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The height, weight, and head circumference of a child can be compared to the expected parameters of children of the same age and sex to determine whether the child is growing appropriately. Growth charts can also be used to predict the expected adult height and weight of a child because, in general, children maintain a fairly constant growth curve.
For both boys and girls there are two sets of charts: one for infants ages 0 to 36 months and another for ages 2 and above. Children with failure to thrive usually have a weight that is below the 3rd or 5th percentile for their age and a declining growth velocity (meaning they are not gaining weight as expected).
Short title: Birth to 36 months: Boys, Length-for-age and Weight-for-age percentiles: Image title: CDC Growth Charts: United States: Author: NCHS: Keywords
Short title: Birth to 36 months: Boys, Head circumberence-for-age and Weight-for-length percentiles: Image title: CDC Growth Charts: United States: Author
The 2000 CDC growth charts - a revised version of the 1977 NCHS growth charts - are the current standard tool for health care providers and offer 16 charts (8 for boys and 8 for girls), of which BMI-for-age is commonly used for aiding in the diagnoses of childhood obesity. [1]
In addition, the mid parental height (MPH) is used to calculate the expected height potential and interpret the growth curve of a child. [3] The following calculations are used for males and females respectively: Male = (father’s height + mother’s height + 13 cm)/2 Female = (father’s height-13 cm + mother’s height)/2. [3]
The diagnosis of FTT relies on plotting the child's height and weight on a validated growth chart, such as the World Health Organization (WHO) growth charts [62] for children younger than two years old or the U.S. Centers for Disease Control and Prevention (CDC) growth charts [63] for patients between the ages of two and twenty years old. [3]
The 95th percentile says that 95% of the time, the usage is below this amount: so, the remaining 5% of the time, the usage is above that amount. Physicians will often use infant and children's weight and height to assess their growth in comparison to national averages and percentiles which are found in growth charts.
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