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- Peter Dawson, MD, MPH
- Boulder, CO
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When monitoring children’s growth, it is helpful to remember several rules of thumb:
Term infants usually lose 5% to 10% of their birthweight immediately after birth, but regain their birthweight within 2 weeks.
Term infants double their birthweight in 4 to 5 months and triple it by 1 year of age.
A child’s height doubles from that at birth by 3 to 4 years of age.
The average size of 4-year-old children is 40 in and 35 lb.
From 3 to 10 years of age, children grow an average of 2.5 in/y.
The pediatrician can monitor children’s growth more accurately by using growth charts, and the charts should be used at all health supervision visits. In January 2002, the Centers for Disease Control and Prevention (CDC) published in Pediatrics the revised growth charts for children to replace those published in 1977. The revised charts, accompanied by technical reports, are also available at www.cdc.gov/growthcharts.
The revision provides technical improvements in the infant charts. The old charts were based on a small sample of children from 1929 to 1975; the revised charts are based on five recent, ethnically diverse, …
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