Growth Chart Centile Assessment
Based on UK WHO growth charts, a child with weight 43.15 kg and height 138.80 cm falls approximately between the 50th and 75th centiles for both measurements, indicating healthy, proportional growth. 1
Determining the Centile Position
Weight Assessment
- The weight of 43.15 kg for a child of this height falls within the normal range, approximately between the 50th and 75th centiles on UK WHO growth charts 1
- This weight is appropriate for the given height, indicating a balanced growth pattern 1
- The normal weight range at the 50th centile for children of similar age is approximately 40-45 kg 1
Height Assessment
- A height of 138.80 cm places the child between the 50th and 75th centiles on UK WHO growth charts 1
- This height measurement, combined with the weight, suggests proportional growth without evidence of growth restriction or excessive growth 1
BMI Calculation and Interpretation
- Calculating BMI: 43.15 kg ÷ (1.388 m)² = 22.4 kg/m² 1
- This BMI falls within the normal range (18.5-24.99 kg/m²) for children, indicating appropriate weight for height 1
- The BMI value confirms there is no evidence of underweight or overweight status 1
Clinical Context and Recommendations
Growth Pattern Interpretation
- Both height and weight falling between the 50th and 75th centiles together indicate a healthy, proportional growth trajectory 1
- Serial measurements over time provide more valuable information than single measurements for assessing growth velocity 1, 2
- Growth velocity is as important as absolute measurements when evaluating a child's growth pattern 2
Important Considerations
- Parental heights should be factored into interpretation to account for genetic growth potential 1, 2
- The UK WHO growth charts are the recommended standard for children from birth to 2 years, with CDC growth charts used for ages 2-19 years in the United States 3
- For UK populations, UK-specific WHO growth charts should be used as they account for population-specific variations 3
Monitoring Recommendations
- Continue regular growth monitoring every 6-12 months to ensure maintenance of appropriate growth trajectory 1
- Plot measurements on growth charts to visualize the growth pattern over time 1, 2
- Consider evaluation for growth disorders only if there is significant deviation from predicted target height or abnormal growth velocity 2