Pediatric Growth Charts and Malnutrition

Working in pediatrics means inevitably using growth charts. In this helpful pediatric foundational video, Alyson RD, CNSC introduces the different types of growth charts, z-scores, and pediatric malnutrition indicators.
References:
Becker, P., Carney, L. N., Corkins, M. R.,
Monczka , J., Smith, E., Smith, S. E., Spear, B. A., White, J. V., Academy of Nutrition
and Dietetics, & American Society for Parenteral and Enteral Nutrition (2015). Consensus statement of the Academy of
Nutrition and Dietetics/American Society for Parenteral and Enteral Nutrition: indicators recommended for the identification
and documentation of pediatric malnutrition (undernutrition). Nutrition in clinical practice : official publication of the American
Society for Parenteral and Enteral Nutrition 30 (1), 147 161. doi.org/10.117...
Corkins, M. R., & Balint, J. (2015).
The A.S.P.E.N. Pediatric Nutrition Support Core Curriculum . American Society for Parenteral and
Enteral Nutrition.
Goldberg, D. L., Becker, P. J., Brigham, K., Carlson, S., Fleck, L.,
Gollins , L., Sandrock, M., Fullmer, M., & Van Poots, H. A.
(2018). Identifying Malnutrition in Preterm and Neonatal Populations: Recommended Journal of the Academy of
Nutrition and Dietetics 118 (9), 1571 1582. doi.org/10.101...
Texas Children's Hospital. (2019).
Texas Children's Hospital Pediatric Nutrition Reference Guide (12th

[@bethpeterson1730]

Thank you, Alyson! Both of your videos were great! As someone who has worked with adults for an entire career, I appreciate learning the basics for pediatrics. :)

[@michele914]

Great job Alyson!

[@avadaly9296]

Thank you Alyson! I always cross compare Z-scores/percentiles from the CDC growth charts in the EMR with Peditools and have noticed that in recent weeks they have been off slightly (ex. BMI Z-score of -1.26 vs. -1.32). I was wondering which you suggest using. I primarily work with adults but do see pediatric patients ages 2+ on occasion and appreciate your expertise!

[@DietitiansinNutritionSupport]

You bring up an excellent point that is often discussed amongst many pediatric RDs! I recommend picking one and being consistent with the one you choose. Most often, I will use peditools as I know I am plotting the information in a consistent way every time.
- Alyson

[@user-jt3ho7zj6l]

You don't use the WHO Set 2 growth charts for 2-19 years old?

[@DietitiansinNutritionSupport]

Thank you for your question. The WHO growth charts are recommended for use for 0-2 years of age and the CDC growth charts are recommended for those 2-20 years of age. While the WHO growth charts also have charts for 2-5 years of age, the CDC allows for better continuity of assessing growth trends for beyond 5 years. In addition, the methodology used to design both the CDC and the WHO 2-5 years of age are comparable, supporting the use of the CDC growth charts.
- Alyson

[@roccowyatt7237]

😏 'promosm'