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Run npx skillmds@latest add dromlakhani/eso-pediatric-obesity-triglycerides-10-19-years 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.

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

Eso Pediatric Obesity Triglycerides 10 19 Years by dromlakhani

Name: Eso Pediatric Obesity Triglycerides 10 19 Years
Rating: 4.2 (5 reviews)
Author: dromlakhani

Eso Pediatric Obesity Triglycerides 10 19 Years

Interprets fasting triglyceride levels to screen for dyslipidemia in overweight or obese children aged 10-19 years. Triggered by pediatric obesity screening, fasting lipid panel, or BMI ≥85th percentile with clinical concern for dyslipidemia.

dromlakhani Updated Sep 8, 2026 10 repo stars

File contents

Interpret triglycerides for dyslipidemia screening in children 10-19 years

STEP 1 — Gather Information

Obtain fasting triglyceride level, patient age (10-19 years), BMI percentile, and confirm fasting state (≥8 hours). End with action: proceed to triglyceride interpretation.

STEP 2 — Rule In / Rule Out

Is fasting triglyceride ≥130 mg/dL? If yes, rule in high triglycerides and proceed to Step 4; if no, proceed to Step 3.

STEP 3 — Classify or Stratify

Is fasting triglyceride 90-129 mg/dL? If yes, classify as borderline high; if <90 mg/dL, classify as acceptable. End with action: proceed to Step 4.

STEP 4 — Decide

For acceptable triglycerides (<90 mg/dL): routine lipid screening per obesity guidelines; for borderline high (90-129 mg/dL): intensify lifestyle counseling, repeat fasting lipid panel in 12 months; for high triglycerides (≥130 mg/dL): obtain full lipid panel (LDL, HDL, total cholesterol), initiate structured lifestyle intervention, repeat lipids in 3-6 months, consider pharmacotherapy if LDL remains high after lifestyle.

Clinical Guardrails / Mimics / Pitfalls

Do not interpret non-fasting triglyceride levels; avoid misclassifying due to recent illness, alcohol, or estrogen therapy; do not initiate pharmacotherapy based solely on triglycerides without evaluating LDL; remember that isolated high triglycerides may reflect genetic causes (e.g., familial hypertriglyceridemia) requiring specialist referral.

Concrete Clinical Example

A 14-year-old girl with BMI at the 98th percentile presents for obesity screening; fasting triglycerides are 145 mg/dL. Classified as high triglycerides, full lipid panel shows LDL 130 mg/dL, HDL 35 mg/dL. Lifestyle intervention (diet, activity) initiated; lipids repeated at 4 months show triglycerides 110 mg/dL, LDL 110 mg/dL.

Source: Pediatric Obesity Assessment, Treatment, and Prevention: An Endocrine Society Clinical Practice Guideline, Dennis M. Styne et al., 2017, doi:10.1210/jc.2016-2573

TODO: consider adding scripts/calc.py for the eso-pediatric-obesity-triglycerides-10-19-years calculator

---name: eso-pediatric-obesity-triglycerides-10-19-yearsdescription: Interprets fasting triglyceride levels to screen for dyslipidemia in overweight or obese children aged 10-19 years. Triggered by pediatric obesity screening, fasting lipid panel, or BMI ≥85th percentile with clinical concern for dyslipidemia.---# Interpret triglycerides for dyslipidemia screening in children 10-19 years## STEP 1 — Gather InformationObtain fasting triglyceride level, patient age (10-19 years), BMI percentile, and confirm fasting state (≥8 hours). End with action: proceed to triglyceride interpretation.## STEP 2 — Rule In / Rule OutIs fasting triglyceride ≥130 mg/dL? If yes, rule in high triglycerides and proceed to Step 4; if no, proceed to Step 3.## STEP 3 — Classify or StratifyIs fasting triglyceride 90-129 mg/dL? If yes, classify as borderline high; if <90 mg/dL, classify as acceptable. End with action: proceed to Step 4.## STEP 4 — DecideFor acceptable triglycerides (<90 mg/dL): routine lipid screening per obesity guidelines; for borderline high (90-129 mg/dL): intensify lifestyle counseling, repeat fasting lipid panel in 12 months; for high triglycerides (≥130 mg/dL): obtain full lipid panel (LDL, HDL, total cholesterol), initiate structured lifestyle intervention, repeat lipids in 3-6 months, consider pharmacotherapy if LDL remains high after lifestyle.## Clinical Guardrails / Mimics / PitfallsDo not interpret non-fasting triglyceride levels; avoid misclassifying due to recent illness, alcohol, or estrogen therapy; do not initiate pharmacotherapy based solely on triglycerides without evaluating LDL; remember that isolated high triglycerides may reflect genetic causes (e.g., familial hypertriglyceridemia) requiring specialist referral.## Concrete Clinical ExampleA 14-year-old girl with BMI at the 98th percentile presents for obesity screening; fasting triglycerides are 145 mg/dL. Classified as high triglycerides, full lipid panel shows LDL 130 mg/dL, HDL 35 mg/dL. Lifestyle intervention (diet, activity) initiated; lipids repeated at 4 months show triglycerides 110 mg/dL, LDL 110 mg/dL.**Source:** Pediatric Obesity Assessment, Treatment, and Prevention: An Endocrine Society Clinical Practice Guideline, Dennis M. Styne et al., 2017, doi:10.1210/jc.2016-2573> **TODO:** consider adding scripts/calc.py for the eso-pediatric-obesity-triglycerides-10-19-years calculator

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