How do I install the Eso Pediatric Obesity Infant Diagnosis skill?

Run npx skillmds@latest add dromlakhani/eso-pediatric-obesity-infant-diagnosis 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 Infant Diagnosis safe to use?

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Which AI agents work with Eso Pediatric Obesity Infant Diagnosis?

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Is Eso Pediatric Obesity Infant Diagnosis free to use?

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Who published Eso Pediatric Obesity Infant Diagnosis?

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

Eso Pediatric Obesity Infant Diagnosis by dromlakhani

Name: Eso Pediatric Obesity Infant Diagnosis
Rating: 4.2 (5 reviews)
Author: dromlakhani

Eso Pediatric Obesity Infant Diagnosis

Diagnoses obesity in infants and toddlers under 2 years of age when sex-specific weight-for-recumbent length is at or above the 97.7th percentile on WHO growth charts. Consider this assessment during well-child visits when caregivers report excessive weight gain, crossing of percentile channels, or when length and weight measurements suggest disproportionate adiposity.

dromlakhani Updated Sep 8, 2026 10 repo stars

File contents

Diagnose obesity in infants using weight-for-length percentile

STEP 1 — Gather Information

Collect infant's sex, age, weight (kg), and recumbent length (cm). Ensure length is measured supine with infant fully extended. Plot these values on the WHO weight-for-length percentile chart corresponding to the infant's sex and exact age.

STEP 2 — Rule In / Rule Out

Determine the weight-for-length percentile from the plotted point. If the percentile is ≥97.7th, rule in obesity; if the percentile is <97.7th, rule out obesity for this assessment.

STEP 3 — Classify or Stratify

Classify the infant as obese when the weight-for-recumbent length is at or above the 97.7th percentile on the WHO chart. No further subcategorization is recommended for this age group per guideline.

STEP 4 — Decide

For infants classified as obese, initiate preventive counseling on age-appropriate feeding practices (e.g., responsive feeding, avoidance of sugar-sweetened beverages), schedule weight-for-length monitoring every 1–2 months, and evaluate for underlying endocrine or genetic causes only if growth velocity is aberrant or comorbidities are suspected.

Clinical Guardrails / Mimics / Pitfalls

Do not use CDC BMI charts for children <2 years; do not rely on weight-for-length after the second birthday; avoid mismeasuring recumbent length (must be supine, not standing); do not apply the ≥97.7th percentile threshold to preterm infants without adjusting for gestational age.

Concrete Clinical Example

A 9‑month‑old male presents for well‑child visit; weight 10.5 kg, length 70 cm. Plotting on WHO boys’ weight‑for‑length chart shows the 98th percentile. Since this exceeds the 97.7th percentile, obesity is diagnosed, and feeding counseling is initiated.

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-infant-diagnosis calculator

---name: eso-pediatric-obesity-infant-diagnosisdescription: Diagnoses obesity in infants and toddlers under 2 years of age when sex-specific weight-for-recumbent length is at or above the 97.7th percentile on WHO growth charts. Consider this assessment during well-child visits when caregivers report excessive weight gain, crossing of percentile channels, or when length and weight measurements suggest disproportionate adiposity.---# Diagnose obesity in infants using weight-for-length percentile## STEP 1 — Gather InformationCollect infant's sex, age, weight (kg), and recumbent length (cm). Ensure length is measured supine with infant fully extended. Plot these values on the WHO weight-for-length percentile chart corresponding to the infant's sex and exact age.## STEP 2 — Rule In / Rule OutDetermine the weight-for-length percentile from the plotted point. If the percentile is ≥97.7th, rule in obesity; if the percentile is <97.7th, rule out obesity for this assessment.## STEP 3 — Classify or StratifyClassify the infant as obese when the weight-for-recumbent length is at or above the 97.7th percentile on the WHO chart. No further subcategorization is recommended for this age group per guideline.## STEP 4 — DecideFor infants classified as obese, initiate preventive counseling on age-appropriate feeding practices (e.g., responsive feeding, avoidance of sugar-sweetened beverages), schedule weight-for-length monitoring every 1–2 months, and evaluate for underlying endocrine or genetic causes only if growth velocity is aberrant or comorbidities are suspected.## Clinical Guardrails / Mimics / PitfallsDo not use CDC BMI charts for children <2 years; do not rely on weight-for-length after the second birthday; avoid mismeasuring recumbent length (must be supine, not standing); do not apply the ≥97.7th percentile threshold to preterm infants without adjusting for gestational age.## Concrete Clinical ExampleA 9‑month‑old male presents for well‑child visit; weight 10.5 kg, length 70 cm. Plotting on WHO boys’ weight‑for‑length chart shows the 98th percentile. Since this exceeds the 97.7th percentile, obesity is diagnosed, and feeding counseling is initiated.**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-infant-diagnosis calculator

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