U.S. health officials have updated a tool to track rising cases of severe obesity among children who were previously off the charts
Growth charts show patterns of development by age, expressed in BMI, a calculation of height and weight, and also in curves called percentiles. Unlike adults, children are not classified as obese or severely obese based on a strict BMI cutoff, Inge noted. Instead, kids are described as obese based on percentiles — where they fall compared to other kids their age.
The old charts didn't include children like Bryan Alcala of Aurora, Illinois, who first sought help in 2019 as a high school freshman who was 5 feet, 5 inches and weighed about 300 pounds. Children like Alcala, with BMIs of 45, 50 or higher, topped out on the CDC charts, making it difficult to assess their status or properly plot their progress, often delaying treatment, Inge said.
However, one expert who questions the use of BMI to assess adults, said doctors need to be careful using the new charts with kids. They should focus on behaviors that drive weight gain, taking care not to stigmatize kids and families, said Dr. Tracy Richmond, an associate professor of pediatrics at Harvard Medical School.
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