Skip to main content

Table 1 Cardiometabolic risk factor cut-offs and lifestyle recommendations

From: Characterizing severe obesity in children and youth referred for weight management

Variable

Cut-off

Variable

Recommendation

WC

≥90th percentile [28]

V & F

5-8 servings/day [29]

TC

≥5.2 mmol/L [30]

Grains

4-7 servings/day [29]

TG

≥1.24 mmol/L [28]

Milk

2-4 servings/day [29]

HDL-C

≤1.03 mmol/L [28]

Meat

1-3 servings/day [29]

LDL-C

≥3.4 mmol/L [31]

Steps

Children [32]:

Boys: 13,000-15,000 steps/d

Girls: 11,000-12,000 steps/d

Adolescents [30]:

10,000-11,700 steps/d

ALT

<20 U/L [33]

MVPA

≥60 minutes/day [34]

HOMA-IR

≥3.16 mmol/L [19]

LTST

≤2 hours/day [35]

SBP

≥90th percentile [36]

Sleep

Children: ≥10 hr/night [37]

DBP

≥90th percentile [36]

 

Adolescents: ≥9 hr/night [37]

  1. WC (waist circumference), TC (total cholesterol), TG (triglycerides), HDL-C (high density lipoprotein cholesterol), LDL-C (low density lipoprotein cholesterol), ALT (alanine aminotransferase), HOMA-IR (homeostatic model assessment of insulin resistance), SBP (systolic blood pressure), DBP (diastolic blood pressure), V & F (Vegetables & Fruit), Grains (Grain Products), Milk (Milk & Alternatives), Meat (Meat & Alternatives), Steps, MVPA (moderate-to-vigorous physical activity), LTST (leisure time screen time), Sleep (sleep duration).