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Training Module: Adolescent Physical Development

Case #2: Screening for Excessive Weight Gain
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5. Case #2: Use of Growth Charts to Screen for Excessive Weight Gain During Adolescence

José is a 15 year old male who has asthma and a decreased level of activity because of exercise-induced wheezing. His favorite activity is playing videogames on the computer. He has received episodic health care, generally related to asthma attacks.

When he enrolls in his high school health clinic, his weight is 160 lbs (90th percentile) and his stature is 67 inches tall (50th percentile). His BMI is 25.2 (90 - 95th percentile). The only other stature and weight measurement available in his record is from 13 years of age, when his stature-for-age, weight-for-age and BMI-for-age were all at the 50th percentile.

  Chart showing Jose's weight on the 50th percentile at age 13, and the 90th percentile at age 15; his stature at the 50th percentile at both age 13 and 15.    Chart showing Jose's BMI on the 50th percentile at age 13, between the 90th and 95th percentile at age 15.

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