
Advantages of Using the WHO Growth Charts to Assess the Growth of Children from Birth to Aged 2 Years
- The WHO standards bring the tools used to assess growth and national guidelines that recommend breastfeeding as the optimal infant feeding method into agreement. 1
- The WHO standards are based on high-quality data collected for children younger than aged 2 years
- The WHO growth standard charts were created with longitudinal length and weight data measured at frequent intervals. 2-3
When to use a growth chart for a child?
Growth Charts. Pediatric growth charts have been used by pediatricians, nurses, and parents to track the growth of infants, children, and adolescents in the United States since 1977. CDC recommends that health care providers: Use the WHO growth standards to monitor growth for infants and children ages 0 to 2 years of age in the U.S.
What are the who growth charts?
The WHO growth charts are standards; they identify how children should grow when provided optimal conditions. The WHO standards are based on a high-quality study designed explicitly for creating growth charts.The WHO standards were constructed using longitudinal length and weight data measured at frequent intervals.
What is the 1977 growth chart used for?
The 1977 growth charts were developed by the National Center for Health Statistics (NCHS) as a clinical tool for health professionals to determine if the growth of a child is adequate. The 1977 charts were also adopted by the World Health Organization for international use.
What is the importance of the growth curve in child development?
Regardless of which curves you use, their power in following the health of an individual child lies in religiously plotting the height, weight and head circumference at all well-child visits. The growth curve is a very sensitive indication of a youngster’s overall health.

What is the purpose of infant growth charts?
What Are Baby Growth Charts? Baby growth charts are important tools healthcare providers use to check your little one's overall health. The charts assess how your baby is growing compared with other children of the same age and gender, and to see how your child is developing over time.
WHO growth charts should be used for children?
The WHO growth charts should be used with all children up to aged 2 years, regardless of type of feeding. The CDC growth charts are a national reference that represent how US children and teens grew primarily during the 1970s, 1980s and 1990s.
Why is it necessary to plot growth measurements on the WHO growth charts?
It provides some key features of the charts and illustrates how to perform accurate anthropometric measurements in children. Growth monitoring and promotion of optimal nutrition are essential components of health care for all children.
What do growth charts include?
Growth charts have been constructed by observing the growth of large numbers of healthy children over time. 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.
Are growth charts accurate?
“Although the charts are commonly used to graphically illustrate the typical growth patterns for boys and girls, it is important to note that they do not accurately reflect the growth of all children,'' she says.
Do parents understand growth charts?
Up to 77% interpreted incorrectly charts containing height/weight measurements in tandem. Conclusions: Although growth charts are used frequently as visual aids to educate parents about their children's growth, many parents cannot comprehend the data.
What is the main purpose of using the WHO growth chart quizlet?
The WHO growth charts describe how healthy infants and young children should grow.
How accurate are growth charts at predicting height?
How precise is this method? It's not, of course. The genetic potential height predictor has a 68% chance of being within 2 inches and a 95% chance of being within 4 inches of this predicted height. Another limitation is that you have to know how tall a child's birth parents are for this calculation to work.
What is importance of height and weight measurement?
Measuring height and weight accurately is important when monitoring an infant or child's health. Height and weight measurements are used to calculate your body mass index, or BMI, a measure of healthy versus unhealthy weight. They are also important when tracking a child's growth.
How do you read a growth chart?
Reading the lines Age is at the top and bottom of the chart, and length and weight are along the left and right sides. The curved lines show the percentile numbers, or patterns of growth. The percentile number means that your child's growth exceeds that percentage of other children their age.
How are growth charts made?
Growth charts are constructed using measurements from a large number of children at different ages. A series of these cross sectional samples of measurements are then used to construct the chart by 'joining the dots' between key points at each age.
What type of graph is a growth chart?
Growth charts consist of a series of percentile curves that illustrate the distribution of selected body measurements in children. Pediatric growth charts have been used by pediatricians, nurses, and parents to track the growth of infants, children, and adolescents in the United States since 1977.
What is the difference between CDC and WHO growth charts?
Whereas the WHO charts are growth standards, describing the growth of healthy children in optimal conditions, the CDC charts are a growth reference, describing how certain children grew in a particular place and time.
Are growth charts suitable for all populations?
The WHO's position is that all economically advantaged children who were breastfed as infants grow similarly. As a result, a single set of growth charts can be used to judge growth in any child, regardless of race or ethnicity.
How do you use a pediatric growth chart?
Age is at the top and bottom of the chart, and length and weight are along the left and right sides. The curved lines show the percentile numbers, or patterns of growth. The percentile number means that your child's growth exceeds that percentage of other children their age.
How is a percentile chart used to measure growth in children?
When doctors plot a child's weight and height on the chart, they see which percentile line those measurements land on: The higher the percentile number, the bigger a child is compared with other kids of the same age and gender, whether it's for height or weight.
What is a growth chart?
The growth chart is a part of the physical exam in pediatrics and a powerful tool that can sensitively detect disease states.
What is the growth curve of a child?
The growth curve is a very sensitive indication of a youngster’s overall health. Ideally, the head circumference should be measured with a rigid tape above the supraorbital ridge, parallel to the ground, and encompassing the largest circumference of the head.
What is the WHO curve?
The World Health Organization (WHO) has a working body — Multicentre Growth Reference Study (MGRS) — that has developed new growth curves. This group is looking at the growth of children brought up under optimal circumstances, e.g. exclusively on breast milk. The study sites include diverse countries on five continents: the U.S., Brazil, Norway, Ghana, Oman and India. The WHO curves are available as downloadable software for your computer at www.who.int/childgrowth/standards/en. The CDC curves can be downloaded for your PDA at www.statcoder.com. The latter program provides you with weight, height and head circumference for age, as well as blood pressure norms. There are also a variety of computer and PDA programs available for calculating the BMI. Growth curves are available for different ethnic groups, children with Down’s and Turner’s syndromes and achondroplasia; these latter can easily be obtained by “googling” the curve you want.
What Is A Growth Chart?
A growth chart is a simple set of approximate values. Pediatricians use it to compare your child’s height, weight, and head size against children of the same age and sex. Growth charts are also personalized – a boy will have different chart parameters when compared to a girl.
How Growth Indicates Health In Children
If the growth of your child is regular and matches the set references, then you can rest assured that your child is in generally good health. Children who are not in good health internally often show signs of diminished growth in height and weight.
Importance Of Growth Chart Monitoring
Worrying that your child might not be growing properly is part and parcel of being a parent. And these questions are really important too; sometimes it’s possible that your child might not be growing as well as you think. Often, these internal deficiencies do not make them sick.
How Can Growth Charts Indicate Problems
Growth monitoring can determine if the child is of the right weight for its age. If their measurement is not normal, they might fall under one of the below categories.
FAQs On The Importance Of Growth Chart Monitoring
A growth chart of normal growth will show the child’s growth points closely following a percentile line. However, there is no reason to worry if it fluctuates a little. Pediatricians will only suggest corrective actions in certain cases.
What is a growth chart?
The growth charts consist of a series of percentile curves that illustrate the distribution of selected body measurements in U.S. children. Pediatric growth charts have been used by pediatricians, nurses, and parents to track the growth of infants, children, and adolescents in the United States since 1977. The 1977 growth charts were developed by the National Center for Health Statistics (NCHS) as a clinical tool for health professionals to determine if the growth of a child is adequate. The 1977 charts were also adopted by the World Health Organization for international use.
How many growth charts are there for boys?
The revised growth charts consist of 16 charts (8 for boys and 8 for girls). These charts represent revisions to the 14 previous charts, as well as the introduction of two new body mass index-for-age (BMI-for-age) charts for boys and for girls, ages 2 to 20 years.
When were NCHS charts first developed?
The 1977 charts were also adopted by the World Health Organization for international use. When the 1977 NCHS growth charts were first developed, NCHS recommended that they be revised periodically as necessary.
What is a growth chart?
Growth charts consist of a series of percentile curves that illustrate the distribution of selected body measurements in children. Pediatric growth charts have been used by pediatricians, nurses, and parents to track the growth of infants, children, and adolescents in the United States since 1977.
How old do you have to be to use growth charts?
Use the CDC growth charts for children age 2 years and older in the U.S.
What is the purpose of CDC growth chart?
Clinicians often use the CDC growth charts as standards on how young children should grow. However the CDC growth charts are references; they identify how typical children in the US did grow during a specific time period. Typical growth patterns may not be ideal growth patterns. The WHO growth charts are standards;
What is the WHO growth chart?
The WHO growth charts are standards; they identify how children should grow when provided optimal conditions. The WHO standards are based on a high-quality study designed explicitly for creating growth charts.
Why use WHO growth standards for infants and children ages 0 to 2 years of age in the U.S?
The WHO standards establish growth of the breastfed infant as the norm for growth. Breastfeeding is the recommended standard for infant feeding. The WHO charts reflect growth patterns among children who were predominantly breastfed for at least 4 months and still breastfeeding at 12 months.
What is the WHO chart?
The WHO charts reflect growth patterns among children who were predominantly breastfed for at least 4 months and still breastfeeding at 12 months. The WHO standards provide a better description of physiological growth in infancy. Clinicians often use the CDC growth charts as standards on how young children should grow.
How old can a child be on a growth chart?
The CDC growth charts can be used continuously from ages 2-19. In contrast the WHO growth charts only provide information on children up to 5 years of age.
What age should a child be on a WHO chart?
Recommendation. CDC recommends that health care providers: Use the WHO growth charts to monitor growth for infants and children ages 0 to 2 years of age in the U.S. Use the CDC growth charts to monitor growth for children age 2 years and older in the U.S.
When did the WHO release the growth standard?
The World Health Organization (WHO) released a new international growth standard statistical distribution in 2006, which describes the growth of children ages 0 to 59 months living in environments believed to support what WHO researchers view as optimal growth of children in six countries throughout the world, including the U.S.
What is the CDC 2000 growth chart?
The CDC 2000 growth charts provide health care providers and researchers with an improved tool to assess the growth of infants, children and adolescents up to 20 years of age.
How long is a child's weight for length chart?
On the weight-for-length chart for children from birth to 36 months old, length was extended from 49 to 45 cm. On the optional weight-for-stature chart, the extension from 90 to 77 cm allows almost all 2-year-old children to be plotted on the chart.
What are the anthropometric measures used to measure growth?
Weight, stature, length and head circumference are commonly used to assess size and growth. When any of these measures are combined with age or length/stature the result is an anthropometric index (for example, weight-for-age). The CDC Growth Charts reflect five anthropometric indices that are gender specific.
Why do we use growth charts?
We watch for changes in the size of head circumference in infancy because we want to know that the brain is growing. Growth grids have been used since the 1970s, but back in 2000, they were revised to really reflect different cultural and ethnic diversities that exist within our population.
When were growth charts first used?
Parents, pediatricians, and nurses have been using growth charts since the late 1970s to track growth in infants and children. The charts were revised back in 2000 as data for the first charts (from a small study in Ohio) didn't accurately reflect the cultural and ethnic diversity of our communities.
What to do if you don't understand the growth chart?
If you have a challenge understanding how your child is growing or how the growth chart is presented, demand clarification. It's OK if you don't understand the presentation of facts on these grids; have confidence to speak up and ask the doctor or nurse practitioner to explain it.
What do we want from a growth grid?
What we want from a growth grid is to really map out the ideal growth for children. This isn't like grades in school. When your child comes in at the 10th percentile, it's really no better or worse than coming in at the 90th. What we care about most is the trend at which your baby or child gains weight, height, or head circumference.
What to focus on when looking at a growth grid?
When you're looking at a growth grid, what you want to focus on is how your child is changing. One static point on the growth grid isn't as relevant as 5 data points over time. You want to know rates at which your baby or child is growing and the rate compared with the grid.
How does everything affect how a child grows?
Everything from genetics, to environment, to nutrition, to activity, to health problems really influence how your child grows. Why we review it each time is to talk about threats to your baby's or child's health and ways that you can take great opportunity to make changes.
What is the hallmark of a well child check?
The Hallmark of the Well-Child Check: The hallmark of a well-child check is the review of a child's growth. Growth can be a reflection of a child's overall health, nutrition, or tolerance of possible underlying medical conditions. So understanding what your doctor or nurse practitioner says about your child's growth should be a priority.
