How to Accurately Weigh and Measure Children for the CHDP Well-child Exam September 2007 Developed...
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Transcript of How to Accurately Weigh and Measure Children for the CHDP Well-child Exam September 2007 Developed...
How to Accurately Weigh How to Accurately Weigh and Measure Children and Measure Children
for the CHDP for the CHDP Well-child ExamWell-child Exam
September 2007September 2007
Developed by the Statewide CHDP Nutrition Subcommittee from the on-line training module:
“Accurately Weighing & Measuring Infants, Children and Adolescents: Technique”
U.S. Dept. of Health and Human Services; Health Resources and Services Administration;
Maternal and Child Health Bureau http://depts.washington.edu/growth/
20002000 20052005
9 Million Kids Are 9 Million Kids Are OverweightOverweight
Overweight & Obese ChildrenOverweight & Obese Children California children ages 2 to <5 yearsCalifornia children ages 2 to <5 years
2005
16.7 15.5 13.8 14.8 16.3
18.813.4 12.5 13.2
17.4
05
10152025303540
Hispanic White Asian Black All Groups
Per
cent
age
Overweight: 85 - <95%BMI Obese: > or = 95% BMI
2005 CDC Pediatric Nutrition Surveillance System growth statistics from CHDP PM160 report
Overweight & Obese ChildrenOverweight & Obese Children California childrenCalifornia children ages 5 to <20 years ages 5 to <20 years
2005
19 17.2 13.3 17.7 18.3
24.119.4
13.4
20.7 22.7
0
10
20
30
40
50
Hispanic White Asian Black All Groups
Per
cent
age
Overweight: 85 - <95%BMI Obese: > or = 95% BMI
2005 CDC Pediatric Nutrition Surveillance System growth statistics from CHDP PM160 report
AgendaAgenda
Importance of accuracyImportance of accuracy
Challenges Challenges
Video: Standard Video: Standard techniquetechnique
Practicing proper Practicing proper techniquetechnique
Height, length, and weight tell providers if a child has a:
Growth problem
Feeding problem
Emotional or social problem at home
Illness
Measurements You Measurements You Take are ImportantTake are Important
5 year old boy
Weight: 43.5 lb
Height: 43 in
BMI= 16.5
BMI-for-age = 75-84th %tile
Inaccurate height measurement: 42.5 in
BMI=17
BMI-for-age = 85-94th %tile
Measurements You Take are Measurements You Take are ImportantImportant
75%
85%
90%95%
50%
BMI % Growth Chart
Obese
Overweight
Normal
Underweight
Extra tests
In-depthMedical
Assessment
Note in chart“No Therapeutic
Action”
Your Measurements
• Weight• Height• Age• Plot
Your Measurements Guide ProvidersYour Measurements Guide Providers
+
-
Your Measurements Guide Many OthersYour Measurements Guide Many Others
BMI % Growth Chart
WIC
Schools
Parents
PedNSSData
Your Measurements
• Weight• Height• Age• Plot
HeadStart
It’s difficult to weigh and measure children…
“What challenges do you face?”
Before you begin:
1. Determine equipment needed for patient
2. Check equipment: clean; safe; good repair
3. Balance scale to zero
Measure Lying or Standing?
Length (Lying)Length (Lying)
Unable to stand without assistance
Use Birth - 36 months growth chart
Stature (Standing)Stature (Standing)
Able to stand without assistance
Use 2-20 years growth chart
Measuring Length
Measuring Stature (Height)
Weighing Infants and ToddlersWeighing Infants and Toddlers
Up to 36 months if unable to stand without assistance
Alternate Weighing MethodAlternate Weighing Method
1. Weigh parent and child1. Weigh parent and child
2. Weigh parent alone2. Weigh parent alone 3.3. total weight total weight
-- parent’s weightparent’s weight= child’s weight= child’s weight
Weighing Children and Adolescents
Weigh in: Undergarments Gown Lightweight outer clothing Socks/bare feet
Privacy ConsiderationsPrivacy Considerations
In a private area or exam room:
Remove clothes; offer gown
Take measurements
Discuss results
Please visit:Please visit:http://depts.washington.edu/growth/
For training modules: “Accurately Weighing & Measuring
Infants, Children and Adolescents: Equipment & Technique”
U.S. Dept. of Health and Human Services
Health Resources and Services Administration (HRSA)
Maternal and Child Health Bureau
Practice TimePractice Time