A 10-year-old boy presents for an annual school examination. Past history is unremarkable. His development has been normal,

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A 10-year-old boy presents for an annual school examination. Past history is unremarkable. His development has been normal, except he has been sleeping for only 5 hours per night for the past 12 months. Height is 54.75 inches (50th percentile) and weight is 96 pounds (90th percentile). BMI is 22.5 (>95th percentile). How is his lack of sleep associated with his BMI? A. Lack of sleep is associated with an increased BMI independent of lack of physical activity B. Lack of sleep is associated with an increased BMI only in conjunction with decreased physical activity C. Lack of sleep is associated with a decreased BMI only in conjunction with increased physical activity D. Lack of sleep is not associated with BMI percentile

A 10-year-old boy presents for an annual school examination. Past history is unremarkable. His development has been normal, except he has been sleeping for only 5 hours per night for the past 12 months. Height is 54.75 inches (50th percentile) and weight is 96 pounds (90th percentile). BMI is 22.5 (>95th percentile). How is his lack of sleep associated with his BMI? A. Lack of sleep is associated with an increased BMI independent of lack of physical activity B. Lack of sleep is associated with an increased BMI only in conjunction with decreased physical activity C. Lack of sleep is associated with a decreased BMI only in conjunction with increased physical activity D. Lack of sleep is not associated with BMI percentile

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