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Nutrition Interventions for Children with Special Health Care Needs

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Chapter 2 - Anthropometrics<br />

Table 2-2: Charts/Tables Used to Monitor Growth of <strong>Children</strong> With <strong>Special</strong> <strong>Health</strong> <strong>Care</strong> <strong>Needs</strong>*<br />

Ages Parameters Limitations Use With CDC<br />

Growth Chart Study Sample<br />

In<strong>for</strong>mation<br />

0-3 years • weight/age<br />

• length/age<br />

• OFC/age<br />

• weight/length<br />

CDC (2000) 1 Previous data plus<br />

NHANES III data; 3rd-<br />

97th %iles<br />

2-20 years • weight/age<br />

• height/age<br />

• weight/height (2-6<br />

years)<br />

• BMI/age<br />

CDC (2000) 1 Previous data plus<br />

NHANES III data; 3rd-<br />

97th %iles<br />

Crown-rump20 ~75 females, 75 males Longitudinal data Use <strong>with</strong> CDC weight/ age<br />

Sitting height21 NCHS 1977 population 1-18 years • sitting height/age Caucasian and African Use <strong>with</strong> CDC weight/ age<br />

American children onl<br />

Knee height22,23 13,821 ambulatory 6-12 years • knee height/age Use equation <strong>for</strong><br />

Use <strong>with</strong> CDC weight/ age<br />

children NHES I,II,III,<br />

race (85% Caucasian<br />

1960-70<br />

children); Difficult to do<br />

Incremental growth13 <strong>Children</strong> who grew 6-36 mos • weight/age<br />

Caucasian children only Use <strong>with</strong> CDC <strong>for</strong> weight/age,<br />

“close” to NCHS 1977<br />

• stature/age<br />

length or height/age, weight/<br />

2-18 years<br />

length or height<br />

Triceps skinfold<br />

thickness, upper arm<br />

circumference24 NCHS 1977 population 2-18 years • triceps skinfold/age Use after age 2 years, Use <strong>with</strong> CDC weight/age,<br />

• upper arm<br />

Caucasian children only length or height/age, weight/<br />

• Use after age 2<br />

length or height, or BMI/<br />

years, Caucasian<br />

ageagecircumference/age<br />

children only<br />

NCHS 1977 population 2-18 years Use after age 2 years Use <strong>with</strong> CDC weight/age,<br />

length or height/age, weight/<br />

length or height, or BMI/age<br />

Mid-arm<br />

circumference;<br />

triceps skinfold,<br />

subscapular skinfold<br />

thicknesses16,17,18 Use <strong>with</strong> CDC weight/age,<br />

length or height/age, weight/<br />

length or height, or BMI/age<br />

586 parent-child pairs<br />

(Fels data) and 16,000<br />

serial length and<br />

height measurements<br />

Parent-specific<br />

adjustment <strong>for</strong> length/<br />

stature14 32 <strong>Nutrition</strong> <strong>Interventions</strong> <strong>for</strong> <strong>Children</strong> With <strong>Special</strong> <strong>Health</strong> <strong>Care</strong> <strong>Needs</strong><br />

Note parent height on<br />

chart<br />

0-36 mos<br />

3-18 years

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