Which labs are recommended for children with a BMI in the 85th-95th percentile without risk factors?

The recommended lab for children with a BMI in the 85th-95th percentile without risk factors is a fasting lipid panel. This recommendation is rooted in the understanding that even in the absence of overt risk factors, children in this BMI range can be at an elevated risk for developing metabolic syndrome, including dyslipidemia. The fasting lipid panel measures levels of various lipids in the blood, such as cholesterol and triglycerides, which are important indicators of cardiovascular health. Regular screening through a fasting lipid panel can aid in identifying children who may be at risk for heart disease, allowing for early intervention and management.

While other tests like fasting glucose can be important for assessing blood sugar levels and evaluating diabetes risk, they are typically recommended for children who have specific risk factors for glucose intolerance. A comprehensive metabolic panel provides information about various metabolic processes but is not specifically targeted at assessing obesity-related risks. A complete blood count primarily evaluates overall health and detecting disorders such as anemia, rather than focusing on the metabolic consequences of being overweight. Thus, the fasting lipid panel is the most relevant initial screening tool in this context.