Case Extracted from International Journal of Environmental Research and Public Health (2019) – Case Reports: Multifaceted Experiences Treating Youth with Severe Obesity by Karen E. Schaller et al.

Case Extracted from International Journal of Environmental Research and Public Health (2019) – Case Reports: Multifaceted Experiences Treating Youth with Severe Obesity by Karen E. Schaller et al.

Read the following case study:

BB is a preteen (52.2% body fat). He was placed in foster care as an infant following a term birth to a cocaine-abusing mother. BB has cognitive impairment, severe behavioral challenges, and limited self-care skills. His difficult behavior was managed with an antipsychotic drug that can promote weight gain; his educational plan included a one-on-one aide when in school. He had attention deficit hyperactivity disorder, but the stimulant medication had not been approved by his insurance. He was also receiving asthma maintenance therapy and had constipation with encopresis and nocturnal enuresis. The foster parents had been concerned about his weight for the past 3 years and had started making changes. They reported offering fruits for snacks, but he would choose the chips. They had started locking the refrigerator, as he was sneaking food and eating at night. He was reported to be a very picky eater, with a diet including almost no vegetables. They had also just started to address constipation/encopresis management per primary care provider recommendations and referred him to gastroenterology for further management.

Address the following questions:

How would you introduce an exercise program for this patient? Note that one of the immediate goals, in this case, is to ameliorate constipation.

How can you help BB? What strategies would you implement to guarantee adherence to your exercise program?

What tools from exercise psychology you would make use of? Why?