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.