Assessment of the obese child or adolescent

Sarah E. Barlow, Sharonda Alston Taylor, Elisabeth Hastings, Beth H. Garland

Research output: Chapter in Book/Report/Conference proceedingChapter

2 Scopus citations


The evaluation of a child or adolescent for obesity begins with weight and height measurements to calculate body mass index percentile. A thorough medical evaluation should be done to screen for obesity-associated medical conditions, including hypertension, dyslipidemia, fatty liver disease, prediabetes and diabetes, obstructive sleep apnea, polycystic ovary syndrome, and orthopedic conditions. Most of the obesity comorbidities known in adults also occur during childhood, and early recognition is an opportunity to protect long-term health. Obese youth seem to be at higher risk for serious mental health conditions, including depression, anxiety, and eating disorders. In addition, these children are vulnerable to psychological stress from teasing and from low self-esteem. Because intervention is primarily behavior based, evaluation of obese children and adolescents must include current, potentially modifiable lifestyle behaviors as well as an assessment of the strengths and barriers of the home and community environment.

Original languageEnglish (US)
Title of host publicationTreatment of the Obese Patient
PublisherSpringer New York
Number of pages18
ISBN (Electronic)9781493912032
ISBN (Print)149391202X, 9781493912025
StatePublished - May 1 2014

ASJC Scopus subject areas

  • General Medicine


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