GUIDELINES FOR OVERWEIGHT IN ADOLESCENT PREVENTIVE SERVICES - RECOMMENDATIONS FROM AN EXPERT COMMITTEE
GUIDELINES FOR OVERWEIGHT IN ADOLESCENT PREVENTIVE SERVICES - RECOMMENDATIONS FROM AN EXPERT COMMITTEE
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DOI：
10.1093/ajcn/59.2.307
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发表时间：
1994-02-01
影响因子：
7.1
通讯作者：
DIETZ, WH
中科院分区：
文献类型：
--
作者：
HIMES, JH;DIETZ, WH
召集了一个专家委员会，以确定将纳入青少年常规预防性筛查的超重具体标准。身体质量指数（BMI）应常规用于筛查超重青少年。BMI大于或等于年龄和性别的第95百分位数或> 30（kg/m2）的青少年应被视为超重，并进行深入的医疗随访以确定潜在的诊断。BMI大于或等于第85百分位数但<第95百分位数或小于或等于30的青少年应被视为有超重的风险，并应进行二级筛查。第二级筛查包括家族史、血压、总胆固醇、BMI先前大幅增加以及对体重的关注。如果青少年对第二级筛查中的任何项目呈阳性反应，他们应该被转介接受进一步的医疗评估。
An expert committee was convened to determine specific criteria for overweight to be integrated into routine preventive screening of adolescents. Body mass index (BMI) should be used routinely to screen for overweight adolescents. Youths with BMIs greater than or equal to 95th percentile for age and sex, or > 30 (in kg/m(2)) should be considered overweight and referred for in-depth medical follow-up to determine underlying diagnoses. Adolescents with BMIs greater than or equal to 85th percentile but < 95th percentile or less than or equal to 30, should be considered at risk of overweight, and should be referred to a second-level screen. The second-level screen includes family history, blood pressure, total cholesterol, large prior increment in BMI, and concern about weight. If youths are positive for any of the items on the second-level screen they should be referred for further medical assessment.