A 14-year-old girl presented as a new patient for well-child care with a BMI of 98% for age and sex. At the first visit, the patient was counseled about appropriate weight loss strategies and appeared motivated to make changes to diet and physical activity. Four weeks later, the patient has lost 12 lb (5.4 kg), which she attributes to dietary changes, and states that her activity level has not increased. Which of the following is the most appropriate next step in management?

Question

Quizplus · Accepted Answer

The rapid weight loss of 12 lb in 4 weeks, especially without increased physical activity, raises concern for excessive caloric restriction, which can be unhealthy. It is important to evaluate her dietary intake to ensure she is not engaging in harmful weight loss practices.

A 14-Year-Old Girl Presented as a New Patient for Well-Child