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#ir #peds
Investigations
• Investigations can be performed for children who meet cut‐off point
for obesity
• Lipid profile, glucose, HbA1C
• Liver enzymes (specifically ALT) every 2 years
• Consider ultrasound of liver if liver enzymes are abnormal
• Fasting lipid profile every 2 years
• Fasting plasma glucose, HbA1C every 2 years, if severe obesity
(consider 2 h OGTT (1.75 mg/kg upto max 75 g)
• Sleep study if symptoms present
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Growth
for o Hypertension o Enlarged thyroid o Acanthosis nigricans (insulin resistance) o Striae o Hepatomegaly o Hirsutism o Hip/knee pain or decreased ROM (Blounts, SCFE) o Sexual maturity rating <span>Investigations • Investigations can be performed for children who meet cut‐off point for obesity • Lipid profile, glucose, HbA1C • Liver enzymes (specifically ALT) every 2 years • Consider ultrasound of liver if liver enzymes are abnormal • Fasting lipid profile every 2 years • Fasting plasma glucose, HbA1C every 2 years, if severe obesity (consider 2 h OGTT (1.75 mg/kg upto max 75 g) • Sleep study if symptoms present Management • Structured behavior programs should not be offered to children/youth who are at a healthy weight to prevent obesity • The subject of talking about


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