8. Consult Pediatrics Supplement and take Continuing Medical Education (CME) courses on motivational interviewing and childhood obesity.
Also, see our Resources.
Patients/parents conception of overweight may vary based on cultural and community factors. Showing patients/parents where they fall on the BMI curve is the first step. Discussing potential health problems and quality-of-life issues that they encounter is the next step.
Hypothyroidism and endocrine problems are very unlikely to be the cause of obesity in children. Laboratory tests can be ordered to exclude these causes or referral to a subspecialist can be helpful.
|>85%ile & no risk factors||Fasting lipid profile|
|85-94%ile, age >10 years, positive risk factors||Fasting lipid profile
|>95%ile, age >10 years, ± risk factors||Fasting lipid profile
The following stages of treatment are recommended by the American Academy of Pediatrics (AAP):
Stage I: Prevention and motivational interviewing with goal setting
Stage II: Structured weight management program
Stage III: Multidisciplinary team with expertise in childhood obesity (including behavioral counselor, registered dietitian, and exercise specialist)
Stage IV: Referral to tertiary care and consideration for surgery
If Stage I and II have been unsuccessful, physicians should consider referring their patients to a high-intensity program or a tertiary-care center. The UCLA Fit for Healthy Weight Program offers Stage III and IV treatment options.
Please vist our Healthy Weight Clinic page for detailed information. In order to expedite a patient consultation, please have your office obtain insurance authorization for our clinic.
For Venice Family Clinic Providers wishing to refer a patient to the telemedicine Fit Clinic at Simms Mann Health and Wellness Center, please use this referral form. Have the patient complete the registration form (Spanish language registration form available here) and place it in the patient's chart. Call the Simms Mann Coordinator to set up appointment, and if you cannot reach the coordinator, fax the form to her at 310-829-4632. For questions about the Simms Mann Telemedicine Fit Clinic, call 310-825-6469.
LAUSD San Miguel Clinic providers, please use this referral form.
There are many things you can do. Consider supporting local schools in setting up salad bars, so that kids have access to fresh fruit and vegetables. See our instructions and appendices to learn more about how you can start a school salad bar, and email us at firstname.lastname@example.org if you have more questions. You can also visit the Salad Bars to Schools website for more information and to see if your school can obtain a grant for a salad bar.
Also, we have created a Healthy Weight Resource Guide to help providers in Los Angeles county (focusing on LAUSD catchment area) find low cost referral options for patients who need more support with healthy lifestyle changes.