Table 2.

Nutrition Support Guideline Recommendations of Hospitalized Pediatric Patients With Obesity

Guideline Recommendation	Grade
1. Body mass index is the preferred practical method to screen children for obesity.	D
2. Pediatric obese inpatients may be at increased nutrition risk. We recommend testing for potential laboratory abnormalities for safety reasons (eg, fasting blood sample, including lipid profile, glucose, phosphorus, and complete blood count).	E
3. When possible, energy requirements of obese hospitalized children should be assessed using indirect calorimetry rather than predictive equations.	D
4. There is no adequate evidence to assess the clinical outcomes of hypocaloric or hypercaloric feeding during hospitalization of obese children. Therefore, the goals for the provision of energy to the pediatric obese inpatient should be similar to their nonobese counterparts.	E