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What’s The Deal With Growth Charts?

Babies come in all colors, shapes and sizes due to many factors including genes, activity level and even gender. Thus, it can be quite difficult for a pediatrician to assess a baby’s growth as normal just by looking at him. To truly assess a child’s growth and development, pediatricians use growth charts such as the baby height percentile.

What are growth charts? WHO growth charts are tools used by doctors to monitor a child’s growth and development over time. These charts are based on research conducted by the World Health Organization on thousands of children around the world living in optimal environments. The data on their growth rate for height, weight and head circumference was collected over time and plotted in a graph, showing how babies should grow if they are provided with optimal conditions. Using WHO growth charts like the baby height percentile, doctors can do two things. One, they are able to compare a child’s height, weight, and head circumference with other children who are of the same gender and age. Second, and more importantly, they are able to observe the rate of growth of a child and see if it follows a regular pattern.

Often, parents focus more on one point in the chart, especially where their child is currently. In addition, many believe that a higher percentile means a healthier baby. However, when it comes to these types of growth charts, the “score” is not what makes a child healthy and normal. Instead, the score is simply a means of establishing what a child’s growth pattern is.

So, how does that work? When using a baby height percentile, for example, a doctor would need to calculate the baby’s height as he grows over time. Looking at just one entry in the chart will tell him nothing about the child’s health. This is because a baby’s height is influenced by several factors, not just what he eats and drinks. A baby whose parents are only 5’2″ cannot be expected to be in the 90th percentile on the baby height percentile chart. After all, the chart is based on the average baby height of their peers. Additionally, there will be a greater number of babies of their age who are taller than him just as there are probably a greater number of adults taller than his parents. Thus, a doctor will not necessarily be concerned if a baby has a low “score” on the baby height percentile, or any growth chart for that matter. What he will be interested in, instead, is to look at several points on the chart that plot the baby’s height over several months. These points should, more or less, all be in the same percentile – stable as she or he grows. If a baby was in the 40th percentile from January to May then suddenly dropped to the 10th percentile in June and even decreased in July, this could be an indication that something is wrong and the doctor will need to do further evaluation.

Another important interpretation of the results that doctors make is to compare the child’s growth measures against each other. The height and weight of a baby must be proportional. A child who scores in the 90th percentile in weight and scores in the 10th percentile in height probably weighs more than he or she should. In the same way, a child who plots high on the chart for height and low on the chart for weight may weigh less than he should.

When it comes to growth charts like the baby height percentile, parents should always be aware that how their child “scores” is less important than what their growth trend is. Taller is not always better. And growth trends don’t happen overnight.

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