How do I install the Eso Pediatric Obesity Comorbidity Trigger skill?

Run npx skillmds@latest add dromlakhani/eso-pediatric-obesity-comorbidity-trigger in your terminal (requires Node.js), paste this page's agent-chat prompt into Claude, Cursor, or any MCP-connected agent, or download the SKILL.md file and copy it into your agent's skills directory.

Is Eso Pediatric Obesity Comorbidity Trigger safe to use?

This skill has not completed SkillMD's automated safety review yet. Independent scanners report: SkillSpector: PASS, Skill Scanner: PASS. Capability flags: docs only. SkillMD never runs a skill's scripts for you; review the SKILL.md before installing.

Which AI agents work with Eso Pediatric Obesity Comorbidity Trigger?

This skill is tagged as working with Claude Code, Claude.ai, OpenAI Codex. SKILL.md is an open format, so most agents that read a skills directory can load it too.

Is Eso Pediatric Obesity Comorbidity Trigger free to use?

Yes. Installing skills from SkillMD is free, and the skill stays under its author's original license.

Who published Eso Pediatric Obesity Comorbidity Trigger?

dromlakhani (@dromlakhani) published this skill. Their other Agent Skills are listed on their SkillMD profile.

Eso Pediatric Obesity Comorbidity Trigger by dromlakhani

Name: Eso Pediatric Obesity Comorbidity Trigger
Rating: 4.5 (4 reviews)
Author: dromlakhani

Eso Pediatric Obesity Comorbidity Trigger

This skill recommends evaluating children and adolescents with a BMI at or above the 85th percentile for age and sex for potential obesity-related comorbidities. Clinical triggers include overweight or obese classification by BMI percentile.

dromlakhani Updated Sep 8, 2026 10 repo stars

File contents

Determine when to evaluate for obesity comorbidities

STEP 1 — Gather Information

Collect patient age, sex, height, and weight; calculate BMI and determine BMI percentile using CDC growth charts for children aged 2 years and older.

STEP 2 — Rule In / Rule Out

Is the BMI percentile ≥85th? If yes, proceed to comorbidity evaluation; if no, routine care without obesity comorbidity screening.

STEP 3 — Classify or Stratify

Classify BMI category: overweight (85th–94th percentile), obese (≥95th percentile), or extremely obese (≥120% of the 95th percentile or ≥35 kg/m²).

STEP 4 — Decide

Initiate screening for obesity-related comorbidities per Table 2 (e.g., HbA1c, fasting glucose, lipid panel, blood pressure, ALT) based on BMI category and clinical judgment.

Clinical Guardrails / Mimics / Pitfalls

Do not rely on BMI alone in muscular adolescents; avoid routine insulin measurements for comorbidity screening; do not screen for endocrine etiologies unless growth velocity is attenuated; recognize that BMI may misclassify adiposity across ethnic groups.

Concrete Clinical Example

A 12‑year‑old boy presents for well‑child visit; height 150 cm, weight 45 kg yields BMI 20.0 kg/m², which is the 90th percentile (overweight). Provider orders HbA1c, lipid panel, blood pressure, and ALT to screen for prediabetes, dyslipidemia, hypertension, and NAFLD.

Source: Pediatric Obesity Assessment, Treatment, and Prevention: An Endocrine Society Clinical Practice Guideline, Endocrine Society, 2017, DOI:10.1210/jc.2016-2573

TODO: consider adding scripts/calc.py for the eso-pediatric-obesity-comorbidity-trigger calculator

---name: eso-pediatric-obesity-comorbidity-triggerdescription: This skill recommends evaluating children and adolescents with a BMI at or above the 85th percentile for age and sex for potential obesity-related comorbidities. Clinical triggers include overweight or obese classification by BMI percentile.---# Determine when to evaluate for obesity comorbidities## STEP 1 — Gather InformationCollect patient age, sex, height, and weight; calculate BMI and determine BMI percentile using CDC growth charts for children aged 2 years and older.## STEP 2 — Rule In / Rule OutIs the BMI percentile ≥85th? If yes, proceed to comorbidity evaluation; if no, routine care without obesity comorbidity screening.## STEP 3 — Classify or StratifyClassify BMI category: overweight (85th–94th percentile), obese (≥95th percentile), or extremely obese (≥120% of the 95th percentile or ≥35 kg/m²).## STEP 4 — DecideInitiate screening for obesity-related comorbidities per Table 2 (e.g., HbA1c, fasting glucose, lipid panel, blood pressure, ALT) based on BMI category and clinical judgment.## Clinical Guardrails / Mimics / PitfallsDo not rely on BMI alone in muscular adolescents; avoid routine insulin measurements for comorbidity screening; do not screen for endocrine etiologies unless growth velocity is attenuated; recognize that BMI may misclassify adiposity across ethnic groups.## Concrete Clinical ExampleA 12‑year‑old boy presents for well‑child visit; height 150 cm, weight 45 kg yields BMI 20.0 kg/m², which is the 90th percentile (overweight). Provider orders HbA1c, lipid panel, blood pressure, and ALT to screen for prediabetes, dyslipidemia, hypertension, and NAFLD.**Source:** Pediatric Obesity Assessment, Treatment, and Prevention: An Endocrine Society Clinical Practice Guideline, Endocrine Society, 2017, DOI:10.1210/jc.2016-2573> **TODO:** consider adding scripts/calc.py for the eso-pediatric-obesity-comorbidity-trigger calculator

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