BMI-based Evaluation and Management in Children Clinical Pathway — Outpatient Specialty Care and Primary Care
BMI-based Evaluation and Management in Children Clinical Pathway — Outpatient Specialty Care and Primary Care
5210 Messaging
Deliver messages to help prevent obesity and promote healthy behaviors at all visits, regardless of weight. Simple, memorable messages presented early and repeated regularly can be delivered efficiently in the office and are likely to be effective.
| 5 | Servings of fruits and vegetables daily |
|---|---|
| 2 | Hours or less of non-academic screen time daily No TV in child’s bedroom No TV for children < 2 years |
| 1 | Hour or more physical activity daily |
| 0 | Sweetened drinks daily |
Examples
5+2+1+0 Goals – Questions
- How many servings of fruits and vegetables does the patient eat each day?
Aim for 5 or more servings per day - How many hours of non-academic screen time (computer, TV, inactive video games, tablets, cell phone, etc.) does the patient have each day?
Aim for 2 hours or less time - How much moderate to vigorous physical activity does the patient engage in each day?
Aim for 1 hour or more - How many sweetened drinks does the patient drink each day?
Aim for 0 (zero) sweetened drinks
5+2+1+0 Expanded Goals – Questions
- Does the patient each structured snacks and family meals? How often does the patient eat breakfast?
Aim for daily breakfast, 3 meals per day, no more than 2 snacks per day, eating as a family as often as possible, and avoid eating meals or snacks in front of a TV - Approximately how many ounces of 100% fruit juice does the patient drink each day?
Aim for no more than 6 ounces per day or 4 ounces if patient is less than 5 years old - How often does the patient eat high fat/sugar foods each week?
Aim for no more than 4 times per week - How many days of the week do you eat dinner together as a family?
Aim for family meals as often as possible.
Useful Websites
Healthy Weight Program Resources