JS is a 10 year old girl with trisomy 21. Her growth charts indicate the following:
This information is shared with JS's parents, along with concerns that JS is at risk for overweight. A referral is made to a registered dietitian who has experience working with children with trisomy 21. JS's food pattern is modified slightly, and after six months, her rate of weight gain has slowed, and his BMI-for-age is more appropriate.