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Compound Evidence InstituteEvidence synthesis · established 2023Graded assessments of compounds, trials, methods and supply
Document set current to 30 July 2026
Indication assessment · Metabolic

Obesity in children and adolescents — indication assessment

Adiposity above the 95th percentile for age and sex, or above the 120th percentile of the 95th percentile for severe obesity, in individuals under 18 years.

Document identifier
CEI-IN-09
Series
Indication assessment
Version
2.3
Published
31 Oct 2025
Last reviewed
31 Oct 2025
Next review
31 Oct 2027
Identifier
10.71829/cei.ind.9
Certainty
Not rated
Cycle
2025 Q4
ICD-11
5B81
Category
Metabolic

§1Assessment

§1.1Definition

Adiposity above the 95th percentile for age and sex, or above the 120th percentile of the 95th percentile for severe obesity, in individuals under 18 years.

§1.2Anchor and additional outcomes

The Institute designates one anchor outcome per indication so that estimates for different compounds are reported on a common measure. The anchor for this indication is the first outcome below.

  1. Change in BMI (%, absolute, z-score)
  2. Proportion achieving ≥5 % BMI reduction
  3. Change in cardiometabolic risk markers
  4. Growth and pubertal development

§1.3State of the evidence

Distribution of certainty ratingsShare of assessed outcomes at each certainty level.2compounds
HighModerateLowVery low
Figure 1. Certainty ratings across the 2 compounds the Institute assesses for this indication. A high rating for one compound says nothing about another.

The Institute assesses 2 compounds in this indication, drawing on 10 trial records and 1 evidence synthesis. [1,2]

References cited on this page

References are numbered in order of first citation in this document. Each superscript in the text links to its entry below.

  1. Pi-Sunyer X, Astrup A, Fujioka K, Greenway F, Halpern A, Krempf M, Lau DCW, le Roux CW, Violante Ortiz R, Jensen CB, Wilding JPH. A randomized, controlled trial of 3.0 mg of liraglutide in weight management. New England Journal of Medicine 2015;373(1):11–22. doi:10.1056/NEJMoa1411892 · PMID 26132939
  2. Marso SP, Daniels GH, Brown-Frandsen K, Kristensen P, Mann JFE, Nauck MA, Nissen SE, Pocock S, Poulter NR, Ravn LS, Steinberg WM, Stockner M, Zinman B, Bergenstal RM, Buse JB. Liraglutide and cardiovascular outcomes in type 2 diabetes. New England Journal of Medicine 2016;375(4):311–322. doi:10.1056/NEJMoa1603827 · PMID 27295427

Identifiers are reproduced only where the Institute holds them. Where a digital object identifier or PubMed identifier is not shown, the Institute has recorded the journal and year and has not constructed an identifier.

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