History
• What concerns, if any, do you have about your child’s weight? When
did weight gain start? Has gain been slow over time or sudden?
• What, if any, past attempts at weight loss have been made?
• Review of systems for comorbidities and etiologies of obesity:
o Headaches, blurred vision (hypertension, intracranial
hypertension)
o Breathing pauses when sleeping, snoring, daytime sleepiness (OSA)
o Joint pain (slipped femoral capital epiphysis, blount disease)
o Menstrual history, hirsutism, acne (hyperandrogenism, PCOS)
o Polyuria, nocturia (T2DM)
o Increased fatigue, cold intolerance, constipation, dry skin
(hypothyroidism)
o Stunted growth, striae (Cushing’s)
• Family History
o Identify obesity in first degree relatives
o Evaluate history of cardiovascular disease, type 2 DM, cancer in
first degree or second‐degree relatives
• Diet
o Identify caretakers who feed the child
o Identify foods high in calories and low in nutritional value that can
be reduced, eliminated, or replaced
o Assess eating patterns (e.g. timing, content, location of meals and
snacks)
o Estimate the type and quantity of beverage intake (sugar
sweetened beverages, juice, pop)
o Frequency of dining out
• Activity
o Identify barriers to walking or riding a bike to school
o Evaluate time spent in play
o Evaluate school recess and physical education (frequency, duration
and intensity)
o Assess after‐school and weekend activities
o Assess screen time (television, computer, movies, video games)
• Assess psychological impact of weight on child (bullying, depression,
anxiety, social isolation etc.)