Expert opinion on body mass index percentiles for figure drawings at menarche

We contacted clinicians and researchers who work in the area of childhood obesity to obtain a reasonable estimate of body mass index (BMI) percentile at menarche associated with a series of widely used figure drawings. Forty of 108 subscribers to the electronic listserv of the Pediatric Obesity Interest Group of the North American Association for the Study of Obesity responded to a request to estimate the BMI percentile at menarche for each of seven drawings. Median BMI percentile values ranged from three to 98 and means from 4.0 to 97.6, with the greatest agreement at the high end and the poorest agreement in the central part of the range. This approach may be useful in situations where weight and height are not readily recalled.