#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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Growthfor
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
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