A 12-year-old girl has BMI at the 96th percentile. Blood pressure is at the 92nd percentile. She drinks sugar-sweetened beverages daily and sleeps 6

Question

A 12-year-old girl has BMI at the 96th percentile. Blood pressure is at the 92nd percentile. She drinks sugar-sweetened beverages daily and sleeps 6 hours nightly. The family is ready to make changes. Which of the following is the most appropriate next step in management?

Accepted Answer

Family-based intensive health behavior and lifestyle treatment

Answer

Very-low-calorie diet without supervision

Answer

Thyroid hormone despite normal thyroid tests

Answer

Bariatric surgery as first discussion

Answer

Reassurance without follow-up

Pediatric obesity — USMLE Step 3 MCQ

A 12-year-old girl has BMI at the 96th percentile. Blood pressure is at the 92nd percentile. She drinks sugar-sweetened beverages daily and sleeps 6 hours nightly. The family is ready to make changes. Which of the following is the most appropriate next step in management?