Table 4

 Clinical evaluation of the obese child

HistoryPhysical examination
Age of onsetMeasuring and plotting growth: height, weight, BMI, waist circumference
Diet and eating behaviour
Physical activity and inactivityBlood pressure
School and social issuesDysmorphic features
Sleep problems and daytime somnolenceSigns of Cushing’s/hypothyroidism
Acanthosis nigricans
Hip/knee painHirsutism
Menstrual irregularities
Symptoms of hypothyroidism
Family history of obesity
Family history of early heart disease