Z-Scores - WHO Growth Charts

BMI-for-age BOYS
Birth to 2 years (z-scores)
22
22
21
21
20
19
20
19
BMI (kg/m2)
18
18
17
16
15
-1
14
-2
13
-3
17
16
15
14
13
12
12
11
11
10
10
1
Months
Birth
10
11
1 year
10
11
2 years
Age (completed months and years)

WHO Child Growth Standards
BMI-for-age GIRLS
22
22
21
21
20
19
19
18
BMI (kg/m2)
20
17
16
18
17
16
15
15
14
-1
14
13
-2
13
12
-3
12
11
11
10
10
1
Months
Birth
10
11
1 year
10
11
2 years

Length-for-age BOYS
3
95
90
95
90
0
85
85
-2
Length (cm)
80
-3
80
75
75
70
70
65
65
60
60
55
55
50
50
45
45
1
Months
Birth
10
11
1 year
10
11
2 years

Length-for-age GIRLS
95
95
2
90
90
85
-2
80
85
80
Length (cm)
-3
75
75
70
70
65
65
60
60
55
55
50
50
45
45
1
Months
Birth
10
11
1 year
10
11
2 years

Weight-for-age BOYS
3
17
16
16
15
15
14
14
13
13
12
Weight (kg)
17
11
12
11
10
-2
-3
10
9
2
1
Months
Birth
10
11
1 year
10
11
2 years

Weight-for-age GIRLS
3
17
16
16
15
Weight (kg)
17
15
14
14
13
13
12
12
11
10
11
10
-2
-3
2
1
Months
Birth
10
11
1 year
10
11
2 years

Weight-for-length BOYS
24
24
22
22
20
20
18
18
-1
Weight (kg)
16
-2
-3
14
16
14
12
12
10
10
2
45
50
55
60
65
70
75
80
85
90
95
100
105
110
Length (cm)
Weight-for-length GIRLS
3
24
24
22
22
20
20
18
18
-1
Weight (kg)
16
-2
-3
14
16
14
12
12
10
10
2
45
50
55
60
65
70
75
80
85
90
95
100
105
110
Length (cm)
Interpretation of WHO Growth Charts
Z-score
Length-for-age
Weight-for-age
Weight-for-Length
BMI
+3
+2
Excessively tall
Overweight or obese but use

weight-for-length or BMI as basis
Morbidly obese
Obese (BMI30 kg/m2 at
19 years)
Morbidly obese
Obese (BMI30 kg/m2 at
19 years)
Overweight (BMI25
kg/m2 at 19 years)
Overweight (BMI25
kg/m2 at 19 years)
+1
0
-1
-2
-3
Stunted growth (suggested

rehabilitation
Moderately underweight
Moderately wasted
Moderately wasted
Severely stunted
Severely underweight
Severely wasted
Severly wasted
Notes:
1.
2.
3.
4.
5.
A child in this range is very tall. Tallness is rarely a problem, unless

it is so excessive that it may indicate an endocrine disorder such as
a growth-hormone-producing tumor. Refer a child in this range for
assessment if you suspect endocrine disorder (e.g. if parents of
normal height have a child who is excessively tall for his or her
age).
A child whose weight-for-age falls in this range may have a growth
problem, but this is better assessed from weight-for-length/height
or BMI-for-age.
A plotted point above 1 shows possible risk. A trend towards the zscore line shows definite risk.
It is possible for a stunted or severely stunted child to become
overweight.
This is referred to as very low weight in IMCI training modules
(Integrated Management of Childhood Illness, In-sevice training.
WHO, Geneva, 1997).

Z-Scores - WHO Growth Charts

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BMI-for-age BOYS

Birth to 2 years (z-scores)

Age (completed months and years)

Age (completed months and years)

Age (completed months and years)

Age (completed months and years)

Age (completed months and years)

Age (completed months and years)

Interpretation of WHO Growth Charts

Overweight or obese but use

Stunted growth (suggested

A child in this range is very tall. Tallness is rarely a problem, unless

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