Scenario 2 - continued

You realize that although Mary's BMI indicates overweight, screening parameters do not always tell the whole story. You learn that Mary is an active 8-year old, involved in sports activities almost year-round. You assess her food pattern, and it is reasonable for an 8-year old.

You tell Mary's parents that her growth parameters indicate the need for further assessment, but that she seems well-muscled, is physically active, and has an appropriate food pattern. You provide the family with some recommendations for appropriate portion sizes and encourage them to continue to promote physical activity. You suggest that her growth (weight and height) be monitored regularly and that she be referred to a nutritionist if her BMI-for-age crosses the 95th percentile.