Abstract Facing the dual challenges of demographic transition and shifting disease spectrums, child and adolescent health issues have become a significant public health and social concern, serving as a critical cornerstone for national sustainable development. Drawing upon relevant domestic and international policies, guidelines, and research findings, the Child and Adolescent Health Branch of the Chinese Preventive Medicine Association invites 33 experts and two adolescents, who, through multiple rounds of research and deliberation, reaches the Expert Consensus on Graded Management of Health Burden among Children and Adolescents in China. Comprising seven sections, the consensus systematically elaborates on the formulation principles, grading bases and dimensions, three tier classification criteria, and corresponding management and intervention strategies. It aims to guide future health management practices for children and adolescents in China, optimize resource allocation, and enable precise interventions, thereby promoting a more scientific, standardized, effective, and equitable approach to the work.