Childhood Obesity
Endocrine Society, European Society of Endocrinology, and Pediatric Endocrine Society
Children or teens with a body mass index (BMI) ≥85th percentile should be evaluated for related conditions such as metabolic syndrome, diabetes, prediabetes, or hypertension.
Youth being evaluated for obesity do not need to have their fasting insulin values measured, because it has no diagnostic value.
Children or teens affected by obesity do not need routine laboratory evaluations for endocrine disorders that can cause obesity unless their height or growth rate is less than expected based on age and pubertal stage.
About 7% of children with extreme obesity may have rare chromosomal abnormalities or genetic mutations. Specific genetic testing is suggested when there is early-onset obesity (before 5 yr of age), an increased drive to consume food known as extreme hyperphagia, other clinical findings of genetic obesity syndromes, or a family history of extreme obesity.
References
Harrison P. New guidelines update MDs on childhood obesity management. Medscape Medical News. WebMD Inc. February 3, 2017. http://www.medscape.com/viewarticle/875376
Styne DM, Arslanian SA, Connor EL, et al. Pediatric obesity—assessment, treatment, and prevention: An Endocrine Society Clinical Practice Guideline. J Clin Endocrinol Metab. Published online January 31, 2017. https://academic.oup.com/jcem/article-lookup/doi/10.1210/jc.2016-2573
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Cite this: Key Pediatric Clinical Practice Guidelines in 2017 - Medscape - Jan 10, 2018.
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