[Adolescent obesity: guidelines for the management].
The increasing prevalence of adolescent obesity justifies widespread effort and attention of the paediatrician. In order to manage, following points are to be documented: (I) weight status assessed on the basis of body mass index (BMI)split in two levels: obesity grade I: >or=97 ème centile, obesity grade 2: level IOTFC 30; (2) complete anamnesis including age at adiposity rebound and existence of overweight in family; (3) research of associated morbidity and medical risks;(4) assessment of food intake and feeding practice; (5) assessment of physical activity; (6) talk with the adolescent to assess the psychological status, looking after depressive symptoms, anxiety, loss of self esteem. Once the items are documented, it allowed making a plan to manage the obesity in alliance with the adolescent and his family.
Département de pédiatrie, CHU Nord, Amiens, France. boudailliez.bernard@chu-amiens.fr
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D000293:Adolescent; D015992:Body Mass Index; D015444:Exercise; D006801:Humans; D009765:Obesity / Q000523:psychology / Q000534:rehabilitation / Q000628:therapy*; D010817:Physician-Patient Relations; D017410:Practice Guidelines as Topic; D000297:Psychology, Adolescent