Fitkid

Obese or Over weight? How do we assess?

A PERCENTILE CHART

The percentile number means that your child exceeds that percentage of children her age for that measurement. For example, if she's in the 75th percentile for height, she's taller than 75 percent of other kids her age.

BMI (Body Mass Index)

This calculator measures body mass index (BMI), which is a measure of body fat. It is only an approximate measure of the best weight for your health.

As children grow, their amount of body fat changes and so will their BMI. That's why a BMI calculation for a child or adolescent must take into account their age and gender (we do this using percentile charts). BMI percentiles are grouped into the following categories:

   Overweight: BMI 85th to 95th percentile.

   Obese: BMI ≥95th percentile.

   Severe obesity: BMI ≥120 percent of the 95th percentile values, or a BMI ≥35 kg/m2 (whichever is lower)

How should I see where I stand?

Step 1

Mark your age on the horizontal column

Step two

Mark your BMI on the vertical side by calculating weight (kgs)/Height (m2).

The intersection of these two lines will give you your percentile reading.

Weight Loss Targets

Age, yBMI 85th-94th Percentile No RiskBMI 85th-94th Percentile With RiskBMI 95th-98th PercentileBMI >99th Percentile
2-5Maintain weight velocityDecrease weight velocity or weight maintenance.Weight maintenance.Gradual weight loss of up to 1 lb/mo if BMI is very high (>21 or 22 kg/m2)
6-11Maintain weight velocityDecrease weight velocity or weight maintenance.Weight maintenance or gradual (1 lb/mo)Weight no to exceed an average of 2 bl/wk*
12-18Maintain weight velocity. After linear growth is complete, maintain weight.Decrease weight velocity or weight maintenanceWeight loss not to exceed an average of 2 lb/wk*Weight loss not to exceed an average of 2 lb/wk*

Abbreviation: BMI, Body mass index.

*if greater loss is noted. monitor for causes of excessive weight loss.

INTERVENTIONS

Underweight: Increase calories from healthy foods

Overweight :

Monitor Diet for any calories from eating extra

Increase Physical activity

Obese :

Diet Modification

Parental counselling

Intensive Physical Activity

Behavioural therapy

Morbidly Obese:

Diet Modification

Intensive Physical Activity

Behavioural therapy

Parental counselling

Consider child’s eating habits

   Frequency of eating meals in restaurants (fast food, take-out, or service).

   Intake of calorie containing beverages (including juice and soft drinks).

   Frequency and portion size of energy-dense foods (such as cookies and other baked goods, chips, or ice cream).

   Servings of vegetables and fruits, and which of these are regularly offered and accepted. One serving equals one whole fruit, or ½ cup of vegetables.

   Number of meals each day, and frequency of skipping meals.

   Typical snacking patterns (timing and foods consumed).

   School lunch (purchased or brought from home).

Factors Contributing to Obesity:

Genetics, Environment, Unhealthy Diet, Sedentary Lifestyle

How do we balance our diet?

TIPS TO HELP WITH BALANCED EATING

Eating breakfast daily

Limiting the consumption of sugar-sweetened beverages

Consuming a diet in line with the quantities of fruits and vegetables

Limiting portion size

Make all foods nutritious and appealing

Have family meals more often

Make meal time enjoyable and fun

Limiting television and screen time to less than 2 hours per day;

Limiting dining out, particularly in fast food establishments; Allow treats

Involving the entire family in lifestyle changes-Become a role model

Physical Activity and Healthy Eating are linked with