Nursing Diagnosis – Code 00233 Overweight (2013; LOE 2.2)

Domain 2. Nutrition Class 1. Ingestion

Overweight

Definition A condition in which an individual accumulates abnormal or excessive fat for age and gender.

Defining Characteristics

■ ADULT: BMI > 25 kg/m2 ■ CHILD < 2 years: Weight-forlength > 95th percentile
■ CHILD 2–18 years: BMI > 85th but <95th percentile, or 25 kg/m2 (whichever is smaller)

Related Factors
■ Average daily physical activity is less than recommended for gender and age ■ Consumption of sugar- sweetened beverages ■ Disordered eating behaviors (e.g., binge eating, extreme weight control) ■ Disordered eating perceptions ■ Economically disadvantaged ■ Energy expenditure below energy intake based on standard assessment (e.g., WAVE assessment*) ■ Excessive alcohol consumption ■ Fear regarding lack of food supply ■ Formula- or mixed-fed infants ■ Frequent snacking ■ Genetic disorder
■ Heritability of interrelated factors (e.g., adipose tissue distribution, energy expenditure, lipoprotein lipase activity, lipid synthesis, lipolysis) ■ High disinhibition and restraint eating behavior score ■ High frequency of restaurant or fried food ■ Low dietary calcium intake in children ■ Maternal diabetes mellitus ■ Maternal smoking ■ Obesity in childhood ■ Parental obesity ■ Portion sizes larger than recommended ■ Premature pubarche ■ Rapid weight gain during childhood ■ Rapid weight gain during infancy, including the first week, first 4 months, and first year ■ Sedentary behavior occurring for >2 hours/day
■ Shortened sleep time ■ Sleep disorder ■ Solid foods as major food source at <5 months of age