2. The following personal financial relationships with commercial interests relevant to this presentation existed during the past 12 months: DISCLOSURES * Nothing to Disclose *

3. BACKGROUND  Adapted from the 2008 Child & Adolescent Obesity Provider Toolkit  Practical, point-of-care guidance  8 color-coded reference tabs  Supported by the CMA Foundation

4. OVERVIEW (TAB 1) 5 2 1 0

5. ASSESSMENT (TAB 2)  Patient history & lifestyle assessments  Clinical considerations  Medical History  Family History  Dietary Assessment  Physical Activity Assessment  Behavioral Assessment  Physical Examination  Body Mass Index  Blood Pressure

6. BODY MASS INDEX (TAB 3)  BMI Formula  Percentile Ranking & Status

7. BLOOD PRESSURE (TAB 4)  BP tables for both male and female adolescents  Quick reference for hypertension risk based on age, gender, and height percentile

8. SCREENINGS (TAB 5)  Conditions often associated with overweight/obesity  Quick reference to laboratory screenings

9. SUMMARY (TAB 6)  Guide to internet resources  CDC materials  CMA Foundation resources  AAP guidance

10. MANAGEMENT (TAB 7)  Assessment & treatment algorithm Assess all children for obesity Clinical Evaluation Assess health behaviors & attitudes Order appropriate lab tests Provide evidence-based messaging Determine course of action

11. MANAGEMENT (TAB 7) Identify level of risk Discover Key Intervention Components

12. BMI INDEX CHARTS (TAB 8)  Quickly identify BMI percentile for boys & girls

13. THANK YOU!! For more information:  Samrina Marshall, MD, MPH samrina.r.marshall@healthnet.com  Dennis Carrillo, MPH dennis.x.carrillo@healthnet.com