Screening for Obesity

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Introduction

Several studies on obesity show that there is heightened risk for cardiovascular diseases, diabetes, many kinds of cancer, and a variety of other diseases for individuals who have excess weight. Therefore, it is in the interest of public health that steps are taken to lower the prevalence of obesity (Schneider, 2006). In December 2004, the U.S. Preventive Services Task Force recommended screening for obesity; so that individuals with a body mass index (BMI) equal to or more than 30 (obese individuals) could be identified for counselling and behavioral interventions to reduce their weight (Krisberg, 2004).

Since BMI in its natural course increases with advance in age and also on the basis of pubertal stages and gender, BMI percentiles have been developed by the Centers for Disease Control and Prevention (CDC) in 2000, for defining degrees of overweight and obesity in childhood and adolescence. The 85th percentile on these standard charts of the CDC defines children and adolescents being at risk for overweight correspond with a BMI of approximately 25, which is the adult definition of overweight. The 95th percentile on these standard charts of the CDC defines children and adolescents being at risk for overweight correspond with a BMI of approximately 30, which is the adult definition of overweight (Hoppin, 2004).

Screening for Obesity

Child Date of birth (DOB) Date of visit (DOV) Age
(years)
Weight
(kg)
Stature
(cm)
BMI
Case 1: Sam 9/2/95 8/11/2002 7 26.8 122 18.0
Case 2: Juanita 2/10/97 2/6/2003 6 20.4 110 16.9
Case 3: Akita 5/11/2001 1/5/2004 3 16.3 98 17.0
Case 4: Jermain 4/1/2001 10/12/2004 3 10.9 88 14.1
Case 5: Ted 11/24/99 8/12/2004 5 20.2 115 15.3
Case 6: Pedro 6/19/92 3/26/2001 9 23.4 126 14.7

Case 1: Sam

Date of birth (DOB) 8/02/1995

Date of visit (DOV) 8/11/2002

Weight = 26.8kg

Height = 122cm

BMI = [weight in kg/ (height in cm] X 10,000

Sam’s BMI = [26.8/ (122)2] X 10.000

Sam’s BMI = 18.0

Interpretation: the BMI falls between the 50th and the 75th percentiles, which means that Sam is not overweight or undernourished. He has an appropriate weight for his age and stature (2 to 20 years: Boys Stature-for-age and Weight-for-age percentiles).

Case 2: Juanita

Date of birth (DOB) 2/10/1997

Date of visit (DOV) 2/06/2003

Weight = 20.4kg

Height = 110cm

BMI = [weight in kg/ (height in cm] X 10,000

Juanita’s BMI = [20.4/ (110)2] X 10,000

Juanita’s BMI = 16.9

Interpretation: the BMI falls between the 50th and the 75th percentiles, which means that Juanita is not overweight or undernourished. She has an appropriate weight for her age and stature (2 to 20 years: Girls Stature-for-age and Weight-for-age percentiles).

Case 3: Akita

Date of birth (DOB) 5/11/2001

Date of visit (DOV) 1/05/2004

Weight = 16.3kg

Height = 98cm

BMI = [weight in kg/ (height in cm] X 10,000

Akita’s BMI = [16.3/ (98)2] X 10,000

Akita’s BMI = 17

Interpretation: the BMI falls between the above the 95th percentiles, which means that Akita is overweight. She does not have an appropriate weight for her age and stature (2 to 20 years: Girls Stature-for-age and Weight-for-age percentiles).

Case 4: Jermain

Date of birth (DOB) 4/01/2001

Date of visit (DOV) 10/12/2004

Weight = 10.9

Height = 88cm

BMI = [weight in kg/ (height in cm] X 10,000

Jermain’s BMI = [10.9/ (88)2] X 10,000

Jermain’s BMI = 14.1

Interpretation: the BMI falls below the 5th percentile, which means that Jermain is underweight. He does not have an appropriate weight for his age and stature (2 to 20 years: Boys Stature-for-age and Weight-for-age percentiles).

Case5: Ted

Date of birth (DOB) 11/24/1999

Date of visit (DOV) 8/12/2004

Weight = 20.2kg

Height = 122cm

BMI = [weight in kg/ (height in cm] X 10,000

Ted’s BMI = [20.2/ (115)2] X 10.000

Ted’s BMI = 15.3

Interpretation: the BMI falls between the 75th and the 85th percentiles, which means that Ted is not overweight or undernourished. He has an appropriate weight for his age and stature (2 to 20 years: Boys Stature-for-age and Weight-for-age percentiles).

Case6: Pedro

Date of birth (DOB) 6/19/1992

Date of visit (DOV) 3/26/2001

Weight = 23.4kg

Height = 126cm

BMI = [weight in kg/ (height in cm] X 10,000

Pedro’s BMI = [20.2/ (115)2] X 10.000

Pedro’s BMI = 14.7

Interpretation: the BMI falls between the 5th and the 10th percentiles, which means that Pedro is not overweight or undernourished. He has an appropriate weight for his age and stature (2 to 20 years: Boys Stature-for-age and Weight-for-age percentiles)

Literary References

Hoppin, A. G. (2004). Assessment and Management of Childhood and Adolescent Obesity. Web.

Krisberg, K. (2004). Task Force Recommends Obesity Screening for Adults. The Nation’s Health, 34(1). Web.

Schneider, M. (2006). Introduction to Public Health. Second Edition. Sudbury, MA: Jones and Bartlett Publishers.

2 to 20 years: Boys Stature-for-age and Weight-for-age percentiles. Web.

2 to 20 years: . Web.

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