CDC Sex-Specific Body Mass Index (BMI)-For-Age Growth Charts, 818 [2018-00060]
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Federal Register / Vol. 83, No. 5 / Monday, January 8, 2018 / Notices
ESTIMATED ANNUALIZED BURDEN HOURS—Continued
Number of
respondents
Type of respondents
Form name
Field Test Respondents (Adults >18 Years) ..
Field Test Survey ...........................................
Leroy A. Richardson,
Chief, Information Collection Review Office,
Office of Scientific Integrity, Office of the
Associate Director for Science, Office of the
Director, Centers for Disease Control and
Prevention.
children and adolescents with severe
obesity in both clinical and research
settings.
[FR Doc. 2018–00142 Filed 1–5–18; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[Docket No. CDC–2018–0001]
CDC Sex-Specific Body Mass Index
(BMI)-For-Age Growth Charts
Centers for Disease Control and
Prevention (CDC), Department of Health
and Human Services (HHS).
ACTION: Notice with comment period.
AGENCY:
The National Center for
Health Statistics (NCHS), Centers for
Disease Control and Prevention (CDC) in
the Department of Health and Human
Services (HHS) announces the opening
of a docket to obtain public comment on
the production of sex-specific body
mass index (BMI)-for-age growth charts
for children and adolescents aged 2–19
years specifically designed for tracking
extremely high values of BMI. The 2000
CDC growth charts include sex-specific
BMI-for-age percentile charts based on
data representative of the United States
(US) population from the National
Health Examination Survey (NHES) and
National Health and Nutrition
Examination Survey (NHANES). In US
children and adolescents, obesity is
defined as at or above the sex-specific
95th percentile on the CDC BMI-for-age
growth charts. Severe obesity is often
defined as at or above 120% of the sexspecific 95th percentile on the CDC
BMI–for-age growth charts. Currently,
the highest percentile displayed is the
97th percentile. Therefore, it is difficult
to assess changes in weight status in
children with very high BMIs that
exceed this level. The new charts will
provide additional lines representing
120%, 130%, 140%, and 150% of the
95th percentile. The intent of these
charts is to provide a mechanism for
documenting BMI percentiles for
sradovich on DSK3GMQ082PROD with NOTICES
SUMMARY:
VerDate Sep<11>2014
16:29 Jan 05, 2018
Jkt 244001
Written comments must be
received on or before March 9, 2018.
ADDRESSES: You may submit comments,
identified by Docket No. CDC–2018–
0001 by any of the following methods:
• Federal eRulemaking Portal: https://
www.regulations.gov. Follow the
instructions for submitting comments.
• Mail: Verita C. Buie, DrPH, Office of
Planning, Budget, and Legislation,
National Center for Health Statistics,
Centers for Disease Control and
Prevention, 3311 Toledo Road, MS–08,
Hyattsville, MD 20782.
Instructions: All submissions received
must include the agency name and
Docket Number. All relevant comments
received will be posted without change
to https://regulations.gov, including any
personal information provided. For
access to the docket to read background
documents or comments received, go to
https://www.regulations.gov.
FOR FURTHER INFORMATION CONTACT:
Cynthia Ogden, Ph.D., Division of
Health and Nutrition Examination
Survey, National Center for Health
Statistics, 3311 Toledo Road, MS–P08,
Hyattsville, MD 20782–2064, phone:
(301) 458–4405.
SUPPLEMENTARY INFORMATION: The
National Center for Health Statistics
(NCHS) is congressionally mandated by
the National Health Survey Act of 1956
to monitor the health of the nation. The
National Health and Nutrition
Examination Survey (NHANES), part of
NCHS, is a nationally representative
health survey designed to assess the
health and nutritional status of adults
and children in the United States. The
survey is unique in that it combines
interviews with physical examinations
and laboratory studies. NHANES data
are used throughout Department of
Health and Human Services (HHS)
agencies in addition to public health
researchers world-wide. NHANES data
have been used to determine national
obesity estimates, produce pediatric
growth and BMI charts, and monitor
prevalence of infectious diseases such
as the human papillomavirus (HPV).
Body mass index (BMI) is calculated
as weight in kilograms divided by
DATES:
PO 00000
Frm 00036
Fmt 4703
Sfmt 9990
Number of
responses per
respondent
500
Average
burden per
response
(in hours)
1
45/60
height in meters squared and is used in
the diagnosis, clinical management, and
estimation of population prevalence of
obesity and severe obesity. Among
adults, obesity is defined by an absolute
BMI value (≥30). Among children, BMI
varies with age as well as sex. Therefore,
to classify obesity among children and
adolescents aged 2–19 years,
measurements are standardized by age
and sex using BMI-for-age growth
charts. The 2000 CDC growth charts
include smoothed percentiles of BMIfor-age based on data representative of
the US population. In the US, obesity is
defined as at or above the sex-specific
95th percentile for BMI-for-age.
However, categorizing severe obesity
(defined in adults as BMI≥40) is
problematic given specific measures are
not available in standard CDC growth
charts for values beyond the 97th
percentile. Researchers have proposed
using percent of the 95th percentile as
a flexible, stable measure for extreme
BMI values. Consequently, severe
obesity in children is often defined as a
BMI at or above 120% of the sexspecific 95th percentile of BMI-for-age.
Prevalence of severe obesity has
increased among children and
adolescents and very high BMI has been
shown to increase risk for obesity in
adulthood in addition to adverse health
outcomes such as diabetes, abnormal
cholesterol levels, and high blood
pressure and behavioral health and
social victimization impacts. Recent
research has focused on effective
management and treatment of children
and adolescents with severe obesity, but
researchers and clinicians lack a tool to
determine BMI percentiles for these
individuals. Specialized growth charts
with lines reflecting 120%, 130%, 140%
and 150% will provide an improved
tool for documenting BMI in the clinical
and research settings. Please see the
draft example chart for boys
(Attachment 1) and girls (Attachment 2).
Date: January 2, 2018.
Lauren Hoffmann,
Acting Executive Secretary, Centers for
Disease Control and Prevention.
[FR Doc. 2018–00060 Filed 1–5–18; 8:45 am]
BILLING CODE 4163–18–P
E:\FR\FM\08JAN1.SGM
08JAN1
]]>Agencies
[Federal Register Volume 83, Number 5 (Monday, January 8, 2018)]
[Notices]
[Page 818]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-00060]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[Docket No. CDC-2018-0001]
CDC Sex-Specific Body Mass Index (BMI)-For-Age Growth Charts
AGENCY: Centers for Disease Control and Prevention (CDC), Department of
Health and Human Services (HHS).
ACTION: Notice with comment period.
-----------------------------------------------------------------------
SUMMARY: The National Center for Health Statistics (NCHS), Centers for
Disease Control and Prevention (CDC) in the Department of Health and
Human Services (HHS) announces the opening of a docket to obtain public
comment on the production of sex-specific body mass index (BMI)-for-age
growth charts for children and adolescents aged 2-19 years specifically
designed for tracking extremely high values of BMI. The 2000 CDC growth
charts include sex-specific BMI-for-age percentile charts based on data
representative of the United States (US) population from the National
Health Examination Survey (NHES) and National Health and Nutrition
Examination Survey (NHANES). In US children and adolescents, obesity is
defined as at or above the sex-specific 95th percentile on the CDC BMI-
for-age growth charts. Severe obesity is often defined as at or above
120% of the sex-specific 95th percentile on the CDC BMI-for-age growth
charts. Currently, the highest percentile displayed is the 97th
percentile. Therefore, it is difficult to assess changes in weight
status in children with very high BMIs that exceed this level. The new
charts will provide additional lines representing 120%, 130%, 140%, and
150% of the 95th percentile. The intent of these charts is to provide a
mechanism for documenting BMI percentiles for children and adolescents
with severe obesity in both clinical and research settings.
DATES: Written comments must be received on or before March 9, 2018.
ADDRESSES: You may submit comments, identified by Docket No. CDC-2018-
0001 by any of the following methods:
Federal eRulemaking Portal: https://www.regulations.gov.
Follow the instructions for submitting comments.
Mail: Verita C. Buie, DrPH, Office of Planning, Budget,
and Legislation, National Center for Health Statistics, Centers for
Disease Control and Prevention, 3311 Toledo Road, MS-08, Hyattsville,
MD 20782.
Instructions: All submissions received must include the agency name
and Docket Number. All relevant comments received will be posted
without change to https://regulations.gov, including any personal
information provided. For access to the docket to read background
documents or comments received, go to https://www.regulations.gov.
FOR FURTHER INFORMATION CONTACT: Cynthia Ogden, Ph.D., Division of
Health and Nutrition Examination Survey, National Center for Health
Statistics, 3311 Toledo Road, MS-P08, Hyattsville, MD 20782-2064,
phone: (301) 458-4405.
SUPPLEMENTARY INFORMATION: The National Center for Health Statistics
(NCHS) is congressionally mandated by the National Health Survey Act of
1956 to monitor the health of the nation. The National Health and
Nutrition Examination Survey (NHANES), part of NCHS, is a nationally
representative health survey designed to assess the health and
nutritional status of adults and children in the United States. The
survey is unique in that it combines interviews with physical
examinations and laboratory studies. NHANES data are used throughout
Department of Health and Human Services (HHS) agencies in addition to
public health researchers world-wide. NHANES data have been used to
determine national obesity estimates, produce pediatric growth and BMI
charts, and monitor prevalence of infectious diseases such as the human
papillomavirus (HPV).
Body mass index (BMI) is calculated as weight in kilograms divided
by height in meters squared and is used in the diagnosis, clinical
management, and estimation of population prevalence of obesity and
severe obesity. Among adults, obesity is defined by an absolute BMI
value (>=30). Among children, BMI varies with age as well as sex.
Therefore, to classify obesity among children and adolescents aged 2-19
years, measurements are standardized by age and sex using BMI-for-age
growth charts. The 2000 CDC growth charts include smoothed percentiles
of BMI-for-age based on data representative of the US population. In
the US, obesity is defined as at or above the sex-specific 95th
percentile for BMI-for-age. However, categorizing severe obesity
(defined in adults as BMI>=40) is problematic given specific measures
are not available in standard CDC growth charts for values beyond the
97th percentile. Researchers have proposed using percent of the 95th
percentile as a flexible, stable measure for extreme BMI values.
Consequently, severe obesity in children is often defined as a BMI at
or above 120% of the sex-specific 95th percentile of BMI-for-age.
Prevalence of severe obesity has increased among children and
adolescents and very high BMI has been shown to increase risk for
obesity in adulthood in addition to adverse health outcomes such as
diabetes, abnormal cholesterol levels, and high blood pressure and
behavioral health and social victimization impacts. Recent research has
focused on effective management and treatment of children and
adolescents with severe obesity, but researchers and clinicians lack a
tool to determine BMI percentiles for these individuals. Specialized
growth charts with lines reflecting 120%, 130%, 140% and 150% will
provide an improved tool for documenting BMI in the clinical and
research settings. Please see the draft example chart for boys
(Attachment 1) and girls (Attachment 2).
Date: January 2, 2018.
Lauren Hoffmann,
Acting Executive Secretary, Centers for Disease Control and Prevention.
[FR Doc. 2018-00060 Filed 1-5-18; 8:45 am]
BILLING CODE 4163-18-P
