 | Communicable Disease Control in Emergencies - A Field Manual (WHO - OMS, 2003, 223 p.) |
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ANNEX 3: NCHS/WHO NORMALIZED REFERENCE VALUES FOR WEIGHT FOR HEIGHT BY SEX
WEIGHT-FOR-LENGTH (49-84 cm) AND
WEIGHT-FOR-HEIGHT (85-110
cm)
|
Boys' weight (kg) | |
Girls' weight (kg) | ||||||||
|
-4SD |
-3SD |
-2SD |
-1SD |
Median |
Length |
Median |
-1SD |
-2SD |
-3SD |
-4SD |
|
60% |
70% |
80% |
90% | |
(cm) |
|
90% |
80% |
70% |
60% |
|
1.8 |
2.1 |
2.5 |
2.8 |
3.1 |
49 |
3.3 |
2.9 |
2.6 |
2.2 |
1.8 |
|
1.8 |
2.2 |
2.5 |
2.9 |
3.3 |
50 |
3.4 |
3 |
2.6 |
2.3 |
1.9 |
|
1.8 |
2.2 |
2.6 |
3.1 |
3.5 |
51 |
3.5 |
3.1 |
2.7 |
2.3 |
1.9 |
|
1.9 |
2.3 |
2.8 |
3.2 |
3.7 |
52 |
3.7 |
3.3 |
2.8 |
2.4 |
2 |
|
1.9 |
2.4 |
2.9 |
3.4 |
3.9 |
53 |
3.9 |
3.4 |
3 |
2.5 |
2.1 |
|
2 |
2.6 |
3.1 |
3.6 |
4.1 |
54 |
4.1 |
3.6 |
3.1 |
2.7 |
2.2 |
|
2.2 |
2.7 |
3.3 |
3.8 |
4.3 |
55 |
4.3 |
3.8 |
3.3 |
2.8 |
2.3 |
|
2.3 |
2.9 |
3.5 |
4 |
4.6 |
56 |
4.5 |
4 |
3.5 |
3 |
2.4 |
|
2.5 |
3.1 |
3.7 |
4.3 |
4.8 |
57 |
4.8 |
4.2 |
3.7 |
3.1 |
2.6 |
|
2.7 |
3.3 |
3.9 |
4.5 |
5.1 |
58 |
5 |
4.4 |
3.9 |
3.3 |
2.7 |
|
2.9 |
3.5 |
4.1 |
4.8 |
5.4 |
59 |
5.3 |
4.7 |
4.1 |
3.5 |
2.9 |
|
3.1 |
3.7 |
4.4 |
5 |
5.7 |
60 |
5.5 |
4.9 |
4.3 |
3.7 |
3.1 |
|
3.3 |
4 |
4.6 |
5.3 |
5.9 |
61 |
5.8 |
5.2 |
4.6 |
3.9 |
3.3 |
|
3.5 |
4.2 |
4.9 |
5.6 |
6.2 |
62 |
6.1 |
5.4 |
4.8 |
4.1 |
3.5 |
|
3.8 |
4.5 |
5.2 |
5.8 |
6.5 |
63 |
6.4 |
5.7 |
5 |
4.4 |
3.7 |
|
4 |
4.7 |
5.4 |
6.1 |
6.8 |
64 |
6.7 |
6 |
5.3 |
4.6 |
3.9 |
|
4.3 |
5 |
5.7 |
6.4 |
7.1 |
65 |
7 |
6.3 |
5.5 |
4.8 |
4.1 |
|
4.5 |
5.3 |
6 |
6.7 |
7.4 |
66 |
7.3 |
6.5 |
5.8 |
5.1 |
4.3 |
|
4.8 |
5.5 |
6.2 |
7 |
7.7 |
67 |
7.5 |
6.8 |
6 |
5.3 |
4.5 |
|
5.1 |
5.8 |
6.5 |
7.3 |
8 |
68 |
7.8 |
7.1 |
6.3 |
5.5 |
4.8 |
|
5.3 |
6 |
6.8 |
7.5 |
8.3 |
69 |
8.1 |
7.3 |
6.5 |
5.8 |
5 |
|
5.5 |
6.3 |
7 |
7.8 |
8.5 |
70 |
8.4 |
7.6 |
6.8 |
6 |
5.2 |
|
5.8 |
6.5 |
7.3 |
8.1 |
8.8 |
71 |
8.6 |
7.8 |
7 |
6.2 |
5.4 |
|
6 |
6.8 |
7.5 |
8.3 |
9.1 |
72 |
8.9 |
8.1 |
7.2 |
6.4 |
5.6 |
|
6.2 |
7 |
7.8 |
8.6 |
9.3 |
73 |
9.1 |
8.3 |
7.5 |
6.6 |
5.8 |
|
6.4 |
7.2 |
8 |
8.8 |
9.6 |
74 |
9.4 |
8.5 |
7.7 |
6.8 |
6 |
|
6.6 |
7.4 |
8.2 |
9 |
9.8 |
75 |
9.6 |
8.7 |
7.9 |
7 |
6.2 |
|
6.8 |
7.6 |
8.4 |
9.2 |
10 |
76 |
9.8 |
8.9 |
8.1 |
7.2 |
6.4 |
|
7 |
7.8 |
8.6 |
9.4 |
10.3 |
77 |
10 |
9.1 |
8.3 |
7.4 |
6.6 |
|
7.1 |
8 |
8.8 |
9.7 |
10.5 |
78 |
10.2 |
9.3 |
8.5 |
7.6 |
6.7 |
|
7.3 |
8.2 |
9 |
9.9 |
10.7 |
79 |
10.4 |
9.5 |
8.7 |
7.8 |
6.9 |
|
7.5 |
8.3 |
9.2 |
10.1 |
10.9 |
80 |
10.6 |
9.7 |
8.8 |
8 |
7.1 |
|
7.6 |
8.5 |
9.4 |
10.2 |
11.1 |
81 |
10.8 |
9.9 |
9 |
8.1 |
7.2 |
|
7.8 |
8.7 |
9.6 |
10.4 |
11.3 |
82 |
11 |
10.1 |
9.2 |
8.3 |
7.4 |
|
7.9 |
8.8 |
9.7 |
10.6 |
11.5 |
83 |
11.2 |
10.3 |
9.4 |
8.5 |
7.6 |
|
8.1 |
9 |
9.9 |
10.8 |
11.7 |
84 |
11.4 |
10.5 |
9.6 |
8.7 |
7.7 |
|
7.8 |
8.9 |
9.9 |
11 |
12.1 |
85 |
11.8 |
10.8 |
9.7 |
8.6 |
7.6 |
|
7.9 |
9 |
10.1 |
11.2 |
12.3 |
86 |
12 |
11 |
9.9 |
8.8 |
7.7 |
|
8.1 |
9.2 |
10.3 |
11.5 |
12.6 |
87 |
12.3 |
11.2 |
10.1 |
9 |
7.9 |
|
8.3 |
9.4 |
10.5 |
11.7 |
12.8 |
88 |
12.5 |
11.4 |
10.3 |
9.2 |
8.1 |
|
8.4 |
9.6 |
10.7 |
11.9 |
13 |
89 |
12.7 |
11.6 |
10.5 |
9.3 |
8.2 |
|
8.6 |
9.8 |
10.9 |
12.1 |
13.3 |
90 |
12.9 |
11.8 |
10.7 |
9.5 |
8.4 |
|
8.8 |
9.9 |
11.1 |
12.3 |
13.5 |
91 |
13.2 |
12 |
10.8 |
9.7 |
8.5 |
|
8.9 |
10.1 |
11.3 |
12.5 |
13.7 |
92 |
13.4 |
12.2 |
11 |
9.9 |
8.7 |
|
9.1 |
10.3 |
11.5 |
12.8 |
14 |
93 |
13.6 |
12.4 |
11.2 |
10 |
8.8 |
|
9.2 |
10.5 |
11.7 |
13 |
14.2 |
94 |
13.9 |
12.6 |
11.4 |
10.2 |
9 |
|
9.4 |
10.7 |
11.9 |
13.2 |
14.5 |
95 |
14.1 |
12.9 |
11.6 |
10.4 |
9.1 |
|
9.6 |
10.9 |
12.1 |
13.4 |
14.7 |
96 |
14.3 |
13.1 |
11.8 |
10.6 |
9.3 |
|
9.7 |
11 |
12.4 |
13.7 |
15 |
97 |
14.6 |
13.3 |
12 |
10.7 |
9.5 |
|
9.9 |
11.2 |
12.6 |
13.9 |
15.2 |
98 |
14.9 |
13.5 |
12.2 |
10.9 |
9.6 |
|
10.1 |
11.4 |
12.8 |
14.1 |
15.5 |
99 |
15.1 |
13.8 |
12.4 |
11.1 |
9.8 |
|
10.3 |
11.6 |
13 |
14.4 |
15.7 |
100 |
15.4 |
14 |
12.7 |
11.3 |
9.9 |
|
10.4 |
11.8 |
13.2 |
14.6 |
16 |
101 |
15.6 |
14.3 |
12.9 |
11.5 |
10.1 |
|
10.6 |
12 |
13.4 |
14.9 |
16.3 |
102 |
15.9 |
14.5 |
13.1 |
11.7 |
10.3 |
|
10.8 |
12.2 |
13.7 |
15.1 |
16.6 |
103 |
16.2 |
14.7 |
13.3 |
11.9 |
10.5 |
|
11 |
12.4 |
13.9 |
15.4 |
16.9 |
104 |
16.5 |
15 |
13.5 |
12.1 |
10.6 |
|
11.2 |
12.7 |
14.2 |
15.6 |
17.1 |
105 |
16.7 |
15.3 |
13.8 |
12.3 |
10.8 |
|
11.4 |
12.9 |
14.4 |
15.9 |
17.4 |
106 |
17 |
15.5 |
14 |
12.5 |
11 |
|
11.6 |
13.1 |
14.7 |
16.2 |
17.7 |
107 |
17.3 |
15.8 |
14.3 |
12.7 |
11.2 |
|
11.8 |
13.4 |
14.9 |
16.5 |
18 |
108 |
17.6 |
16.1 |
14.5 |
13 |
11.4 |
|
12 |
13.6 |
15.2 |
16.8 |
18.3 |
109 |
17.9 |
16.4 |
14.8 |
13.2 |
11.6 |
|
12.2 |
13.8 |
15.4 |
17.1 |
18.7 |
110 |
18.2 |
16.6 |
15 |
13.4 |
11.9 |
Notes:
1. Length is generally measured in children below 85 cm, and height in children 85 cm and above. Recumbent length is on average 0.5 cm greater than standing height; although the difference is of no importance to the individual child, a correction may be made by deducting 0.5 cm from all lengths above 84.9 cm if standing height cannot be measured.2. SD = standard deviation score (or Z-score). The relationship between the percentage-of-median value and the SD-score or Z-score varies with age and height, particularly in the first year of life, and beyond 5 years. Between 1 and 5 years median -1 SD and median -2 SD correspond to approximately 90% and 80% of median (weight-for-length/height, and weight-for-age), respectively. Beyond 5 years of age or 110 cm (or 100 cm in stunted children) this equivalence is not maintained; median -2 SD is much below 80% of median. Hence the use of "percentage-of-median" is not recommended, particularly in children of school age. Somewhere beyond 10 years or 137 cm, the adolescent growth spurt begins and the time of its onset is variable. The correct interpretation of weight-for-height data beyond this point is therefore difficult.
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