Abstract
This paper reports the case of a girl, whose growth-and-obesity pattern was followed up during the age range 6.47-8.53 years, who was suffering from Pulmonary Atresia with Ventricular Septal Defect. She underwent 3 cardiac surgeries, when she was 5-day, 5-year and 7-year old. She showed signs of ‘Failure-to-Grow’, with both height and mass percentiles lying below 3rd throughout the period of observation. She presented with a case of acute malnutrition with a small built. There were pseudo gains of height (physical gain with drop in percentile) from 2nd to 4th checkup, physical loss of mass between 2 nd and 3rd checkup. A new index, Severity of Acute Malnutrition, is introduced, which is computed by multiplying the difference of unity and one-sixth of sum of percentiles of height and mass with 100 to give a percentage. This index increased from 47.67% to 58.00% (1st to 4th checkup), with a drop at 2nd checkup. Month-wise targets to attain specific heights and masses (on specific dates of a given month) as well as guidelines for lifestyle adjustment accompanied with diet and guarded-graduated exercise plans are provided for the child. Similar month-wise targets to shed off mass for father and put on mass for mother are given with associated lifestyle-adjustment guidelines as well as diet and exercise plans. This work, also, gives a short review of heart-function modeling, nutritional-status classification, classification of built and methods of generating ‘Growth-and-Obesity Roadmaps’ of a family prior to describing the clinical problem.
