Nutrition Assessment


29 Box 2.10 Annual Screening for Overweight and Obesity7,8


All adult clients should have the following measurement at least annually: • Height and weight to calculate body mass index (BMI) ○ Overweighta


: BMI 25.0 kg/m2 ○ Obese ► ► ►


Class I obesity: BMI 30–34.9 kg/m2 Class II obesity: BMI 35–39.9 kg/m2 Class III (extreme) obesity: BMI 40 kg/m2


or higher


• Waist circumference (WC) measurement is recommended for individuals with BMI 25 to < 35 kg/m2


to determine the risk of


cardiovascular disease (CVD), prediabetes, and type 2 diabe- tes. It is not necessary to measure WC in individuals with BMI ≥ 35 because the WC will likely be elevated and it adds no additional risk information.


○ Men: > 102 cm (> 40 in) ○ Women: > 88 cm (> 35 in)


Criteria for recommending weight loss treatment in adults: • Obese (BMI ≥ 30 kg/m2


) • Overweight (BMI 25–29.9 kg/m2


diovascular disease risk factors: ○ Hypertension ○ Prediabetes or diabetes


○ Dyslipidemia (based on total cholesterol, high-density lipoprotein cholesterol,


terol, triglycerides, or lipid-lowering medications) ○ Large waist (> 88 cm in women or > 102 cm in men)a


a


For screening Asian Americans for risk of prediabetes and type 2 diabetes, a BMI of ≥ 23 kg/m2


is recommended. low-density lipoprotein choles- )a and at least one of four car-


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