Managing pediatric obesity in primary care requires the ability to identify the problem in a timely fashion. Once a high BMI is identified, a primary care physician can help patients control their weight better by taking a detailed history appropriate for the child's age and psychosocial environment. A complete history, examination, and laboratory tests will identify comorbid conditions frequently associated with obesity, especially dyslipidemia, steatohepatitis, and insulin resistance. Use of the Seven Step Model for guidance will then encourage the family to take the necessary steps to manage this chronic disease.
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