| Definition for Overweight and Obesity |
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Overweight and obesity are both labels for ranges of weight that are greater than what is generally considered healthy for a given height. The terms also identify ranges of weight that have been shown to increase the likelihood of certain diseases and other health problems. Body mass index (BMI) is a practical measure used to determine overweight and obesity. BMI is a measure of weight in relation to height that is used to determine weight status. It is the most widely accepted method used to screen for overweight and obesity in children and adolescents because it is relatively easy to obtain the height and weight measurements needed to calculate BMI, measurements are non-invasive and BMI correlates with body fatness. While BMI is an accepted screening tool for the initial assessment of body fatness in children and adolescents, it is not a diagnostic measure because BMI is not a direct measure of body fatness. Definitions for children and teens For children and teens, BMI ranges above a normal weight have different labels (at risk of overweight and overweight). Additionally, BMI ranges for children and teens are defined so that they take into account normal differences in body fat between boys and girls and differences in body fat at various ages. Childhood obesity is in the early 2000s a significant health problem in the United States. Obese children and adolescents are at increased risk for developing diabetes, hypertension, coronary artery disease, sleep apnea, orthopedic problems, and psychosocial disorders. Obesity involves excessive weight gain and fat accumulation. For children and adolescents, obesity is defined in terms of body mass index (BMI) percentile. BMI is a formula that considers an individual's height and weight to determine body fat and health risk, and it is used differently for children and adolescents than it is for adults. In adults, BMI often misrepresents obesity because it does not consider healthy weight from muscle tissue; therefore, body fat percentage is considered a more accurate method for determining obesity in adults. In children and adolescents, because body fat changes as they mature, BMI is gender- and age-specific and plotted on gender-specific growth charts to determine BMI-forage. Curved lines on the chart (percentiles) are used by healthcare professionals to identify children and adolescents at risk for overweight and obesity. Children and adolescents with a BMI-for-age in the 85th to 95th percentile are considered overweight and at risk for obesity, and those with a BMI-for-age greater than the 95th percentile are considered obese. Definition for adults For adults, overweight and obesity ranges are determined by using weight and height to calculate a number called the "body mass index" (BMI). BMI is used because, for most people, it correlates with their amount of body fat.
See the following table for an example.
It is important to remember that although BMI correlates with the amount of body fat, BMI does not directly measure body fat. As a result, some people, such as athletes, may have a BMI that identifies them as overweight even though they do not have excess body fat. |
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