Screening for Weight Problems

Children

Doctors weigh children at Reference routine checkups. They plot measurements on a Reference growth chart to see how your child compares physically to other children of the same age. Doctors update the chart at each routine exam to document your child's growth pattern.

"Overweight" and "obese" are terms sometimes used when referring to children who weigh more than expected. Doctors use growth charts or the Reference body mass index Opens New Window (BMI) to measure a child's weight in relation to his or her height. If your child is age 2 or older, find out his or her BMI with this Reference Interactive Tool: What Is Your Child's BMI? Reference

If you have concerns that your child is Reference overweight Opens New Window or obese, ask your doctor to review your child's growth charts and medical history with you.

The Reference U.S. Preventive Services Task Force Opens New Window (USPSTF) recommends using BMI to screen children ages 6 to 18 for Reference obesity Opens New Window.^{Reference 1}

• If your child's BMI has been high on the growth chart from birth, this may be his or her healthy size and growth rate. He or she may simply be bigger than other children of the same gender and age.
• If your child's BMI pattern has suddenly jumped from a lower range to a higher range on the growth chart, your child may be at risk of becoming overweight. Your doctor will carefully track growth over time, watching for a change in the rate of weight gain. Your child may need counseling and other help to make lifestyle changes for a healthier weight.
• If your family has a Reference history Opens New Window of obesity, your child has a higher risk of becoming overweight.

Sometimes a child's BMI and weight can increase without a child being at risk of having too much body fat. For instance, before and during Reference puberty Opens New Window it is normal for children to have a significant gain in weight before they begin to grow in height. Also, children who are very muscular (such as children who are very active in sports), may have a high BMI but have normal or even lower-than-normal amounts of body fat.

If your child's BMI and growth pattern suggest a weight problem, your doctor will give your child Reference an exam that looks for health problems that can cause weight gain. This may include questions about Reference eating and physical activity habits. Routine checkups for health problems will also be important over time.

Adults

The USPSTF recommends using BMI to find out which adults are at risk from being overweight and obese.^{Reference 2}

If you are age 20 or older, use the Reference Interactive Tool: Is Your BMI Increasing Your Health Risks? Reference to check your BMI when you know your height in feet and weight in pounds.

You can use BMI to decide whether your weight is dangerous to your health. If you have a BMI of 30 or higher, your extra weight may be putting your health in danger. If you are Asian, your health may be at risk with a BMI of 27.5 or higher.^{Reference 3}

Where you carry your body fat may be as important as how many extra pounds you have. People who carry too much fat around the middle, rather than around the hips, are more likely to have health problems. In women, a Reference waist size Opens New Window Reference Opens New Window of 35 in. (88 cm) or more raises the chance for disease. In men, a waist size of 40 in. (101 cm) or more raises the chance for disease.^{Reference 4} In Asian people, health problems are seen with a smaller waist size. In Asian women, a waist size of 32 in. (80 cm) or more raises the chance for disease. In Asian men, a waist size of 36 in. (90 cm) or more raises the chance for disease.^{Reference 3}

For more information, see the topics Reference Obesity, Reference Weight Management, Reference Healthy Eating, or Reference Healthy Eating for Children.

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This information does not replace the advice of a doctor. Healthwise, Incorporated disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Reference Terms of Use. Reference How this information was developed to help you make better health decisions.