Growth

and
Interpretation of Growth charts
Dr. Naveen Kumar Bhardwaj
Associate Professor
Department of Pediatrics

Dr. Naveen Kumar Bhardwaj 1

 Specific learning objectives
• How to measure growth

• How to interpret growth parameters in reference to

• Growth reference standard
• Genetic potential
• Pubertal development
• Bone age

• What growth reference to use

• Optimal use of growth charts

• One time vs serial assessment

Dr. Naveen Kumar Bhardwaj 2
Normal growth

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Parameters to be monitored and frequency

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Significance

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Interpretation of Anthropometric Parameters

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Recommended Reference Standard

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 Weight-for-length/height GIRLS
Birth to 5 years (z-scores)

34 34

32 32
3
30 30

28 2 28

26 26
1
24 24
0
22 22

20
-1 20
Weight (kg)

-2
18 18
-3
16 16

14 14

12 12

10 10

8 8

6 6

4 4

2 2

45 50 55 60 65 70 75 80 85 90 95 100 105 110 115 120

Length/height (cm)
WHO Child Growth Standards
SD, Z score, centiles, percentage of median

Dr. Naveen Kumar Bhardwaj 11

 Weight-for-length/height GIRLS
Birth to 5 years (z-scores)

34 34

32 32
3
30 30

28 2 28

26 26
1
24 24
0
22 22

20
-1 20
Weight (kg)

-2
18 18
-3
16 16

14 14

12 12

10 10

8 8

6 6

4 4

2 2

45 50 55 60 65 70 75 80 85 90 95 100 105 110 115 120

Length/height (cm)
WHO Child Growth Standards
Short stature and MPH

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Serial Assessment

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Bone Age and Growth Charts

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Growth and Puberty

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