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We performed a scoping review of international and national pediatric obesity (<jats:italic>n<\/jats:italic>\u2009=\u200930) and pediatric OSA (<jats:italic>n<\/jats:italic>\u2009=\u200910) management guidelines to evaluate the recommendations on OSA screening in pediatric obesity. Sixteen (53%) of the pediatric obesity guidelines had incorporated OSA screening to varying extents, with no consistent recommendations on when and how to screen for OSA, and subsequent management of OSA in children with obesity. We provide our recommendations that are based on the strength and certainty of evidence presented. These include a clinical\u2010based screening for OSA in all children with body mass index (BMI)\u2009\u2265\u200985th percentile or those with rapid BMI gain (upward crossing of 2 BMI percentiles) and the use of overnight polysomnography to confirm the diagnosis of OSA in those with high clinical suspicion. We discuss further management of OSA unique to children with obesity. An appropriate screening strategy for OSA would facilitate timely intervention that has been shown to improve cardiometabolic and neurocognitive outcomes.<\/jats:p>","DOI":"10.1111\/obr.13712","type":"journal-article","created":{"date-parts":[[2024,2,15]],"date-time":"2024-02-15T03:04:25Z","timestamp":1707966265000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["Screening for obstructive sleep apnea (OSA) in children and adolescents with obesity: A scoping review of national and international pediatric obesity and pediatric OSA management guidelines"],"prefix":"10.1111","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7948-8891","authenticated-orcid":false,"given":"Nicholas Beng Hui","family":"Ng","sequence":"first","affiliation":[{"name":"Khoo Teck Puat\u2010National University Children's Medical Institute, Department of Paediatrics National University Health Systems  Singapore Singapore"},{"name":"Department of Paediatrics, Yong Loo Lin School of Medicine National University of Singapore  Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carey Yun Shan","family":"Lim","sequence":"additional","affiliation":[{"name":"Khoo Teck Puat\u2010National University Children's Medical Institute, Department of Paediatrics National University Health Systems  Singapore Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah Caellainn Hui Lin","family":"Tan","sequence":"additional","affiliation":[{"name":"Khoo Teck Puat\u2010National University Children's Medical Institute, Department of Paediatrics National University Health Systems  Singapore Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu Wah","family":"Foo","sequence":"additional","affiliation":[{"name":"Ministry of Health Holdings  Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chanel Li Xuan","family":"Tok","sequence":"additional","affiliation":[{"name":"Ministry of Health Holdings  Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yvonne Yijuan","family":"Lim","sequence":"additional","affiliation":[{"name":"Khoo Teck Puat\u2010National University Children's Medical Institute, Department of Paediatrics National University Health Systems  Singapore Singapore"},{"name":"Department of Paediatrics, Yong Loo Lin School of Medicine National University of Singapore  Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel Yam Thiam","family":"Goh","sequence":"additional","affiliation":[{"name":"Khoo Teck Puat\u2010National University Children's Medical Institute, Department of Paediatrics National University Health Systems  Singapore Singapore"},{"name":"Department of Paediatrics, Yong Loo Lin School of Medicine National University of Singapore  Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kah Yin","family":"Loke","sequence":"additional","affiliation":[{"name":"Khoo Teck Puat\u2010National University Children's Medical Institute, Department of Paediatrics National University Health Systems  Singapore Singapore"},{"name":"Department of Paediatrics, Yong Loo Lin School of Medicine National University of Singapore  Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yung Seng","family":"Lee","sequence":"additional","affiliation":[{"name":"Khoo Teck Puat\u2010National University Children's Medical Institute, Department of Paediatrics National University Health Systems  Singapore Singapore"},{"name":"Department of Paediatrics, Yong Loo Lin School of Medicine National University of Singapore  Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,2,14]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"World Health Organization.Obesity and overweight.https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/obesity-and-overweight.2021. 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