PEDIATRICS Vol. 89 No. 1 January 1992, pp. 143-145
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Infant Obesity, Weight Reduction with Normal Increase in Linear Growth and Fat-free Body Mass

JOYCE M. PEIPERT MMSc, RD1, VIRGINIA A. STALLINGS MD1, GERARD T. BERRY MD1, and JULE ANNE D. HENSTENBURG MS, RD1

1 Department of Nutrition Services, Division of Gastroenterology and Nutrition, Division of Metabolism, The Children's Hospital of Philadelphia, Department of Pediatrics, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania

Dietary caloric restriction, as a means to induce weight loss, is seldom used as a treatment of obesity in infancy for fear that permanent stunting of growth may result.1-4 Thus, there is little information on controlled weight loss as the treatment for infant obesity or, more importantly, its effect on growth in length, head circumference, and fat-free body mass during weight loss.5 We present a case of an obese infant who, secondary to a metabolic disorder, required nutritional support both intravenously and by nasogastric tube. During 15 months, the patient's resting energy expenditure (REE) was measured to determine an appropriate caloric intake to promote weight loss and later weight maintenance.

Submitted on November 12, 1990
Accepted on February 26, 1991