A measurement called percentile of Body Mass Index (BMI) is used to identify
overweight and obesity in children and adolescents. The Centers for Disease
Control (CDC), the supplier of national growth charts and prevalence data, avoids
using the word "obesity" for children and adolescents. Instead, they suggest
two levels of overweight: 1) the 85th percentile, an "at risk" level,
and 2) the 95th percentile, the more severe level.
The American Obesity Association uses the 85th percentile of BMI
as a reference point for overweight and the 95th percentile for obesity.
We do so, because the 95th percentile:
- corresponds to a BMI of 30, which is the marker for obesity in adults.
The 85th percentile corresponds to the overweight reference point
for adults, which is a BMI of 25.
- is recommended as a marker for children and adolescents to have an in-depth
medical assessment.
- identifies children that are very likely to have obesity persist into adulthood.
- is associated with elevated blood pressure and lipids in older adolescents,
and increases their risk of diseases.
- is a criteria for more aggressive treatment.
- is a criteria in clinical research trials of childhood obesity treatments.
Growth Charts - Identifying Obesity in Your Child
Parents and healthcare professionals in the U.S. have used growth charts since the late 1970's to follow the progress in physical growth of infants, children and adolescents. In May 2001, the CDC developed new growth charts to include BMI.