"BMI = weight in kilograms divided by the square of the height in meters. Source: Ref. 2.

"BMI = weight in kilograms divided by the square of the height in meters. Source: Ref. 2.

Table 3. Dietary Guidelines for Americans

• Balance the food you eat with physical activity; maintain or improve your weight.

• Choose a diet with plenty of grain products, vegetables, and fruits

• Choose a diet low in fat, saturated fat, and cholesterol.

• Choose a diet moderate in sugars.

• Choose a diet moderate in salt and sodium.

• If you drink alcoholic beverages, do so in moderation.

and behavior therapy designed to improve eating and physical activity habits. Other recommendations are listed in Table 4.

One in five children in the United States is now overweight. Care and treatment differ from adults, and therefore pediatric guidelines have been proposed by an expert committee (8). Clinicians who care for these children and their families are urged not to express blame but to show "sensitivity, compassion and a conviction that obesity is an important chronic medical condition that can be treated." Balanced nutritional intakes with avoidance of excess together with adequate physical activity are important goals for all family members.

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