Last reviewed: November 2017
Last updated: November  2017

Summary

Definition

History and exam

Key diagnostic factors

  • BMI ≥95th percentile
  • weight ≥95th percentile for height

Other diagnostic factors

  • increased waist-hip ratio
  • increased skinfold thickness
  • hypertension

Risk factors

  • obese parents
  • rapid weight gain in infancy
  • weight gain in early childhood
  • non-Hispanic black or Mexican-American ethnicity
  • poor socioeconomic status
  • sedentary lifestyle
  • intrauterine growth restriction
  • maternal gestational diabetes
  • poor dietary choices
  • screen time >2-3 hours/day
  • sleep deprivation

Diagnostic investigations

Investigations to consider

  • fasting blood glucose
  • serum lipids
  • LFTs
  • fasting insulin
Full details

Emerging tests

  • DEXA
  • bioelectric impedance analysis
  • abdominal CT or MRI
Full details

Treatment algorithm

Contributors

Authors VIEW ALL

Associate Professor of Pediatrics

Section of Adult and Pediatric Endocrinology

Program Director

Pediatric Endocrinology Fellowship Program

University of Chicago

Chicago

IL

Disclosures

DD declares that she has no competing interests.

Peer reviewers VIEW ALL

Chief of Pediatric Surgery

The Mother and Child Hospital

Associate Clinical Professor of Surgery

University of Colorado

Denver

CO

Disclosures

SSR declares that he has no competing interests.

Assistant Professor of Pediatrics

Mayo Clinic

Rochester

MN

Disclosures

SK declares that she has no competing interests.

Honorary Research Fellow

Department of Health Services Research

Institute of Psychology, Health and Society

University of Liverpool

Liverpool

UK

Disclosures

PB declares that he has no competing interests.

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