Chronic Conditions

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Childhood Obesity


The Centers for Disease Control utilize body mass index (BMI) as a measure to determine childhood overweight and obesity. Overweight is defined as a BMI at or above the 85th percentile and below the 95th percentile for children and teens of the same age and sex. Obesity is defined as a BMI at or above the 95th percentile for children and teens of the same age and sex.

Childhood Obesity Guidelines

Endocrine Society Pediatric Clinical Practice Guidelines 2017

Michigan Quality Improvement Consortium Guidelines for Treatment of Childhood Overweight and Obesity

Prevention and Identification of Childhood Overweight and Obesity

Care Management Interventions

Click Here to access obesity action plan

Diagnosis Specific Concerns

Care Management Intervention

Patient Specific Interventions

Care Manager Resources

Patient Resources


Assess patients/parent's knowledge level on diagnosis


Algorithm for the Assessment and Management of Childhood obesity in Patients 2 Years or Older

Healthy Weight Intake Form from Children's Hospital Colorado


Preparing for the appointment from the Mayo Clinic

BMI Calculator for Children

Diagnosis Education

Provide education regarding obesity diagnosis

  • Causes
  • Risks
  • Symptoms
  • Treatment

Discuss diagnosis with care manager


Review educational materials provided


Provide teach-back

Obesity Clinical Care Guidelines from the University of Michigan Health System



Childhood Obesity – Self Management

Obesity Toolkit – National Institute for Children’s Health Quality

Information for Youth and Their Families Living with Type II Diabetes - ADA

Parent resources from MI chapter of American Academy of Pediatrics

Obesity SUpport Groups - Michigan


Assess BMI

Educate patient/parent on a healthy eating plan

  • Portion size
  • Calories
  • Foods to limit


Refer patient to a dietitian


Develop with the CM a weight management plan


Pediatric Obesity toolkit from the Minnesota chapter of the American Academy of Pediatrics

Algorithm for the Assessment and Management of Childhood obesity in Patients 2 Years or Older


Child Obesity Toolkit from the Colorado Department of Education


Life’s Simple 7 for Kids

Dietary Recommendations for Healthy Children from AHA

Childhood Obesity Family Education

Feeding your Family

Healthy Lifestyles: Saving Dollars on Food

Michigan Nutrition Standards

How to use fruits and vegetables to manage weight

Rethink your drink 

Eat more weigh less? from the CDC


Provide education on exercise and weight loss if recommended by physician


Create action plan

Provide examples of different types of exercise

Check with provider prior to starting an exercise regimen

Follow recommended treatment plan


Obesity, Physical Activity and Nutrition resources from MDHHS

Physical Activity Guidelines for Americans from the office of Disease Prevention & Health Promotion

Ten Guidelines to help manage your Weight

7-5-2-1-0 Tips from Seattle Children's Hospital

54321GO Michigan Childhood Obesity Prevention Message


Complete a medication reconciliation


Educate if applicable on medications that may contribute to weight gain:

  • Steroid therapy
  • Diabetes medications
  • ADHD medications


Create medication list of all current medications including OTC and herbal supplements.


Demonstrate understanding of medications including:

  • Name and purpose
  • Dosage
  • When to take
  • How to refill


Provide teach back regarding medications

Prescription Medications and Weight Gain


Other Health Conditions

Review with patient/parent the effect of obesity with their other chronic conditions

  • HTN
  • High Cholesterol
  • Diabetes or potential for
  • Arthritis
  • Joint pain
  • Sleep apnea
  • Asthma


Childhood Obesity and Obstructive Sleep Apnea

The Effect of Obesity on the Musculoskeletal System of Pediatric Patients


Managing stress



Educate patient/parent on healthy ways to manage stress

Refer patient to a behavioral health specialist

Demonstrate understanding of healthy ways to manage stress


Managing Health for a Healthy Family from the American Psychological Association

For a printable version of the care management interventions Click Here

*This chart is not meant to be an inclusive list of interventions or resources for care management, but a starting point in working with patients with obesity. Always check with your practice regarding the use of guidelines, resources and education.

Pathophysiology References


Mechanisms, Pathophysiology, and Management of Obesity

People who are overweight or obese account for two-thirds of the U.S. population . . .


The Pathophysiology of Obesity and Its Clinical Manifestations

Information on obesity and its relation to diabetes, insulin resistance, hypertension and metabolic disorders.


This section provides information on various toolkits to assist with the care management of obese/overweight patients.


Pediatric Obesity Toolkit

Toolkit from the Park Nicollet Institute which includes protocols, patient education materials and algorithms


Childhood Obesity Toolkit

From the Colorado Department of Education. Also includes a copy of an obesity action plan


Tip Sheets for Parents - Childhood Obesity

Provides a directory of tip sheets for parents to help manage childhood obesity for the US Department of Health and Human Services

Care Management Learning Resources

This section is for care managers who would like to get additional information relating to childhood obesity.


Childhood Obesity

Focuses on the prevention and treatment of obesity in children as well as reference of pathophysiological effects.


Childhood Obesity: A Review of the Increased Risk for Physical and Psychological Comorbidities

From Clinical Therapeutics, highlights recent literature review on the comorbidities associated with childhood obesity.


Preventing Obesity and Eating Disorders in Adolescents

American Academy of Pediatrics


Psychosocial Determinants of Childhood and Adolescent Obesity

From the Journal of Social, Behavioral and Health Sciences


Management of childhood obesity in the primary care setting

Information regarding the management of obesity in the primary care setting including behavioral strategies and family factors.


Comorbidities and complications of obesity in children and adolescents

As the prevalence of obesity increases so does the prevalence of the comorbidities associated with obesity. . .

Webinars and Presentations

MiPCT Pediatric Webinar

Feb 15 2013

To receive a certificate of completion Click Here

Webinar replay video

Presented by

Jane Turner Dana Watt Rose Seavolt

MiPCT Webinar

May 10 2013

To receive a certificate of completion Click Here

Webinar replay video

Presented by

Jane Turner, MD Rose Seavolt, BSN