CLINICAL PRACTICE GUIDELINE Guidance for the Clinician in Rendering Pediatric CareAmerican Academyof PediatricsDEDICATED TO THE HEALTH OF ALL CHILDRENClinical Practice Guideline for theEvaluation and Treatment of Childrenand Adolescents With ObesitySarah E.Hampl,MD,FAAP,Sandra G.Hassink,MD,FAAP,Asheley C.Skinner,PhD,Sarah C.Armstrong MD,FAAPSarah E.Barlow,MD,MPH,FAAP,Christopher F.Bolling,MD,FAAP'Kimberly C.Avila Edwards,MD,FAAPIhuoma Eneli,MD,MS,FAAP"Robin Hamre,MPH,'Madeline M.Joseph,MD,FAAP Doug Lunsford,MEd,Eneida Mendonca,MD,PhD,FAAP Marc P.Michalsky,MD,MBA FAAP"Nazrat Mirza,MD,ScD,FAAP,Eduardo R.Ochoa,Jr,MD,FAAP Mona Sharifi,MD,MPH,FAAP Amanda E.Staiano,PhD,MPP.Ashley E.Weedn,MD,MPH,FAAP"Susan K.Flinn,MA,3 Jeanne Lindros,MPH,*Kymika Okechukwu,MPAChildren's Mercy Kansas City Center for Children's Healthy Lifestyles&Nutrition,University of Missouri-Kansas City School of Medicine,KansasCity Missouri Medical Director,American Acodemy ofPediatrics,GreetingsInstitute for Healthy Childhood Weight,Wilmington DelawareYou have in your hands,or at your fingertips,the first edition of theDepartment of Population Health Sciences,Duke University School ofAmerican Academy of Pediatrics clinical practice guideline for evaluation andMedicine,Durham,North Carolina:"Departments of Pediatrics andmanagement of children and adolescents with overweight and obesity.Population Health Sciences,Duke Clinical Research institute,DukePutting together this guideline was no small task,and the Academy isof Texs Southwestern Medical Certer,Childrens Medical Center of Dallas,grateful to the efforts of all the professionals who contributed to theDallas,Texas:'Department of Pediatrics,University of Cincimnati College ofproduction of this document.This work is a true testament to their passionMedcine Cincinnati,OhigChildrens Heolth Policy Advocacy /scensiontand dedication to combatting childhood and adolescent overweight andDepartment ofPedi atrics,Dell Medical School at The University of Texs aobesity.Austin,Austn,Texas:"Department of Pediatrics.The Ohio StateUniversity Center for Healthy Weight and Nutrition,NationwideThe Subcommittee responsible for developing this guideline comprises aChildren's Hospital Columbus,Ohig:'Centers for Disease Control anddiverse group of professionals from a variety of disciplines representing bothPrevertion:Atlanta GeorgiaDivision of Pedatric Emergency Medicinegovernmental entities and private institutions.Experts all,they are united byDepartment ofEmergency Medicine,UniverstyofFbrida College ofa common desire to provide the finest,most effective care and treatment toMedicne-ackson.能hiversity of Floric边Heatth Scienceschildren and adolescents with overweight and obesity.Over the course ofanr-ackson能hosonvil他Fbi血“Family RepresentativeDepartments ofPediatrics and Biostatistics&Heath Data Scienceseveral months,the members of the Subcommittee reviewed the technicalreports produced from the study review,then worked in concert to develop”e的igethe Key