Texas Pediatric Society Obesity Toolkit
The Texas Pediatric Society Obesity Committee develops, maintains, and works to disseminate practical guidelines to aid pediatric practitioners in the prevention, early recognition, and clinical care of children and adolescents who are overweight or obese, with or without associated comorbid conditions. Toward this end, in 2005, the committee developed the first edition of this toolkit to assist clinicians in providing care for both overweight and obese children. Now, in 2008, we are pleased to release the second edition of this toolkit, which includes new additions and updates, many based on the 2007 Expert Committee recommendations published in December 2007 in a supplement to Pediatrics ("Assessment of Child and Adolescent Overweight and Obesity," Pediatrics, December 2007;230 suppl 4:5163-5288).
Members of the Texas Pediatric Society Obesity Committee who contributed to the 2008 edition include:
Kimberly Avila Edwards, MD
Teresia O'Connor, MD
Stephen J. Pont, MD, MPH
John Menchaca, MD
Kelly Coleman, MD
Jennifer Helcamp, MD
James Herrin, MD
We would like to extend a special thanks to Sarah Barlow, MD, whose presence has added tremendously to the state of Texas.
Additionally, we would like to thank Diana Arceo, MD, MS, who contributed her expertise and assistance in the translation of patient materials.
Finally, to Mary Greene-Noble, the executive director of the Texas Pediatric Society, and to her staff, including Laura Sally, thank you for your unending support, assistance, and work on this project.
Please click on the topics below to access information, materials, and resources for each of the following subjects:
1. Diagnosis
• Overview
• BMI Categories
• 99th Percentile BMI Cutoff Points According to Age and Gender
• Associated Comorbidities
o Obesity Comorbidities by Organ System
o Metabolic Syndrome
o Hypertension
- Guidelines for the Diagnosis of Hypertension in Children
- Blood Pressure Reference Tables (Boys, Girls)
2. Treatment
• Overview
• Motivational Interviewing
• Perspectives for the Future
3. Practioner Tools
• Algorithm For Treatment in a Primary Care Setting
o Review of Systems for Weight-Related Problems
o Physical Examination Findings in Obesity Assessment and Possible Causes
o Laboratory Assessments to Consider in Primary Care Setting
o Behavioral Targets for Stage 1 and Stage 2 Treatment Plan for Pediatric
Primary Care Setting
o Stage-Based Considerations for Primary Care Providers for Obesity
Treatment in Children and Adolescents
o Appropriate Weight Loss Rates for Children by Age and BMI Percentile
• Evaluation Form
• Color Coded BMI Charts (Girls, Boys)
• Obesity Coding Fact Sheet
• Resource List
• SAFE Posters
• MyPyramid Food Intake Patterns
• WAVE
• REAP
• BMI Percentile Calculator Order Form
4. Patient Handouts
• Nutrition Guidelines (English, Spanish)
• Lifestyle Guidelines (English, Spanish)
• Behavior Guidelines (English, Spanish)
• Healthy Lifestyle Prescription (English, Spanish)
• Nutrition Quiz (English, Spanish)