Obesity: identification, assessment and management

National Institute for Health and Care Excellence

Generic principles of care


  • Discuss the choice of interventions for weight management with the person. The choice of intervention should be agreed with the person
  • Tailor the components of the planned weight management programme to the person's preferences, initial fitness, health status and lifestyle


  • Coordinate the care of children and young people around their individual and family needs. Comply with the approaches outlined in the Department of Health's A call to action on obesity in England*
  • Aim to create a supportive environment that helps a child who is overweight or who has obesity, and their family, make lifestyle changes
  • Make decisions about the care of a child who is overweight or has obesity (including assessment and agreeing goals and actions) together with the child and family. Tailor interventions to the needs and preferences of the child and the family
  • Ensure that interventions for children who are overweight or have obesity address lifestyle within the family and in social settings
  • Encourage parents (or carers) to take main responsibility for lifestyle changes in children who are overweight or obese, especially if they are younger than 12 years. Take into account the age and maturity of the child, and the preferences of the child and the parents

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