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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).