Screening Tests for Young Adults (Ages 19-29)

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Not everyone in this age group may need screening for every condition listed here. Click on the links above to read more about each condition and to determine if screening may be appropriate for you or your family member. You should discuss screening options with your health care practitioner.

Obesity

More than one-third of adults in the U.S. are obese, according to the Centers for Disease Control and Prevention. Over the past 20 years, the rate of obesity has increased steadily throughout the U.S. in all age ranges and remains high.

Obesity is a serious health concern because it increases the risk of many conditions, such as high blood pressure (hypertension), dyslipidemias (high cholesterol and/or high triglycerides), Type 2 diabetes, coronary heart disease, stroke, and some cancers.

Calculating a person's body mass index (BMI) can be useful for assessing their body fat. It is a screening tool for determining if someone has a weight problem. For adults, the following formula and classifications are used:

BMI = (Weight in pounds) / (height in inches squared) x 703

    BMI < 18.5                  Underweight
    BMI  18.5-24.9            Normal weight
    BMI   25.0 – 29.9        Overweight
    BMI   30 and above    Obese

Recommendations

The U.S. Preventive Services Task Force (USPSTF) recommends that health care providers screen all adult patients for obesity, and the American Academy of Family Physicians agrees. In 2012, the USPSTF published an updated recommendation that clinicians offer or refer obese patients to intensive behavioral interventions, which can lead to weight loss as well as improve glucose tolerance and other CVD risk factors.


Links
National Heart, Lung, and Blood Institute: Calculate Your Body Mass Index


Sources Used in Current Review

Centers for Disease Control and Prevention. Healthy Weight: Assessing Your Weight: BMI. Available online at http://www.cdc.gov/healthyweight/assessing/bmi/adult_bmi/index.html#Interpreted through http://www.cdc.gov. Accessed May 2012. 

Centers for Disease Control and Prevention. Obesity and Overweight for Professionals: Data and Statistics: Adult Obesity. Available online at http://www.cdc.gov/obesity/data/adult.html through http://www.cdc.gov. Accessed May 2012.

Centers for Disease Control and Prevention. Obesity and Overweight for Professionals: Adult: Defining. Available online at http://www.cdc.gov/obesity/adult/defining.html through http://www.cdc.gov. Accessed May 2012.

U.S. Preventive Services Task Force. Screening for Obesity in Adults. Release date: December 2003. Available online at http://www.uspreventiveservicestaskforce.org/uspstf/uspsobes.htm. Accessed May 2012. 

National Guideline Clearinghouse. Summary of recommendations for clinical preventive services. American Academy of Family Physicians. Available online at http://www.guideline.gov/content.aspx?id=34762&search=aafp+obesity through http://www.guideline.gov. Accessed May 2012. 

Moyer, Virginia A. on behalf of the U.S. Preventive Services Task Force. Screening for and Management of Obesity in Adults: U.S. Preventive Services Task Force Recommendation Statement. Available online at http://annals.org/article.aspx?articleid=1200996 through http://annals.org. Accessed June 2012.