What are the ES/ESE/PES guidelines on assessment, treatment and prevention of pediatric obesity?

Updated: Jun 27, 2019
  • Author: Henry J Rohrs, III, MD; Chief Editor: Stuart Berger, MD  more...
  • Print
Answer

The Endocrine Society, European Society of Endocrinology, and Pediatric Endocrine Society released guidelines on the assessment, treatment, and prevention of pediatric obesity in January 2017, as summarized below. [4, 5]

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 age 5 years), an increased drive to consume food known as extreme hyperphagia, other clinical findings of genetic obesity syndromes, or a family history of extreme obesity.

See also other guidelines recommendation in the Guidelines section.


Did this answer your question?
Additional feedback? (Optional)
Thank you for your feedback!