7. Infant Risk of Overweight Checklist (IROC)

Infant Risk of Overweight Checklist (IROC) is used to identify the risk of a baby becoming an overweight child.

To complete this checklist you need to circle the risk score for each category that matches the baby’s characteristics. If the baby doesn’t have that characteristic, for example if their birthweight is less than 2.93 kgs, then leave that row blank so they score 0 for that factor.

To see how the checklist list is used let’s use the example of Baby girl A whose birthweight was of 4.2 kgs (97th percentile).

She scores 0 for gender as she is a girl but 4 for birthweight as she was over 3.8 kgs.

Her mother’s pre-pregnancy BMI was 23 which scores 1 point for maternal BMI. You do not know the father’s BMI so that is also 1 point.

At 4 months baby A’s weight is 7.6 kgs which means she has moved down to the 91st percentile. As there is no evidence of rapid weight gain Baby A scores 0 for this category.

Her mother has never smoked so she scores 0 for the smoking during pregnancy category and 0 for never breastfed as she was breastfed for 3 months.

Baby A’s total score is 6 putting her at low risk of becoming an overweight child.