Aim for a Healthy Weight ACT Laminated Card

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Originally published by the National Heart, Lung, and Blood Institute (NIH Publication No. 06-5831). U.S. government work, public domain. Reproduced as archived reference, not current guidance.

Aim for a

Healthy Weight

Body Mass Index (BMI) is a practical method to assess body fat. As an individual’s BMI increases,

so does his or her risk for a variety of diseases and conditions, such as high blood pressure, diabetes, and heart disease. While BMI can be used for most men and women, it does have somelimitations: ■ It may overestimate body fat in athletes and others who have a muscular build. ■ It may underestimate body fat in older persons and others who have lost muscle.

body mass index table

normal overweight obese

19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39

58 91 96 100 105 110 115 119 124 129 134 138 143 148 153 158 162 167 172 177 181 186

59 94 99 104 109 114 119 124 128 133 138 143 148 153 158 163 168 173 178 183 188 193

60 97 102 107 112 118 123 128 133 138 143 148 153 158 163 168 174 179 184 189 194 199

61 100 106 111 116 122 127 132 137 143 148 153 158 164 169 174 180 185 190 195 201 206

62 104 109 115 120 126 131 136 142 147 153 158 164 169 175 180 186 191 196 202 207 213

63 107 113 118 124 130 135 141 146 152 158 163 169 175 180 186 191 197 203 208 214 220

64 110 116 122 128 134 140 145 151 157 163 169 174 180 186 192 197 204 209 215 221 227

65 114 120 126 132 138 144 150 156 162 168 174 180 186 192 198 204 210 216 222 228 234 inches66 118 124 130 136 142 148 155 161 167 173 179 186 192 198 204 210 216 223 229 235 241

in

67 121 127 134 140 146 153 159 166 172 178 185 191 198 204 211 217 223 230 236 242 249

height

68 125 131 138 144 151 158 164 171 177 184 190 197 203 210 216 223 230 236 243 249 256

69 128 135 142 149 155 162 169 176 182 189 196 203 209 216 223 230 236 243 250 257 263

70 132 139 146 153 160 167 174 181 188 195 202 209 216 222 229 236 243 250 257 264 271

71 136 143 150 157 165 172 179 186 193 200 208 215 222 229 236 243 250 257 265 272 279

72 140 147 154 162 169 177 184 191 199 206 213 221 228 235 242 250 258 265 272 279 287

73 144 151 159 166 174 182 189 197 204 212 219 227 235 242 250 257 265 272 280 288 295

74 148 155 163 171 179 186 194 202 210 218 225 233 241 249 256 264 272 280 287 295 303

75 152 160 168 176 184 192 200 208 216 224 232 240 248 256 264 272 279 287 295 303 311

76 156 164 172 180 189 197 205 213 221 230 238 246 254 263 271 279 287 295 304 312 320

Know Your BMI BMI categories: Use the table below to find your BMI < 18.5: Underweight height, next move across the row BMI 18.5–24.9: Normal weight

to find your weight, and then go above that column to the top of the page to find your BMI.

BMI 25–29.9: Overweight BMI 30–39.9: Obese BMI ≥ 40: Extreme Obesity

Use the following BMI categories to check your weight status:

Also check out the BMI calculator athttp://www.nhlbisupport.com/bmi/.

extreme obesity

40 41 42 43 44 45 46 47 48 49 50 51 52 53 54

191 196 201 205 210 215 220 224 229 234 239 244 248 253 258

198 203 208 212 217 222 227 232 237 242 247 252 257 262 267

204 209 215 220 225 230 235 240 245 250 255 261 266 271 276

211 217 222 227 232 238 243 248 254 259 264 269 275 280 285

218 224 229 235 240 246 251 256 262 267 273 278 284 289 295

225 231 237 242 248 254 259 265 270 278 282 287 293 299 304

232 238 244 250 256 262 267 273 279 285 291 296 302 308 314

240 246 252 258 264 270 276 282 288 294 300 306 312 318 324

247 253 260 266 272 278 284 291 297 303 309 315 322 328 334

255 261 268 274 280 287 293 299 306 312 319 325 331 338 344

262 269 276 282 289 295 302 308 315 322 328 335 341 348 354

270 277 284 291 297 304 311 318 324 331 338 345 351 358 365

278 285 292 299 306 313 320 327 334 341 348 355 362 369 376

286 293 301 308 315 322 329 338 343 351 358 365 372 379 386

294 302 309 316 324 331 338 346 353 361 368 375 383 390 397

302 310 318 325 333 340 348 355 363 371 378 386 393 401 408

311 319 326 334 342 350 358 365 373 381 389 396 404 412 420

319 327 335 343 351 359 367 375 383 391 399 407 415 423 431

328 336 344 353 361 369 377 385 394 402 410 418 426 435 443

National Heart, Lung, and Blood Institute, June 1998

Aim for a

Healthy Weight

A Quick Reference Tool to ACT

Assessment (A), Classification (C), and Treatment (T)

BMI ≥ 25 Measure OR waist weight, height, BMI ≥ 30 OR Yes Yes circumference Yes Yes Patient and waist Assess risk [(BMI 25–29.9 OR > 35 in (88 cm) (F) encounter circumference. factors waist > 35 in (F) > > 40 in (102 cm) (M) Calculate body 40 in (M)) AND ≥ 2 mass index risk factors]

• Assess the (BMI) • Established Coronary

patient’s weight

status

• Provide advice,

counseling,

Heart Disease (CHD)

• Other Atherosclerotic Disease
• Type 2 Diabetes
• Sleep Apnea Waist or treatment BMI • Other Obesity circumference Associated Diseases
• BMI categories: • Abdominal fat Risk Factors Overweight: increases risk. • Smoking 25–29.9 kg/m2 • High risk: • Hypertension Obesity: F: > 35 in (> 88 cm) • High LDL-C ≥ 30 kg/m2 M: > 40 in (> 102 cm) • Low HDL-C
• Impaired fasting glucose
• Calculate BMI as follows: • Family history of premature CHD No • ≥ 45 yrs (M) and No weight (kg) BMI = ≥ 55 yrs (F) height squared (m2)

If pounds and inches are used:

weight (lbs) x 703 BMI = height squared (in2)

• Or see NHLBI’s BMI Educate/ No Does patient calculator at reinforce want to lose www.nhlbisupport.com/bmi/ weight?
• Advise to maintain weight
• Address other risk factors
• Periodic weight, BMI, and waist circumference check (every 2 years)

U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health National Heart, Lung, and Blood Institute

NIH Publication No. 06-5831 July 2006

Clinician and patient devise Periodic goals and Progress Yes Yes Yes Maintenance Yes weight, BMI, treatment being made/goal counseling strategy for achieved? and waist weight loss circumference and risk factor • Dietary therapy check control

• Behavior therapy No
• Physical activity Set Goals
• Advise patient to Assess reasons lose 10% of initial for failure to weight lose weight
• 1–2 lbs/wk for 6 months of therapy
• See options below

Yes BMI ≥ 30 BMI ≥ 30 BMI ≥ 40

Lifestyle Therapy • Diet: 500–1,000 kcal/day reduction • Physical Activity: 60 minutes of moderate-tovigorous activity most days of

Pharmacotherapy • Adjunct to lifestyle therapy. Consider if patient has not lost 1 lb/wk after 6 months of lifestyle therapy. • Orlistat–120 mg or 120 mg po tid before meals.

Weight Loss Surgery • Consider if other weight loss attempts have failed • Vertical banded gastroplasty or gastric bypass • Lifelong medical monitoring the week* • Sibutramine–5,10,

• Behavior Therapy 15 mg;10 mg po qd to start may be increased to 15 mg or decreased to 5 mg.
• Based on Dietary Guidelines for Americans 2005; U.S. Department of Health and Human Services and U.S. Department of Agriculture

Source: The Practical Guide: Identification, Evaluation, and Treatment of Overweight and Obesity in Adults; National Heart, Lung, and Blood Institute, October 2000. Available athttp://healthyweight.nhlbi.nih.gov.