Endocrine Society experts issue clinical practice guideline
The Endocrine Society today issued a Clinical Practice Guideline advising healthcare providers on how to prevent and treat childhood obesity with lifestyle changes. The guideline, titled "Pediatric Obesity -- Assessment, Treatment, and Prevention: An Endocrine Society Clinical Practice Guideline," was published online and will appear in the March 2017 print issue of The Journal of Clinical Endocrinology & Metabolism (JCEM), a publication of the Endocrine Society.

Recommendations from the guideline include:
1. Children or teens with a BMI greater than or equal to the 85th percentile should be evaluated for related conditions such as metabolic syndrome and diabetes.
2. Youth being evaluated for obesity do not need to have their fasting insulin values measured because it has no diagnostic value.
3. Children or teens affected by obesity do not need routine laboratory evaluations for endocrine disorders that can cause obesity unless their height or growth rate is less than expected based on age and pubertal stage.
4. About 7 percent of children with extreme obesity may have rare chromosomal abnormalities or genetic mutations. The guideline suggests specific genetic testing when there is early onset obesity (before 5 years old), an increased drive to consume food known as extreme hyperphagia, other clinical findings of genetic obesity syndromes, or a family history of extreme obesity.

https://www.eurekalert.org/pub_releases/2017-01/tes-ese013117.php
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