Nursing Diagnosis – Code 00234 Risk for overweight (2013; LOE 2.2)

Domain 2. Nutrition Class 1. Ingestion

Risk for overweight

Definition Vulnerable to abnormal or excessive fat accumulation for age and
gender, which may compromise health.

Risk Factors
■ ADULT: BMI approaching 25 kg/m2 ■ Average daily physical activity is less than recommended for gender and age ■ CHILD < 2 years: Weight-forlength approaching 95th percentile ■ CHILD 2–18 years: BMI approaching 85th percentile, or 25 kg/m2 (whichever is smaller) ■ Children who are crossing BMI percentiles upward ■ Children with high BMI percentiles ■ Consumption of sugarsweetened beverages ■ Disordered eating behaviors (e.g., binge eating, extreme weight control) ■ Disordered eating perceptions ■ Eating in response to external cues (e.g., time of day, social situations) ■ Eating in response to internal cues other than hunger (e.g., anxiety)
■ 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 ■ Higher baseline weight at beginning of each pregnancy ■ 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
■ Sedentary behavior occurring for >2 hours/day ■ Shortened sleep time ■ Sleep disorder ■ Solid foods as major food source at <5 months of age
■ Rapid weight gain during infancy, including the first week, first 4 months, and first year