Abstract :
A 14 year old girl was brought to health center’s
OPD by her mother, for consultation regarding
excessive weight gain, over the last two years.
No history of menstrual disturbances
(oligomenorrhea, amenorrhea), acne, hirsutism,
breathlessness, easy fatigability, constipation/
diarrhea, excessive sleep, drowsiness, lethargy,
temperature disturbances (hypothermia), dryness of
skin, muscle weakness was present.
As per mother, she started gaining excessive weight
at about age of 12 years (51 kg) for which she
consulted a pediatrician and medical causes were
ruled out (Poly Cystic Ovarian Disease and
hypothyroidism).
Doctors recommended lifestyle interventions to lose
weight focusing on dietary interventions and
physical activities, but she did not comply with that
because she did not perceive herself as overweight.
Her mother strongly felt that she needed lifestyle
modification, so she consulted the health center.
It was quite difficult to convince the girl on the first
visit, as she did not perceive herself as overweight or
obese and often felt annoyed by the undue concern
by family members for her weight. She did not want
to modify her lifestyle because she doesn’t want to
be thinner.
Keyword :
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