Assessment of Overweight
Weight-for-height
status among children over 2 years should be assessed by the calculation
of body mass index (BMI).
http://www.nhlbisupport.com/bmi/bmicalc.htm
BMI is calculated
by dividing weight in kilograms by height in meters squared (kg/m2).
The resulting BMI
values are then compared to age-and gender-appropriate BMI percentiles
to determine the appropriateness of the child's weight for their height.
Children with BMI
values > 85th but < 95th percentile are considered to be at risk
for overweight, while those with BMI values > 95th percentile are considered
to be overweight (Himes 1994, Barlow 1998).
Newly revised reference
growth curves that assist health professionals in interpreting BMI data
for children and adolescents are available from the National Center for
Health Statistics (CDC).
http://www.cdc.gov/growthcharts/.
These
growth curves allow health professionals to track a child's BMI
throughout childhood and adolescence.
All youth determined
to be overweight based on BMI should have their body fat levels assessed
to verify the presence of excess adiposity or obesity.
|