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Obesity, Pediatric

Susma Vaidya, MD, MPH and Nazrat Mirza, MD, ScD Reviewed 10/2018
 


BASICS

DESCRIPTION

Excess adiposity correlates closely with increased health risk for multiple medical and psychological disorders. Body mass index (BMI) is an easily obtained clinical measure to asses...

DIAGNOSIS

HISTORY

  • Birth history: birth weight, maternal gestational weight gain, gestational diabetes

  • Growth history: weight trajectory and age where percentiles were crossed

  • Medical and/or social stress...

TREATMENT

GENERAL MEASURES

  • Prevention and treatment include healthy lifestyle behavior: Goal is to start with small incremental changes in lifestyle.

    • Eliminate consumption of sugar-sweetened beverages i...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Assess BMI monthly and achievement of dietary and physical activity goals.

  • Follow patient more frequently with weight gain and/or refer for nutrition counseling or...

ADDITIONAL READING

  • Barlow SE; for Expert Committee. Expert committee recommendations regarding the prevention, assessment, and treatment of child and adolescent overweight and obesity: summary report....

CODES

ICD9

  • 278.00 Obesity, unspecified

  • 278.02 Overweight

  • 783.1 Abnormal weight gain

  • 278.01 Morbid obesity

  • V85.53 Body Mass Index, pediatric, 85th percentile to less than 95th percentile for age

  • V85.54 Body ...

FAQ

  • Q: How do I broach such a sensitive topic with families?

  • A: Review growth charts at every well-child visit and discuss any concerning increase in BMI. Describe in terms of healthy weight and the ne...

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