Reply to At What Age is it Appropriate to Start to Talk about Dieting? (12 YO DS)

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[quote=Anonymous][quote=Anonymous]

A note from Satter re: use of BMI for individuals...

[i]"In reading the research, you may have noticed that childhood overweight/obese designations have changed. Now, children whose BMI exceeds the 95th percentile are labeled obese rather than overweight, and those whose BMI exceeds the 85th percentile labeled overweight rather than at risk of overweight. This slippage grew out of a January, 2007 Committee Statement and recommendation and was made official by a recent National Health Statistics report. To its credit, NHS authors temporize about the legitimacy of such designations. [b]Less than half of ''obese'' children (those with BMI ? 95) have a high percentage of body fat[/b]. Moreover, the consensus in the literature is that it is difficult to come up with any definition of child overweight or obesity.
 
The problem arises from the manner in which those terms - and definitions - are used. [b]However the BMI levels are labeled, they are statistical cutoff points established for the purpose of population-wide evaluation. As such, they are not appropriate for diagnosis of individual children.[/b] Despite the shortcomings of the definition, that is exactly the way they are used. Little wonder that parents are unwilling to accept and act on a weight-related diagnosis for their child.

To remind you, the Satter Feeding Dynamics Model (fdSatter) says that the issue with weight not high weight per se, but weight acceleration: Abnormal upward weight divergence for the individual child. Such divergence gives a clue to distortions in feeding."[/i]

http://ellynsatterinstitute.org/fmf/fmf57.php
http://ellynsatterinstitute.org/htf/theoverweightchild.php[/quote]

+1 on the bolded points about BMI.  BMI is not a diagnostic tool.  It is a tool for measuring populations.  [/quote]

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