Your Federal Quarterly Tax Payments are due April 15th Get Help Now >>

Healthy Target Weights by sammyc2007

VIEWS: 24 PAGES: 24

									Healthy Target Weights




          Thursday May 3, 2007
Healthy Target Weights


          Or What I’ve learned
          working with Eating
          Disordered Patients.
Assessing Healthy Weight

   Sex
   Age
   Weight History
Male--Age

   Adult
   Adolescent
   Child
Adult Males

   Original Target Weight 1959 Metropolitan
    Life Insurance table—medium frame
Metropolitan Life 1959 Table

   Healthy Weight for medium frame male
    6’ would be 158-162 lb
    BMI of 21.7 (Target wts <BMI of 22)

   Does this work in Iowa?
Male Adolescents and Children

   Goal weight is defined by the 50% BMI for
    age using the CDC growth chart.

   Goal weight will need reevaluation as the
    child or adolescent continues to grow.
Growth Chart

   Developed by the National Center for Health
    Statistics

   Included BMI norms for the first time in 2000
Females--Age

   Adult—Geriatric?
   Adolescent
   Child
Adult Females

   Original Target Weight for women with
    anorexia nervosa 1959 Metropolitan Life
    Insurance table—medium frame

   Original Target Weight for women with
    history of overweight 1983 Metropolitan Life
    Insurance table—medium frame
Metropolitan Life 1959 Table

   Healthy weight for medium frame female 5’4”
    would be 122-126
    for a BMI of 21.3 (Targets BMI of ~21)

   Does this work in Iowa?
Metropolitan Life 1983 Table

   Healthy weight for medium frame female 5’4”
    would be 130-134
    for a BMI of 22.7 (Targets BMI of ~23)

   Does this work in Iowa?
Special Considerations

   How does “Rule of Thumb” compare to
    BMIs?

   “Rule of thumb” weight of 100 lb BMI of 19.5

   Target weight for female 5’ is 107-111 lb.
    BMI of 21.3
Adult Females—Special
Considerations

   Geriatric females (we have treated woman
    up to the age of 68 yrs)

   Do they need a different target?
Female Adolescents and Children


   Goal weight will need reevaluation as the
    child or adolescent continues to grow.

   Goal weight for female children is defined by
    the 50% BMI for age using the CDC growth
    chart.
Female Adolescents

   Target weight is set at a weight at which they
    have a 50% chance of onset of menses (for
    primary amenorrhea) or a 50% chance of
    return of menses (for secondary
    amenorrhea) according to Frisch and
    McArthur.
Sexual maturity is more
closely related to body
weight than to
chronological age.
Minimal Weight for Height necessary for the onset or
restoration of menses.


          Primary amenorrhea          Secondary Amenorrhea
               (Menarche)


 Ht          10%                50%         10%           50%


 5’2”        40.1 kg            46.2        44.9          51.5
 5’4”        42.7               49.3        47.9          55.0
 5’6”        44.5               51.4        49.9          57.3
 5’8”        47.2               54.4        52.8          60.7
   The increase of 5-6 kg between menarche
    and stable reproductive ability represent
    storage of energy to support a fetus and 3
    months of lactation.
   The Frisch and McArthur table lends itself
    nicely into calculating BMIs.

   BMIs can be compared to the CDC Growth
    Chart
    Comparison of Bone Density




  Bone density scan of a    Bone density scan of a 25-     Bone density scan of a woman
healthy 25-year-old woman   year-old woman with anorexia     in her 30’s with anorexia
                            nervosa that has been             nervosa that has been
                            amenorrheal for 5 years          amenorrheal for 15 years.
Why is a Healthy Weight Important?

   Affects both physical and mental health.

   When does something become a mental
    illness?

								
To top