What additional tests are recommended for children with a BMI in the 85th-95th percentile who have risk factors?

When assessing children with a BMI in the 85th-95th percentile, it is important to consider the potential for comorbidities associated with obesity. Children in this category, especially those with additional risk factors such as family history of obesity-related conditions, hypertension, or dyslipidemia, should undergo comprehensive assessments to evaluate their metabolic health.

The recommended additional tests include a fasting lipid panel, which helps screen for dyslipidemia, a common issue in overweight children. Additionally, measuring liver enzymes such as AST (aspartate aminotransferase) and ALT (alanine aminotransferase) is crucial because obesity can lead to non-alcoholic fatty liver disease (NAFLD). Fasting glucose is also important to check for insulin resistance or prediabetes, which are closely tied to childhood obesity.

Thus, this combination of tests effectively addresses the various health risks associated with overweight and obesity in pediatric patients, making it the most appropriate choice when evaluating children within this BMI category who also present with risk factors. This thorough approach ensures early detection and management of potential metabolic and endocrine disorders, promoting better long-term health outcomes.