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Overweight Children and Adolescents: Screen, Assess and Manage

Management of Overweight Children and Adolescents
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5. Management of Overweight Children and Adolescents

Example 1 : Weight maintenance

This chart shows the BMI-for-age pattern of Juan who became at risk for overweight at age 3. An intervention was not recommended until age 6, when Juan's BMI-for-age indicated overweight. At age 6 a medical assessment revealed no complications, and weight maintenance was encouraged. Over the course of the next 12 months his weight remained 69.3 pounds and his height increased to 52.6 inches. During this period, Juan's diet was carefully monitored by the family with the help of a dietitian. Over the year, BMI decreased as height continued to increase relative to weight and by age 7 years, his BMI-for-age was slightly above the 85th percentile. A BMI-for-age below the 85th percentile is an appropriate goal based on the child's growth trend until age 6 and because he was without secondary complications. Consequently, Juan needs continued monitoring to reach the goal.
  Stature-for-age and weight-for-age chart with plotted points  
Age Weight Stature
BMI
2 28.4 lb 34.8"
16.6
3 38.1 lb 38.9"
17.8
4 43.6 lb 41.6" 17.7
6 69.3 lb 50.5" 19.1
7 69.3 lb 52.6"
17.7
BMI-for-age chart with plotted points
 

 

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