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Monitoring children's growth

BMJ 1996; 312 doi: (Published 13 January 1996) Cite this as: BMJ 1996;312:122

Abnormal growth should also be defined by the crossing of height centiles

  1. P C Hindmarsh
  1. Senior lecturer in paediatric endocrinology Cobbold Laboratories, Middlesex Hospital, London W1N 8AA

    EDITOR,—D M B Hall's editorial on monitoring children's growth provides a useful introduction to the use of the new growth charts.1 The British Society for Paediatric Endocrinology, of which I am secretary, welcomes the guideline on referral practice related to stature (a child should be referred if his or her height falls below the 0.4th centile or above the 99.6th centile) but believes that abnormal growth should be defined, in addition, by the crossing of height centiles. Simply concentrating on absolute stature will lead to children not …

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