Several recent publications have presented different estimates for the prev
alence of overweight among youth in the United States. Prevalence estimates
range from 11-24%, despite describing the same results from the third Nati
onal Health and Nutrition Examination Survey (NHANES III). This paper discu
sses the variety and evolution of different overweight prevalence estimates
. Issues of definition, measurements, criteria selection and comparison gro
ups are considered and implications for estimates of the prevalence of over
weight among youth are explored. Reference percentiles for body mass index
(BMI) from several publications are compared, The differences in published
estimates from NHANES III are noted and explained.