This Journal feature begins with a case vignette highlightinga common clinical problem. Evidence supporting various strategiesis then presented, followed by a review of formal guidelines,when they exist. The article ends with the authors' clinicalrecommendations.
A seven-year-old girl is 130 cm tall (51 in., the 90th percentilefor girls of the same age) and weighs 34.6 kg (76 lb, abovethe 95th percentile), with a body-mass index (defined as theweight in kilograms divided by the square of the height in meters)of 20.5 (above the 95th percentile). Physical examination revealsno 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.
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