Certified Pediatric Nurse (CPN)

If a child's BMI is at the 90th percentile, what is the appropriate explanation to the parent?

1. A BMI in the 90th percentile indicates that Jessica is overweight, would you like to talk to a dietitian?

2. Jessica is very healthy and taller than most children her age

3. A BMI in the 90th percentile indicates a risk of becoming overweight, we can discuss ways to reduce this risk

4. A BMI in the 90th percentile indicates that Jessica is underweight, let's talk about her dietary intake

The correct answer is: A BMI in the 90th percentile indicates that Jessica is overweight, would you like to talk to a dietitian?

The correct explanation regarding a child's BMI at the 90th percentile is that it indicates a risk of becoming overweight, and it's beneficial to discuss ways to reduce this risk. This is important because a BMI at or above the 85th percentile suggests that the child may be at a greater likelihood of being overweight, which can lead to health issues if not monitored. Conversations about maintaining a healthy lifestyle, including balanced nutrition and physical activity, can help parents understand how to support their child in achieving a healthy weight. Providing guidance in this way demonstrates a proactive approach to the child's health and well-being, emphasizing the importance of prevention in pediatric care. While the suggestion to refer the child to a dietitian might seem helpful, it doesn't encompass the broader context of understanding the associated risks of having a BMI at the 90th percentile. Therefore, addressing both the implication and the potential for preventive strategies is crucial for the parents to understand their child's health needs.