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Identifying Overweight and Obese Children: Which Assessment Tool Is Most Accurate?

Sealey-Potts, Claudia PhD, RD, LDN, FAND; Yu, Zhiping PhD, RD; Alexander, Colleen MS, RD; Christie, Catherine PhD, RDN, LDN, FAND

doi: 10.1097/TIN.0000000000000028
Nutrition Assessment Practices
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Selecting appropriate assessment measures that identify children at risk for overweight and obesity can be challenging. Practitioners and clinicians have used various anthropometric measures for decades, but evidence on which measure is most accurate needs to be elucidated. Data on the use of body mass index alone are inconclusive. Evidence on other simple and practical measures including waist and neck circumferences and waist-to-height ratio is gaining recognition and has been shown to have advantages over body mass index for identifying overweight and obese risk in children. Practitioners may need to use a combination of measures to obtain desirable outcomes.

Department of Nutrition & Dietetics, University of North Florida, Jacksonville, Florida.

Correspondence: Claudia Sealey-Potts, PhD, RD, LDN, FAND, Department of Nutrition & Dietetics, University of North Florida, 1 UNF Dr, Jacksonville, FL 32224 (c.sealey-potts@unf.edu).

The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article.

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