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It is difficult to carry out any conclusive work on this subject
in school children. Parents and children are very sensitive about
the condition, and will even resent questions regarding family
history and the child's personal habits. In many cases the parents
refuse to allow the child to attend the clinic for periodic weighing.
Of the forty-one cases seen in 1935, fifteen refused to attend for
weighing, and of fifteen children referred to doctor or hospital only
four sought further advice, and three of these were irregular in
attendance at hospital. Parents dislike having the children undressed
for a general examination ; and investigation into the condition
of the genital organs is out of the question.
A few points have, however, been noted in regard to the condition:—
1. Well-to-do and poor children are about equally
affected.
2. Males are more frequently affected than females.
1935 Boys 24 1934 Boys 16 1933 Boys 7
Girls 17 Girls 6 Girls 2
3. Eleven cases gave a very definite history of obesity in
other members of the family; but accurate
information is difficult to obtain in all cases.
Among the forty-one cases in 1935 were three
pairs of brothers, and all these were very obese.
4. All the children except one were well over the average
height. In three cases the height was 8, 9 and
11½ ins. above the normal for the age.
5. Mentality.— Most (60.9 per cent.) of the children were
of average intelligence, but twelve (29 per cent.)
were dull. Three (two girls and one boy) were
brilliant at school work.
6. Age of Onset.— It would appear that most of the
cases start in early life.
Under 5 years 13
Under 6 years (when
first examined) 3
Between 5 and 8 years 11
Between 8 and 12 year: 5 (One case doubtful)
No history obtainable 9