ACOG Committee Opinion No. 351, November 2006: The overweight adolescent: prevention, treatment, and obstetric-gynecologic implications.

Abstract

The number of overweight adolescents has grown to epidemic proportions in the United States. Adolescent females who are overweight have significant health sequelae. The American College of Obstetricians and Gynecologists recommends that all adolescents be screened annually for overweight by determining weight and stature, calculating a body mass index for age percentile, and asking about body image and eating patterns. Health care providers should promote healthy eating and physical activity to adolescent patients and their parents during routine preventive health care visits. Adolescents with a body mass index greater than or equal to the 95th percentile for age should have an in-depth dietary and health assessment to determine psychosocial morbidity and risk for future cardiovascular disease. Obstetricians-gynecologists are strongly encouraged to provide this assessment. Additional research is needed to determine the most appropriate approach for the successful prevention and treatment of overweight adolescents. Until this research has been completed, it is best to extrapolate an approach from data and studies pertaining to children and adults, while remaining cognizant of the special needs that surround adolescent growth and development. Sound nutritional recommendations and regular physical activity are essential components of prevention and treatment plans.