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Defining obesity is difficult in children
BMI varies with age - so use BMI age and gender percentile charts 

''NICE recommend''
    tailored clinical intervention if BMI >91%
    assessing for comorbidities if BMI>98%

most common cause - lifestyle
Other associations ...
    Asian children: 4x > white kids
    female children
    taller children: often >50%

Also ...
    growth hormone deficiency
    hypothyroidism
    Down's syndrome
    Cushing's syndrome
    Prader-Willi syndrome

''Consequences''
    orthopaedic problems: slipped upper femoral epiphyses, Blount's disease (a development abnormality of the tibia resulting in bowing of the legs), musculoskeletal pains
    psychological consequences: poor self-esteem, bullying
    sleep apnoea
    benign intracranial hypertension
    long-term consequences: increased incidence of type 2 diabetes mellitus, hypertension and ischaemic heart disease