Zomorrodi, & Posner, 2012). Additionally, assessing the values of sensitivity, specificity, and predictive values, the functionality of the BMI tool was diminished in increased age, ( Romero- Corral, 2008). Conclusion As a practitioner, evaluating patients and their weight is a sensitive subject that most patient's discard or are embarrassed to discuss. Using useful tools such as the BMI should be
valid and accurate while trying to diagnose and provide treatment and resources to those who are in subpar weight categories. Although the BMI tool has been summarized to be effective in using with obese patients, the provider should be specific and double check their diagnosis of any weight category with a second or third measuring tool to be more accurate with his/her diagnosis. This will ensure the best outcome for the patient. Resources Ball, J.W., Dains, J.E., Flynn, J., Solomon, B.S., & Stewart, R. W. (2015) Seidel's guide to physical examination (8th ed.). St. Loius, MO: Elsevier Mosby CDC, (2017). About adult BMI. Retrieved from Freedman, D.S., & Sherry, B. (2009). The validity of BMI as an indicator of body fatness and risk among children. Pediatrics, 124 (Supplemental 1). Retrieved from Romero-Corral, A., Somers, V. K., Sierra-Johnson, J., Thomas, R. J., Collazo-Clavell, M. L., Korinek, J., Allison, T. G., Batsis, J. A., Sert-Kuniyoshi, F. H., … Lopez-Jimenez, F. (2008). Accuracy of body mass index in diagnosing obesity in the adult general population. International journal of obesity (2005), 32(6), 959-66. Retrieved from Stettler, N., Zomorrodi, A., & Posner, J.C. (2012). Predictive value of weight-for-age- to identify overweight children. Obesity Journal, 15(12), 3106-3112. Retrieved from Tess, I enjoyed reading your post on Body Mass Index (BMI). I agree that discussing weight and BMI with patients can be a very sensitive subject. The BMI tool has been implemented by many schools, including my three daughter’s school district, in an effort to raise awareness of
parents about their own child’s health status. Childhood obesity is a serious problem in the United States putting children and adolescents at risk for poor health (CDC, 2018a). In the United States, the prevalence of obesity among youth is 18.5% (Hales et al, 2017). It is important to make parents aware of avoidable health issues that can negatively impact their child’s future. Parents have a direct influence over their children’s physical, food, and social environments (Townsend et al, 2018b). It is essential that when providing parents with the BMI of their children that they are also made aware that BMI does not measure body fat directly and that the relationship between BMI and body fat varies by sex, age, and race (2017). As a practitioner, we are obligated to discuss with parents and children the consequences of maintaining a high BMI and that their BMI is a modifiable health factor. We also need to explain that the BMI calculation is a tool used to assist in preventing long-term consequences of unhealthy weight, whether overweight or underweight.
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