Given the persistence of severe obesity, more aggressive treatments are required for children and adolescents. In adults obesity treatment recommendations are categorized by body mass index (BMI). Lifestyle management alone is recommended for BMI 25-27 kg/m2, medication is recommended for BMI ≥ 27 and <30 kg/m2, with a comorbidity, or ≥ 30 kg/m2, without a comorbidity. Surgery is recommended for a BMI ≥ 35 kg/m2, with a comorbidity and ≥ 40 kg/m2, without a comorbidity. Should we be using similar percentile cutoffs for recommendations for obesity treatment in children?
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