Table
Low risk | Moderate risk | High risk |
|---|---|---|
Growth, physical and health indicators | ||
Weight 5–95th percentile | ||
Height 5–95th percentile | Height for age <5th percentile | |
BMI for age 5–85th percentile | BMI for age 85th percentile to <95th percentile | BMI for age ⩾95th percentile |
BMI for age <5th percentile | ||
Healthy | Recent illness, surgery or hospitalization | Lengthy illness or medical condition |
History of iron deficiency, treated with diet | History of iron deficiency anemia, treated with diet and medication | |
No dental problems | Some problems with teeth or mouth that make it difficult to eat or drink | Significant problems with teeth or mouth that make it difficult to eat or drink |
No GI problems | Chronic GI problems which occur a few times a week | Chronic GI problems which occur more than twice a week |
Food intake, restrictions and supplements | ||
Usually consumes most food groups at or >than minimum daily recommended servings and sizes | Diet restricted in one food group | Diet restricted in more than one food group |
Missing one food group entirely | ||
Minimal use of animal products including milk and eggs | ||
Usually eats at regular times throughout the day (breakfast, lunch, supper) | Occasionally eats at regular times throughout the day (breakfast, lunch, supper) | Rarely eats at regular times throughout the day (breakfast, lunch, supper) |
Usually offered snacks 2–3 times a day | Offered snacks few times a week | Rarely offered snacks |
Eats a variety of foods | Eats some variety of foods | Does not eat a variety of foods from the four food groups |
Drinks throughout the day and is not hungry at mealtimes | ||
Drinks at least 2 cups of milk daily | Milk intake <2 or >3 cups a few days of the week | Milk intake <2 or >3 cups most days of the week |
Drinks less than 6 oz (3/4 cup) juice daily | Juice intake >6 oz (3/4 cup) but ⩽8 oz (1 cup) daily | Juice intake >8 oz (1 cup) daily |
Eats fast foods a few times a month or less | Eats fast foods 2–3 times a week | Eats fast foods four or more times a week |
Sometimes given unsafe, inappropriate foods, for example, raw eggs, unpasteurized milk, herbal teas, pop, fruit drinks | Frequently given unsafe, inappropriate foods, for example, raw eggs, unpasteurized milk, herbal teas, pop, fruit drinks | |
No food allergy, restriction or diet concerns | Some food allergy, restriction or diet concerns | Significant food allergy, restriction or diet concerns |
No supplement concerns or issues | Some supplement concerns or issues | Significant supplement concerns or issues |
Good appetite and intake most days of the week | Frequent poor appetite with decreased intake | Chronic poor intake with decreased intake |
Diet and feeding related factors including age appropriate behaviors | ||
Occasional/few food restrictions/preferences (food jags) or sometimes considered a ‘picky eater’ by parent | Some food restrictions or preferences or frequently considered a ‘picky eater’ by parent | Extreme food restrictions or preferences or always considered a ‘picky eater’ by parent |
Occasional mealtime battles and/or parental anxiety/stress | Frequent (daily) mealtime battles and/or parental anxiety/stress | Significant mealtime battles and/or parental anxiety/stress with mealtimes rarely pleasant |
Usually demonstrates age appropriate behaviors | Occasionally demonstrates age appropriate behaviors | Rarely demonstrates age appropriate behaviors |
Still being spoon fed by parent | ||
Still drinking from a bottle | ||
Mealtimes reasonable length (20–30 min) | Usually spends a long time at meals (e.g. an hour) or unable to sit for about 15 min at meals | Meal length times always less than 15 min and/or more than 1 h |
Food is used as a reward or punishment frequently | Food is used as a reward or punishment most of the time | |
Meals rarely consumed while watching TV | Meals frequently consumed while watching TV | Meals always/almost always consumed while watching TV |
Adult or parent role model and/or presence at mealtimes | Meals seldom consumed with adult or parent role model and/or presence | Meals rarely or never consumed with adult or parent role model and/or presence |
Some difficulty with eating, chewing, swallowing, gagging and/or oral tactile sensitivities | Significant difficulties with eating, chewing, swallowing, gagging and/or oral tactile sensitivities | |
Other risk factors and relevant issues or concerns | ||
Adequate food storage and cooking facilities | Limited food storage and cooking facilities | Inadequate food storage and cooking facilities |
Sufficient income and food available to offer quality, quantity and variety at all times | Limited income and food available to offer quality, quantity and variety at all times | Inadequate income and food available to offer quality, quantity and variety at all times |
Daily active play indoors and outdoors | Active play only a few times a week (less than once a day) | Restricted or minimal daily active play |
Time spent watching TV, using the computer or playing video games is limited to <3 h daily | Watches TV, uses computer or plays video games for 3–4 h most days of the week | Watches TV, uses the computer or plays video games for ⩾4 h most days of the week |
Stable family, childcare, social, emotional situation | Changes or stresses in family, childcare or social life influencing some changes in usual appetite and/or intake and/or growth | Changes or stresses in family, childcare or social life influencing significant or prolonged changes in usual appetite, intake and/or growth |
