History
Review of systems
Specifically endocrine disturbances, respiratory complaints and orthopedic problems
- Endocrine: polyuria, polydypsia, polyphagia, nocturia, cold or heat intolerance, oligomenorrhea, amenorrhea
- Respiratory: snoring, cessation of breathing during sleep, daytime sleepiness
- Orthopedic: hip pain, knee pain, back pain, leg pain, limp
Family history
History of obesity, premature heart disease (<55 years of age for men and < 65 years of age for women), dyslipidemia, diabetes, hypertension, thyroid disease
Social history
Including family and peer relationships, who lives at home, school environment and performance, hours per day spent watching TV, playing video games, on the computer, physical activity,
Dietary history
Who cooks, how often do they eat out, how many times a day do they eat, eating while traveling (i.e. in the car), snacking during watching television, playing on computer or during homework time, late night snacks, seconds, large helpings, juice and soda intake, etc
Mental health
Also assess self-esteem and symptoms of depression as these may often cause or contribute to poor eating habits AND children who are overweight and obese often feel isolated from other peers
