2005: Peds measuring/key facts

- Understand the methods used for anthropometric measurements in paediatric care - Apply anthropometric measurements and interpret nutritional status through the use of UKWHO growth charts - Describe and understand fundamental dietary and nutritional requirements for children 0 -18 years. - Understand some of the common nutritional difficulties within general paediatrics in diet-related disease - Apply information to dietetic-focused case studies

What is the average birth length?

51cm

How much should a baby increase in length by within the first year?

24-25cm

What is the increase in second year of first year in terms of length?

11-12cm

What is the expected growth in years 2-3 years?

8.5cm

What is the expected growth in ages 1 to 4?

4 inches (10 cm)

What is the expected growth in each year of the pubertal years? Girls age 10-14 and Boys age 12-15

Girls: 3.2 inches or 9 cm per year Boys: 3.5 to 4 inches or 9–10 cm per year

Average weight gain for 0-3months in grams.

Boys: 240 Girls: 210

Average weight gain for 4-6months in grams.

Boys: 130 Girls: 120

Average weight gain for 7-9months in grams.

Boys: 80 Girls: 75cm

Average weight gain for 9-12months in grams.

Boys: 65 Girls: 60

When is infant formula or breastmilk necessary be used?

0-6months

When can Infant formula or follow-on milk be used?

6-12months

How should infant weight be measured?

Calibrated baby scales (naked or in a dry nappy)

How should weight be typically measured in older children?

Standing scales with minimal clothing and no shoes

How is length measured in children aged 0–2 years?

Lying flat using an infant measuring board

How is height measured in children aged 2+ years?

Stadiometer

When measuring height using a stadiometer, which position is correct?

Heels together, back straight, Frankfort plane aligned

Head circumference is measured:

Across the widest occipito-frontal circumference or head circumference (HC)

Why is head circumference particularly important in infancy?

To monitor brain growth

What is the average birth length?

51 cm

How much does length typically increase during the first year of life?

24–25 cm

How much does length typically increase during the second year of life?

11–12 cm

Centiles compare a child’s measurements to:

Population norms

What proportion of optimally growing children lie between the 0.4th and 99.6th centiles?

99 out of 100

Half of optimally growing children lie between which centiles?

25th and 75th

What does a Z-score represent?

The number of standard deviations from the median

The SD score (SDS) is also known as a:

Z-score

What does the LMS method help to provide?

provision of normalised growth centiles from a reference dataset

In the LMS method represents?

L (Lambda): the Box-Cox power to remove skewness; M (Mu): the median value of the measurement; S (Sigma): the generalised coefficient of variation

Which age range growth charts are available for both boys and girls?

0–4 years and 2–20 years

Specific growth charts are available for children with:

Failure to Thrive

As advised by NICE guidelines (quality statement 7 (2022) babies aged around _ _ of age are started on solid foods.

6 months