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Assessment of the Obese Child or Adolescent

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Treatment of the Obese Patient

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Abstract

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.

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References

  1. Flegal KM, et al. High adiposity and high body mass index-for-age in US children and adolescents overall and by race-ethnic group. Am J Clin Nutr. 2010;91(4):1020–6.

    CAS  PubMed Central  PubMed  Google Scholar 

  2. Freedman DS, et al. Cardiovascular risk factors and excess adiposity among overweight children and adolescents: the Bogalusa Heart Study. J Pediatr. 2007;150(1):12–7.

    PubMed  Google Scholar 

  3. Kuczmarski RJ, et al. 2000 CDC growth charts for the United States: methods and development. Vital Health Stat. 2002;2002(246):1–190.

    Google Scholar 

  4. Flegal KM, et al. Characterizing extreme values of body mass index-for-age by using the 2000 Centers for Disease Control and Prevention growth charts. Am J Clin Nutr. 2009;90(5):1314–20.

    CAS  PubMed  Google Scholar 

  5. Skelton JA, et al. Prevalence and trends of severe obesity among US children and adolescents. Acad Pediatr. 2009;9(5):322–9.

    PubMed Central  PubMed  Google Scholar 

  6. Amy NK, et al. Barriers to routine gynecological cancer screening for White and African-American obese women. Int J Obes (Lond). 2006;30(1):147–55.

    CAS  Google Scholar 

  7. Parry LL, et al. A systematic review of parental perception of overweight status in children. J Ambul Care Manage. 2008;31(3):253–68.

    PubMed  Google Scholar 

  8. Puhl RM, Peterson JL, Luedicke J. Parental perceptions of weight terminology that providers use with youth. Pediatrics. 2011;128(4):786–93.

    Google Scholar 

  9. Lo JC, et al. Prehypertension and hypertension in community-based pediatric practice. Pediatrics. 2013;131(2):e415–24.

    PubMed Central  PubMed  Google Scholar 

  10. Dabelea D, et al. Incidence of diabetes in youth in the United States. JAMA. 2007;297(24):2716–24.

    PubMed  Google Scholar 

  11. Pickering TG, et al. Recommendations for blood pressure measurement in humans and experimental animals: Part 1: blood pressure measurement in humans: a statement for professionals from the Subcommittee of Professional and Public Education of the American Heart Association Council on High Blood Pressure Research. Hypertension. 2005;45(1):142–61.

    CAS  PubMed  Google Scholar 

  12. Gómez-Marín O, Prineas RJ, Råstam L. Cuff bladder width and blood pressure measurement in children and adolescents. J Hypertens. 1992;10(10):1235–41.

    PubMed  Google Scholar 

  13. National High Blood Pressure Education Program Working Group on High Blood Pressure in, C. and Adolescents. The fourth report on the diagnosis, evaluation, and treatment of high blood pressure in children and adolescents. Pediatrics. 2004;114(2):555–76.

    Google Scholar 

  14. Myers L, et al. Prediction of adult cardiovascular multifactorial risk status from childhood risk factor levels. The Bogalusa Heart Study. Am J Epidemiol. 1995;142(9):918–24.

    CAS  PubMed  Google Scholar 

  15. Lauer RM, et al. Efficacy and safety of lowering dietary intake of total fat, saturated fat, and cholesterol in children with elevated LDL cholesterol: the Dietary Intervention Study in Children. Am J Clin Nutr. 2000;72(5 Suppl):1332S–42.

    CAS  PubMed  Google Scholar 

  16. de Jongh S, et al. Early statin therapy restores endothelial function in children with familial hypercholesterolemia. J Am Coll Cardiol. 2002;40(12):2117–21.

    PubMed  Google Scholar 

  17. Expert Panel on Integrated Guidelines for Cardiovascular Health and Risk Reduction in Children and Adolescents, National Heart, Lung, and Blood Institute. Expert panel on integrated guidelines for cardiovascular health and risk reduction in children and adolescents: summary report. Pediatrics. 2012;128 Suppl 5:S213–56.

    Google Scholar 

  18. Levy-Marchal C, et al. Insulin resistance in children: consensus, perspective, and future directions. J Clin Endocrinol Metab. 2010;95(12):5189–98.

    CAS  PubMed Central  PubMed  Google Scholar 

  19. Friesner D, et al. Idiopathic intracranial hypertension in the USA: the role of obesity in establishing prevalence and healthcare costs. Obes Rev. 2010;12(5):e372–80.

    PubMed  Google Scholar 

  20. Schubert CM, et al. Predictive ability of childhood metabolic components for adult metabolic syndrome and type 2 diabetes. J Pediatr. 2009;155(3):S6e1–e7.

    Google Scholar 

  21. Reinehr T, et al. Comparison of metabolic syndrome prevalence using eight different definitions: a critical approach. Arch Dis Child. 2007;92(12):1067–72.

    PubMed Central  PubMed  Google Scholar 

  22. Kelishadi R, et al. Pediatric metabolic syndrome and associated anthropometric indices: the CASPIAN Study. Acta Paediatr. 2006;95(12):1625–34.

    PubMed  Google Scholar 

  23. Gustafson JK, et al. The stability of metabolic syndrome in children and adolescents. J Clin Endocrinol Metab. 2009;94(12):4828–34.

    CAS  PubMed Central  PubMed  Google Scholar 

  24. Schwimmer JB, et al. Prevalence of fatty liver in children and adolescents. Pediatrics. 2006;118(4):1388–93.

    PubMed  Google Scholar 

  25. Krebs NF, et al. Assessment of child and adolescent overweight and obesity. Pediatrics. 2007;120 Suppl 4:S193–228.

    PubMed  Google Scholar 

  26. Nino M, et al. The effect of obesity on skin disease and epidermal permeability barrier status in children. Pediatr Dermatol. 2012;29(5):567–70.

    PubMed  Google Scholar 

  27. Mathur AN, Goebel L. Skin findings associated with obesity. Adolesc Med State Art Rev. 2011;22(1):146–56. Ix.

    PubMed  Google Scholar 

  28. Burke JP, et al. A quantitative scale of acanthosis nigricans. Diabetes Care. 1999;22(10):1655–9.

    CAS  PubMed  Google Scholar 

  29. Rosen CL, et al. Prevalence and risk factors for sleep-disordered breathing in 8- to 11-year-old children: association with race and prematurity. J Pediatr. 2003;142(4):383–9.

    PubMed  Google Scholar 

  30. Schlaud M, et al. The German study on sleep-disordered breathing in primary school children: epidemiological approach, representativeness of study sample, and preliminary screening results. Paediatr Perinat Epidemiol. 2004;18(6):431–40.

    PubMed  Google Scholar 

  31. Kalra M, et al. Obstructive sleep apnea in extremely overweight adolescents undergoing bariatric surgery. Obes Res. 2005;13(7):1175–9.

    PubMed  Google Scholar 

  32. Wise MS, et al. Executive summary of respiratory indications for polysomnography in children: an evidence-based review. Sleep. 2011;34(3):389–98AW.

    PubMed Central  PubMed  Google Scholar 

  33. Schechter MS. Technical report: diagnosis and management of childhood obstructive sleep apnea syndrome. Pediatrics. 2002;109(4):e69.

    PubMed  Google Scholar 

  34. Biro FM, Greenspan LC, Galvez MP. Puberty in girls of the 21st century. J Pediatr Adolesc Gynecol. 2012;25(5):289–94.

    PubMed Central  PubMed  Google Scholar 

  35. De Leonibus C, Marcovecchio ML, Chiarelli F. Update on statural growth and pubertal development in obese children. Pediatr Rep. 2012;4(4):e35.

    PubMed Central  PubMed  Google Scholar 

  36. Sher ES, Migeon CJ, Berkovitz GD. Evaluation of boys with marked breast development at puberty. Clin Pediatr (Phila). 1998;37(6):367–71.

    CAS  Google Scholar 

  37. Braunstein GD. Aromatase and gynecomastia. Endocr Relat Cancer. 1999;6(2):315–24.

    CAS  PubMed  Google Scholar 

  38. Rossi B, et al. Prevalence of metabolic syndrome and related characteristics in obese adolescents with and without polycystic ovary syndrome. J Clin Endocrinol Metab. 2008;93(12):4780–6.

    CAS  PubMed Central  PubMed  Google Scholar 

  39. Zawadski J, Dunaif A. Diagnostic criteria for polycystic ovary syndrome: towards a rational approach, in polycystic ovary syndrome. In: Dunaif A et al., editors. Current issues in endocrinology and metabolism. Boston: Blackwell Scientific Inc; 1992. p. 377.

    Google Scholar 

  40. Azziz R, et al. The Androgen Excess and PCOS Society criteria for the polycystic ovary syndrome: the complete task force report. Fertil Steril. 2009;91:456–88.

    PubMed  Google Scholar 

  41. Azziz R, et al. Positions statement: criteria for defining polycystic ovary syndrome as a predominantly hyperandrogenic syndrome: an Androgen Excess Society guideline. J Clin Endocrinol Metab. 2006;91(11):4237–45.

    CAS  PubMed  Google Scholar 

  42. Ehrmann DA. Polycystic ovary syndrome. N Engl J Med. 2005;352(12):1223–36.

    CAS  PubMed  Google Scholar 

  43. Harwood K, Vuguin P, DiMartino-Nardi J. Current approaches to the diagnosis and treatment of polycystic ovarian syndrome in youth. Horm Res. 2007;68(5):209–17.

    CAS  PubMed  Google Scholar 

  44. Krul M, et al. Musculoskeletal problems in overweight and obese children. Ann Fam Med. 2009;7(4):352–6.

    PubMed Central  PubMed  Google Scholar 

  45. Paulis WD, et al. Overweight and obesity are associated with musculoskeletal complaints as early as childhood: a systematic review. Obes Rev. 2014;15(1):52–67.

    CAS  PubMed  Google Scholar 

  46. Henderson RC. Tibia vara: a complication of adolescent obesity. J Pediatr. 1992;121(3):482–6.

    CAS  PubMed  Google Scholar 

  47. Loder RT. The demographics of slipped capital femoral epiphysis: an International Multicenter Study. Clin Orthop Relat Res. 1996;322:8–27.

    PubMed  Google Scholar 

  48. Murray AW, Wilson NI. Changing incidence of slipped capital femoral epiphysis: a relationship with obesity? J Bone Joint Surg Br. 2008;90(1):92–4.

    CAS  PubMed  Google Scholar 

  49. Adoracion Villarroya M, et al. Foot structure in overweight and obese children. Int J Pediatr Obes. 2008;3(1):39–45.

    CAS  PubMed  Google Scholar 

  50. Jimenez-Ormeno E, et al. Foot morphology in normal-weight, overweight, and obese schoolchildren. Eur J Pediatr. 2013;172(5):645–52.

    PubMed  Google Scholar 

  51. Phillips PH. Pediatric pseudotumor cerebri. Int Ophthalmol Clin. 2012;52(3):51–9. xii.

    PubMed  Google Scholar 

  52. Hollowell JG, et al. Serum TSH, T(4), and thyroid antibodies in the United States population (1988 to 1994): National Health and Nutrition Examination Survey (NHANES III). J Clin Endocrinol Metab. 2002;87(2):489–99.

    CAS  PubMed  Google Scholar 

  53. Aoki Y, et al. Serum TSH and total T4 in the United States population and their association with participant characteristics: National Health and Nutrition Examination Survey (NHANES 1999-2002). Thyroid. 2007;17(12):1211–23.

    PubMed  Google Scholar 

  54. Lindholm J, et al. Incidence and late prognosis of cushing’s syndrome: a population-based study. J Clin Endocrinol Metab. 2001;86(1):117–23.

    CAS  PubMed  Google Scholar 

  55. Farooqi IS. The severely obese patient—a genetic work-up. Nat Clin Pract Endocrinol Metab. 2006;2(3):172–7; quiz following 177.

    PubMed  Google Scholar 

  56. Reilly JJ, Kelly J. Long-term impact of overweight and obesity in childhood and adolescence on morbidity and premature mortality in adulthood: systematic review. Int J Obes (Lond). 2011;35(7):891–8.

    CAS  Google Scholar 

  57. Blair NJ, et al. Risk factors for obesity in 7-year-old European children: the Auckland Birth weight Collaborative Study. Arch Dis Child. 2007;92(10):866–71.

    PubMed Central  PubMed  Google Scholar 

  58. Schwartz MB, Brownell KD. Obesity and body image. Body Image. 2004;1(1):43–56.

    PubMed  Google Scholar 

  59. Horowitz CR, et al. Barriers to buying healthy foods for people with diabetes: evidence of environmental disparities. Am J Public Health. 2004;94(9):1549–54.

    PubMed Central  PubMed  Google Scholar 

  60. Morland K, et al. Neighborhood characteristics associated with the location of food stores and food service places. Am J Prev Med. 2002;22(1):23–9.

    PubMed  Google Scholar 

  61. Jetter KM, Cassady DL. The availability and cost of healthier food alternatives. Am J Prev Med. 2006;30(1):38–44.

    PubMed  Google Scholar 

  62. Cornette R. The emotional impact of obesity on children. Worldviews Evid Based Nurs. 2008;5(3):136–41.

    PubMed  Google Scholar 

  63. US Preventive Services Task Force. Screening and treatment for major depressive disorder in children and adolescents: US Preventive Services Task Force Recommendation Statement. Pediatrics. 2009;123(4):1223–8.

    Google Scholar 

  64. Williams SB, et al. Screening for child and adolescent depression in primary care settings: a systematic evidence review for the US Preventive Services Task Force. Pediatrics. 2009;123(4):e716–35.

    PubMed  Google Scholar 

  65. De Niet JE, Naiman DI. Psychosocial aspects of childhood obesity. Minerva Pediatr. 2011;63(6):491–505.

    PubMed  Google Scholar 

  66. Benson LP, Williams RJ, Novick MB. Pediatric obesity and depression: a cross-sectional analysis of absolute BMI as it relates to children’s depression index scores in obese 7- to 17-year-old children. Clin Pediatr (Phila). 2013;52(1):24–9.

    Google Scholar 

  67. Zeller MH, et al. Health-related quality of life and depressive symptoms in adolescents with extreme obesity presenting for bariatric surgery. Pediatrics. 2006;117(4):1155–61.

    PubMed  Google Scholar 

  68. Kim RJ, et al. Psychosocial status in adolescents undergoing bariatric surgery. Obes Surg. 2008;18(1):27–33.

    PubMed  Google Scholar 

  69. Wardle J, Cooke L. The impact of obesity on psychological well-being. Best Pract Res Clin Endocrinol Metab. 2005;19(3):421–40.

    PubMed  Google Scholar 

  70. Goossens L, et al. Loss of control over eating in overweight youngsters: the role of anxiety, depression and emotional eating. Eur Eat Disord Rev. 2009;17(1):68–78.

    PubMed  Google Scholar 

  71. Braet C. Psychological profile to become and to stay obese. Int J Obes (Lond). 2005;29 Suppl 2:S19–23.

    Google Scholar 

  72. Stunkard AJ, Faith MS, Allison KC. Depression and obesity. Biol Psychiatry. 2003;54(3):330–7.

    PubMed  Google Scholar 

  73. Rofey DL, et al. A longitudinal study of childhood depression and anxiety in relation to weight gain. Child Psychiatry Hum Dev. 2009;40(4):517–26.

    PubMed Central  PubMed  Google Scholar 

  74. Goodman E, Whitaker RC. A prospective study of the role of depression in the development and persistence of adolescent obesity. Pediatrics. 2002;110(3):497–504.

    PubMed  Google Scholar 

  75. Zametkin AJ, et al. Psychiatric aspects of child and adolescent obesity: a review of the past 10 years. J Am Acad Child Adolesc Psychiatry. 2004;43(2):134–50.

    PubMed  Google Scholar 

  76. Gariepy G, Nitka D, Schmitz N. The association between obesity and anxiety disorders in the population: a systematic review and meta-analysis. Int J Obes (Lond). 2010;34(3):407–19.

    CAS  Google Scholar 

  77. Erermis S, et al. Is obesity a risk factor for psychopathology among adolescents? Pediatr Int. 2004;46(3):296–301.

    PubMed  Google Scholar 

  78. American_Psychiatric_Association. Diagnostic and statistical manual of mental disorders. 5th ed. Arlington, VA: American Psychiatric Publishing; 2013.

    Google Scholar 

  79. Decaluwe V, Braet C. Prevalence of binge-eating disorder in obese children and adolescents seeking weight-loss treatment. Int J Obes Relat Metab Disord. 2003;27(3):404–9.

    CAS  PubMed  Google Scholar 

  80. Britz B, et al. Rates of psychiatric disorders in a clinical study group of adolescents with extreme obesity and in obese adolescents ascertained via a population based study. Int J Obes Relat Metab Disord. 2000;24(12):1707–14.

    CAS  PubMed  Google Scholar 

  81. Johnson JG, et al. The patient health questionnaire for adolescents: validation of an instrument for the assessment of mental disorders among adolescent primary care patients. J Adolesc Health. 2002;30(3):196–204.

    PubMed  Google Scholar 

  82. Carvalho R, et al. Clinical profile of the overweight child in the new millennium. Clin Pediatr (Phila). 2008;47(5):476–82.

    Google Scholar 

  83. Haemer M, et al. Building capacity for childhood obesity prevention and treatment in the medical community: call to action. Pediatrics. 2011;128 Suppl 2:S71–7.

    PubMed  Google Scholar 

  84. Smith AJ, et al. Health information technology in screening and treatment of child obesity: a systematic review. Pediatrics. 2013;131(3):e894–902.

    PubMed  Google Scholar 

  85. Perrin EM, et al. Use of a pediatrician toolkit to address parental perception of children’s weight status, nutrition, and activity behaviors. Acad Pediatr. 2010;10(4):274–81.

    PubMed Central  PubMed  Google Scholar 

  86. Galen YK, Chock MD, Kerr NA. A report on the development of the Hawai’i pediatric weight management toolkit. Hawaii Med J. 2011;70(S1):49–51.

    Google Scholar 

  87. Perrin EM, Finkle JP, Benjamin JT. Obesity prevention and the primary care pediatrician’s office. Curr Opin Pediatr. 2007;19(3):354–61.

    PubMed Central  PubMed  Google Scholar 

  88. Eisenmann JC. Assessment of obese children and adolescents: a survey of pediatric obesity-management programs. Pediatrics. 2011;128 Suppl 2:S51–8.

    PubMed  Google Scholar 

  89. Rausch JC, Perito ER, Hametz P. Obesity prevention, screening, and treatment: practices of pediatric providers since the 2007 expert committee recommendations. Clin Pediatr (Phila). 2011;50(5):434–41.

    Google Scholar 

  90. Thorn JE, et al. Parent and child self-reports of dietary behaviors, physical activity, and screen time. J Pediatr. 2013;162(3):557–61.

    PubMed  Google Scholar 

  91. Perrin EM, Skinner AC. The importance of screening for healthy weight and recommending healthy lifestyles in pediatric patients. N C Med J. 2013;74(1):34–8.

    PubMed  Google Scholar 

  92. Janz KF, Butner KL, Pate RR. The role of pediatricians in increasing physical activity in youth. JAMA Pediatr. 2013;167(7):595–6.

    PubMed  Google Scholar 

  93. Wethington H, Pan L, Sherry B. The association of screen time, television in the bedroom, and obesity among school-aged youth: 2007 National Survey of Children’s Health. J Sch Health. 2013;83(8):573–81.

    PubMed  Google Scholar 

  94. Pearson N, Biddle SJ. Sedentary behavior and dietary intake in children, adolescents, and adults. A systematic review. Am J Prev Med. 2011;41(2):178–88.

    PubMed  Google Scholar 

  95. Gingold JA, Simon AE, Schoendorf KC. Excess screen time in US children: association with family rules and alternative activities. Clin Pediatr (Phila). 2014;53(1):41–50.

    Google Scholar 

  96. Hopkins KF, Decristofaro C, Elliott L. How can primary care providers manage pediatric obesity in the real world? J Am Acad Nurse Pract. 2011;23(6):278–88.

    PubMed  Google Scholar 

  97. Pate RR, O’Neill JR. Physical activity guidelines for young children: an emerging consensus. Arch Pediatr Adolesc Med. 2012;166(12):1095–6.

    PubMed  Google Scholar 

  98. Chaput JP, et al. Combined associations between moderate to vigorous physical activity and sedentary behaviour with cardiometabolic risk factors in children. Appl Physiol Nutr Metab. 2013;38(5):477–83.

    CAS  PubMed  Google Scholar 

  99. American Diabetes Association. Standards of medical care in diabetes–2013. Diabetes Care. 2013;36 Suppl 1:S11–66.

    PubMed Central  Google Scholar 

  100. Kaufman J, et al. K-SADS-PL. J Am Acad Child Adolesc Psychiatry. 2000;39(10):1208.

    CAS  PubMed  Google Scholar 

  101. Richardson LP, et al. Evaluation of the PHQ-2 as a brief screen for detecting major depression among adolescents. Pediatrics. 2010;125(5):e1097–103.

    PubMed Central  PubMed  Google Scholar 

  102. Beck AT, Steer RA, Brown GK. Beck depression inventory–second edition: manual. San Antonio, TX: The Psychological Corporation; 1996.

    Google Scholar 

  103. Winter LB, et al. Screening for major depression disorders in adolescent medical outpatients with the Beck Depression Inventory for Primary Care. J Adolesc Health. 1999;24(6):389–94.

    CAS  PubMed  Google Scholar 

  104. Faulstich ME, et al. Assessment of depression in childhood and adolescence: an evaluation of the Center for Epidemiological Studies Depression Scale for Children (CES-DC). Am J Psychiatry. 1986;143(8):1024–7.

    CAS  PubMed  Google Scholar 

  105. Jellinek MS, et al. Use of the pediatric symptom checklist to screen for psychosocial problems in pediatric primary care: a national feasibility study. Arch Pediatr Adolesc Med. 1999;153(3):254–60.

    CAS  PubMed Central  PubMed  Google Scholar 

  106. Gardner W, et al. Comparison of the PSC-17 and alternative mental health screens in an at-risk primary care sample. J Am Acad Child Adolesc Psychiatry. 2007;46(5):611–8.

    PubMed  Google Scholar 

  107. Birmaher B, et al. The Screen for Child Anxiety Related Emotional Disorders (SCARED): scale construction and psychometric characteristics. J Am Acad Child Adolesc Psychiatry. 1997;36(4):545–53.

    CAS  PubMed  Google Scholar 

  108. Hill LS, et al. SCOFF, the development of an eating disorder screening questionnaire. Int J Eat Disord. 2010;43(4):344–51.

    PubMed  Google Scholar 

  109. Morgan JF, Reid F, Lacey JH. The SCOFF questionnaire: assessment of a new screening tool for eating disorders. BMJ. 1999;319(7223):1467–8.

    CAS  PubMed Central  PubMed  Google Scholar 

  110. Johnson WG, Kirk AA, Reed AE. Adolescent version of the questionnaire of eating and weight patterns: reliability and gender differences. Int J Eat Disord. 2001;29(1):94–6.

    CAS  PubMed  Google Scholar 

  111. Stice E, Fisher M, Martinez E. Eating disorder diagnostic scale: additional evidence of reliability and validity. Psychol Assess. 2004;16(1):60–71.

    PubMed  Google Scholar 

  112. Stice E, Telch CF, Rizvi SL. Development and validation of the Eating Disorder Diagnostic Scale: a brief self-report measure of anorexia, bulimia, and binge-eating disorder. Psychol Assess. 2000;12(2):123–31.

    CAS  PubMed  Google Scholar 

  113. Garner DM, et al. The eating attitudes test: psychometric features and clinical correlates. Psychol Med. 1982;12(4):871–8.

    CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Division of Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Baylor College of Medicine, Texas Children’s Hospital, 6701 Fannin Suite 1010, Houston, TX, 77030, USA

    Sarah E. Barlow M.D., M.P.H.

  2. Division of Adolescent Medicine and Sports Medicine, Department of Pediatrics, Baylor College of Medicine, Houston, USA

    Sharonda Alston Taylor M.D. & Elisabeth Hastings M.P.H., R.D., C.S.S.D., L.D.

  3. Texas Children’s Hospital, 6701 Fannin Suite 1710, Houston, TX, 77030, USA

    Sharonda Alston Taylor M.D. & Elisabeth Hastings M.P.H., R.D., C.S.S.D., L.D.

  4. Divisions of Adolescent Medicine and Sports Medicine and of Psychology, Department of Pediatrics, Baylor College of Medicine, Houston, USA

    Beth H. Garland Ph.D.

  5. Texas Children’s Hospital, 6701 Fannin Suite 1710, Houston, TX, 77030, USA

    Beth H. Garland Ph.D.

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  1. Sarah E. Barlow M.D., M.P.H.
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  3. Elisabeth Hastings M.P.H., R.D., C.S.S.D., L.D.
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  4. Beth H. Garland Ph.D.
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Correspondence to Sarah E. Barlow M.D., M.P.H. .

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Editors and Affiliations

  1. Department of Medicine, Division of Endocrinology, Metabolism, and Molecular Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA

    Robert F. Kushner

  2. Endocrinology, University of Colorado School of Medicine, Denver, Colorado, USA

    Daniel H. Bessesen

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Barlow, S.E., Taylor, S.A., Hastings, E., Garland, B.H. (2014). Assessment of the Obese Child or Adolescent. In: Kushner, R., Bessesen, D. (eds) Treatment of the Obese Patient. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1203-2_20

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