Scottish Intercollegiate Guidelines Network11: management of obesity in children and young people
| SIGN grade of recommendation | RCPCH appraisal3 | |
|---|---|---|
| C, evidence from well conducted case control or cohort studies; D, evidence from non-analytic studies or expert opinion. | ||
| RCPCH, Royal College of Paediatrics and Child Health; SIGN, Scottish Intercollegiate Guidelines Network. | ||
| BMI centile should be used to identify childhood obesity | C | C |
| Obese children have a BMI >98th centile | D | No comment |
| Treatment should only be considered where | D | |
| ‐ A child is defined as obese | ||
| ‐ And the family are ready to make the necessary lifestyle changes | ||
| In most obese children weight maintenance is an acceptable goal | D | |
| Weight maintenance and/or weight loss can be achieved by sustained behavioural changes—for example, healthier eating, increased physical activity, reducing physical inactivity | D | |
| Prevention and treatment of obesity should be initiated in childhood | C | C |
| Parental obesity should be recognised as a risk factor for childhood obesity to persist into adulthood | ||
| The following should be referred to a paediatric consultant before treatment is considered: | D | |
| ‐ Children who may have a serious obesity related morbidity | ||
| ‐ Children with a suspected underlying medical cause (including all <24 months of age) | ||
| ‐ All children with BMI >99.6th centile | ||
| School family and societal interventions should be considered for the prevention of obesity in children | Not in guideline | C |