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BMJ 2006;333:1207-1210 (9 December), doi:10.1136/bmj.39048.503750.BE
John J Reilly, professor of paediatric energy metabolism1, David Wilson, senior lecturer2
1 University Division of Developmental Medicine, Yorkhill Hospitals, Glasgow, 2 Division of Child Life and Health, University of Edinburgh, Royal Hospital for Sick Children, Edinburgh
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Obesity, an excessive body fat content with increased risk of morbidity, has become increasingly common in children and adolescents. Confusion exists, however, over basic questions such as whether paediatric obesity matters, how to diagnose it, and whether it should be treated (and if so, how best to do this). Doctors in many fields need a better understanding of these issues.
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Subjective assessment methods are inaccurate, so diagnosis must be objective. A substantial and consistent body of high quality evidence has shown that body mass index (BMI; weight in kilograms divided by
Intervention
Outcomes
Aims of treatment
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