Obese babies and young children: an approach to paediatric management

Paediatric referrals for obesity are increasing. The paediatric literature provides good guidance for the management of older children, but there is little relating to obese babies and toddlers. This article offers a guide for paediatricians encountering obese infants and preschool children in the paediatric outpatient setting. The paediatricians' role includes addressing concerns about the aetiology; excluding a medical cause; looking for comorbidity; providing guidance around weight management and ensuring that it is safe; supporting colleagues providing lifestyle advice; and preventing obesity in children who are at high risk. A sensitive approach is crucial to helping parents and colleagues tackle the problem effectively.