Physical Examination Findings Among Children and Adolescents With Obesity: An Evidence-Based Review

Pediatrics
Sarah ArmstrongEliana M Perrin

Abstract

Overweight and obesity affects 1 in 3 US children and adolescents. Clinical recommendations have largely focused on screening guidelines and counseling strategies. However, the physical examination of the child or adolescent with obesity can provide the clinician with additional information to guide management decisions. This expert-based review focuses on physical examination findings specific to children and adolescents with obesity. For each physical examination element, the authors define the finding and its prevalence among pediatric patients with obesity, discuss the importance and relevance of the finding, describe known techniques to assess severity, and review evidence regarding the need for additional evaluation. The recommendations presented represent a comprehensive review of current evidence as well as expert opinion. The goal of this review is to highlight the importance of conducting a targeted physical examination during pediatric weight management visits.

Citations

Mar 16, 2017·Gastrointestinal Endoscopy Clinics of North America·April K MarroneJeffrey W Cooper
Mar 24, 2020·JAMA Pediatrics·Michelle I CardelAaron S Kelly
Jan 19, 2018·International Journal of Endocrinology and Metabolism·Mostafa HosseiniRoya Kelishadi
May 31, 2019·Current Opinion in Pediatrics·Taisa KohutJennifer Panganiban
Aug 5, 2019·American Journal of Preventive Medicine·Christy B TurerCelette Sugg Skinner
Feb 13, 2021·International Journal of Environmental Research and Public Health·Chongli DuanQuanbao Jiang

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