Clinical evaluation of the obese child
| History | Physical examination |
|---|---|
| Age of onset | Measuring and plotting growth: height, weight, BMI, waist circumference |
| Diet and eating behaviour | |
| Physical activity and inactivity | Blood pressure |
| School and social issues | Dysmorphic features |
| Sleep problems and daytime somnolence | Signs of Cushing’s/hypothyroidism |
| Acanthosis nigricans | |
| Hip/knee pain | Hirsutism |
| Menstrual irregularities | |
| Symptoms of hypothyroidism | |
| Family history of obesity | |
| Family history of early heart disease |