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Clinical Practice
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Volume 352:2100-2109 May 19, 2005 Number 20
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Overweight Children and Adolescents
William H. Dietz, M.D., Ph.D., and Thomas N. Robinson, M.D., M.P.H.

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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the authors' clinical recommendations.

A seven-year-old girl is 130 cm tall (51 in., the 90th percentile for girls of the same age) and weighs 34.6 kg (76 lb, above the 95th percentile), with a body-mass index (defined as the weight in kilograms divided by the square of the height in meters) of 20.5 (above the 95th percentile). Physical examination reveals no abnormalities aside from her excess . . . [Full Text of this Article]

The Clinical Problem

Strategies and Evidence

Assessment

Laboratory Testing

Communication

Treatment

Specific Interventions

Diet and Activity

Weight Goals

Complications of Treatment

Prevention

Areas of Uncertainty

Guidelines

Summary and Recommendations


Source Information

From the Division of Nutrition and Physical Activity, Centers for Disease Control and Prevention, Atlanta (W.H.D.); and the Division of General Pediatrics and Stanford Prevention Research Center, Stanford University School of Medicine, Stanford, Calif. (T.N.R.).

Address reprint requests to Dr. Dietz at the Division of Nutrition and Physical Activity, Centers for Disease Control and Prevention, 4770 Buford Hwy. NE, MS K-24, Atlanta, GA 30341, or at wcd4@cdc.gov.


Related Letters:

Overweight Children and Adolescents
Ludwig D. S., Ebbeling C. B., Kerr D., Dietz W. H., Robinson T. N.
Extract | Full Text | PDF  
N Engl J Med 2005; 353:1070-1071, Sep 8, 2005. Correspondence

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