Arch Dis Child Educ Pract Ed 97:98-105 doi:10.1136/edpract-2011-301426
  • Best practice

Assessment of childhood obesity in secondary care: OSCA consensus statement

  1. J K Wales12
  1. 1General and Adolescent Paediatrics, UCL Institute of Child Health, London, UK
  2. 2Diabetes Unit, Institute of Child Health, University of Birmingham, Birmingham, UK
  3. 3Department of Paediatrics, Royal West Sussex NHS Trust, Chichester, UK
  4. 4Department of Child Health, Surrey Community Health, Guildford, UK
  5. 5Department of Child Health, Wales School of Medicine, Cardiff University, Cardiff, UK
  6. 6Department of Paediatrics, University of Warwick, Coventry, UK
  7. 7Department of Paediatrics, Addenbrookes Hospital, Cambridge, UK
  8. 8Department of Paediatrics, Trinity College Dublin, Dublin, Ireland
  9. 9University Department of Paediatrics, NHSLeeds, Leeds, UK
  10. 10Yorkhill Hospital for Sick Children, Glasgow, UK
  11. 11Department of Paediatrics, University of Bristol, Bristol, UK
  12. 12Department of Paediatrics, University of Sheffield, Sheffield, UK
  1. Correspondence to Russell M. Viner, UCL Institute of Child Health, General and Adolescent Paediatrics, 30 Guildford Street, London WC1N 1EH, UK; r.viner{at}
  1. Contributors All members of the OSCA group contributed to the writing of the paper. Russell Viner & Billy White coordinated the writing and revision of this paper.

  • Received 24 November 2011
  • Accepted 22 February 2012


This expert opinion provides detailed guidance on assessing obesity in secondary paediatric practice. This guidance builds on existing recommendations from National Institute of Health and Clinical Excellence in the UK, and is evidence based where possible. Guidance is provided on which obese children and young people are appropriate to be seen in secondary care and relevant history and investigations, and guidance on when further investigation of causes and obesity-related comorbidity is appropriate.


  • Collaborators This expert opinion is authored by the OSCA (Obesity Services for Children and Adolescents) Group.

  • Funding OSCA meetings were funded by the Royal College of Paediatrics and Child Health, and the Association for the Study of Obesity (UK).

  • Competing interests None.

  • Provenance and peer review Not commissioned; externally peer reviewed.