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Obesity and Lipid Disorders
Published in Praveen S. Goday, Cassandra L. S. Walia, Pediatric Nutrition for Dietitians, 2022
Christine San Giovanni, Janet Carter, Elise Rodriguez
In patients with severe obesity, an extended BMI chart may need to be used. Another important consideration is the use of the BMI z-score. The z-score can give a better indication of progress than changes in absolute BMI. BMI percentile categories for overweight and obesity are as follows: 85th–95th percentile = overweight≥95th to 120% of 95th percentile = class I obesity≥120% of 95th percentile to 140% of 95th percentile = class II obesity≥140% of 95th percentile = class III obesity
Nutrition and Quality of Life in Children Receiving Palliative Care
Published in Victor R. Preedy, Handbook of Nutrition and Diet in Palliative Care, 2019
Growth measurements and the use of growth percentile charts are fundamental to the examination of the paediatric patient. Mascarenhas et al. (1998) recommend that patients with chronic complex needs should have appropriate nutritional assessments including the following: Medical and nutritional history including dietary intake.Physical examination.Anthropometrics (weight, length or stature, head circumference, mid-arm circumference, triceps skinfold thickness) and use of appropriate anthropometric charts.Pubertal staging.Skeletal maturity staging.Biochemical tests of nutritional status: micronutrients, protein and fat profiles.For patients at risk of fractures, bone density scans can be used to assess bone mineralization and the risk of fracture.
Lifestyle Approaches Targeting Obesity to Reduce Cancer Risk, Progression, and Recurrence
Published in James M. Rippe, Lifestyle Medicine, 2019
Debora S. Bruno, Nathan A. Berger
In adolescents and children over two years old, a BMI between the 5th and the 85th percentiles is considered healthy. BMIs between the 85th and 95th percentiles are considered overweight and above the 95th percentile qualifies as obese. Childhood obesity predicts not only adulthood obesity but also type 2 diabetes mellitus (DM) and abdominal obesity.96 For the overweight or obese, controversy exists as to which is more effective, rapid or gradual weight loss; however, whichever approach is taken, it is quite clear that long-term management is essential for maintenance.97,98
Improvement of body composition in 8- to 11-year-old schoolboys: effects of a 6-months lifestyle intervention A retrospective evaluation of the “EDDY-Kids” prevention study
Published in Child and Adolescent Obesity, 2022
Paula Moliterno, Julia Matjazic, Kurt Widhalm
During testing points, anthropometric and body composition data from all children (control and intervention group) were obtained by trained technicians. The children’s height was measured using a stadiometer (SECA 213, Germany), with the child standing without shoes. In light indoor clothes, body weight and fat percentages were determined by bioelectric impedance analysis using a multi-frequency segmental body composition analyzer. The investigator entered information such as age, sex, and height, and once the scale assessed body weight, a complete segmental analysis was performed in less than 20 seconds. After body weight and height were measured, BMI (kg/m2) was calculated and subsequently transformed to BMI-SDS and percentiles to classify nutritional status using the German national reference criteria by Kromeyer-Hauschild et al. (Kromeyer-Hauschild et al. 2001). Low weight was classified <3rd percentile, normal weight ≥3rd percentile and overweight ≥90th percentile. The obesity category was considered as the sum of the obesity (≥97th percentile) and extreme obesity (≥99.5th percentile) original categories (Kromeyer-Hauschild et al. 2001).
Parental feeding knowledge, practices and Chinese children and adolescents’ weight status
Published in Children's Health Care, 2021
Li Zhang, Yaorong Zhang, Liya Qiu, Guangxing Yang, Haiyan Jiang, Mengyi Zheng, Jie Wang
The dependent variable was children and adolescent’s weight status, which was measured by children and adolescents’ BMI. BMI was calculated by the formula: BMI = weight (kg)/height (m2). The Center for Disease Control and Prevention (CDC) recommended using percentiles as cutoffs to define children’s overweight status. Those children whose BMI values are at the 20th percentile, at the 85th to the 95th percentile and above the 95th percentile are considered as being at the risk of underweight, being at the risk of overweight, and being overweight, respectively. In this analysis, the child’s or adolescent’s weight status was operationalized into a dependent variable which was called overweight/at risk of overweight. We considered those children and adolescents as being overweight or at the risk of being overweight, whose BMI values above the 95th percentile or whose BMI values at the 85th to the 95th percentile. Those children and adolescents were coded as “1” and “0” if otherwise.
A method for calculating BMI z-scores and percentiles above the 95th percentile of the CDC growth charts
Published in Annals of Human Biology, 2020
Rong Wei, Cynthia L. Ogden, Van L. Parsons, David S. Freedman, Craig M. Hales
The BMI percentiles, for those larger than the 95% percentile, are typically expressed as 1 minus Equation (3). In percentage form Equation (3) can be rewritten as: th percentile can be calculated using Equation (4); there is no upper limit. As a simple example, if th percentile can be calculated by rearranging Equation (4): Equation (4) can be converted to a z-score (