HOW DOES YOUR GARDEN GROW? ASSESSING PHYSICAL GROWTH IN CHILDREN GROWTH MEASUREMENTS WEIGHT HEIGHT SKIN FOLD THICKNESS ARM CIRCUMFERENCE HEAD CIRCUMFERENCE LENGTH REFERS TO MEASUREMENT WHEN SUPINE (RECUMBENT LENGTH) USED UNTIL 24 MONTHS OF AGE AND AS LONG AS THE 36 MONTH CHART IS USED HEAD MIDLINE AND LEGS FULLY EXTENDED USED MEASURING BOARD OR PENCIL MOST INCORRECTLY DONE EXPECTED GROWTH RATES AT VARIOUS AGES 1-6 MONTHS18-22 CM/YR 6-12 MONTHS14-18 CM/YR 2ND YEAR11 CM/YR 3RD YEAR8 CM/YR 4TH YEAR7 CM/YR 5TH-10TH YEARS5-6 CM/YR HEIGHT REFERS TO MEASUREMENT TAKEN WHEN STANDING UPRIGHT (STATURE) SHOES OFF AND MINIMAL CLOTHING FEET FLAT AND HEAD MIDLINE HEELS, BUTTOCKS, BACK, AND SHOULDERS TOUCHING WALL LINE OF VISION PARALELL TO FLOOR DECREASE STATURE IN THE AFTERNOON STADIOMETER MOST ACCURRATE WEIGHT BEAM BALANCE SCALES OF APPROPRIATE SIZES (MANUAL OR ELECTRIC) CALIBRATED BEFORE USES INFANT SCALES MORE ACCURATE THAN ADULT SCALES WARM ROOM MINIMAL CLOTHING ADUST FOR SPECIAL DEVICES (ARM BOARD) USE INFANT PLATFORM SCALE WHENEVER RECUMBENT LENGTH IS USED SKINFOLD THICKNESS AND ARM CIRCUMFERENCE TO DISTINGUISH BETWEEN ADIPOSE TISSUE AND MUSCLE SKINFOLD THICKNESS MEASURED WITH CALIPERS (TRICEPS, SUBSCAPULA, SUPRAILIAC, ABDOMEN, & UPPER THIGH) ONLY RELIABLE IF DONE CORRECTLY ARM CIRCUMFERENCE NOT WIDELY USED DUE TO UNESTABLISHED NORMS HIGH VALUES OFTEN CORRELATE WITH INCREASED BMI HEAD CIRCUMFERENCE MEASURE IN CHILDREN UPT TO THREE YEARS OF AGE USE PAPER OR PLASTIC TAPE MEASURE HEAD AND CHEST EQUAL FROM 1- 2 YEARS OF AGE AFTER 2 YO CHEST USUALLY 2-3 INCHES LARGER NATIONAL CENTER FOR HEALTH STATISTICS (NCHS) GROWTH CHARTS USED ACROSS RACIAL AND ETHNIC GROUPS AS A REFERENCE GUIDE INCLUDE BODY MASS INDEX FOR AGE (BMI FOR AGE) CHARTS 3RD TO 97% CURVES AVAILABLE THREE AVAILABLE VERSIONS AVAILABLE ATBMI USED TO IDENTIFY CHIDREN WHO ARE OVERWEIGHT OR AT RISK FOR OVERWEIGHT OK135S054 OK135S056 OK135S059 OK135S058 OK135S062 USE & INTERPRETATION OF CDC GROWTH CHARTS STEP ONE OBTAIN ACCURATE WEIGHTS & MEASURES STEP TWO SELECT THE APPROPRIATE GROWTH CHART BASED ON AGE AND GENDER ENTER CHILDS NAME AND RECORD NUMBER STEP THREE ENTER MOTHER & FATHERS HEIGHT ENTER GESTATIONAL AGE ENTER DATE OF BIRTH ENTER BIRTH WEIGHT, LENGTH, & HEAD CIRCUMFERENCE ADD NOTABLE COMMENTS (BREASTFEEDING) ENTER TODAYS DATE ENTER CHILDS AGE (CALCULATED) ENTER WEIGHT, STATURE, & HEAD CIRCUMFERENCE AD COMMENTS (NOT COOPERATIVE) STEP FOUR CALCULATE BMI STEP FIVE FIND CHILDS AGE ON THE HORIZONTAL AXIS & DRAW A VERTICAL LINE UP FROM THAT POINT FIND THE APPROPRIATE MEASUREMENT (WEIGHT, LENGTH, STATURE, HEAD CIRCUMFERENCE, OR BMI) ON THE VERTICAL AXIS & DRAW A HORIZONTAL LINE UNTIL IT INTERSECTS WITH THE VERTICAL LINE MAKE A SMALL DOT WHERE THE TWOLINES INTERSECT STEP SIX INTERPET THE PLOTTED MEASUREMENTS DETERMINE THE PERCENTILE RANK DETERMINE IF THE VALUE IS INDICATIVE OF NUTRITIONAL RISK COMPARE TODAYS RANK WITH PREVIOUS VISITS GROWTH CHART RED FLAGS WIDELY DISPARATE WEIGHT & HEIGHT FAILURE TO SHOW EXPECTED GROWTH RATES SUDDEN INCREASE OR DECREASE IN A PREVIOUSLY STEADY GROWTH PATTERN (EXCEPT DURING PUBERTY) MOST RELIABLE WHEN COMPARED OVER TIME CONSIDER GENETICS AND FAMILIAL PATTERNS WELL? WHATCHA THINK? OK135S072 OK135S055 OK135S057 OK135S060 OK135S061 OK135S063 OK135S064 OK135S065 OK135S066 OK135S067 OK135S068 OK135S069 OK135S070 OK135S071 OK135S072