric Nutrition outpatient consultation. After several attempts to educate her guardians about the potential risks of obesity, the girl was referred for a multidisciplinary evaluation and placed in a children’s home. With adequate nutrition and regular exercise, significant improvements were achieved in BMI (23.5 kg/m2; z-score +2.06). After three years, the girl was returned to her family home by court order, with subsequent worsening of her BMI (maximum 40.7 kg/m2; z-score +4.07), despite information provided by the medical team to social services and the court. Given that caregivers play an essential role in the prevention of childhood obesity, persistent refusal to follow therapeutic recommendations coupled with indifference in the face of red flags meets the criteria for abuse.
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spelling Childhood neglect: Another perspective on childhood obesityMaus tratos na criança – Outra perspetiva da obesidade infantilCase ReportsChildhood obesity is a multifactorial condition. Extreme cases are often associated with the inability of caregivers to follow the recommended diet plan, despite prior warnings of the potential risks associated of non-compliance. A seven-year-old girl with a body mass index (BMI) of 38.6 kg/m2 (z-score +7.3) and multiple comorbidities was seen in a Pediatric Nutrition outpatient consultation. After several attempts to educate her guardians about the potential risks of obesity, the girl was referred for a multidisciplinary evaluation and placed in a children’s home. With adequate nutrition and regular exercise, significant improvements were achieved in BMI (23.5 kg/m2; z-score +2.06). After three years, the girl was returned to her family home by court order, with subsequent worsening of her BMI (maximum 40.7 kg/m2; z-score +4.07), despite information provided by the medical team to social services and the court. Given that caregivers play an essential role in the prevention of childhood obesity, persistent refusal to follow therapeutic recommendations coupled with indifference in the face of red flags meets the criteria for abuse.A obesidade infantil é uma condição multifatorial. Casos extremos estão frequentemente associados à incapacidade de os cuidadores aderirem ao plano alimentar recomendado, apesar de alertados para os riscos potenciais associados ao seu não cumprimento. Uma criança de sete anos de idade do sexo feminino, com índice de massa corporal (IMC) de 38,6 Kg/m2 (z-score +7,3) e diversas comorbilidades, foi seguida em consulta de Nutrição Pediátrica. Após várias tentativas de sensibilização da família dos potenciais riscos associados à obesidade, foi decidido em reunião multidisciplinar colocar a criança num centro de acolhimento. Com recurso a alimentação adequada e prática regular de exercício físico, foi observada uma melhoria notória do IMC (23,5 kg/m2; z-score +2,06). Após três anos, a rapariga regressou a casa da família por decisão do tribunal, com subsequente agravamento do IMC (máximo de 40,7 kg/m2; z-score +4,07), apesar da informação transmitida pela equipa médica ao serviço social e ao tribunal. Os cuidadores desempenham um papel essencial na prevenção da obesidade infantil. A recusa persistente no cumprimento de recomendações terapêuticas, juntamente com indiferença perante sinais de gravidade, preenchem critérios de maus tratos.Unidade Local de Saúde de Santo António2024-01-23info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://doi.org/10.25753/BirthGrowthMJ.v32.i4.26514eng2183-9417Azevedo, Inês AlexandraAguiar, Benedita BianchiSilva, JoanaMarques, ElizabethSilva, Maria JoséMonteiro, VirgíniaGomes, LúciaCosta, Miguelinfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-05-07T09:47:07Zoai:ojs.revistas.rcaap.pt:article/26514Portal AgregadorONGhttps://www.rcaap.pt/oai/openairemluisa.alvim@gmail.comopendoar:71602024-05-07T09:47:07Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Childhood neglect: Another perspective on childhood obesity
Maus tratos na criança – Outra perspetiva da obesidade infantil
title Childhood neglect: Another perspective on childhood obesity
spellingShingle Childhood neglect: Another perspective on childhood obesity
Childhood neglect: Another perspective on childhood obesity
Azevedo, Inês Alexandra
Case Reports
Azevedo, Inês Alexandra
Case Reports
title_short Childhood neglect: Another perspective on childhood obesity
title_full Childhood neglect: Another perspective on childhood obesity
title_fullStr Childhood neglect: Another perspective on childhood obesity
Childhood neglect: Another perspective on childhood obesity
title_full_unstemmed Childhood neglect: Another perspective on childhood obesity
Childhood neglect: Another perspective on childhood obesity
title_sort Childhood neglect: Another perspective on childhood obesity
author Azevedo, Inês Alexandra
author_facet Azevedo, Inês Alexandra
Azevedo, Inês Alexandra
Aguiar, Benedita Bianchi
Silva, Joana
Marques, Elizabeth
Silva, Maria José
Monteiro, Virgínia
Gomes, Lúcia
Costa, Miguel
Aguiar, Benedita Bianchi
Silva, Joana
Marques, Elizabeth
Silva, Maria José
Monteiro, Virgínia
Gomes, Lúcia
Costa, Miguel
author_role author
author2 Aguiar, Benedita Bianchi
Silva, Joana
Marques, Elizabeth
Silva, Maria José
Monteiro, Virgínia
Gomes, Lúcia
Costa, Miguel
author2_role author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Azevedo, Inês Alexandra
Aguiar, Benedita Bianchi
Silva, Joana
Marques, Elizabeth
Silva, Maria José
Monteiro, Virgínia
Gomes, Lúcia
Costa, Miguel
dc.subject.por.fl_str_mv Case Reports
topic Case Reports
description Childhood obesity is a multifactorial condition. Extreme cases are often associated with the inability of caregivers to follow the recommended diet plan, despite prior warnings of the potential risks associated of non-compliance. A seven-year-old girl with a body mass index (BMI) of 38.6 kg/m2 (z-score +7.3) and multiple comorbidities was seen in a Pediatric Nutrition outpatient consultation. After several attempts to educate her guardians about the potential risks of obesity, the girl was referred for a multidisciplinary evaluation and placed in a children’s home. With adequate nutrition and regular exercise, significant improvements were achieved in BMI (23.5 kg/m2; z-score +2.06). After three years, the girl was returned to her family home by court order, with subsequent worsening of her BMI (maximum 40.7 kg/m2; z-score +4.07), despite information provided by the medical team to social services and the court. Given that caregivers play an essential role in the prevention of childhood obesity, persistent refusal to follow therapeutic recommendations coupled with indifference in the face of red flags meets the criteria for abuse.
publishDate 2024
dc.date.none.fl_str_mv 2024-01-23
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://doi.org/10.25753/BirthGrowthMJ.v32.i4.26514
url https://doi.org/10.25753/BirthGrowthMJ.v32.i4.26514
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 2183-9417
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Unidade Local de Saúde de Santo António
publisher.none.fl_str_mv Unidade Local de Saúde de Santo António
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv mluisa.alvim@gmail.com
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dc.identifier.doi.none.fl_str_mv 10.25753/BirthGrowthMJ.v32.i4.26514

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