[01] Hamid Yahay Hussain, Primary Health Care, Dubai Health Authority, Dubai, UAE.

Obesity has become one of the most important public health problems in the United States and many other resource-rich countries and transitional economies. Objectives: To study the progressive weight gain profile for the case presented by current study. To study potential associated factors Methodology: A girl of (10.2) years school in Dubai has been followed up for 5 years since age of (5.5) years old by WHO growth chart monitoring BMI percentile and Z score, BMI percentiles also can be determined for boys and for girls As children approach adulthood, the 85^th and 95^th percentiles for BMI are approximately 25 and 30 kg/m², the thresholds for overweight and obesity in adults, respectively. The cut off point for obesity diagnosis is > 95 percentile, case interview, family interview has carried out many times, weight management protocol of many trails throughout the 5 years of follow up. operational definition of morbid obesity has been followed according to, comprehensive medical examinations has been carried out for the case, biomedical screening tests, social counseling sessions, peer effect trials and sustainable environment of motivations. Results: The study revealed that the girl experienced the following finding at the age of (5.5) year old, 117.6 Cm high, 27.8Kg weigh BMI 98% and Z score 2-46. While the case of the girl reflect 125.0 Cm height, 34.3%Kg weight, 98% BMI and 2.46 Z score at age of 6.3 years old. Yet at the age of (7.5) years old her height was 132.3 CM, weight 46.8 Kg, BMI% was 99.4% and Z score was 2.56. At age of (8.4) years old the girl eve loved to 140.0cm high, 58.2 kg weight, and 99.5% BMI and 2.59 Z score. When she reached age of (9.4) years old she showed 147.1 CM height, 70.1 KG weight 99.5% BMI%and2.62 Z score. the most recent follow up for the girl at age of (10.2) reflected 152.0 CM height, 75Kg body weight, 99.5% BMI% and 2.55 Z. the time trend of weight gain is steadily increasing over the last five years in spite of increasing in the height as well and still reflected as an extensive obesity on BMI% parameter starting from 98% BMI at age of (5.5) years old to 99.5% at the age of (10.2) years old.

Morbid Obesity, Life Style, Pathology, Management Protocol

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