This document discusses childhood obesity, including its definition, epidemiology, causes, comorbidities, and management. Childhood obesity is defined as excessive fat accumulation relative to lean body mass where calorie intake exceeds expenditure. In the United States, approximately 24% of children are overweight and 16-18% are obese. Obesity can be measured using BMI percentiles, with values above the 95th percentile considered obese. Causes of childhood obesity include genetic syndromes, endocrine disorders, certain drugs, and behavioral factors like increased calorie intake and decreased physical activity. Obesity is associated with serious health conditions and managing it involves lifestyle changes, dietary modifications, pharmacotherapy, and potentially bariatric surgery in severe cases.