Literature DB >> 26922681

Growth reference for Saudi preschool children: LMS parameters and percentiles.

Shaffi Ahamed Shaik, Mohammad Issa El Mouzan1, Abdullah Abdulmohsin AlSalloum, Abdullah Sulaiman AlHerbish.   

Abstract

BACKGROUND: Previous growth charts for Saudi children have not included detailed tables and parameters needed for research and incorporation in electronic records.
OBJECTIVES: The objective of this report is to publish the L, M, and S parameters and percentiles as well as the corresponding growth charts for Saudi preschool children.
DESIGN: Community-based survey and measurement of growth parameters in a sample selected by a multistage probability procedure.
SETTING: A stratified listing of the Saudi population. SUBJECTS AND METHODS: Raw data from the previous nationally-representative sample were reanalyzed using the Lambda-Mu-Sigma (LMS) methodology to calculate the L, M, and S parameters of percentiles (from 3rd to 97th) for weight, length/height, head circumference, and body mass index-for-age, and weight for-length/height for boys and girls from birth to 60 months. MAIN OUTCOME MEASURES: Length or height and weight of Saudi preschool children.
RESULTS: There were 15601 Saudi children younger than 60 months of age, 7896 (50.6 %) were boys. The LMS parameters for weight for age from birth to 60 months (5 years) are reported for the 3rd, 5th, 10th, 25th, 50th, 75th, 90th, 95th, and 97th percentiles as well as the corresponding graphs. Similarly, the LMS parameters for length/height-for-age, head circumference-for-age, weight-for-length/height and body mass index-for-age (BMi) are shown with the corresponding graphs for boys and girls.
CONCLUSION: Using the data in this report, clinicians and researchers can assess the growth of Saudi preschool children. LIMITATIONS: The report does not reflect interregional variations in growth.

Entities:  

Mesh:

Year:  2016        PMID: 26922681      PMCID: PMC6074277          DOI: 10.5144/0256-4947.2016.2

Source DB:  PubMed          Journal:  Ann Saudi Med        ISSN: 0256-4947            Impact factor:   1.526


The use of growth charts is one of the ways to assess nutrition and growth in children and adolescents.1 Although the CDC 2000 reference growth charts for children in the United States are commonly used, the recently developed World Health Organization (WHO) Child Growth Standards and Reference have been developed and recommended as international growth charts.2,3 However, many countries continue to use their own local charts.4,5 In Saudi Arabia, following a few attempts to develop national growth charts,6–8 nationally representative growth charts have been recommended for use in hospitals and clinics in Saudi Arabia.9 The current trend of using electronic medical records in Saudi Arabia requires calculation of additional variables, not available in previous analyses. These include the L, M, and S parameters percentiles and tables, which are useful to calculate other parameters including z-scores. We report the percentile tables for the L, M, and S parameters and the corresponding growth charts for preschool Saudi children. A similar analysis for older children from 5 to 18 years will be reported later.

SUBJECTS AND METHODS

The methodology of sampling, data collection and analysis have been reported.9 Briefly, the study sample was selected by multistage probability sampling procedure from a stratified listing based on the population census. Accordingly, the sample was representative of all the socioeconomic strata of each of the 13 regions of Saudi Arabia. Data collection was made by house-to-house visits where a survey questionnaire, clinical examination and body measurements were completed by primary care physicians and nurses. Data were analyzed after “cleaning” using new statistical methods.10–12 The length of children younger than 3 years of age was measured in a supine position and the height was taken for children older than 3 years of age. Therefore, The terminology length/height is used to cover the age range from birth to 60 months. The weight is expressed in kilograms (kg) and length/height in centimeter (cm). As in previous analyses, the age was converted to Gregorian to facilitate comparison with growth charts of other populations.

Statistical methods

To calculate the percentiles of weight, height, body mass index and head circumference in boys and girls from birth to 60 months, the Lambda-Mu-Sigma (LMS) method was applied to synthesize the changing distribution of these anthropometric measurements during growth as a function of age. The LMS parameters are the median (M), the generalized coefficient of variation (S), and the power in the Box-Cox transformation (L). The LMS method corrects for skewness, represented by the Box-Cox transformation (lambda), to adjust the distribution of anthropometric data to a normal distribution by minimizing the effects of asymmetry.10 The LMS method is used to model the data, smooth the model parameters, and then estimate smoothed percentiles from the model parameters. The LMS method models the entire distribution taking into account degree of skewness (L), central tendency (M), and dispersion (S). The L M and S parameters are estimated and then smoothed. The parameters L, M and S were calculated according to the method of maximum penalized likelihood.10 Percentiles for all the anthropometric measures were estimated from those values applying the following formula:13 Where the L, M, and S are the values from the appropriate table corresponding to the age in months of the child. Z is the z-score that corresponds to the percentile. Z-scores correspond exactly to percentiles, e.g., z-scores of −1.881, −1.645, −1.282, −0.674, 0, 0.674, 1.036, 1.282, 1.645, and 1.881 correspond to the 3rd, 5th, 10th, 25th, 50th, 75th, 85th, 90th, 95th, and 97th percentiles, respectively. Any desired percentile or z-score can be calculated from the smoothed L, M and S parameters. For our data, we have calculated the 3rd, 5th, 10th, 25th, 50th, 75th, 90th, 95th and the 97th percentiles for weight for age, height for age, head circumference-forage, weight for length/height, and added the 85th percentile for body mass index-for-age, commonly used to define overweight. Data processing was performed using the LMS Chart Maker Light 2.1 (Medical Research Council, London, UK). The goodness of fit of our all LMS models was assessed using the Q-test.

RESULTS

There were 15 601 Saudi children younger than 60 months (5 years) of age and 7896 (50.6%) were boys. The exact age at the time of growth measurement was calculated based on the date of birth in the birth certificate or family card subsequently converted to Gregorian dates. Only healthy children as determined by history and clinical examination performed by physicians were included. Figure 1, 2, 3, 4, and 5 show the growth curves by for percentile (3rd, 5th, 10th, 25th, 50th, 75th, 90th, 95th, and 97th percentiles) for weight-for-age, length/height-for-age, head circumference-for-age, weight-for-length/height, and body mass index (BMI) for age for boys. Tables 1, 2, 3, 4, and 5 show the corresponding L M S parameters by percentile for weight-for-age, length/height-for-age, head circumference-for-age, weight-for-length/height, and BMI for age for boys. The same data for girls are shown in Figures 6, 7, 8, 9, and 10 with the corresponding tabular data in Tables 6, 7, 8, 9, and 10.
Figure 1

Weight-for-age, boys 0 to 60 months.

Figure 2

Length/height-for-age, boys 0 to 60 months.

Figure 3

Head circumference-for-age, boys 0 to 60 months.

Figure 4

Weight-for-length/height, boys 0 to 60 months.

Figure 5

Body mass index-for-age, boys 0 to 60 months.

Table 1

L, M, and S parameters and percentiles for weight (kg) for age: boys 0 to 60 months

Age (m)LMS3rd5th10th25th50th75th90th95th97th
0−0.47206943.1470950.13896032.4596832.5330422.6524562.8713063.1470953.4637233.7905014.0082164.159607
1−0.2432374.1761470.13972213.2370353.3392983.5047453.8046044.1761474.593895.0151675.2903545.479162
2−1.77E-025.127470.1404463.9395894.0717344.2840934.6644135.127475.6373896.1403876.4630276.681751
30.20181865.9429320.14111134.5241474.6855474.943035.3983775.9429326.5304657.0980637.4561387.696302
40.41265446.6376470.14170015.0049265.1950085.4958726.0209596.6376477.2899477.9079718.2920348.547205
50.6133557.2425290.14220465.4077655.626495.96986.5608347.2425297.949998.6083129.0119129.277837
60.80276597.768780.14262315.743285.9906156.3754177.0286737.768788.5230769.2134559.6316069.905107
70.97942078.2173480.14295596.0146656.2901826.7149077.4258248.2173489.0104479.72549510.1539510.4324
81.1410488.6029780.14320256.2357946.5389367.0019047.7661198.6029789.42848810.1628210.598710.88041
91.2847578.9437670.14336056.4233496.7533857.2528288.0663948.9437679.79724310.5476310.9894611.27371
101.40739.2522620.14342536.5904136.9460347.4796298.3384559.25226210.1306410.8954111.3427511.62945
111.505769.5338340.14339376.7451187.1240257.6883898.5875919.53383410.4347211.2130811.6660211.95546
121.5772669.7910950.14326466.8938287.2924847.882938.8165739.79109510.7125111.5042411.963312.25605
131.62035710.03070.14303927.0448457.4588438.0698979.03168510.030710.9713911.7770912.2432612.54018
141.63743210.259820.14273577.203687.6286338.2550479.23931710.2598211.2192912.0400812.514612.8167
151.63259310.478840.14238137.3689137.8008068.4378179.43949210.4788411.4566312.293512.7774613.08563
161.60955910.686530.14199957.5374977.9728258.6162469.63078910.6865311.6821112.535813.0300813.34504
171.57161710.882850.14161077.7070498.1429528.7893089.81287110.8828511.8957312.7668413.2722113.5946
181.52169711.06350.14123287.8721538.306258.9525279.98154411.063512.0927912.9814913.4983913.82862
191.46233111.226660.14088048.0293458.4597789.1035210.1348911.2266612.2713413.1775113.7062214.04458
201.39541511.375030.14056398.1788518.6043299.24375310.2751211.3750312.4343313.3580313.8988614.24567
211.32246911.512650.14028848.3223068.7420329.37597810.4057411.5126512.586213.5277114.0811214.43678
221.24473911.644910.14005548.4626918.8763169.50420310.5315111.6449112.7328113.6927814.2594314.62449
231.16324811.775250.13986648.6018289.0092959.63093710.6554511.7752512.8778913.8572414.4379214.813
241.07872311.906770.13972078.7416069.143079.75856710.7803511.9067713.0248414.024714.6203815.0062
250.991571512.041590.13961328.8835099.2792219.88881610.9081212.0415913.1759514.1976214.8093515.20674
260.902422812.179540.13953829.0272979.41754110.0215211.0386412.1795413.3309814.3757115.0045315.4143
270.81255112.31830.13949549.1707279.55582810.1545211.1697212.318313.4873314.5560515.2028215.62565
280.72293112.457020.13948619.312799.69312410.2869211.3005412.4570213.6440714.7375815.4030315.83952
290.634287812.596620.13951099.4539289.82993310.4193211.4318612.5966213.8021714.9212715.6061516.05692
300.547255512.738350.13956999.5949219.96709510.5526811.5648112.7383513.9629915.1085515.8136316.27931
310.462480512.882610.13966339.73592110.1047910.6872211.699712.8826114.1269615.2998216.0258216.50701
320.380544713.029150.13978989.87663810.2427310.8226611.8362813.0291514.2937815.4946516.2422316.73946
330.301942413.175260.139946610.0149810.3787310.9567211.9720813.1752614.4603915.6896716.4592216.97286
340.227088313.318170.140128710.1488510.5106311.0871112.1045913.3181714.6237215.8813616.6730117.20323
350.156171713.458330.140331310.2786610.6388311.2142212.2342513.4583314.7841816.0701116.8838917.43079
368.92E-0213.598340.140553410.4064810.7654311.3402512.3634313.5983414.9446116.2589317.0949917.65873
370.026355913.740690.140795910.5341710.8923711.4672312.4943513.7406915.1077516.4507417.3093417.89013
38−3.23E-0213.886310.141059810.6624611.0203711.5959212.6278613.8863115.2746316.6466417.52818.12606
39−8.66E-0214.035640.141343810.7916711.1497711.7266812.7643514.0356415.4456916.8470317.7513518.36681
40−0.136378314.188670.141647410.9217811.2805411.8594612.9037914.1886715.6209217.0518217.9791818.61212
41−0.181719614.347320.141975911.0542211.4141411.9958113.0478814.3473215.8024917.263418.2140418.86459
42−0.222617714.510240.142335211.1878111.5493712.1344813.1953214.5102415.9889617.4802418.4542919.12251
43−0.259100414.673970.142730311.319811.6833912.2725113.3429314.6739716.1766117.6982918.6956319.38141
44−0.291198914.832940.143165411.4457811.8116612.4051313.4855614.8329416.3593117.9108618.9309819.6339
45−0.319071714.98250.143643211.5621311.9304412.5284213.6189814.982516.53218.112419.1544519.87387
46−0.343026815.120470.144163811.6672512.0380512.6406113.7412115.1204716.6922618.3002919.363320.09844
47−0.363615715.249530.144726511.7633812.1367612.74413.854715.2495316.8430718.4778619.5610720.31136
48−0.381476315.374280.145328111.8543512.2304812.8426213.9637215.3742816.9895518.650819.7538920.51905
49−0.397144615.496980.145965911.9421412.3211812.9384714.0703315.4969817.1341618.821919.9447920.72474
50−0.411041715.616770.146640312.0262112.4082813.0308914.173815.6167717.2760218.9902820.1329620.92764
51−0.423666715.733610.147353912.1066712.4918513.1199214.2740915.7336117.4151619.1561520.3187221.12822
52−0.435559215.848940.148107112.184812.5731813.2068314.3725215.8489417.5532319.3214620.5043221.32894
53−0.447090715.964190.148899212.2618512.6535113.2929114.4704215.9641917.6918419.4881120.6918821.5321
54−0.458488216.076070.149729112.3354212.7303413.3754714.5648216.0760717.8273719.6521820.8773121.7335
55−0.469968616.180520.150594712.4025212.8005813.4512214.652116.1805217.9553319.8087521.0554521.92784
56−0.481745416.276050.15149312.4621912.8631813.5190314.7309316.2760518.0740219.9559821.2243922.11316
57−0.494070716.363330.152419412.5151612.9188613.5796114.8020116.3633318.1841620.0946921.3850522.29049
58−0.507202516.443820.153366612.5628412.9690513.6343614.8667616.4438218.2872920.2265821.5392722.46178
59−0.521314516.519610.15432812.6070813.015613.6851914.9271516.5196118.3856720.3541221.6897122.62984
60−0.536329416.592820.155298112.6495913.0602813.7339314.9851516.5928218.4815820.4797521.8389122.7973
Table 2

L, M, and S parameters and percentiles for length/height (cm) for age: boys 0 to 60 months

Age (m)LMS3rd5th10th25th50th75th90th95th97th
0−2.1012950.560434.92E-0246.4609346.9193847.6535948.9642450.5604352.329954.0986155.2502156.04015
1−2.26582653.721015.08E-0249.2723449.7655150.557551.9781853.7210155.6704457.6387358.9315859.82383
2−2.3748456.778525.21E-0251.9865952.5143153.3635154.8924456.7785258.9028361.0646162.4944463.48606
3−2.38679159.63585.32E-0254.5144755.0768555.9826557.6160559.635861.9173364.2468365.7920966.86596
4−2.268662.243575.40E-0256.8072657.4056158.3686760.1031362.2435764.6551567.1098268.7335169.85957
5−1.99320764.577575.44E-0258.8343759.4719760.4954862.3300664.5775767.0864969.613271.2687572.40922
6−1.51710366.632355.45E-0260.5738461.2578762.3501464.2896166.6323569.2025871.7412873.3768974.49061
7−0.859961968.42520.054436562.0298962.7702463.9429165.9958668.425271.026373.5293675.107276.16604
8−0.12289970.005345.43E-0263.2532364.0587565.3217167.4949670.0053472.6210675.069476.578977.57748
90.592866871.429535.41E-0264.3121365.1882766.5467768.8421671.4295374.0556376.4521277.9011578.84812
101.20803172.75225.40E-0265.2819766.2285167.6805170.0924472.752275.3918777.7513179.1562280.06583
111.67041674.007935.39E-0266.2223467.2318868.7668271.281774.0079376.6684279.0110780.3910181.27874
121.94149475.206935.39E-0267.1774768.2334769.8300972.4239375.2069377.8961980.2439581.6185582.49969
132.00630276.346415.39E-0268.1737569.2522670.8806773.5207476.3464179.0705681.4440282.8317383.72054
141.90945777.423475.38E-0269.1944870.2747571.9092574.5675477.4234780.1866582.6015584.0165284.92395
151.71272778.437395.37E-0270.2077171.2769672.9014375.5598178.4373981.2416283.7077685.1591586.09235
161.46542579.393155.36E-0271.1915472.2438473.8503976.4992479.3931582.2387684.7612486.2542387.2174
171.21592380.302215.35E-0272.1310573.1666874.755277.3934780.3022183.1883685.7676187.3031888.2973
181.0030981.17355.34E-0273.0144574.0381375.6143178.2478181.173584.0988686.7315188.3069389.33001
190.835914982.01725.34E-0273.8420474.859876.4313979.0692882.017284.982687.6661789.2786790.32846
200.707990682.845365.36E-0274.6251475.6425277.216979.8686482.8453685.8536488.5877990.2359891.31112
210.615595683.664095.37E-0275.3741276.3957877.9792680.6529583.6640986.7174789.5014491.1836792.2826
220.560484984.473665.40E-0276.0937977.1238878.7219281.4242684.4736687.5722490.4029192.1158593.23586
230.548380885.268935.42E-0276.7786177.8216179.4400582.1779285.2689388.4113991.2835593.0222494.15932
240.580185786.046565.45E-0277.4243578.4849780.1299682.9105586.0465689.231392.139193.8979995.04774
250.65076386.80650.054722778.0344679.1169180.7938583.6232186.806590.0310992.9682794.7417495.89975
260.750168287.550425.50E-0278.6150579.722781.435884.3184687.5504290.8124693.7736895.5571496.71985
270.859470488.279945.52E-0279.1774280.311682.0624184.9996588.2799491.5774594.5596696.3507797.51649
280.957263288.994935.54E-0279.7351880.8943882.6806985.6692388.9949392.3259695.3283997.1271798.29612
291.03763189.693325.56E-0280.2899181.4717283.2902286.3255589.6933293.0563496.0792597.8866299.05971
301.0987690.376885.58E-0280.8435582.0453383.8924686.9700290.3768893.7710996.8156398.6331399.81171
311.13844291.049415.59E-0281.4012582.6199384.4916387.6064791.0494194.4744197.5423799.37202100.5578
321.15435391.711895.60E-0281.9666283.1985785.0900788.2363391.7118995.1672498.26065100.1047101.2995
331.15133992.364065.61E-0282.5387183.7806285.6874888.8595992.3640695.8485298.96831100.8283102.0334
341.13863693.006645.61E-0283.115384.3647586.2836689.4770193.0066496.5177899.66283101.5384102.7539
351.12473393.641565.61E-0283.6909984.9470486.8766190.0890193.6415697.17738100.346102.2364103.4617
361.11465194.270615.61E-0284.2611985.5240387.464490.6957594.2706197.83101.0209102.925104.1594
371.10545694.896995.61E-0284.8281486.0978988.0492291.2997194.8969998.47995101.693103.6107104.8542
381.08722395.526255.61E-0285.4016686.6772888.6382991.9066895.5262599.1339102.3711104.3042105.5579
391.05271696.163465.61E-0285.9923687.2716389.2395492.5227596.1634699.79691103.0612105.0121106.2781
400.999162796.81025.60E-0286.6058387.8858889.8569593.150696.8102100.4699103.7639105.7352107.0155
410.929091597.466875.60E-0287.2410888.5194290.4903693.790597.46687101.1531104.479106.473107.7694
420.849699998.129375.59E-0287.8915689.1664891.1349694.4384798.12937101.8413105.1996107.2172108.5305
430.765815698.790445.58E-0288.5522889.8221491.7857195.0887698.79044102.5249105.9135107.9537109.2836
440.680833999.44175.56E-0289.2173690.4804692.4364495.7344299.4417103.1936106.6082108.6685110.0133
450.6025665100.07645.53E-0289.8788391.1341393.0805596.36931100.0764103.8388107.2722109.3481110.7047
460.5393616100.69015.50E-0290.528491.7758293.7119596.98866100.6901104.4552107.8984109.9835111.3475
470.4987937101.27955.45E-0291.1565292.3971294.3238497.58777101.2795105.0399108.4832110.5705111.9367
480.4895232101.84085.41E-0291.7511492.9873994.9075198.16066101.8408105.5901109.0238111.1056112.4683
490.5139129102.3745.36E-0292.3043393.5397495.4576498.70458102.374106.1086109.5254111.5954112.9498
500.5644345102.88285.32E-0292.8137894.0520995.9728199.21992102.8828106.6033110.001112.0566113.4004
510.6380228103.37120.05287393.278494.5238696.4532899.70863103.3712107.0814110.461112.5016113.8341
520.7336839103.8420.052645293.6978794.955196.89969100.1723103.842107.5467110.9103112.9364114.2575
530.8502052104.29845.25E-0294.0749195.3486797.31502100.614104.2984108.0025111.3526113.3648114.6745
540.9888283104.74125.25E-0294.4102595.7055797.70049101.0349104.7412108.4489111.7871113.7855115.0835
551.150493105.17185.25E-0294.7050396.0272798.05792101.4371105.1718108.8867112.2139114.1981115.4838
561.335084105.59325.26E-0294.9610196.3159898.38999101.8234105.5932109.3184112.6352114.6046115.8775
571.540845106.0065.28E-0295.1757796.5699898.6958102.1938106.006109.7454113.053115.0076116.2674
581.763586106.4145.31E-0295.3529696.7931598.97934102.5524106.414110.1715113.4715115.4118116.6586
591.995635106.82190.053365395.5031196.9951799.24899102.9054106.8219110.6003113.8944115.8211117.0555
602.22783107.23145.37E-0295.6382997.1864199.51269103.2574107.2314111.0324114.3217116.2358117.4585
Table 3

L, M, and S parameters and percentiles for head circumference (cm) for age: boys 0 to 60 months.

Age (m)LMS3rd5th10th25th50th75th90th95th97th
0−2.25767134.700794.50E-0232.1133132.4039332.868733.6963334.7007935.8098536.9138137.6301238.12035
1−2.03709736.532064.45E-0233.8154434.1229334.6134735.4832336.5320637.6810938.8149839.5452540.04248
2−1.80503538.258850.043962335.4211335.7449336.2601437.1695238.2588539.4427440.6008941.3412741.84286
3−1.55196539.808334.34E-0236.8619437.2010737.7391638.6842639.8083341.0196942.1940242.9390543.44123
4−1.27085741.147494.29E-0238.106438.4597939.0187439.9951741.1474942.3780743.5596544.3033744.80204
5−0.963282642.271694.23E-0239.1500939.5166140.0943441.097642.2716943.5134944.6939945.4310245.92258
6−0.634968943.196254.18E-0240.0075540.3861140.9805842.0063743.1962544.4422445.6147446.3408346.82256
7−0.29352343.945574.12E-0240.7019741.0914941.7007642.7451443.9455745.1899646.3491947.0613847.5315
84.95E-0244.556074.07E-0241.2680241.6674742.2897443.3492744.5560745.7947646.9375447.6343648.09215
90.380329545.063884.01E-0241.7403242.1486242.7821443.8538345.0638846.2944147.4195448.1009148.54665
100.68658545.495843.96E-0242.144842.5607543.2037444.2848645.4958446.71747.8247248.4915248.92611
110.958795245.869693.91E-0242.4987642.9210543.5716244.659645.8696947.0811148.1725248.8261849.25087
121.19090746.195463.87E-0242.8120443.2392143.895444.9877246.1954647.397248.4738449.1159949.53216
131.37981146.479823.82E-0243.0910843.5216244.1814345.2756846.4798247.6722348.7358249.3681349.77713
141.52523346.731850.03780243.3440743.7765444.4381245.5322146.7318547.9155348.967949.5920449.99518
151.6277846.958583.74E-0243.5771444.0102244.6718945.7640246.9585848.1343749.1773949.79550.19353
161.68883747.165393.71E-0243.7948444.2273144.8876145.9762747.1653948.3342149.3697749.9824150.37753
171.71078947.357963.67E-0244.001944.4327445.0904146.174447.3579648.5208649.5508250.1599850.55279
181.69582447.539923.64E-0244.2011544.6294745.2834746.3618647.5399248.69849.7241750.3312950.72286
191.64632947.711693.62E-0244.3924744.8175245.4669646.53947.7116948.8660549.8901350.4965450.88786
201.56590347.869453.59E-0244.5717544.9928845.6370246.7020347.8694549.0209750.0444450.6513151.04323
211.45894348.008963.57E-0244.7345345.1512245.7894146.8468148.0089649.1583350.1823550.7906251.18387
221.3299848.127363.55E-0244.8776745.2895145.9212546.9705348.1273649.2750850.3005850.91151.30614
231.18129248.225663.53E-0245.0017645.4084346.0333447.0741348.2256649.3722350.4000551.0133551.41093
241.01401748.306543.52E-0245.1090645.5103446.1281547.1602148.3065449.4524950.4835651.1004751.50106
250.828350448.376083.51E-0245.2051445.6008946.2114247.2346848.3760849.5221250.557551.1788851.58313
260.624443748.44243.50E-0245.2974945.6876546.2908847.3054748.442449.5894550.6304351.2572951.66594
270.403223648.512253.49E-0245.3923445.7769446.3729647.3791548.5122549.6613750.7093851.3428251.75671
280.166889248.58893.48E-0245.4926445.8717946.4607547.4589548.588949.7411750.7976451.4387851.85876
29−8.06E-0248.672990.034780345.598845.9726846.5548647.5455248.6729949.8294150.8956451.5455151.97235
30−0.334118548.763013.48E-0245.7092446.0780746.6537947.6374248.7630149.9243751.0013951.6608152.09516
31−0.588508448.855640.034751145.820746.1847646.7543947.7314648.8556450.0224751.1109851.7805152.22283
32−0.839536348.948773.48E-0245.9311646.2907546.8546747.8256648.9487750.1213851.2217551.9017652.35234
33−1.08285949.04023.48E-0246.0385946.3940146.952647.9179349.040250.2186351.3309152.0214652.4804
34−1.31398649.127733.48E-0246.1409446.4925147.0461748.0062449.1277350.3117751.4355852.1364452.60359
35−1.53004849.211293.48E-0246.2381446.586247.1353348.0905349.2112950.4005851.5353252.2460452.72108
36−1.72865449.292873.48E-0246.3321146.6770147.2220548.1728149.2928750.4869651.6318752.3518252.83431
37−1.90670349.37373.48E-0246.4240246.7661347.3075448.2543449.373750.5720451.7260852.4544352.94371
38−2.06041149.452933.47E-0246.5130546.8527647.3910448.3343249.4529350.6547551.8165452.552153.04727
39−2.18708849.530613.47E-0246.5992846.93747.4726348.4128749.5306150.7349951.9028752.6442253.14417
40−2.28395149.606553.46E-0246.6825647.0186947.5521948.4898549.6065550.8124151.9844752.7299353.2333
41−2.34711349.678393.46E-0246.7605847.0955547.6274348.5629749.6783950.8844552.0583952.8059553.31116
42−2.37174649.742883.45E-0246.8301247.1643947.6952248.629149.7428850.9476352.1207652.8680753.37323
43−2.35512449.799023.44E-0246.8901747.2242147.7545748.6872649.7990251.0008252.1702752.914853.41789
44−2.29929649.848283.42E-0246.9422547.2765147.8069348.7388949.8482851.045652.208752.9481253.44727
45−2.20746549.890293.41E-0246.9861947.3210847.8520548.7836549.8902951.0817252.2360552.9682753.46183
46−2.08489949.925893.39E-0247.0229647.3588247.8907548.8222949.9258951.1102652.2538752.9772553.46392
47−1.93705349.957223.37E-0247.0546747.391847.9250748.8568549.9572251.1337152.265252.9785553.45744
48−1.76860349.984893.36E-0247.0819547.4206247.9555448.8878649.9848951.152952.271352.9738453.44433
49−1.58371550.008730.033363847.104747.4451447.9819848.9150850.0087351.1678752.2725652.9638153.42556
50−1.38697850.031333.32E-0247.1254547.4678548.0068748.94150.0313351.1814952.2722452.9520753.40501
51−1.18246150.056323.30E-0247.1476147.4921748.0336248.9690950.0563251.1976552.2746552.9432253.38751
52−0.97341650.085933.28E-0247.1733147.5202148.0643349.0014850.0859351.2187852.2824952.9401953.37613
53−0.762459250.120793.26E-0247.203247.552648.0996149.0387750.1207951.2456152.296652.9439253.37191
54−0.551853850.159893.25E-0247.2364747.5884948.1385649.0799850.1598951.2771252.3160452.9535153.37398
55−0.343078950.204123.23E-0247.2740347.6287848.1820649.1259950.2041251.3142852.3418252.9700253.38342
56−0.137704650.255813.22E-0247.3181247.6757148.2323549.1790650.2558151.3594552.376452.9959453.40277
576.28E-0250.316043.20E-0247.3699647.7304648.290649.2403250.3160451.4137652.420953.0324553.43318
580.257581650.38530.031886847.4301847.7936548.3573549.3102650.385351.4776352.4757153.0798553.47495
590.446893350.463093.18E-0247.4984947.8649548.4322749.3885150.4630951.5504952.5401553.1374153.52728
600.632949950.546253.16E-0247.5718847.9413648.5123549.4719750.5462551.6289752.6106453.2013753.5863
Table 4

L, M, and S parameters and percentiles for weight (kg) for length/height(cm): boys 0 to 60 months.

Length/heightLMS3rd5th10th25th50th75th90th95th97th
55−0.16008824.170390.15537993.1342883.2463213.4280453.7587144.170394.6352995.1058145.4138595.625466
56−3.49E-024.4811630.15593843.3470713.4712963.6719884.0345564.4811634.9791285.4762795.7981186.01756
577.47E-024.8064690.1559343.5730693.7098323.9299224.3248254.8064695.3373425.8610236.1967616.424238
580.16892865.1368010.15542083.8062793.9554794.1947044.6212335.1368015.6992976.2484466.597626.832952
590.24911755.4651560.15446794.0423274.2035034.4610594.9176455.4651566.0572176.6301336.9919037.234657
600.31651115.7870660.15314744.278494.4509184.7256185.210125.7870666.4062197.0008887.3742347.623849
610.37188146.0998370.15152744.5132094.6959644.9863445.4962476.0998376.7434477.3577987.7416837.997591
620.41532896.4020170.14967714.7456914.9376985.2420965.7746626.4020177.067527.6996448.0931668.354895
630.44702716.6935780.14766174.9759365.1760485.4927356.0452156.6935787.3786558.0269558.429428.696636
640.46738596.9753860.14553325.2044195.411495.7387686.3085386.9753867.6780318.3412288.7521489.024655
650.47783047.2485060.14333815.4313625.6443455.9806726.5653837.2485067.9670068.6440519.0630449.340701
660.48030897.5138280.14111665.6566165.8746126.2186686.8163157.5138288.2467178.9366959.3634159.646083
670.477667.7714650.1389045.8791456.1014486.4521897.0611527.7714658.5174089.2193699.6533689.940811
680.47297668.0214420.1367286.0977876.3239076.6805847.2996398.0214428.77929.4920929.93277910.22463
690.4686248.2638620.1346136.3115956.541226.9033377.5316098.2638629.0323149.75506510.2017710.49757
700.46407178.4989150.13259286.5202236.7530867.1202277.7570118.4989159.27724710.0091110.4613710.76083
710.45873688.7272620.13069536.7237296.9596157.3314587.976248.7272629.51499110.2555810.7131911.01617
720.45253438.9498250.12893346.9224527.161217.5375358.1899878.9498259.74671810.4958810.9587911.26528
730.4458149.1677730.12730797.1169977.3585497.7392518.3992289.1677739.97377910.7315211.1997511.50978
740.43859439.3824420.12581057.3083417.5526547.9376948.6051669.38244210.1976510.9641111.4377711.75141
750.43068539.594810.12442257.4974227.7444648.1338068.8087589.5948110.4193311.1946911.6739111.99128
760.42166559.805040.12312287.6846737.9343738.3279249.0102489.8050410.6389411.4233311.9082512.22943
770.411604910.0130.12190247.8700168.1222978.5199559.20953110.01310.856311.6498312.1405412.46563
780.400424810.218690.1207718.0532058.3080168.7097219.40650110.2186911.0715211.8744112.371112.70023
790.388262610.422030.1197398.2338838.4912088.8969559.60098910.4220311.2846612.0972312.6001412.93348
800.375033410.62320.11881518.4119338.6717849.0816169.79303910.623211.49612.3187112.8281713.16597
810.360367110.822510.11800858.5874248.8498329.2638249.98285110.8225111.7060212.5395113.0559913.39857
820.343748711.020640.11731958.7609079.0259039.44414210.1710311.0206411.9155512.7606313.284713.63249
830.324610211.218280.11674158.9330779.2006759.62322810.3582211.2182812.1253312.9829313.5152813.86878
840.302526811.41590.11626149.1045579.3747439.80163810.5449211.415912.3358313.2069313.7482714.108
850.277159411.614110.11585969.2762239.5489469.98015510.7318511.6141112.5476413.4331613.9842314.35074
860.24864411.813330.1155189.448679.72386510.1593310.9194811.8133312.7610713.661914.2233714.59718
870.21879312.013850.11523169.6217539.89944610.3392411.1080412.0138512.9763613.8932114.4656214.84712
880.189643412.216050.11499889.79528210.0756210.5199711.2978112.2160513.1938614.1272614.7109715.10041
890.162520312.420390.11482179.9692210.2524310.7016811.4891312.4203913.4140414.3644614.9597515.35731
900.137643812.627440.114706610.1438210.4301810.8847411.6824612.6274413.6376114.6056315.2128315.61872
910.114854512.837710.114655810.3194210.6092111.0695211.8782312.8377113.8651714.8514615.4709715.88545
929.38E-0213.051420.114667110.4962610.7897511.2562412.0766413.0514214.0969615.1022615.7345316.15789
937.44E-0213.268280.1147310.6743310.9717611.4447812.277513.2682814.3326215.3575916.0030216.43553
945.67E-0213.487710.114828410.8533811.1549611.6348212.4803813.4877114.5713815.6164816.2753316.71716
954.07E-0213.709180.114945611.0333211.339211.8261612.6849213.7091814.8125315.8780116.5504117.00163
962.56E-0213.932870.11506911.2147411.5250212.019212.8914113.9328715.0561616.1422616.8283717.28909
979.59E-0314.159720.115187911.3990611.7137312.2151513.1008814.1597215.3032516.4104117.1105717.58104
98−8.98E-0314.391030.115288211.5881511.907112.4156213.3147414.3910315.5551716.6840217.3987617.87941
99−3.14E-0214.627940.115368811.7833112.1063712.6217913.5341114.6279415.8131816.964617.6947118.18616
100−5.78E-0214.870640.115442811.9845212.3115312.8336613.7590714.8706416.0776417.2527317.9991518.50214
101−8.75E-0215.118830.115524312.1910712.5219513.050713.989215.1188316.3483617.5483318.3120518.82735
102−0.119817515.372330.115623912.4023912.737113.2724614.2241915.3723316.6252517.8513318.6333619.16177
103−0.154140715.631090.115749812.6181212.9566713.498714.463915.6310916.9083518.1618618.9632619.50557
104−0.189906115.894910.115913812.8376313.180113.7289414.7079915.8949117.1975718.4799119.3017819.85886
105−0.226598216.163430.116123613.0603313.4068113.9626714.9560316.1634317.4926218.8052719.6487720.22149
106−0.26385416.436090.116383513.2855113.6361414.1992315.207416.4360917.7929719.1374120.003720.59294
107−0.301536216.712040.116698713.5123113.867214.4377715.4612516.7120418.097819.4755920.3658820.97258
108−0.339712416.990470.117068313.7400814.0993514.6775915.7168316.9904718.4062919.8189820.7345221.35965
109−0.378860717.270850.117489113.9685914.3322914.9183115.9736617.2708518.7178820.1671221.1092721.75391
110−0.419702817.552780.117957214.1978214.5659415.1597816.2314617.5527819.032220.5197821.4900822.15546
111−0.462677917.83590.118467514.4277314.800215.4018216.4899317.835919.3488420.8766521.8767722.56425
112−0.508099918.119820.119008714.6584115.0351115.6443716.7488618.1198219.6673421.2372322.268922.97992
113−0.556266218.404330.119568514.8900815.2708515.8875317.0081918.4043319.9873321.6011522.6661423.40223
114−0.6069418.689350.120138515.1228515.5075116.1313617.2679418.6893520.3086421.9681423.0682323.83092
115−0.659477518.974790.120712415.3566215.74516.375817.5280618.9747920.6310722.3378723.4747324.26551
116−0.713017919.260610.121283515.5912415.9832316.6208217.7885419.2606120.9544122.7098823.8850224.70524
117−0.766642919.546650.121847215.8264216.2219516.8662218.0492619.5466521.2783923.0836524.2983225.14917
118−0.82015619.832830.122405716.0619716.4609917.1118518.310119.8328321.6029223.4590924.7145825.59728
119−0.873592920.119140.12296116.2978416.7002917.3576718.5710220.1191421.9280223.8363125.1340126.04988
120−0.926969720.405560.123514716.5339916.9398317.6036418.8320120.4055622.2537324.2153925.556826.50724
121−0.980304420.692060.124067616.7703817.1795517.8497419.0930320.6920622.5800124.5964125.9830826.96962
122−1.03361320.978620.124620617.0069617.4194318.0959119.3540420.9786222.9068724.9793926.41327.43727
Table 5

L, M, and S parameters and percentiles for Body mass index(kg/m2) for age: boys 0 to 60 months.

Age (m)LMS3rd5th10th25th50th75th85th90th95th97th
00.19278312.612270.13534139.71492510.0456110.5725111.5025812.6122713.8068214.484514.9585115.6840216.17021
10.207619113.778910.134705810.6214910.9825711.5575312.5712713.7789115.076715.8119816.3258617.1117517.63798
20.222366714.837730.134068111.4463811.8349912.4533513.5423814.8377316.2274417.0137617.5628818.4019918.96342
30.236401915.715170.133428512.1329312.5441913.1981814.348715.7151717.1788418.0059818.5831719.4645120.05374
40.248743516.39130.132789112.6658213.0942713.7751714.9718716.391317.9095218.7665219.3641520.2760920.88537
50.258603316.879350.132153613.0552413.4956714.1952715.423816.8793518.4343519.3112919.9224820.854621.47701
60.265451317.206850.131525113.3223113.7702114.4813815.7294317.2068518.7837319.6723920.2914921.2352621.86519
70.2689517.402690.130905913.4891713.9407714.6576115.9150417.4026918.9895219.8833620.505921.4546622.08775
80.268977417.495310.130297913.5775714.0298314.7476416.0064717.4953119.0829419.9770320.5996721.5484522.18148
90.265426517.510490.129703213.6072114.0578214.7729916.0271717.5104919.0922719.9830920.6034721.5488322.1796
100.258296417.467710.129123713.592914.0400814.7498815.9948517.4677119.0388519.9239220.540421.4822.10704
110.247698617.382950.128561313.5467813.989214.691615.9240717.3829518.9401719.8178620.429421.3617621.98418
120.233920917.271170.128017513.4801513.9169314.6105915.8284417.2711718.8125619.6819720.2880121.2124221.82982
130.217202617.146570.127492613.4038413.834514.5187415.7209217.1465718.6714919.5324120.1328821.0493421.66179
140.197620617.021060.126986913.3270313.7514314.4260615.6124217.0210618.529919.3827219.9779520.8870721.49504
150.175291916.900580.126501213.2542913.6724414.3375515.5083616.9005818.3942819.2396619.8301820.7328421.33701
160.150388316.786540.126036213.186613.5985914.2543415.4100416.7865418.2661419.1047919.6911420.5882921.18934
170.123149716.67780.125592813.1229213.5288314.175415.3163716.677818.1441918.9767519.5594320.451921.05045
189.39E-0216.570540.125171513.0601213.4599814.0974315.2238516.5705418.0242918.8511619.430520.3188720.91535
196.31E-0216.461660.124772312.9955713.3893814.0176915.1295916.4616617.9030218.724419.3005820.1851820.77987
203.10E-0216.349510.124394712.9278513.3155813.9347315.0320616.3495117.7785318.5945319.1676320.0486520.6417
21−1.95E-0316.234920.124037612.8575213.2391913.8492214.9320416.2349217.6517318.4624219.0325319.9101320.50168
22−3.56E-0216.12160.123699712.7874613.1632113.764314.8329216.121617.5265718.3322218.8995219.7740120.36429
23−6.97E-0216.013910.123379612.7211213.0911913.6837114.7387516.0139117.407818.2088218.7736419.6455220.23488
24−0.104046515.915520.123076112.6613913.026113.6105714.6528915.9155217.2993518.0963218.6590519.5289720.11787
25−0.138252115.828070.122787212.6095912.9693213.5463114.5768815.8280717.2029617.9965218.5576119.4262520.01515
26−0.171920915.750860.122510912.5651112.9202313.4903214.5100815.7508617.1178117.908518.4683219.3362319.9255
27−0.204385315.681050.122245912.5255712.8764313.4401214.4498815.6810517.0407717.8289218.3876719.2551419.84495
28−0.235138215.617350.121991112.4898712.8367913.3945714.3950815.6173516.970417.7562218.3140119.1811519.77155
29−0.264173315.560950.121746212.45912.8023313.3547314.3467915.5609516.9079717.6917318.2487319.1157219.70677
30−0.291595615.511780.121510712.4330212.7730813.3205714.3049515.5117816.853417.635418.1917519.0587819.65059
31−0.317474515.468210.12128412.4106912.7477513.2907514.268115.4682116.8049317.5853618.1411819.0083519.60096
32−0.341898515.42950.121065212.3915112.7258213.2646814.2355615.429516.7617617.5407818.0961518.9635619.55697
33−0.365022315.393750.120853412.3740312.7057713.2407814.205615.3937516.721817.4994918.0544418.9220719.51625
34−0.38697815.358620.120647712.3564612.6857613.2170714.1760815.3586216.6825217.4588518.0133318.8810519.47589
35−0.407946515.324350.120447612.3390712.6660313.1938214.1472415.3243516.6441817.4191517.9731218.8408519.43627
36−0.428143415.292990.120252812.3235912.6483513.1728214.1209815.2929916.6090117.3827317.9362618.8040719.4001
37−0.447718515.265130.120063912.3105312.6332413.154614.0978515.2651316.5776817.350317.9034918.7715219.36824
38−0.466699715.238150.119882212.297812.6185313.136914.0754415.2381516.5473717.3189417.871818.7400519.33744
39−0.485110715.208870.119708812.2827912.6015613.1169714.0507815.2088716.5146117.2850217.8374618.7057719.30372
40−0.502964115.175660.119544512.2641912.5809813.0933714.0223615.1756616.4776517.2467117.798618.6667219.26505
41−0.520286415.140010.119389912.243212.5580213.0674113.9915715.1400116.4381317.2057517.7569918.6247719.22335
42−0.537139815.102950.119245112.2206612.5335513.0399813.9593515.1029516.3971717.1632917.7138518.5812219.17999
43−0.553631415.064550.119110512.1966712.5076413.0111513.9257715.0645516.3548517.1194617.669318.5362119.13514
44−0.569879715.023320.118986412.1700312.4790812.9796313.8894515.0233216.3095617.0725617.6216218.4879519.08695
45−0.586026714.977840.11887312.1396512.4467212.9442413.8490914.9778416.2597917.0210317.5692118.4347919.03375
46−0.602194314.927890.118770112.1053712.410412.9047813.804514.9278916.2052816.9646217.511818.3764818.9753
47−0.618494514.877280.118677512.0703112.3733112.8645913.7591914.8772816.1501816.9076617.453918.3177418.91648
48−0.635072214.832390.118594512.039712.3408112.8291813.7190814.8323916.1014116.8574217.4029918.2664818.86548
49−0.652040614.795570.118520512.0155212.3149112.8006613.6863814.7955716.0615416.8165817.3618718.2256318.82534
50−0.669462314.765010.118454511.9963112.2941112.7774613.6593914.7650116.0285716.7830717.3283818.1929418.79376
51−0.687388814.739530.11839611.9811612.2774712.7585913.6370614.7395316.0012216.7555317.3011518.1669818.76926
52−0.705867214.719920.11834411.9707512.2656812.7447513.6201114.7199215.9803616.7348717.2811118.1487318.75285
53−0.724895914.706230.11829811.9651312.2587912.73613.6086114.7062315.9660116.7211317.2682918.1382218.74459
54−0.744425514.694380.118257511.9609912.2534112.7288113.5987714.6943815.9537616.7096717.257918.1304218.73924
55−0.764402714.678920.118222111.9538912.24512.7184613.5855714.6789215.9376716.6942717.2435118.1185618.72983
56−0.784782814.6570.118191211.9414912.2311612.7024813.5663614.65715.9146416.6716617.2217418.0990718.71264
57−0.805560514.629970.118163811.9249112.2130312.6820513.5424114.6299715.8861316.6433717.1941518.0735918.68937
58−0.826732614.598570.118138811.9047612.1912512.6578113.5143914.5985715.8529116.610217.1615818.0429818.66089
59−0.848249614.56310.118115311.8812912.1660712.6300513.482614.563115.815316.5724717.1243418.0075618.62751
60−0.869991214.524020.118092411.8548612.1378612.5991513.4474614.5240215.773816.5306817.0829317.9678118.58973
Figure 6

Weight-for-age, girls 0 to 60 months.

Figure 7

Length/height-for-age, girls 0 to 60 months.

Figure 8

Head circumference-for-age, girls 0 to 60 months.

Figure 9

Weight-for-length/height, girls 0 to 60 months.

Figure 10

Body mass index-for-age, girls 0 to 60 months.

Table 6

L, M, and S parameters and percentiles for weight (kg) for age: girls 0 to 60 months

Age (m)LMS3rd5th10th25th50th75th90th95th97th
0−1.2797913.0866260.13178982.4887742.549152.6489682.8374063.0866263.3920863.7336043.9787844.158854
1−1.1737443.9432290.13472343.1587313.2382393.369573.6170443.9432294.3409364.7823995.0969955.326705
2−1.0697494.7554050.13750073.7847073.8834824.0464744.3529624.7554055.2433165.7807876.1608746.436761
3−0.97102395.4971050.14003164.3479394.465384.6589585.0221355.4971056.0695666.6953137.1344667.451378
4−0.87772686.1623550.14227874.8457314.9809065.2034485.6199446.1623556.8121567.5169378.0078498.360119
5−0.78675546.7499560.14422225.2786655.4304955.680116.1460066.7499567.4688158.2421918.7767519.158168
6−0.69574757.263590.14586195.6508265.8182236.0929936.6042467.263598.0428688.8740229.4439169.848178
7−0.60224827.7090120.14720725.9674746.1494476.4475817.0003187.7090128.5400969.41824310.0152410.43615
8−0.50323438.0927230.14825036.2341516.4298796.7498287.3404968.0927238.9670989.88147610.4973810.92881
9−0.399928.4226540.14900236.4578966.6666527.0070097.6323188.4226549.33248210.2734610.9011811.33793
10−0.29631578.7088150.14949896.6476276.8687227.2281717.8851198.7088159.64759210.607711.2420211.68049
11−0.19716798.9621920.14978486.8130937.0458437.4231338.109048.9621929.9250610.899311.5371711.97541
12−0.10705649.192710.14990826.9631777.2068517.6007338.3131839.1927110.1764211.1621511.8023712.23988
13−2.92E-029.4084780.14991447.105077.3588847.7680998.5049189.40847810.4111411.4075512.0503212.48761
143.60E-029.6161830.14983917.2441187.5073517.9307958.6902189.61618310.636911.6442512.2904512.72848
158.94E-029.8211570.14971017.3843457.656378.0931188.8737969.82115710.8597611.8790212.5299312.96987
160.131756210.02580.14955317.5273147.8075698.2568239.0576810.025811.0825212.1149712.7719613.21501
170.164514110.228820.14939247.671657.9595768.4205519.24054810.2288211.3038912.3506713.0149813.46219
180.188922810.427250.14924137.814768.1097588.5816099.41959110.4272511.5206312.5825213.2550813.70726
190.205991910.619570.14911077.9551948.2566618.7385349.59333110.6195711.7311112.8087213.4902713.9481
200.216724710.806380.14900898.0930788.4004798.8916239.76222810.8063811.9360413.0299813.7212614.18535
210.222055510.987230.14893958.2277918.5406259.0403399.92580310.9872312.1349213.245713.947314.41819
220.223124111.161220.14890198.3583368.6761439.18377510.083211.1612212.3267213.4545914.1669114.64498
230.221403311.326320.14888718.4828478.8051979.32011510.2325411.3263212.5090413.6537714.3768314.86214
240.217163611.482320.14889068.6011788.9276399.4492110.3736811.4823212.6816213.8428914.5766515.06925
250.209385911.630460.14890928.7147069.0447939.57231410.5078111.6304612.8458914.0236914.7683615.26848
260.196374911.773410.14893688.8262069.1593559.69203710.6374811.7734113.0048514.1997514.9560115.46424
270.176669311.913750.14896968.9382549.2738479.81083410.7651311.9137513.1614314.3745115.1434915.6608
280.150125712.053190.1490089.0522219.3896739.9301710.8923412.0531913.3175614.5502115.3332615.86075
290.117072712.192590.14904979.168689.50745510.0507311.0198712.1925913.4741614.7278315.5263916.06524
307.80E-0212.332730.14909229.28819.62772310.1731311.1484312.3327313.6320814.9082815.7238116.27527
310.033637412.473710.14914079.4101459.75022710.2972211.2780512.4737113.7914215.0916715.9256516.49093
32−1.50E-0212.614890.14920099.5338629.87409110.4222511.4080512.6148913.9515215.2771916.1310216.71131
33−0.067296112.755360.14927339.658319.99840310.5473111.5375612.7553614.1113315.463716.3386816.93513
34−0.123201112.894720.14935619.78315310.1228410.672111.6662412.8947214.270415.6507516.5482717.16208
35−0.181943713.032850.14944719.90802710.2470810.7963711.7939413.0328514.4285615.8380316.7593917.39172
36−0.241847713.168950.149536410.0318710.3701810.919311.9199313.1689514.584716.0239416.9717.6217
37−0.302017213.302180.149622110.1537310.4912211.0400112.043413.3021814.7378116.2071517.1785317.85027
38−0.362703713.432280.149710310.2733710.6099511.1582712.1640913.4322814.8876916.387617.3850718.07761
39−0.423481913.5590.149812610.3902410.7258711.2736112.2816413.55915.0341416.5651117.5894418.30359
40−0.483446213.682210.149941510.5036810.8383911.3855812.3957913.6822115.1770816.7395517.7914218.5279
41−0.541543713.802450.150104410.6136110.9475411.4943312.506913.8024515.3171216.911417.9913118.75068
42−0.596482813.921010.15030110.720611.0539711.600712.6160513.9210115.4555917.0817618.1899218.97246
43−0.646804514.03920.150526610.8252311.1584111.7055712.7243714.039215.5937317.2515318.3876919.19323
44−0.691508414.158520.150772310.9285211.2619211.8101212.8332414.1585215.7330517.4218818.5853619.41335
45−0.729799414.280320.151035511.0312711.3653911.9153612.9438314.2803215.8749117.5939418.7837119.63322
46−0.760601314.405730.151308511.1341411.4695612.0221313.0571714.4057316.0203717.7683418.9828119.85238
47−0.78270414.535560.151581311.2374811.5748412.1309813.1739714.5355616.1700617.945119.1819720.06943
48−0.795109614.670220.151849511.3412711.6813112.2420913.2945714.6702216.3242618.12419.3803120.28288
49−0.797416414.809830.152121411.4452511.7887412.3553113.4189614.8098316.4831218.3050319.5775620.49218
50−0.789423214.954360.152403711.5490711.8968412.4704113.5470214.9543616.6466518.4880719.7734420.69685
51−0.771382515.103520.152698111.6523912.0052712.5870813.6784415.1035216.8145218.6727719.9675620.89651
52−0.744352615.256490.153007911.754712.1134812.7046913.8125115.2564916.9859518.8585820.159721.09127
53−0.709107215.412180.153334211.855212.2206412.8223713.9482315.4121817.1597919.0444620.3490521.28057
54−0.666549715.570120.153674811.9536512.3264812.9397914.0852115.5701217.3355619.2301220.5356421.46477
55−0.618111215.729760.154029512.0499712.4308613.0567214.2230415.7297617.512819.4155220.7199721.64495
56−0.565624115.890360.154402112.1440212.5335213.1727314.3610815.8903617.6908619.6006420.9027821.82253
57−0.511125816.051720.154794412.236312.6348613.2880414.4992916.0517217.869819.7862321.0856321.99984
58−0.456212316.213620.155202112.3272812.7352113.4028214.6375816.2136218.0494719.972621.2693622.17819
59−0.40164416.375650.155622112.4170112.8345513.5169314.7756716.3756518.2294420.1594821.4539222.35773
60−0.347621516.537680.156049312.5055212.9329213.6303814.9135116.5376818.4095420.3466821.6390922.53823
Table 7

L, M, and S parameters and percentiles for length/height (cm) for age: girls 0 to 60 months.

Age (m)LMS3rd5th10th25th50th75th90th95th97th
0−1.7969650.056235.05E-0245.8500646.3238547.0809248.4269450.0562351.8487253.6251654.7731555.55653
1−1.84283253.274365.13E-0248.7480849.2563950.0694151.5173453.2743655.213257.1409758.3902459.24436
2−1.84556756.380815.20E-0251.5341152.0776152.9473154.4974756.3808158.46260.5345261.8793662.79962
3−1.77501559.26595.26E-0254.1034454.6830555.6102157.2616359.265961.4777763.6770565.1022166.07652
4−1.60987461.884375.31E-0256.4157.0276258.0140659.7663361.8843764.2101866.5099867.9931469.00376
5−1.3315964.215295.35E-0258.428159.0871460.1366161.9910764.2152966.6349469.0031470.5171871.54276
6−0.902051366.250655.38E-0260.1355260.8429261.9636563.9265166.2506568.7409571.1393272.652273.66788
7−0.332015868.005465.40E-0261.5385862.3035963.5065365.5865668.0054670.5446572.9390974.4240675.41006
80.295131469.538020.05417462.7036863.5338464.8272267.0296769.5380272.1118174.4850775.931476.88123
90.892416570.917345.43E-0263.7167264.6154366.0018868.3255670.9173473.5193675.8697777.2801678.1976
101.39061572.211045.44E-0264.6675565.6321367.1066769.5428272.2110474.841377.1780878.5633979.45796
111.74571173.458285.45E-0265.6193566.6401868.1896770.7218673.4582876.120778.4589279.8336980.71712
121.92672974.663235.45E-0266.6033367.6631569.2656371.8692874.6632377.3634979.7211981.1017681.98679
131.92337375.813225.46E-0267.62568.7015370.3293872.9744875.8132278.5570380.9529782.3560283.2555
141.77932876.898925.46E-0268.6590769.7341171.3646774.026476.8989279.6901382.1386983.5771984.50114
151.55315177.915515.46E-0269.6715670.7345472.3542775.0170177.9155180.7555583.265284.7472785.70213
161.29123378.867375.46E-0270.6420471.6886773.2916575.9476878.8673781.7559184.3304785.8603386.84962
171.03895279.769185.46E-0271.5614172.5929874.1802976.8296879.7691882.7044785.3428486.9202887.94412
180.832319280.631635.46E-0272.4230273.4445975.0222777.6709380.6316383.6106886.3072487.9278388.98299
190.67728581.467935.46E-0273.2357674.2528775.8278478.4832381.4679384.4883387.2369688.8954389.97787
200.565214582.294555.47E-0274.0179975.0353176.6135679.2825982.2945585.3552288.1513889.8434890.94987
210.490977583.118645.48E-0274.7789475.8005177.3873580.0762483.1186486.218889.0584690.780391.9075
220.455279483.938675.49E-0275.5177676.5475878.1481680.8629883.9386787.0770189.9553491.7023292.84667
230.462684484.745255.50E-0276.2240877.2664578.8863981.6335884.7452587.9195590.8302192.5965193.7534
240.513109185.532545.51E-0276.8920677.9514179.5963982.3823985.5325488.7402291.6763793.4557994.62032
250.600779586.300135.52E-0277.5235178.6038480.27983.109586.3001389.5385692.4938494.2807395.44849
260.715365987.050515.53E-0278.1247579.2292980.9386983.8180387.0505190.3175493.2870495.0771796.24492
270.837726287.786085.55E-0278.7067479.8368181.5819984.5116287.7860891.0804894.0621995.8540297.02061
280.946385488.506215.56E-0279.2802780.4346282.2138285.1913888.5062191.8277194.822796.6175297.78409
291.0354889.206995.57E-0279.845781.022182.8323485.8540689.2069992.5554595.565597.3652798.53348
301.10329789.890735.58E-0280.4068681.6026883.4404886.5021189.8907393.2662196.2934898.1004799.27214
311.14775490.562935.59E-0280.970882.1829784.0443387.1411290.5629393.9657597.0128798.82969100.0069
321.16670591.224335.59E-0281.5404782.765484.6456987.7721991.2243394.6548497.7247599.55427100.7394
331.16531691.873475.60E-0282.1128883.3474485.2425588.3938191.8734795.3314798.42612100.2705101.4652
341.15320892.510475.60E-0282.683883.9259685.8331989.0057392.5104795.9949799.11463100.9744102.1794
351.13932193.137385.60E-0283.2500284.4989986.4171689.6092293.1373896.6470199.79066101.6654102.8803
361.12909793.756090.05600783.8097385.0655186.9945190.2055793.7560997.28933100.4552102.3437103.5678
371.11986694.370955.60E-0284.3679985.6303387.5697490.7990394.3709597.92673101.1138103.0154104.2481
381.10178394.990525.60E-0284.9378586.2053188.1532691.3985194.9905298.56876101.778103.6937104.9358
391.06767295.622860.055906585.5309786.8012188.7546992.0124195.6228699.22411102.4578104.3897105.643
401.01481196.270835.58E-0286.1518987.4222189.3777292.6438896.2708399.89575103.1566105.1074106.374
410.945666796.935855.58E-0286.8003988.0684890.0230393.2941296.93585100.585103.8756105.8476107.1293
420.86739297.612445.57E-0287.4676388.7320990.6837893.9574197.61244101.2857104.607106.6014107.8992
430.784703498.290295.55E-0288.1423389.4022191.3496694.6237498.29029101.9865105.3381107.355108.6693
440.700781798.957515.54E-0288.812590.0670592.0090995.2816498.95751102.6747106.0551108.0938109.4239
450.623225599.6055.52E-0289.4660390.7153792.6518495.9218799.605103.3402106.746108.8042110.1487
460.5601411100.22755.50E-0290.0936191.3387893.2707796.53866100.2275103.977107.4033109.4772110.8334
470.5189113100.82135.48E-0290.6873291.9302693.8600597.12767100.8213104.5812108.0218110.1064111.4705
480.5080876101.38130.054580391.2370292.4807494.4120297.6829101.3813105.1474108.5947110.6839112.0512
490.530116101.90855.44E-0291.7405292.988594.9256498.20433101.9085105.677109.1237111.2113112.577
500.5777184102.40865.41E-0292.2046193.4598295.4065998.6973102.4086106.1776109.6189111.7005113.0612
510.6479912102.88835.40E-0292.6349193.9003195.8605699.16772102.8883106.6568110.0892112.1616113.5148
520.7400159103.3515.38E-0293.0338694.3125596.290399.61869103.351107.1186110.5394112.5998113.9433
530.8526757103.80085.37E-0293.4050294.700296.69962100.0541103.8008107.5675110.9743113.0206114.3524
540.9871423104.23795.35E-0293.747495.0626197.08823100.4742104.2379108.0034111.3939113.4236114.742
551.144285104.66355.35E-0294.0609895.4001597.45692100.8799104.6635108.4274111.799113.8098115.1129
561.32395105.08060.053386294.3478295.7152297.80848101.2743105.0806108.8428112.1931114.1827115.4688
571.524281105.48925.33E-0294.6073496.0074598.14269101.6574105.4892109.2494112.5765114.5432115.811
581.741061105.89375.33E-0294.8451296.2823398.46478102.0338105.8937109.6521112.9549114.8976116.1464
591.96665106.30055.33E-0295.0712496.5491398.78298102.4105106.3005110.0575113.336115.2549116.4847
602.191978106.71135.33E-0295.2937296.8145999.10227102.7904106.7113110.4677113.7228115.6189116.8306
Table 8

L, M, and S parameters and percentiles for head circumference (cm) for age: girls 0 to 60 months

Age (m)LMS3rd5th10th25th50th75th90th95th97th
0−2.50370134.527374.88E-0231.787332.0901132.5768433.4514634.5273735.735236.9637.767738.32674
1−2.22538536.022574.85E-0233.1537333.4738133.9867834.9036836.0225737.2660638.5126539.3263939.8856
2−1.94631637.462884.81E-0234.4687834.8060835.34536.3031137.4628838.7390740.0043140.8223141.3807
3−1.66652938.806594.77E-0235.6941336.048236.6121737.6093138.8065940.1112141.3908242.2105442.76662
4−1.38706340.027564.73E-0236.8059437.1760637.7637238.7969640.0275641.3556342.6448143.463544.01566
5−1.10977841.111524.69E-0237.7914838.176738.7863439.8522341.1115242.4578243.7517744.5667745.11346
6−0.836517942.055984.65E-0238.6488639.0480939.6778340.772742.0559843.4154444.7097145.5186746.05856
7−0.568899942.86614.62E-0239.3832239.7953140.4432141.5633842.866144.2340545.5247546.3256846.85773
8−0.307838343.552344.58E-0240.0044740.4282941.0924342.2343843.5523444.9246146.2084546.9997747.5232
9−5.48E-0244.129044.54E-0240.5261740.9605941.6391542.7995944.1290445.5021146.7764847.5570948.0714
100.188126344.613624.50E-0240.9647641.4087342.0999843.2759344.6136245.9846947.2477648.0170248.52204
110.419388945.023174.46E-0241.3363241.7888142.4911643.6799545.0231746.3900847.6406748.3983648.89414
120.637652445.371924.42E-0241.654242.1142442.8261944.0254445.3719246.7330447.970548.7166649.20347
130.841557145.67174.39E-0241.9295842.3962243.1163444.3238945.671747.0258448.2499348.9848649.46309
141.03070545.931014.35E-0242.1703942.642743.3696444.5835145.9310147.2772948.4879949.212149.68218
151.2048546.156974.31E-0242.3832642.8603443.5928244.8111846.1569747.4947748.6922549.4060249.86843
161.36383346.355774.27E-0242.5739143.0548743.7916745.0128946.3557747.6846548.8692549.5732150.02844
171.5076846.531814.23E-0242.7463343.2303543.970345.1928646.5318147.8514749.0236149.7183150.16685
181.63628746.689254.20E-0242.9043643.390644.1326145.3551146.6892547.9995749.1597349.8457650.2881
191.74949446.831934.16E-0243.0514543.5391244.2821545.5033146.8319348.1328849.2816349.959650.39623
201.84758946.962074.13E-0243.1895343.6778944.4209545.6396146.9620748.253749.3916350.0621350.49353
211.93112847.080330.040894343.3190543.8073644.5495245.764647.0803348.3626949.4903550.1539250.58051
222.0008547.185864.05E-0243.4390143.926644.6669645.877447.1858648.4589749.5768450.2339350.6561
232.05752347.27784.02E-0243.5484344.0346144.7723445.9771647.277848.5416549.6501250.3011550.71922
242.1014947.35773.99E-0243.6485444.1327244.8670346.0653447.357748.6123449.7118150.3571750.77145
252.13282447.429183.95E-0243.7425144.2241444.9543646.1454247.4291848.6747449.7656950.4058250.81665
262.15177647.496453.92E-0243.8340444.3126745.0382346.2214547.4964548.733249.8161950.4515450.85927
272.15881947.563373.89E-0243.9265144.4017445.1221946.2971647.5633748.7916749.8673250.4983850.90337
282.15463547.632643.85E-0244.0221744.4937145.2087146.3751547.6326448.8529149.9218750.5491450.95174
292.14010647.705893.82E-0244.1223144.5899345.2992246.4569747.7058948.918649.9814950.6054551.00601
302.11625147.784523.79E-0244.2279744.6915145.3949446.5439447.7845248.9901550.0476150.6686951.06754
312.08414947.869463.76E-0244.3397844.7991445.4966446.6369547.8694649.0684950.1211350.7397851.13721
322.04493547.960510.037355944.4573244.9124645.6040246.7357547.9605149.1534250.2017850.8183951.21468
331.99978448.056893.71E-0244.5796745.0306145.7162746.8395848.0568949.2441350.2887250.9036151.299
341.94995948.157410.03681244.7055345.152345.8321446.9472448.1574149.3393550.380650.9940751.38875
351.89681948.260783.66E-0244.8335345.2762145.9503647.0574848.2607849.4377750.47651.0882851.48241
361.8418348.365223.63E-0244.9618745.4005646.0691647.1685248.3652249.537550.5729751.184251.57788
371.78657448.468613.61E-0245.0884245.5232446.1864747.2783148.4686149.6363550.6691751.2794251.6727
381.73273848.568073.58E-0245.2103945.6414846.2995147.3840348.5680749.7313250.7614951.3707451.76358
391.68208748.659973.56E-0245.3242745.7517746.4047747.4821548.6599749.8186650.8460151.4541251.84642
401.63570848.742563.54E-0245.4283745.8524346.5005647.5709548.7425649.8965350.9208251.5275951.91922
411.59370948.817223.51E-0245.5240145.9447746.5882247.6517948.8172249.9663550.9873551.5926151.98343
421.55612948.885923.49E-0245.6130746.0306846.6696447.7266148.8859250.0301351.0476551.6512352.04112
431.5229448.949853.47E-0245.6967246.1113446.7460147.7965748.9498550.0890851.1029751.7047352.09357
441.49392949.010283.45E-0245.7762146.18846.8185547.8629349.0102850.144551.1546151.7544352.14214
451.4686549.068723.43E-0245.8530546.2621446.8887747.9271949.0687250.1979351.2041851.8019652.18845
461.44666549.126073.41E-0245.9281846.3347146.9575847.9902349.1260750.2502951.2526151.8482852.23349
471.42760149.183173.39E-0246.0024746.4065547.0258248.052949.1831750.3024351.3007751.8942852.27817
481.41111749.24133.37E-0246.0772246.4789547.0947748.1164749.241350.3556651.3500151.9413252.32385
491.39685749.3023.35E-0246.1539446.5534447.1659648.1824749.30250.4115351.4019151.9910152.37217
501.38465449.364853.33E-0246.2323346.6296947.2390248.250549.3648550.4696151.4560352.0428952.42266
511.37444149.428373.31E-0246.3110446.7063347.3125648.3191349.4283750.5283751.5107852.0953852.47371
521.36584349.491833.29E-0246.3894446.7827147.3859248.3876549.4918350.5870651.5654352.1477152.52459
531.35847649.554443.28E-0246.4668746.8581647.4583848.4553249.5544450.6448851.6191752.1990952.57448
541.35201649.61493.26E-0246.5421946.931547.5287448.5208849.614950.700551.6706252.2481352.62199
551.34617549.671690.03237646.6140347.0013447.5955848.5828449.6716950.7523351.7181852.2932252.66549
561.34060349.725263.22E-0246.6828847.0681747.6593648.6416949.7252650.8008551.7623252.3348252.70547
571.33517749.777180.031998246.7502247.1334847.721648.6989449.7771850.8476651.804752.3746252.74363
581.32988549.828413.18E-0246.8169347.1981547.7831948.7555249.8284150.8937351.846352.4136252.78097
591.32473349.879063.16E-0246.8831347.262347.8442448.8115549.8790650.9391951.8872552.4519452.81762
601.31975149.92993.14E-0246.9495447.3266747.9055248.867849.929950.9848451.9283752.4904252.8544
Table 9

L, M, and S parameters and percentiles for weight (kg) for length/height (cm): girls 0 to 60 months

Length/ht (cm)LMS3rd5th10th25th50th75th90th95th97th
55−0.28849344.2622010.14631413.2706113.3774053.5507993.8669934.2622014.7110245.1683695.4696465.677499
56−0.24799724.5377080.14533213.4831893.5973223.7823474.1188324.5377085.0111145.4910045.8057636.022289
57−0.20977514.8235320.14432363.7043593.8260654.0230734.3804094.8235325.3220525.8249386.1534476.378826
58−0.1736645.1153760.14329293.930884.0602774.2694334.6478455.1153765.639086.1649516.5071816.74139
59−0.13952425.4096430.1422444.1600364.2971434.5184534.917885.4096435.9582296.5067146.8624047.105263
60−0.10723075.703420.14118124.3896244.5343784.7677185.1878725.703426.2763016.8467577.2154797.466693
61−7.67E-025.9943510.1401084.6178544.7701265.0152675.4556785.9943516.5907237.1823077.5635087.822704
62−4.78E-026.2807910.13902894.8434745.0030855.259725.7197896.2807916.8997167.5114757.9045418.171306
63−2.05E-026.5614860.13794875.06555.2322365.5000045.9790456.5614867.2019447.8328558.2371368.511036
645.23E-036.8355340.13687325.2831955.4568175.7353236.2325946.8355347.4964678.1454898.5603288.840926
652.95E-027.102520.13580835.4961885.6764465.9652796.4800247.102527.7828878.4490138.8737859.160669
665.23E-027.3623060.13475975.7043175.8909576.1897036.7211717.3623068.0611158.7434039.1775329.470326
677.36E-027.6149990.13373245.9076086.1003786.408636.9560957.6149998.3313299.0289279.4718999.770272
689.33E-027.8608020.13273076.1061566.3048096.6221737.1849417.8608028.5938129.3059579.75732410.06099
690.11142298.0998930.13175926.3000246.504326.8304187.4078318.0998938.8488189.57483410.0342110.34293
700.12805028.3324560.13082166.4892726.6989827.0334537.6248918.3324569.0966059.83589610.3029410.61651
710.14312418.5587990.12992066.6740776.8889817.2314827.8363698.5587999.3375610.0896210.5640610.8823
720.15660528.7793740.12905756.8547437.0746347.4248448.0426488.7793749.57221910.3366210.8182411.14104
730.16850088.9946420.12823277.0315857.2562677.6138888.2441268.9946429.80111910.5775311.0661611.39343
740.17885459.2051980.12744617.2050257.4343217.7990868.4413289.20519810.0249310.8130811.3086111.64029
750.18771749.4117960.1266977.3756117.6093667.9810428.6349259.41179610.244511.0442211.5465811.88265
760.19498689.6153660.12598617.5440557.7821358.1605258.8257569.61536610.4608811.272111.781312.1218
770.2005399.8168130.12531357.7110617.9533478.3382879.0146359.81681310.6750711.4978612.01412.35901
780.204266410.016980.12467927.8772878.1236798.5150329.20232410.0169810.8880111.7225312.2457812.59544
790.206071110.216440.12408258.0431948.2936028.6912469.38934710.2164411.1003611.9468412.4774212.83189
800.205867510.415610.12352248.2091228.4634568.8672819.57607710.4156111.3125612.171312.7094713.06897
810.203554810.614760.12299728.3753178.6334919.0433869.76277110.6147611.5249312.3962812.9423213.30708
820.199015810.814120.12250548.5419988.803929.2197719.94964310.8141211.7377412.6220713.1763113.54657
830.192125111.013840.12204588.7093288.97499.3965910.1368411.0138411.9511512.8488913.4116813.78772
840.182745611.214130.12161738.8774919.1466119.57401610.3245411.2141312.1653913.07713.6487414.03087
850.170733411.415160.12121849.0466989.3192599.75224410.5129311.4151612.3806813.3066713.8877914.27634
860.155944611.617190.12084759.2171969.4930829.93151210.7022411.6171912.597313.5382314.129214.52454
870.138271211.820430.12050369.3891949.66829110.1120210.8926711.8204312.8154913.7719714.373314.77583
880.117658912.025140.12018569.562949.84512910.2940211.0844912.0251413.0355414.0082314.6204815.03063
899.42E-0212.231630.11989349.73862310.023810.4777311.2779412.2316313.2577914.2473814.8711315.28936
906.82E-0212.440210.11962769.91646510.2045410.6634111.4733212.4402113.4826114.4898415.1257115.5525
913.96E-0212.651210.119388310.0966610.3875710.8513111.670912.6512113.7103514.73615.3846515.82049
928.68E-0312.864950.119175810.2794110.573111.0416611.8709612.8649513.9413814.9862815.6483716.09379
93−2.44E-0213.081790.1189910.4649810.7614111.2347612.0738613.0817914.1761115.2411315.9173816.37295
94−5.95E-0213.30210.118830910.6536210.9527611.430912.2798813.302114.4149315.50116.1921716.65847
95−0.096662413.526170.118698710.8455311.1473711.6303212.4893213.5261714.6581915.766316.4731916.95086
96−0.135691613.754330.118593511.0409611.345511.8332812.7024413.7543314.9062516.0374416.7609317.25063
97−0.176592113.986910.118515111.2401811.5474212.0400612.9195713.9869115.1595216.3149117.055917.55836
98−0.219312114.224150.118463211.4433511.7533112.2508713.1409214.2241515.4182516.59917.3584917.87447
99−0.263783714.466040.118436611.6504911.9631812.465713.3664714.4660415.6824416.8897817.6687718.19909
100−0.309925714.712390.118434811.8614212.1768512.6843813.5960514.7123915.951917.1870417.9865918.53208
101−0.357649114.96280.11845712.0758212.3939912.9065613.829314.962816.2262317.4904118.3115718.87311
102−0.406838215.216710.118503212.2932112.6141213.1317514.0656715.2167116.504817.7992518.6431319.2216
103−0.457350915.473490.118572612.5130512.8366813.3593814.3045815.4734916.7869718.1128818.9805619.57688
104−0.509044215.732590.118664112.7348813.0612313.5889814.5455415.7325917.0721518.4306919.3232719.93835
105−0.56178715.993530.118776412.9582913.2873313.8201314.7880815.9935317.3597918.7521419.6707220.30551
106−0.61541816.255830.118908413.1828813.5145814.0523915.0317616.2558317.6493919.0766520.0223420.67779
107−0.669776316.519050.119058213.4082713.7426114.285415.276216.5190517.9404519.4037320.3776221.0547
108−0.724722716.782920.119223513.6342613.971214.5189315.5211416.7829218.2326719.7330220.7362121.4359
109−0.780124717.047220.119402813.8606614.2001614.7527915.7663817.0472218.525820.0642721.0978621.82116
110−0.835876817.311810.119594814.0873314.4293814.9868716.0118117.3118118.8196720.3972921.462422.21035
111−0.891882117.576590.119798114.3142114.6587715.2210816.2573417.5765919.1141720.7319721.8297622.60342
112−0.94807217.841550.120011414.5412814.8883315.4554116.5029517.8415519.4092821.0682922.1999223.0004
113−1.00439718.106670.120233914.7685415.1180415.6898716.7486518.1066719.7049721.4062622.5729523.40141
114−1.06080918.371970.120464614.9959815.3479215.9244516.9944418.3719720.0012521.7458822.9488923.80655
115−1.11728418.637420.120702615.2236215.5779716.1591717.2403318.6374220.2981122.0871823.3278124.21596
116−1.17381418.903050.120947115.4514615.808216.3940317.4863218.9030520.5955522.4301823.7097924.62978
117−1.23039219.168840.121197215.6795316.0386416.6290517.7324219.1688420.8935822.774924.0949325.04819
118−1.28700319.43480.12145215.9078316.2692816.8642417.9786319.434821.1921623.1213524.4832825.47132
119−1.34363919.70090.121711116.1363616.5001117.0995818.2249419.700921.4912923.4695524.8749225.89936
120−1.40030719.967140.121973916.3651116.7311517.3350818.4713619.9671421.7909623.8195325.2699926.33253
121−1.45701120.233520.122240116.594116.962417.5707618.7178920.2335222.0911924.1713425.6686126.7711
122−1.51375520.500070.122509416.8233517.1938817.8066218.9645420.5000722.3919924.5250626.0709527.21533
123−1.57054720.766780.122781417.0528717.425618.0426719.2113220.7667822.6933724.8807226.4771627.66554
Table 10

L, M, and S parameters and percentiles for Body mass index (kg/m2) for age: girls 0 to 60 months.

Age (m)LMS3rd5th10th25th50th75th85th90th95th97th
0−0.429065312.604310.13293789.93966310.2270210.6932311.5427212.6043113.8111214.5277515.0436115.8576116.42036
1−0.345858913.558830.132673210.6727410.9863511.4939612.4150313.5588314.8490915.6101616.1556517.0123717.60176
2−0.259066414.45040.132351311.3531311.6924212.2402313.2297614.450415.8162916.6164317.187418.079918.6909
3−0.167538415.230880.131932411.9437312.3069912.8918713.9432415.2308816.6595217.4904518.0806818.9988419.62429
4−7.13E-0215.877320.131417112.4270612.8119613.4298114.5345915.8773217.3538218.2062118.8088819.7417820.3741
52.87E-0216.383580.1308312.7986713.2026213.8489514.9981116.3835817.8930318.7578619.3664620.3039120.93617
60.129735416.757420.130193513.0658313.4861214.1562915.3409116.7574218.2864319.155919.7649620.6986821.32541
70.228905417.013580.129546613.2408113.674814.3644215.5762717.0135818.5510719.4190920.0244820.9484321.56584
80.323596817.169870.128922513.3382713.7834814.4884915.7202917.1698718.7072719.5694120.1682921.0785421.68433
90.41169617.243280.128334713.372513.8265414.5431815.7885117.2432818.7740719.6272520.2177621.1119921.70496
100.491166917.25060.12778613.3577413.8183514.5431515.7963517.250618.7700519.6123420.1934421.0706221.65045
110.558861317.208360.127279513.3085513.7734614.5030715.7591117.2083618.7135519.5441420.1156620.9760721.54335
120.611683617.131070.126815813.2378313.7047214.4358715.6902417.1310718.6205819.4396320.0020620.8470721.4031
130.646744317.031770.126385713.157413.623914.3533615.6019317.0317718.5053419.3137519.8681220.6999221.24655
140.661275916.922380.125986713.0778113.5415314.2661815.5052616.9223818.380919.1802519.728120.5496621.08926
150.65345616.812220.125618513.006913.4655514.1824715.4088516.8122218.2574319.0498319.5930620.4078920.9432
160.624338816.706270.125287812.9474313.3990914.1058815.3170716.7062718.1402918.9279819.4685320.2801920.81394
170.577342516.604590.12500512.8971413.3404314.0353515.2296416.6045918.0294418.8143919.3539920.1655820.70019
180.515984716.505070.124774212.852313.2862713.9681515.1443416.5050717.9223918.7062219.2462720.0603820.59784
190.443381816.406890.124595312.8106213.2347213.9028315.0602316.4068917.8180518.6021119.1437819.9625820.50458
200.362486116.310070.124458312.7709313.1849113.8389414.9772616.3100717.7161518.5014719.0457119.8709420.41888
210.276342416.212280.124350112.7303913.1342513.7741414.8932716.2122817.6138418.4010518.9484319.7812720.33613
220.187255216.110890.124261712.6862213.0800613.7058814.8057816.1108917.50818.2973418.8481519.6892620.25165
239.67E-0216.003860.124185712.6364313.0204113.632314.7129416.0038617.3962518.187718.7420219.5916920.16197
245.48E-0315.891380.124115312.5810512.9553813.5535314.6149215.8913817.2786618.0720918.629919.488320.06673
25−8.65E-0215.776430.124045112.5226212.8875413.4722214.5145415.7764317.1584117.953818.5151719.3825919.96951
26−0.179566715.663460.123967612.4649712.8207713.3923514.4159815.6634617.0402817.8378118.4029719.2799619.87594
27−0.27351515.555740.123881912.4106712.7577413.316714.3222315.5557416.9277917.7277918.2970719.1843719.79009
28−0.367666615.454380.12379312.3603612.6991213.2460614.2342515.4543816.8221817.6250418.1987819.0971519.71333
29−0.460940715.360390.123710112.314412.6453813.18114.1528415.3603916.7245917.5307118.1092819.0194419.64676
30−0.5518215.275680.123638812.2739312.5977413.1229214.0796615.2756816.637117.446918.0306118.9532219.59225
31−0.638766615.201560.123573612.2398412.5571713.0728814.0158915.2015616.5609617.3747417.963818.8992119.55029
32−0.720462715.138320.123503112.2124312.5239513.0311913.961915.1383216.4962917.3141617.9085818.8567519.51987
33−0.796143415.085840.12341412.1918212.4982112.9979213.9176515.0858416.4427517.2646117.8642218.8247419.49958
34−0.86513615.044020.123297312.1780812.4799712.9730713.8831115.0440216.4000917.2256917.8301418.8022819.48819
35−0.92636915.012280.123145712.1707912.468812.9561913.8578115.0122816.3675217.1963917.8051318.7876719.4836
36−0.978204314.988080.122946912.1678112.4625612.9450813.8394214.9880816.3420117.1732317.7853118.7762319.48039
37−1.01976914.968080.122699812.1663612.4583812.9368213.8248514.9680816.3198417.152217.7663718.7630419.47314
38−1.05041814.949870.122411712.164312.4541212.9291813.811814.9498716.2984517.1305517.7454218.7448919.45829
39−1.06909714.931010.122099312.1591712.447312.9197113.7978314.9310116.2752917.1056417.7196918.7187219.43251
40−1.07507614.908890.121775112.1485212.4354712.9059313.7804114.9088916.2476617.0746617.6862618.6813919.39247
41−1.06948114.883050.121451212.1320812.4182912.8874313.7590514.8830516.2152717.0375317.6452818.6334919.33913
42−1.05427514.855040.121135612.1114512.3973312.8657113.7352214.8550416.1800516.9965717.5994318.5784819.27662
43−1.0312814.825960.120825912.0880312.3739212.8420213.7100414.8259616.143316.9533517.5505418.5187319.20786
44−1.00244214.796320.120513512.0628512.3489812.8171413.6841114.7963216.105616.9086117.4995718.4556919.13472
45−0.969815714.767160.12019212.0373512.3238912.7923513.6585614.7671616.0681416.8637817.4481718.3915419.0599
46−0.935253714.739930.119851312.0133412.3003912.7692713.6348814.7399316.0324916.8206317.3983118.328718.9862
47−0.900203614.715540.119483911.9920612.2796512.7490113.6140514.7155415.9996616.7802717.3512618.2687318.91548
48−0.864904514.693390.119098611.9729112.2610712.7309313.5954514.6933915.969116.7422417.3066118.2113418.84753
49−0.829455714.674130.118717211.9560312.2448312.7152913.5794714.6741315.9417716.7077117.2656818.1581418.78417
50−0.794379314.659620.118366311.9425612.2321212.703413.5676614.6596215.9200216.6793617.2314518.1125618.7292
51−0.759988614.64980.11807111.9320212.2225112.6948813.5597514.649815.9040916.6576517.2045118.0754818.68368
52−0.726486714.643760.11784611.9234212.2149912.6887213.5547714.6437615.8931416.6417817.1841218.0462218.64698
53−0.693602814.639230.117702611.9146112.207412.6827613.5505114.6392315.8848116.6293317.167818.0221718.6164
54−0.660925714.634190.117647611.9036712.1978412.6750613.5450214.6341915.8769616.6180417.1531818.000818.58927
55−0.628161814.627360.117681811.8894712.1851512.6644713.537114.6273615.8681816.6064117.1386917.9803918.56372
56−0.595353514.617890.117801911.8713512.1686712.650313.5259814.6178915.8575116.593417.1232317.9597118.53846
57−0.562817814.606060.117997911.849812.1488412.6329413.5120114.6060615.8451316.5791517.106917.9388318.51351
58−0.531129214.592550.118252311.8258612.1266812.6133413.4960114.5925515.8316316.5641817.0901917.9181918.48928
59−0.500554414.57750.118546411.8000712.1026812.5919213.4782814.577515.8169516.5483317.0728617.897418.4653
60−0.47114214.560990.118862311.7728612.0772312.5690313.4590514.5609915.8009616.5313517.0545517.8759518.44093

DISCUSSION

The development of a growth reference for children and adolescents is essential to monitor growth. Growth references have been developed for almost all developed countries,2,4,5 and some developing countries.14–17 For many years, many countries used the US national Center for Health Statistics (NCHS) growth charts adopted by the WHO, not because of accuracy, but because of the unavailability of alternatives as evidenced by the recent revised growth charts that are more representative of US children (the CDC 2000 growth charts for USA children).2 Probably the most important milestone in the development of growth charts was the creation of the WHO Child Growth Standard as a result of a multicenter, multinational survey.3 Many physicians in Saudi Arabia use the US reference and some use the WHO Standards. This practice was acceptable when no nationally representative growth charts for Saudi children and adolescents were available. However, previous studies have shown clear differences in growth between Saudi and American children.6–8 More recently, we have reported a nationally-representative growth reference for Saudi children that was recommended both by the Saudi Pediatric Association and the Saudi Council for Health Services, to be used instead of charts of other populations.9 As a result, we demonstrated that the use of CDC 2000 and the WHO standards to assess and follow the growth of Saudi children in clinics is not appropriate because of overdiagnosis of under-nutrition, stunting and short stature potentially resulting in unnecessary referral and investigation.18,19 Therefore, there is little or no justification for the continued use of growth charts of other populations to assess the growth of Saudi children. Nevertheless, the WHO Child Growth Standards are probably the best reference to assess the nutritional status not in clinics and hospitals, but at the population level. A limitation of our study is that The report does not reflect interregional variations in growth. Data on L, M, and S parameters, percentile tables, and corresponding growth charts for Saudi children have not been previously reported. This information is essential to health authorities and researchers in this era of conversion from traditional to electronic medical records. The availability of the L, M, and S parameters is essential to incorporate the Saudi growth charts in electronic medical records and enable researchers to calculate the z-scores of growth parameters. In addition, body mass index tables and graphs for Saudi preschool children have not been reported before. The BMI can now be used to screen Saudi children from birth to 60 months of age for overweight and obesity as well as thinness. This report provides clinicians and researchers with the L, M, and S parameters by percentiles that are needed for assessing the growth of Saudi preschool children.
  16 in total

1.  Growth charts for Saudi children and adolescents.

Authors:  Mohammad I El-Mouzan; Abdullah S Al-Herbish; Abdullah A Al-Salloum; Mansour M Qurachi; Ahmad A Al-Omar
Journal:  Saudi Med J       Date:  2007-10       Impact factor: 1.484

2.  Malaysian growth centiles for children under six years old.

Authors:  Yiibonn Bong; Asma Ahmad Shariff; Abdul Majid Mohamed; Amir Feisal Merican
Journal:  Ann Hum Biol       Date:  2014-05-22       Impact factor: 1.533

3.  British 1990 growth reference centiles for weight, height, body mass index and head circumference fitted by maximum penalized likelihood.

Authors:  T J Cole; J V Freeman; M A Preece
Journal:  Stat Med       Date:  1998-02-28       Impact factor: 2.373

4.  2000 CDC Growth Charts for the United States: methods and development.

Authors:  Robert J Kuczmarski; Cynthia L Ogden; Shumei S Guo; Laurence M Grummer-Strawn; Katherine M Flegal; Zuguo Mei; Rong Wei; Lester R Curtin; Alex F Roche; Clifford L Johnson
Journal:  Vital Health Stat 11       Date:  2002-05

5.  The development of growth references and growth charts.

Authors:  T J Cole
Journal:  Ann Hum Biol       Date:  2012-07-11       Impact factor: 1.533

6.  Clinical growth charts for pre-school children.

Authors:  Maysoon M Al-Amoud; Yagob Y Al-Mazrou; Sirrag E El-Gizouli; Tawfik A Khoja; Khalid A Al-Turki
Journal:  Saudi Med J       Date:  2004-11       Impact factor: 1.484

7.  Growth reference charts for use in the United Kingdom.

Authors:  C M Wright; I W Booth; J M H Buckler; N Cameron; T J Cole; M J R Healy; J A Hulse; M A Preece; J J Reilly; A F Williams
Journal:  Arch Dis Child       Date:  2002-01       Impact factor: 3.791

Review 8.  Worldwide variation in human growth and the World Health Organization growth standards: a systematic review.

Authors:  Valerie Natale; Anuradha Rajagopalan
Journal:  BMJ Open       Date:  2014-01-08       Impact factor: 2.692

9.  Growth curves of preschool children in the northeast of iran: a population based study using quantile regression approach.

Authors:  Abolfazl Payande; Hamed Tabesh; Mohammad Taghi Shakeri; Azadeh Saki; Mohammad Safarian
Journal:  Glob J Health Sci       Date:  2013-01-14

10.  Comparison of the 2005 growth charts for Saudi children and adolescents to the 2000 CDC growth charts.

Authors:  Mohammad I El Mouzan; Abdullah S Al Herbish; Abdullah A Al Salloum; Peter J Foster; Ahmad A Al Omar; Mansour M Qurachi; Tatjana Kecojevic
Journal:  Ann Saudi Med       Date:  2008 Sep-Oct       Impact factor: 1.526

View more
  3 in total

1.  Impact of pediatric inflammatory bowel disease on linear growth: Data from a national cohort study in Saudi Arabia.

Authors:  Mahmood D Al-Mendalawi
Journal:  Saudi J Gastroenterol       Date:  2016 Jul-Aug       Impact factor: 2.485

2.  Comment on: Growth characteristics in children with congenital adrenal hyperplasia.

Authors:  Mahmood D Al-Mendalawi
Journal:  Saudi Med J       Date:  2018-11       Impact factor: 1.484

3.  Z-score growth reference data for Saudi preschool children.

Authors:  Mohammad Issa El Mouzan; Ahamed Shaffi; Abdullah Al Salloum; Mansour M Alqurashi; Abdullah Al Herbish; Ahmad Al Omer
Journal:  Ann Saudi Med       Date:  2017 Jan-Feb       Impact factor: 1.526

  3 in total

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