AND Guidelines Bundle

Pediatric Weight Management

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Introduction ➤ Obesity is a complex multifactoral chronic disease that develops from an interaction between genetics and the environment. ➤ The development of obesity involves the integration of family, behavioral, cultural, physiological, metabolic and genetic factors. ➤ Treatment of obesity should be based on a multicomponent weight management program. ➤ Unlike adults, who are defined as overweight or obese depending on the absolute value of their body mass index (BMI) (kg/m 2 ), BMI percentiles are used for children and adolescents. BMI percentile indicates the position of a child's BMI relative to children of the same sex and age (US Centers for Disease Control Growth Charts). ➤ Throughout this pocket guide the terms "overweight" will be used to classify children whose BMI is between the 85th and 94th percentile and "obese" and "obesity" will be used as a general designation for children whose BMI is greater than or equal to the 95th percentile. Table 1. Terminology for BMI Categories BMI Category Former Terminology Recommended Terminology <5th percentile Underweight Underweight 5th to 84th percentile Healthy weight Healthy weight 85th to 94th percentile At risk of overweight Overweight ≥95th percentile Overweight or obesity Obesity

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