Figure 3. Schematic Depiction of Abnormal BMI Percentile Growth Curves for Adolescents with Severe Obesity. Greater than or equal to the 95th BMI percentile correspond to cut-offs for pediatric obesity. Other important considerations that determine therapeutic criteria are if the adolescent’s trajectory falls at or above 120th% and 140th% the 95th BMI percentile for age/gender (see Table 3).