Development - Growth Charts Flashcards
What are growth charts used for?
Plot child’s weight, height and head circumference against normal distribution
What is always plotted on the X axis?
Age
What are the 3 phases of growth?
First 2 years
Rapid growth driven by nutritional factors
2 years to puberty
Steady slow growth
Puberty
Rapid growth spurt driven by sex hormones
What are some common causes of obesity in children?
Readily available
Affordable
Hyper-palatable
High calorie foods
Shift from physical activities to sedentary activities e.g. games and screens
How is overweight defined using growth charts?
Over 85th percentile
How is obese defined using growth charts?
Over 95th percentile
When should an endocrine cause be considered for overweight children?
If short and obese e.g. due to hypothyroidism
Pathological causes are rare
Obese children often tall for their age
What are obese children more likely to experience?
Bullying
Impaired glucose tolerance
T2DM
CVD
Arthritis