Measurement of growth in children
- Sarah M Phillips, MS, RD, LD
Sarah M Phillips, MS, RD, LD
- Instructor of Pediatric Gastroenterology
- Baylor College of Medicine
- Robert J Shulman, MD
Robert J Shulman, MD
- Professor of Pediatrics
- Baylor College of Medicine
The goal of nutritional assessment in childhood is to determine if there are growth abnormalities that point to the presence of an underlying disease, and also to prevent nutritional disorders and the increased morbidity and mortality that accompany them. To meet these goals, pediatric clinicians must know the risk factors for obesity and malnutrition and must understand the normal and abnormal patterns of growth and the changes in body composition during childhood and adolescence. In addition, they must be able to accurately perform and interpret the results of the nutritional evaluation.
Nutritional assessment is the quantitative evaluation of nutritional status. A comprehensive nutritional assessment has four components:
●Dietary, medical, and medication history
●Growth, anthropometric, and body composition measurements
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- GROWTH STANDARDS
- CDC growth reference
- WHO growth standards
- Recommended growth charts
- - Infants 0 to 2 years
- - Children and adolescents 2 to 20 years
- - Preterm infants
- LENGTH OR HEIGHT
- Estimates from knee-height
- BODY MASS INDEX (BMI)
- HEAD CIRCUMFERENCE
- GROWTH VELOCITY
- FURTHER ASSESSMENT
- Short or tall stature
- INFORMATION FOR PATIENTS
- SUMMARY AND RECOMMENDATIONS