Adolescent obesity and body-image concerns OSCE — assessment, weight-neutral counselling and staged planning

Observed structured encounter testing adolescent obesity classification, comorbidity and body-image screening, weight-neutral lifestyle counselling with motivational interviewing, and staged management planning with a parallel mental-health track.

osce communication and clinical station2 min readVerification in progress

Prompt

Station A is a 15-year-old with her father, where BMI above the 97th percentile has been noted and the father asks why she cannot just lose weight. Station B is private assessment in which the adolescent discloses meal-skipping, body-image distress and low mood, requiring integrated mental-health and staged obesity management planning.

Station objectives

Classify adolescent obesity using BMI-for-age and identify severe-obesity thresholds. [1]
Screen for comorbidities and for body-image distress, disordered eating, depression and weight-based victimisation. [1] [10]
Deliver weight-neutral lifestyle counselling using motivational interviewing, framed around health behaviours rather than weight. [1] [8]
Integrate mental-health and body-image care into a staged management plan. [8] [15]

Paediatrics Fellowship Pro

You have read the opening of this case. The complete unit — every section and its primary-source references — is part of the Paediatrics Fellowship fellowship atlas.

References5Show ledger

[1]Hampl SE, Hassink SG, Skinner AC Clinical Practice Guideline for the Evaluation and Treatment of Children and Adolescents With Obesity. Pediatrics, 2023.PMID 36622115
[2]Styne DM, Arslanian SA, Connor EL Pediatric Obesity-Assessment, Treatment, and Prevention: An Endocrine Society Clinical Practice Guideline. Journal of clinical endocrinology and metabolism, 2017.PMID 28359099
[8]Puhl RM, Lessard LM Weight Stigma in Youth: Prevalence, Consequences, and Considerations for Clinical Practice. Current obesity reports, 2020.PMID 33079337
[10]Neumark-Sztainer D, Wall MM, Chen C Eating, Activity, and Weight-related Problems From Adolescence to Adulthood. American journal of preventive medicine, 2018.PMID 29937114
[15]Mannan M, Mamun A, Doi S Prospective Associations between Depression and Obesity for Adolescent Males and Females- A Systematic Review and Meta-Analysis of Longitudinal Studies. PLoS one, 2016.PMID 27285386

Adolescent obesity and body-image concerns OSCE — assessment, weight-neutral counselling and staged planning

osce communication and clinical station2 min readVerification in progress

Station objectives

Classify adolescent obesity using BMI-for-age and identify severe-obesity thresholds. [1]

Screen for comorbidities and for body-image distress, disordered eating, depression and weight-based victimisation. [1] [10]

Deliver weight-neutral lifestyle counselling using motivational interviewing, framed around health behaviours rather than weight. [1] [8]

Integrate mental-health and body-image care into a staged management plan. [8] [15]

Paediatrics Fellowship Pro

You have read the opening of this case. The complete unit — every section and its primary-source references — is part of the Paediatrics Fellowship fellowship atlas.

References5Show ledger

[1]Hampl SE, Hassink SG, Skinner AC Clinical Practice Guideline for the Evaluation and Treatment of Children and Adolescents With Obesity. Pediatrics, 2023.PMID 36622115
[2]Styne DM, Arslanian SA, Connor EL Pediatric Obesity-Assessment, Treatment, and Prevention: An Endocrine Society Clinical Practice Guideline. Journal of clinical endocrinology and metabolism, 2017.PMID 28359099
[8]Puhl RM, Lessard LM Weight Stigma in Youth: Prevalence, Consequences, and Considerations for Clinical Practice. Current obesity reports, 2020.PMID 33079337
[10]Neumark-Sztainer D, Wall MM, Chen C Eating, Activity, and Weight-related Problems From Adolescence to Adulthood. American journal of preventive medicine, 2018.PMID 29937114
[15]Mannan M, Mamun A, Doi S Prospective Associations between Depression and Obesity for Adolescent Males and Females- A Systematic Review and Meta-Analysis of Longitudinal Studies. PLoS one, 2016.PMID 27285386