Initial assessments of childhood obesity patients should include taking a careful history, investigating comorbidities, family history and potentially modifiable behaviors, and physical examination and associated familial risk factors.
Currently, the prevalence of obesity among children and adolescents and related compli- cations is considered one of the most important nutritional problems globally. The prevalence of childhood obesity in Europe is 10 times higher now than it was in the 1970s. Initial assessments of these patients should include taking a careful history (investigating comorbidities, family history and potentially modifiable behaviors) and physical exami - nation. The degree of investigation is dependent on the patient's age and severity of obesity, the findings on history and physical examination and associated familial risk factors. Childhood obesity treatment is based on sustained lifestyle changes with family involvement. Management intervention strategies include nutrition, physical activity, behavior and lifestyle changes, medication and surgical considerations.