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Outline

1	What Is BMI?
2	Advantages of BMI-for-Age Provides a reference for adolescents that was not previously available Consistent with adult index so it can be used continuously from 2 years of age to adulthood Tracks childhood overweight into adulthood
3	Tracking BMI-for-Age from Birth to 18 Years with Percent of Overweight Children who Are Obese at Age 25¹
4	Advantages of BMI-for-Age BMI-for-age relates to health risks Correlates with clinical risk factors for cardiovascular disease including hyperlipidemia, elevated insulin, and high blood pressure BMI-for-age during pubescence is related to lipid levels and high blood pressure in middle age
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6	Why Use BMI-for-Age?
7	Shape of Weight-for-Stature Curve versus BMI-for-Age Curve
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10	BMI-for-Age Cutoffs
11	"Using the 85^th and 95^th..." Using the 85^th and 95^th percentiles as cut points, few children are incorrectly identified as over-fat but some over-fat children will be missed. It is desirable to correctly identify those children not at risk of overweight or overweight.
12	Calculating BMI with the Metric System
13	Calculating BMI with the English System
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23	Interpreting the BMI-for-Age Cutoffs
24	Interpreting the BMI-for-Age Chart BMI-for-age indicates a child’s weight in relation to his/her height for a specific age and gender Need a series of BMI plots to determine the growth trend If indices deviate from normal growth patterns, further assessment may be needed
25	Example: “Sam” Name: Sam Weight: 37 lb 4 oz (16.9 kg) Height: 41.5 inches (105 cm) Age: 3.5 years BMI: 15.2
26	Sam’s BMI Plotted on Boy’s BMI-for-Age Chart
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28	Steps to Plot BMI-for-Age Obtain accurate weight and height measurements Select the appropriate growth chart Record the data Calculate BMI Plot measurements Interpret plotted measurements
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