Summary

  • There has been a rapid increase in the number of overweight and obese children in the UK. The short and long-term consequences are likely to have enormous implications for the future health of these children.
  • ‚ÄòOverweight‚Äô and ‚Äòobesity‚Äô can be defined using appropriate BMI centile charts.
  • Once identified, the practitioner, child and family should decide on how to proceed.
  • The aims of the treatment should focus on resolving any co-morbidities, reversing the trend of weight gain and, when appropriate, weight loss.
  • Self-monitoring of both eating and physical activity habits is a key therapeutic tool.
  • More research is required to identify the best treatment strategies for infants, young children and adolescents, however, family-based interventions appear to offer the greatest chances of long-term success.
  • A system of support is vital if long-term maintenance is to be achieved.
  • The prevention of children becoming overweight and obese remains a priority.