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Person—body mass index (classification), code N[.

N]
Identifying and definitional attributes
Metadata item type:
Short name:
METeOR identifier:
Registration status:
Definition:

Data Element
Body mass index—classification
270474
Health, Standard 01/03/2005
The category of weight deficit or excess in adults and weight excess only in
children and adolescents as measured by a code.

Data element concept attributes
Identifying and definitional attributes
Data element concept:
METeOR identifier:
Registration status:
Definition:
Context:

Person—body mass index (classification)
269558
Health, Standard 01/03/2005
The category of weight deficit or excess in adults and weight excess only in
children and adolescents.
Public health and health care:

Object class:
Property:

BMI is used as an indicator of underweight, normal or healthy weight and
overweight and obesity in adults and of overweight and obesity in children
and adolescents. On a population basis there is a strong association between
BMI and health risk.
Person
Body mass index

Source and reference attributes
Submitting organisation:

World Health Organization (see also Comments) and the consortium to
develop an Australian standard definition of child/adolescent overweight and
obesity; at the Children's Hospital at Westmead on behalf of the
Commonwealth Department of Health & Ageing

Value domain attributes
Identifying and definitional attributes
Value domain:
METeOR identifier:
Registration status:
Definition:
Context:

Body mass index category code N[.N]
311166
Health, Standard 21/09/2005
A code set representing categories of weight deficit/excess in adults and/or
weight excess in children and adolescents.
In order to correctly categorise adults and children/adolescents, please refer to
the categorisation protocol described under Guide for Use.

Representational attributes
Representation class:
Data type:
Format:
Maximum character length:
Permissible values:

Code
Number
N[.N]
2
Value
1
1.1
1.2
2
2.1

Meaning
Not overweight or obese < 25.00
Underweight < 18.50 Low (but risk of other clinical problems
increased)
Normal range 18.50 - 24.99 Average
Overweight >= 25.00 Average
Overweight >= 25.0 Average

Person—body mass index (classification), code N[.N]

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e. weight or height) is unknown or has not been collected (i.09 19. Children/adolescents: Body mass index for children and adolescents aged 2 to 17 years cannot be calculated if components necessary for its calculation (date of birth. coded as 1). For consistency.2.1. against Table 1: Classification of BMI for children and adolescents. 1. adults can be analysed under the broader categories of 1. 2.00 . 3. Standard definitions of overweight and obesity in terms of BMI are used to derive age-specific and age-adjusted indicators of overweight and obesity for reporting progress towards National public health policy .41 18. 3. 3 or 9.2.99 Severe Obese class 3 >= 40. Data element attributes Collection and usage attributes Guide for use: Table 1: Classification of overweight and obesity for children and adolescents Age(years) 2 BMI equivalent to BMI equivalent to 25 kg/m2 30 kg/m2 Males Females Males Females 18.1. sex.9 or 9).2 3 3. 2. or a 7 year old girl with a BMI of 17. 2. when the sample includes children and adolescents.34.00 .1. 3. Collection methods: Using this method. 2.00 . For example.00 Very severe 9 Not stated/inadequately described Collection and usage attributes Guide for use: Adults: Body mass index for adults cannot be calculated if components necessary for its calculation (weight or height) is unknown or has not been collected (i.e. code N[.3 Supplementary values: Pre Obese 25. 2. 999.1. is coded to 888. Use N. Use N for BMI category determined (1. 3 or 9) for persons (children and adolescents) aged 2 to 17 years.99 Moderate Obese class 2 35. based on BMI cut-points developed by Cole et al (see below).2.1.N for BMI category determined (1.e. 3. 3. BMI for adults is categorised according to the range it falls within as indicated by codes 1.8.e.2. coded as 2).9. compare the derived BMI against those recorded for the relevant age and sex of the subject to be classified.1 3.3 or 9. 2.39. 2.9).2 3.29. Self-reported or parentally reported height and weight for children and adolescents should be used cautiously if at all. 1.9) for persons aged 18 years or older. To determine overweight and obesity in children and adolescents.81 Person—body mass index (classification).2.N] Page 2 of 5 .99 Increased Obese >= 30 Increased Obese class 1 30.2. an 11 year old boy with a BMI of 21 would be considered overweight (i.1.8 or 999. children and adolescents can only be coded as 1.3 or 9.02 20. 3. is coded to 888. 3 or 9 as used for categorising children and adolescents.5 would be considered not overweight or obese (i.2.

34 19.76 18.5 21.84 18 25.40 19. It is recommended for use in population surveys and health care settings for adults and population surveys only for children and adolescents.5 20.01 8 18.15 19.39 23.5 24.57 24.36 3.57 8.30 29.77 22.74 25.Comments: 2.47 19.10 25.55 3 17.45 23.16 18.5 19.69 17.43 27.5 23.58 26.5 22. It is recommended that calculated BMI for children and adolescents be compared with a suitable growth reference such as the US Centers for Disease Control 2000 BMIfor-age chart in health care settings such as hospitals.14 26.00 This metadata item applies to persons aged 2 years or older.34 27.60 24.70 29.29 24.34 6 17.5 20.N] Page 3 of 5 .56 19.55 20.53 20.96 23.89 21.15 4.10 19.29 23.18 9 19.20 20.19 19.11 15.70 29.00 25.56 22. These percentiles are arbitrary and do not relate to morbidity as the BMI cut-points do in adults.69 22.98 27. Person—body mass index (classification).89 17.41 26.12 5 17.23 4 17.55 17.35 21.14 29.65 6.54 29.5 17.42 11.85 29.69 17.67 12.55 17.5 24.84 27.58 26.22 21.62 23.46 10 19.91 22.47 17.03 21.00 30.20 19.80 19.13 17.98 28.46 24.05 12 21.23 20.26 19.39 19.02 26.29 16 23.56 17 24.46 19.81 9.27 22.08 7 17.88 29.5 17.92 17.60 21.86 24.84 19.17 5.76 19.5 17.11 10.29 19.24 13 21. while a BMI greater than the 95th percentile would be classified as obese.42 17.07 22.37 28.90 24.94 28.44 18.28 19.71 17.20 25.57 14.77 11 20.78 19.25 28.5 22.19 24.51 7. code N[.60 29.75 20.73 24.5 18.76 13.43 16.00 24.66 27.5 18.09 21.63 20.5 17.17 22.63 28.45 17.30 19.68 26.5 18.57 19.17 28.87 15 23. clinics and in general practice.00 30.20 14 22. A BMI greater than the 85th percentile would be classified as overweight.

National health metadata items currently exist for sex. physical activity. Summary statistics may need to be adjusted for these variables. As with overweight the cut-off points for a given level of risk are likely to vary with body build. However. as a result. BMI values for children and adolescents aged 2 to 17 years are age and sex specific and are classified by comparing against the above table. pregnancy). albeit crude. such as skinfold thickness measurements.N] Page 4 of 5 . The data are derived mainly from studies of mortality and morbidity risk performed in people living in western Europe or the United States of America. ethnic group and activity level. BMI should not be rounded before categorisation to the classification above. Aboriginal and Torres Strait Islander peoples. provides additional rather than primary information. The risks associated with increasing BMI are continuous and graded and begin at a BMI of 25 (or equivalent to 25 for children and adolescents).g. population-level measure of obesity. country of birth. Table 1: Classification of BMI for children and adolescents. BMI can be used to estimate the prevalence of obesity within a population and the risks associated with it. cut-off points vary between countries. The classification table shows a simplistic relationship between BMI and the risk of comorbidity. Both BMI and a measure of fat distribution (waist circumference or waist: hip ratio in adults) are important in calculating the risk of obesity comorbidities. account for the wide variation in the nature of obesity between different individuals and populations (WHO 2000). Indigenous Status and smoking. including the nature of the diet. genetic background and physical activity.g. It is recommended that in population surveys. The robust nature of the measurements and the widespread routine inclusion of weights and heights in clinical and population health surveys mean that a more selective measure of adiposity. at the Children's Hospital at Westmead on behalf of the Commonwealth Department of Health & Ageing Person—body mass index (classification). however. The classification above is different to ones that have been used in the past and it is important that in any trend analysis consistent definitions are used. e. and cut-off points for BMI as an indicator of adiposity and risk in populations who differ in body build and genetic disposition are likely to vary. in part. code N[. to differences in body proportions. Source and reference attributes Submitting organisation: World Health Organization (see also Comments) and the consortium to develop an Australian standard definition of child/adolescent overweight and obesity. Caution is required in relation to BMI cut-off points when used for different ethnic groups because of limited outcome data for some ethnic groups. date of birth. sociodemographic data including ethnicity should be collected. as well as other risk factors including physiological status (e.BMI can be considered to provide the most useful. Metadata items are being developed for physical activity. Presentation of data: Methods used to establish cut-off points for overweight have been arbitrary and. BMI values for adults are age-independent and the same for both sexes. The interpretation of BMI grades in relation to risk may differ for different populations. which can be affected by a range of factors. but does not. For adults and children and adolescents BMI may not correspond to the same degree of fatness in different populations due. smoking and alcohol consumption.

2015 Health.5 KB) Implementation in Data Set Specifications: See also Child—body mass index (measured).N[N] Health. Implementation in Indicators: Used as numerator Indigenous primary health care: PI12a-Number of regular clients who are classified as overweight or obese. Superseded 23/02/2012 Indigenous primary health care: PI12b-Proportion of regular clients who are classified as overweight or obese. Standard 01/03/2005. Standard 21/11/2013 Indigenous. Cole TJ.N[N] Health. 320: 1240-1243 Relational attributes Related metadata references: See also Adult—body mass index (self-reported). Archived 21/11/2013 Implementation start date: 01/07/2012 Implementation end date: 30/06/2014 Conditional obligation: This item is only collected for persons aged 25 years and older. 2013 Health. NHDD. 2013 Health. Endorsed 21/11/2013 Indigenous primary health care: PI12b-Proportion of regular clients who are classified as overweight or obese. Flegal KM. ratio NN[N]. Endorsed 21/11/2013 Implementation start date: 01/07/2014 Implementation end date: 30/06/2015 Conditional obligation: This item is only collected for persons aged 25 years and older. 2014 Health. Derived DE.Health. Superseded 01/03/2005. British Medical Journal 2000. Superseded 21/11/2013 Indigenous.pdf (79. Superseded 21/11/2013 Indigenous. 2012 Health. Standard 24/10/2013 Supersedes Body mass index . ratio NN[N]. Archived 21/11/2013 Indigenous primary health care: PI12b-Proportion of regular clients who are classified as overweight or obese. 2015 Health. Endorsed 21/11/2013 Indigenous primary health care: PI12a-Number of regular clients who are classified as overweight or obese. Bellizi MC. Standard 21/11/2013 Indigenous. Standardisation pending 13/11/2014 Indigenous primary health care: PI12b-Proportion of regular clients who are classified as overweight or obese. Superseded 21/11/2013 Indigenous. code N[.classification. Superseded 23/02/2012 Indigenous primary health care: PI12a-Number of regular clients who are classified as overweight or obese.N] Page 5 of 5 . Standard 01/03/2005 Indigenous primary health care DSS 2012-14 Health. 2014 Health. 2012 Health. Standard 21/11/2013 Indigenous. Indigenous primary health care DSS 2014-15 Health.Origin: Obesity: Preventing and Managing the Global Epidemic (Report of a WHO Consultation: World Health Organization 2000). NHIMG. version 2. Establishing a standard definition for child overweight and obesity worldwide: international survey. Archived 21/11/2013 Indigenous primary health care: PI12a-Number of regular clients who are classified as overweight or obese. Indigenous primary health care DSS 2015. National Health Performance Authority. Dietz WH. Standardisation pending 13/11/2014 Person—body mass index (classification). Standardisation pending 14/11/2014 Implementation start date: 01/07/2015 Conditional obligation: This item is only collected for persons aged 25 years and older.