从您的孩子带入这个世界的那一刻到every well-check thereafter- 他们将由他们的医生衡量。衡量的是生长和发展。
As a parent, growth charts, and how your child plots along those curves, can bring a bit of anxiety. You may wonder, “Is my child above average or below average?” or “What’s normal or abnormal?”
“这是一个事情，作为三个男孩的父亲，我也陷入了每个孩子检查后的体重和身高。”Michael Bradfield, MD, family physician at主頁(欢迎您)在格里利（Greeley），科罗拉多州。我问，‘他们还好吗？’
对于许多父母（甚至像布拉德菲尔德（Bradfield）这样的医生），这种焦虑和关注的根源是，这是我们获得的少数，客观和具体的措施之一孩子的发展。
布拉德菲尔德（Bradfield）博士放心地说：“尽管我们有担忧，但要记住这些测量值的真正使用是寻找异常情况，表明存在营养疾病或潜在的疾病。”“这些测量本身并没有告诉医生任何事情，它们只是帮助我们确定应该提出更多问题的领域，更密切，偶尔进行检查以确保孩子尽可能地成长。”
Even knowing this, however, hasn’t stopped parents from keeping a report card along the way. Some parents just want to know whether or not they should worry.
Just like adults, kids come in all shapes and sizes, so how much stock as parents should we put into our child’s growth percentages—or should we just leave these stats to the experts? To answer this question and more, we spoke with Dr. Bradfield.
增长图甚至从何而来？
如果您是2000年以前的婴儿，那么您可能是美国最早的婴儿成长图表的一员疾病控制与预防中心的更新(CDC), we have a more inclusive chart that encompasses data from millions of children across the country versus thousands of babies from Yellow Springs, OH.
在2000年，CDC发布了增长图表基于来自来自不同人群的数百万儿童breastfed and bottle-fed。然后在2006年，世界卫生组织（WHO）发布了国际增长图表for children up to 5 years old who were breastfed based on data from communities worldwide.
Today, most doctors use the WHO growth charts for children younger than age 2 and the CDC growth charts for children over age 2.
“While the charts provide framework for us to compare, they certainly aren’t the only things we consider when caring for the health and well-being of children,” Dr. Bradfield said. “It’s important before you interpret numbers to discuss with your child’s doctor.”
医生如何使用增长图表？
The main purpose of growth charts is to help doctors document trends.
医生这样做的方式是通过身高，体重和头部测量。线性生长的长度为长度，您的孩子躺下直至2岁，然后在大孩子的身高中为身高。这用于查看孩子的措施如何偏离标准人群。同样，将重量绘制在曲线上与标准人群相比。
布拉德菲尔德博士说：“最初，我们正在寻找不到3％或大于97％的百分位生的孩子。”“当孩子的测量值明显地归于平均值时，医生会提出更多的临床问题，以确保孩子身体健康。只要它们不在图表上，他们就可能做得很好。”
体重和身高的问题可能与低能量摄入有关（意味着太少或太多营养). If nutrition is not a problem, then doctors will evaluate underweight, short stature or overweight children. “Usually, these variances turn out to be familial, meaning the genetic makeup of the parents is carried on to the kids,” Dr. Bradfield said. “Most parents of short stature will also have children of short stature, for example.”
When should I get concerned?
首先，知道这一点：除非您的孩子的医生提出了担忧，否则您的孩子非常不在“正常范围”之外，否则您不应该被数字陷入困境。有许多因素可能导致体重和身高波动，不一定是危险或不健康的。
Oftentimes, weight changes are related to mobility, such as when your child loses weight but开始爬行或过渡到固体食品。但是，重量或身高显着增长的重大变化应该是一个危险信号。不要害怕让孩子的医生知道。
“Parents are the world’s experts when it comes to their own children,” Dr. Bradfield said. “If you notice any changes, whether dramatic or not, it’s OK to have them seen by their doctor for a checkup. A good doctor will be able to help you determine if the changes are normal or not and answer any questions or concerns.”
外表
布拉德菲尔德博士说：“虽然跟踪很有趣，但实际数字不应该是评估孩子健康的重点。”“您可以专注于他们的饮食，向孩子阅读和发展里程碑，以充分利用您的时间和精力，而不是专注于他们的增长图表上的百分比。”
您对孩子的成长和成长有疑问或担忧吗？查看其中一些相关文章：
您是该地区的新手，为孩子寻找儿科医生吗？访问您附近的横主頁(欢迎您)幅健康专家vwin.comac德赢官方首页 。
