BMI & CDC Chart

Gulab Devi Educational Complex

1. BODY MASS INDEX-BMI & CDC CHART Gulab Devi Educational Complex Lahore 02 Aug, 2019 Presented to: Dr. Aiza Group Member: DANIAL ROLL NO 47 IFRAH ROLL NO 3 AROOJ ROLL NO 49 AIMAN ROLL NO 39 ZAINAB ROLL NO 37 SANA ROLL NO 48

2. Sequence Percentage of Adult Population Section 5 Prevalence Section 4 BMI For Overweight Underweight Section 3 Definition of BMI Section 1 Components of CDC Growth Charts Section 7 CDC Growth Charts Section 6 Calculation of BMI Section 2

3. BODY MASS INDEX-BMI

4. Definition o f BMI BMI , formerly called the Quetelet index, is a measure for indicating  nutritional  status in adults. It is  defined  as a person's weight in kilograms divided by the square of the person's height in meter (kg/m2 ).

5. Calculation o f BMI How to Calculate BMI 1 . Multiply body weight in pounds by 703 2 . Divide that number by height in inches 3 . Divide that number by height once more EXAMPLE: For example, calculating the BMI for a 5'7" individual weighing 150 lb : 1 . 150 lb 703 = 105,450 2 . 105,450 divided by 67 inches = 1573.880 3 . 1573.880 divided by 67 inches = 23.49 BMI

6. BMI f or Overweight, Obesity and Underweight BMI FOR OVERWEIGT INDIVIDUALS: overweight in adults is defined by BMIs of 25.0–29.9 BMI FOR OBESE: obesity by BMIs of 30 or greater.27 A BMI of 30 or greater is roughly equivalent to being 30 or more pounds overweight. BMI FOR UNDERWEIGHT IS 18.5 STANDARD BMI IS 20 TO 25

7. Prevalence of Obesity Obesity rates have increased rapidly in the United States in the last two decades. Nearly one-third of U.S. adults have a BMI or 30 or greater with black females having the highest rate (49.6%) and males aged 75 and older the lowest (18.0 %). No adult population group meets the Healthy People 2010 target of 15% obesity prevalence. Using the criterion of BMI between 18.5–24.9, only 33% of U.S . A dults are at a healthy weight, down from 51% in 1960 For gender differences in overweight, obesity, and healthy weight.

8. Percentage of the adult population (age 20–74) who is at healthy, OVERWEIGHT obese, by G ender GENDER OVERWEIGHT OBESE HEALTHY WEIGHT MALE 69% 28% 32% FEMALE 62% 34% 36% Prevalence of Obesity:

9. Overweight and Obesity Factors contributing to the increase include: Having one or more overweight parents Having a condition that limits mobility Inadequate physical activity Diets high in calories, sugars, & fat Environmental Factor

10. Health Implications of Adolescent Overweight Range of complications associated with being overweight include: Hypertension Dyslipidemia Insulin resistance or type 2 diabetes mellitus Sleep apnea Hypoventilation disorders S elf esteem Orthopedic problems Hepatic disease Body image disturbances

11. Primary Care Assessments Based on Adolescent BMI

12. National Guidelines for Weight Management Therapy Four stages of treatment: 1. Prevention plus 2. Structured weight management 3. Comprehensive multidisciplinary intervention 4. Tertiary care intervention

13. National Guidelines for Weight Management Therapy 1. Prevention plus BMI >85th but <95th without co-morbidity conditions Level of treatment builds upon Basic nutrition Physical activity Goal Promote health Prevent disease

14. 2. Structured weight management Same behaviors as stage 1 More structured Emphasize nutrient-dense foods Minimize energy-dense foods National Guidelines for Weight Management Therapy

15. 3. Comprehensive multidisciplinary intervention Same behavioral goals as stage 2 More structured eating More structured physical activity plan Designed to lead to negative caloric balance National Guidelines for Weight Management Therapy

16. 4. Tertiary care intervention Appropriate with severely obese youth or those who have significant, chronic co-morbidity conditions Level of treatment provided through a tertiary weight management center Diet and activity counseling with behavior modifications Treatments may include Meal replacement A very low energy diet Medication Surgery may be implemented National Guidelines for Weight Management Therapy

17. Overview of Staged Treatment

18. Guidelines for Consideration of Bariatric Surgery

19. Potential Effects of Substance Use on Nutrition Status

20. CDC CHART

21. CDC Growth Charts  Growth charts consist of a series of percentile curves that illustrate the distribution of selected body measurements in children. Pediatric growth charts have been used by pediatricians, nurses, and parents to track the growth of infants .

22. Components Of CDC Growth Charts Weight , stature, length and head circumference are commonly used to assess size and  growth . When any of these measures are combined with age or length/stature the result is an anthropometric index (for example,  weight -for-age).

23. Normal Growth and Development Measurement techniques Growth velocity will slow down during the school-age years Should continue to monitor growth periodically Weight and height should be plotted on the appropriate growth chart

24. 2000 CDC growth charts Tools to monitor the growth of a child for the following parameters Weight-for-age Stature-for-age Body mass index (BMI)-for-age Can be downloaded from CDC website: www.cdc.gov/nchs Normal Growth and Development

25. 2000 CDC growth charts Based on data from cycles 2 & 3 of the National Health & Examination Survey (NHES) & the National Health & Nutrition Examination Surveys (NHANES) I, II, & III WHO Growth References Available at www.who.int/childgrowth Normal Growth and Development

26. Normal Growth and Development

27. Reference Chapter: 12 Chapter: 15