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For more information, and to download other materials, please visit www.stampscreeningtool.org

Supported by an educational grant from

Central Manchester University Hospitals

Date of preparation: June 2010

RXNPD100349

How to use Stamp

STAMP, the Screening Tool for the Assessment of Malnutrition in Paediatrics, provides a simple way of determining whether a child is at risk of malnutrition STAMP also provides guidance to help you develop a care plan according to the childs overall risk of malnutrition STAMP is made up of 5 simple steps, which are detailed on the following page Please note that STAMP is designed only for use with children in hospitals, and does not detect deficiencies or excessive intakes of vitamins and minerals To complete a STAMP screening, you will need to print out a STAMP screening form and diagnosis table from www.stampscreeningtool.org please keep these with the childs medical notes In addition to the screening form and diagnosis table, you will also find weighing and measuring instructions and centile quick reference tables on the website, which may be useful when completing a STAMP screening You can also download a step-by-step guide to using STAMP from the website However, before you conduct your first STAMP screening, please make sure that you read and understand the instructions on the following page If you have any queries, please visit www.stampscreeningtool.org and click on the Information or Contact us buttons at the top of the web page

STAMP should be used in association with Trust referral guidelines and policies

2010 Central Manchester University Hospitals NHS Foundation Trust

How to complete a Stamp screening form

Step 1 Diagnosis Use the diagnosis table on the website, or locally developed criteria, to determine whether the childs condition has any nutritional implications. Assign a score according to whether he/she has definite (e.g. dysphagia), possible (e.g. behavioural eating problems), or no (e.g. day case surgery) nutritional implications, and progress to step 2. Does the child have a diagnosis that has any nutritional implications? Definitely Possibly No Score 3 2 0

Step 2 Nutritional intake Use your knowledge of the childs eating habits to determine their nutritional intake. If necessary, speak to other Healthcare Professionals and the parent/carer to find out more. Assign a score according to the childs current nutritional intake, and progress to step 3. What is the childs nutritional intake? None Recently decreased/ poor No change/good Score 3 2 0

Step 3 Weight and height Weigh and measure the child using the weighing and measuring instructions provided. Use the centile quick reference tables on the website or a growth chart to determine how many columns/centiles apart the height and weight are. Then progress to Step 4. Use a growth chart or the centile quick reference tables to determine the childs measurements > 3 centile spaces/ 3 columns apart (or weight < 2nd centile) > 2 centile spaces/ = 2 columns apart 0 to 1 centile spaces/ columns apart
2010 Central Manchester University Hospitals NHS Foundation Trust

Score

3 1 0

How to complete a Stamp screening form

Step 4 Overall risk of malnutrition Add the scores from steps 1 3 together to calculate the childs overall risk of malnutrition. Add the scores from steps 13 together to calculate the overall risk of malnutrition High risk Medium risk Low risk Score 4 23 01

Step 5 Care plan Once you have calculated the childs overall risk of malnutrition, develop a care plan for the child in accordance with local guidelines. Repeat screening as recommended on the STAMP screening form. Develop a care plan based on the childs overall risk of malnutrition High risk Take action Refer to a Dietitian, nutritional support team or consultant Monitor as per care plan medium risk Monitor nutritional intake for 3 days Repeat STAMP screening after 3 days Amend care plan as required Low risk Continue routine clinical care Repeat STAMP screening weekly while child is an in-patient Amend care plan as required

STAMP should be used in association with Trust referral guidelines and policies

2010 Central Manchester University Hospitals NHS Foundation Trust

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For more information, and to download other materials, please visit www.stampscreeningtool.org

Supported by an educational grant from

Central Manchester University Hospitals

Date of preparation: June 2010

RXNPD100217

A step-by-step guide to using STAMP

Step 1 Diagnosis Does the child have a diagnosis that Score has any nutritional implications? Definitely Possibly No 3 2 0

Step 2 Nutritional intake What is the childs nutritional intake? None Recently decreased/poor No change/good Score 3 2 0

Step 3 Weight and height Use a growth chart or the centile quick reference tables to Score determine the childs measurements > 3 centile spaces/ 3 3 columns apart (or nd weight < 2 centile) > 2 centile spaces/ 1 = 2 columns apart 0 to 1 centile spaces/ 0 columns apart

Step 4 Overall risk of malnutrition Add the scores from steps 13 together to calculate the overall risk of malnutrition High risk Medium risk Low risk

Score 4 23 01

Step 5 Care plan Develop a care plan based on the childs overall risk of malnutrition High risk Take action Refer to a Dietitian, nutritional support team or consultant Monitor as per care plan Medium risk Monitor nutritional intake for 3 days Repeat STAMP screening after 3 days Amend care plan as required Low risk Continue routine clinical care Repeat STAMP screening weekly while child is an in-patient Amend care plan as required

Supported by an educational grant from

Central Manchester University Hospitals

2010 Central Manchester University Hospitals NHS Foundation Trust

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For more information, and to download other materials, please visit www.stampscreeningtool.org

Supported by an educational grant from

Central Manchester University Hospitals

Date of preparation: April 2010

RXNPD100216

STAMP screening form

This form can be used to screen a child up to three times please date, sign and initial the space at the bottom of this sheet every time you do so.

Step 1 Diagnosis
Does the child have a diagnosis that has any nutritional implications? Definite nutritional implications Possible nutritional implications No nutritional implications What is the childs nutritional intake? No nutritional intake Recently decreased or poor nutritional intake No change in eating patterns and good nutritional intake Use a growth chart or the centile quick reference tables to determine the childs measurements > 3 centile spaces/ 3 columns apart (or weight < 2nd centile) > 2 centile spaces/= 2 columns apart 0 to 1 centile spaces/columns apart Add up the scores from the boxes in steps 13 to calculate the overall risk of malnutrition High risk Medium risk Low risk What is the childs overall risk of malnutrition, as calculated in step 4? High risk Score 3 2 0 1st screening 2 nd screening 3rd screening

Step 2 Nutritional intake

Score 3 2 0 1st screening 2 nd screening 3rd screening

Step 3 Weight and height

Score 3 1 0 1st screening wt: ht: 2 nd screening wt: ht: 3rd screening wt: ht:

Step 4 Overall risk of malnutrition

Score 4 23 01 1st screening 2 nd screening 3rd screening

Step 5 Care plan

Use management guidelines and/or local nutrition policies to develop a care plan for the child Take action Refer the child to a Dietitian, nutritional support team, or consultant Monitor as per care plan Monitor the childs nutritional intake for 3 days Repeat the STAMP screening after 3 days Amend care plan as required Continue routine clinical care Repeat the STAMP screening weekly while the child is an in-patient Amend care plan as required Date Signature Initials

Medium risk

Low risk

Please complete after each screening 1st screening 2nd screening 3rd screening

Childs name: DOB: Hospital no.:

Supported by an educational grant from

Central Manchester University Hospitals

2010 Central Manchester University Hospitals NHS Foundation Trust

Diagnosis table
To be used to assign a score for step 1 of STAMP

Definite nutritional implications Bowel failure, intractable diarrhoea Burns and major trauma Crohns disease Cystic fibrosis Dysphagia Liver disease Major surgery Multiple food allergies/intolerances Oncology on active treatment Renal disease/failure Inborn errors of metabolism

Possible nutritional implications Behavioural eating problems Cardiology Cerebral palsy Cleft lip and palate Coeliac disease Diabetes Gastro-oesophageal reflux Minor surgery Neuromuscular conditions Psychiatric disorders Respiratory syncytial virus ( RSV ) Single food allergy/intolerance

No nutritional implications Day case surgery Investigations

While every effort has been made to include diagnoses that have nutritional implications, this list is not exhaustive If you have any queries, please discuss them with a Dietitian

STAMP should be used in association with Trust referral guidelines and policies

Supported by an educational grant from

Central Manchester University Hospitals

2010 Central Manchester University Hospitals NHS Foundation Trust

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For more information, and to download other materials, please visit www.stampscreeningtool.org

Supported by an educational grant from

Central Manchester University Hospitals

Date of preparation: November 2012 RXANI120276

How to weigh infants and children

Preparing to weigh an infant or child Ensure the scale is on a flat, hard, even surface. Make sure the power source is turned on. Explain all procedures to the parent/carer. Infants should be weighed unclothed. Children should be weighed wearing minimal clothing. Make sure the scale display reads 0 prior to use. All weights and measures should be checked for accuracy and calibrated regularly. To maintain hygiene, wipe the scale down between weighings. Tared weighing: for infants <2 years old or children who wont stand still The parent/carer should stand barefoot in the middle of the scale with feet slightly apart, and remain still until his/her weight appears on the display (Figure 1). Note the weight of the parent/carer. Hand the unclothed infant to the parent/carer. When both the parent/carer and infant are still, record the weight to the nearest 0.1kg (Figure 2). Subtract the parent/carers weight from this figure to obtain the childs weight. If the parent/carer is very heavy, e.g. more than 100kg, and the infant is relatively light, e.g. less than 2.5kg, the infants weight may not register on the scale. In such cases, ask a lighter person to hold the infant. Figure 1

Figure 2

2010 Central Manchester University Hospitals NHS Foundation Trust

How to weigh infants and children

Weighing an infant alone: for infants <2 years old who will lie still Place a thin piece of cloth or soft paper into a pan scale. Lie the unclothed infant on the cloth or paper and wait for him/her to stay still, to allow the scale to settle. Record the infants weight to the nearest 0.1kg. Weighing a child alone: for children 2 years old who will stand still The child should stand barefoot in the middle of the scale, with feet slightly apart, and remain still until his/her weight appears on the scale display (Figure 3). Record the childs weight to the nearest 0.1kg.

Figure 3

2010 Central Manchester University Hospitals NHS Foundation Trust

How to measure infants and children

Preparing to measure an infant or child Remove the infant or childs shoes and socks. Remove any accessories from the infant or childs hair, e.g. clips and hairbands, and undo braids if they are likely to interfere with the length or height measurement. If infant is <2 years old, remove his/her nappy. Measuring length: for infants <2 years old or children who cannot stand Cover the length board with a thin cloth or soft paper (Figure 4). Ask the parent/carer to place the infant on the length board. The infant should be laid on his/her back with his/her head against the fixed headboard, compressing the hair (Figure 5). Make sure that the infants head does not move from side to side and is positioned with the infant looking up. Ask the parent/carer to keep the infants head in this position (Figure 5). Ensure that the infant lies straight, with his/her shoulders touching the board. The spine should not be arched. Hold the infants legs down with one hand and pull the footboard against the soles of his/her feet with the other (Figure 6). Record the infants length to the nearest 0.1cm. If the child is 2 years old, but cannot stand, measure length and subtract 0.7cm to convert it to height. Figure 6 Figure 5 Figure 4

2010 Central Manchester University Hospitals NHS Foundation Trust

How to measure infants and children

Measuring height: for children 2 years old or children who will not lie down to be measured Ensure that the height board is on level ground, or appropriately secured to a wall. Ask the parent/carer to kneel in order to get down to the level of the child. Ask the parent/carer to help the child to stand on the baseboard with his/her feet slightly apart and the back of the head, shoulder blades, buttocks, calves and heels all touching the vertical board. Position the childs head so that it is facing forward, and ensure that it does not move from side to side (Figure 7). If necessary, push gently on the knees to help the child stand at his/her full height. Pull the headboard down to rest firmly on top of the childs head and compress the hair (Figure 7). Record the childs height to the nearest 0.1cm. If the infant is <2 years old, but will not lie down to be measured, measure standing height and add 0.7cm to convert it to length. Figure 7

2010 Central Manchester University Hospitals NHS Foundation Trust

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* Developed from UK-WHO growth charts. Growth charts may also be used to assign a score for step 3 of STAMP

For more information, and to download other materials, please visit www.stampscreeningtool.org

Supported by an educational grant from

Central Manchester University Hospitals

Date of preparation: March 2011 RXNPD110112

Infant weight and height centile tables boys

Weight centiles (kg) Age Birth 2 months 4 months 6 months 8 months 10 months 12 months 14 months 16 months 18 months 20 months 22 months 24 months 0.4th 2.17 3.95 5.15 5.9 6.45 6.85 7.2 7.5 7.85 8.1 8.4 8.7 9 2nd 2.5 4.3 5.5 6.35 6.9 7.3 7.7 8.1 8.4 8.7 9 9.4 9.7 9th 2.83 4.7 6 6.85 7.45 7.9 8.3 8.7 9.1 9.4 9.75 10.1 10.4 25th 3.16 5.12 6.5 7.4 8 8.5 8.95 9.37 9.75 10.1 10.5 10.9 11.3 50th 3.5 5.56 7 7.94 8.6 9.2 9.65 10.1 10.5 10.95 11.35 11.75 12.1 75th 3.84 6.05 7.55 8.55 9.26 9.8 10.4 10.9 11.4 11.8 12.3 12.7 13.1 91st 4.17 6.55 8.15 9.2 9.95 10.6 11.2 11.7 12.2 12.7 13.2 13.7 14.2 98th 4.5 7.2 8.75 9.85 10.65 11.45 11.95 12.6 13.2 13.7 14.15 14.7 15.3 99.6th 4.84 7.65 9.4 10.6 11.45 12.2 12.9 13.5 14.05 14.7 15.25 15.9 16.4

Height centiles (cm) Age Birth 2 months 4 months 6 months 8 months 10 months 12 months 14 months 16 months 18 months 20 months 22 months 24 months 0.4th 44.8 53.1 58.3 62 64.7 67.2 69.5 71.5 73.4 75 76.8 78.3 79 2nd 46.1 54.5 59.5 63 66 68.5 70.8 73 75 76.8 78.5 80 81 9th 47.9 55.8 61.1 64.8 67.6 70.2 72.5 74.8 76.8 78.6 80.5 82.1 83 25th 49.5 57.1 62.5 66.2 69.1 71.7 74.1 76.4 78.5 80.4 82.3 84.1 85.1 50th 51 58.4 63.9 67.6 70.6 73.3 75.8 78.1 80.2 82.2 84.2 86 87.1 75th 52.5 59.8 65.3 69.1 72.1 74.8 77.3 79.7 82 84.1 86.1 88 89.2 91st 54.1 61.1 66.7 70.5 73.5 76.4 78.9 81.4 83.6 85.8 87.9 89.9 91 98th 55.9 62.5 68 72 75 77.8 80.5 83 85.5 87.8 89.8 92 93.5 99.6th 57.1 63.7 69.4 73.3 76.5 79.3 82 84.6 87 89.5 91.6 93.8 95.3

Supported by an educational grant from

Central Manchester University Hospitals

2010 Central Manchester University Hospitals NHS Foundation Trust

Infant weight and height centile tables girls

Weight centiles (kg) Age Birth 2 months 4 months 6 months 8 months 10 months 12 months 14 months 16 months 18 months 20 months 22 months 24 months 0.4th 2.1 3.6 4.6 5.3 5.8 6.2 6.5 6.85 7.2 7.5 7.8 8.1 8.35 2nd 2.4 3.9 5 5.7 6.2 6.6 7 7.3 7.9 8 8.3 8.7 9 9th 2.7 4.3 5.45 6.2 6.75 7.2 7.6 8 8.35 8.7 9 9.4 9.75 25th 3.04 4.7 5.9 6.73 7.32 7.8 8.25 8.65 9 9.4 9.8 10.2 10.6 50th 3.36 5.12 6.45 7.3 7.95 8.47 8.95 9.4 9.8 10.2 10.65 11.1 11.5 75th 3.68 5.6 6.98 7.94 8.64 9.2 9.72 10.2 10.7 11.1 11.6 12 12.5 91st 4 6.1 7.6 8.6 9.4 10 10.6 11.1 11.6 12.1 12.6 13.1 13.6 98th 4.3 6.6 8.2 9.3 10.2 11 11.5 12.1 12.7 13.2 13.8 14.3 14.9 99.6th 4.6 7.2 8.9 10.1 11 11.8 12.5 13.2 13.8 14.4 15 15.6 16.2

Height centiles (cm) Age Birth 2 months 4 months 6 months 8 months 10 months 12 months 14 months 16 months 18 months 20 months 22 months 24 months 0.4th 44.7 51.6 56.3 59.7 62.5 65 67.1 69.3 71.3 73 74.8 76.3 77.2 2nd 46 53 57.5 61 64 66.5 69.5 71 73 75 76.5 78.3 78.9 9th 47.3 54.3 59.2 62.7 65.6 68.2 70.5 72.8 74.8 76.8 78.6 80.5 81.3 25th 48.6 55.7 60.6 64.2 67.1 69.8 72.3 74.6 76.7 78.7 80.7 82.5 83.5 50th 50 57 62.1 65.7 68.8 71.5 74 76.4 78.6 80.7 82.7 84.6 85.7 75th 51.3 58.5 63.5 67.3 70.3 73.2 75.7 78.2 80.5 82.7 84.7 86.7 87.9 91st 72.7 59.8 65 68.8 71.9 74.8 77.4 80 82.4 84.6 86.7 88.8 90 98th 54 61.1 66.5 70.3 73.5 76.4 79.2 81.7 84.2 87 88.7 91 92.5 99.6th 55.3 62.5 67.9 71.7 75 78 80.8 83.5 86 88.5 90.6 92.8 94.3

Supported by an educational grant from

Central Manchester University Hospitals

2010 Central Manchester University Hospitals NHS Foundation Trust

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* Developed from UK-WHO growth charts. Growth charts may also be used to assign a score for step 3 of STAMP.

For more information, and to download other materials, please visit www.stampscreeningtool.org

Supported by an educational grant from

Central Manchester University Hospitals

Date of preparation: March 2011 RXNPD110113

Child weight and height centile tables boys

Weight centiles (kg) Age 2 years 2.5 years 3 years 3.5 years 4 years 4.5 years 5 years 5.5 years 6 years 6.5 years 7 years 7.5 years 8 years 8.5 years 9 years 9.5 years 10 years 10.5 years 11 years 11.5 years 12 years 12.5 years 13 years 13.5 years 14 years 14.5 years 15 years 15.5 years 16 years 16.5 years 17 years 17.5 years 18 years Age 2 years 2.5 years 3 years 3.5 years 4 years 4.5 years 5 years 5.5 years 6 years 6.5 years 7 years 7.5 years 8 years 8.5 years 9 years 9.5 years 10 years 10.5 years 11 years 11.5 years 12 years 12.5 years 13 years 13.5 years 14 years 14.5 years 15 years 15.5 years 16 years 16.5 years 17 years 17.5 years 18 years 0.4th 9 9.75 10.4 11.1 12.4 13.1 13.9 14.6 15.4 16.1 17 17.6 18.5 19.4 20.2 21 22 23 24 24.8 25.8 27 28 29.8 31.5 33.5 35.5 38 40.5 43 45 46.5 48 0.4th 79 83 86.1 89.2 91.5 94.5 97.5 100 103 105.5 108 111 113.5 116 118 120 122 124 126 127.5 129.5 131.5 134 137 140 144 147.5 150.1 153 155 156.7 157.5 158.5 2nd 9.7 10.5 11.2 12 13.3 14 14.9 15.5 16.5 17 18 19 19.5 20.5 21.8 22.5 23.5 24.8 26 27 28 29.5 31 33 35 37 39.5 42 44.7 47 49 50 52 2nd 81 85 88.5 92 95.5 97.5 100.5 103 106 109 113 114 117 119 122 124 126 128 130 132 134 136.5 139 142.5 146 149.5 153 156 158 159 161 162 163 9th 10.4 11.4 12.2 13 14.2 15.1 16 16.8 17.7 18.5 19.5 20.5 21.5 22.5 23.5 24.6 25.8 27 28.2 29.4 30.8 32.5 34.3 36.5 39 41.5 44 46.7 49 51.5 53.2 54.7 56 9th 83 87.4 91 94.5 97 100.3 103.5 106 109.5 112 115 118 120.5 123 125.5 128 130 132.5 134.5 136.5 139 141.5 144.5 147.5 151 155 158 161 163 165 166.3 167 167.5 25th 11.25 12.3 13.2 14.1 5.3 16.2 17.2 18.1 19.1 20.1 21.1 22.2 23.3 24.5 25.7 27 28.3 29.7 31 32.5 34 36 38.1 40.8 43.6 46.5 49.1 52 54.5 56.5 58.3 60 61 25th 85.1 89.6 93.6 97.2 99.7 103.1 106.5 109.2 112.6 115.5 118.5 121.3 124 127 129.4 131.8 134.3 136.7 139 141 143.5 146.5 149.5 153 156.7 160.2 163.5 166 168.3 169.8 171 171.8 172.4 50th 12.2 13.3 14.3 15.3 16.5 17.6 18.6 19.7 20.8 21.9 23.1 24.3 25.6 27.0 28.4 29.8 31.4 33.0 34.6 36.3 38.1 40.4 43.0 46.0 49.2 52.3 55.4 58.1 60.6 62.6 64.3 65.7 66.7 50th 87.1 91.9 96.1 99.9 102.5 106.0 109.6 112.4 115.9 118.9 121.9 124.9 127.9 130.6 133.3 135.8 138.4 141.0 143.4 145.8 148.4 151.4 154.8 158.6 162.4 165.9 168.9 171.4 173.4 174.8 175.9 176.6 177 75th 13.14 14.4 15.5 16.7 17.9 19 20.2 21.5 22.7 24 25.4 27 28.4 30 31.8 33.5 35.3 37.2 39 41 43.2 46 49 52.3 56 59.5 62.7 65.5 68 69.5 71 72.5 73.5 75th 89.2 94.2 98.6 102.5 105.2 108.9 112.5 115.5 119.2 122.3 125.4 128.5 131.5 134.5 137.2 140 142.5 145.3 148 150.5 153 156.5 160 164 168 171.5 174.5 176.7 178.5 179.7 180.7 181.5 181.8 91st 14.2 15.6 16.9 18.1 19.4 20.7 22 23.5 25 26.5 28 30 32 34 36 38.3 40.5 42.8 45 47.5 50 53 56 60 63.5 67.5 71 74 76 77.7 79 80 81 91st 91.2 96.5 101 105.1 108 111.8 115.7 118.5 122.5 125.5 129 132 135 138.2 141 144 146.8 149.5 152.5 155 158 161.5 165 169.5 173.5 177 180 182 183.5 184.6 185.5 186 186.5 98th 15.3 16.9 18.3 19.9 21.1 23 24.1 26 27.8 29.5 31.9 34 36.5 39 42 44.5 47 50 53 55.5 58 61.5 65 69 73 77 81 84 86 87 88.1 89 90 98th 93.5 99 103.5 108 111 115 119 122 126 129.3 132.5 136 139 142 145 148 151 154 157 160 163 166.5 170.5 175 179 182.5 185.5 187.5 189 189.3 190.2 190.6 191 99.6th 16.4 18.1 19.9 21.4 23 24.6 26.5 29 30.7 33 35.5 38.7 42 45.8 49.5 53 57 60.5 64 67 70 73 76 80 84.5 88.5 92.5 95.5 97 98 99 100 101 99.6th 95.3 101 106 110.5 113.5 117.5 121.8 124.8 129 132.2 135.8 139.5 142.5 145.5 149 152 155 158 161 164 167.5 171.5 175.5 180 184.5 188 190.5 192.5 194 194.2 195 195.2 195.5

Height centiles (cm)

Supported by an educational grant from

Central Manchester University Hospitals

2010 Central Manchester University Hospitals NHS Foundation Trust

Child weight and height centile tables girls

Weight centiles (kg) Age 2 years 2.5 years 3 years 3.5 years 4 years 4.5 years 5 years 5.5 years 6 years 6.5 years 7 years 7.5 years 8 years 8.5 years 9 years 9.5 years 10 years 10.5 years 11 years 11.5 years 12 years 12.5 years 13 years 13.5 years 14 years 14.5 years 15 years 15.5 years 16 years 16.5 years 17 years 17.5 years 18 years Age 2 years 2.5 years 3 years 3.5 years 4 years 4.5 years 5 years 5.5 years 6 years 6.5 years 7 years 7.5 years 8 years 8.5 years 9 years 9.5 years 10 years 10.5 years 11 years 11.5 years 12 years 12.5 years 13 years 13.5 years 14 years 14.5 years 15 years 15.5 years 16 years 16.5 years 17 years 17.5 years 18 years 0.4th 8.3 9.1 10 10.7 11.2 12.7 13.2 14 14.5 15.4 15.8 17 18 18.5 19.5 20.5 21.5 22.2 23 24.2 25.5 27.2 29.2 31.2 33.3 35 37 38 39 39.8 40.4 40.5 40.9 0.4th 77.2 81.4 85 88.3 91 93.7 97 100 102.5 105 107.5 110 113 115 117 119.5 121.5 123.5 125.5 128 131 133.5 137 140 142 144 146 146.5 147 147.5 147.5 147.5 147.5 2nd 9 10 10.8 11.6 12.2 13.7 14.2 15 15.8 16.5 17.5 18.5 19 20 21.5 22.5 23.5 24.5 25.5 27 28.5 30 32.5 34 36.5 38.5 40 41.5 42.5 43 43.6 44 44 2nd 79 83.7 87.5 91 93 96.5 100 103 105 108 111 113 116.5 119 121 122.5 126 128 130 133 135 138.5 141.5 144 146.5 148.5 149 150.5 151 151 151 151 151 9th 9.8 10.8 11.75 12.6 13.3 14.7 15.5 16.2 17 18 19 20 21 22.2 23.5 24.5 26 27 28.5 30 31.8 34 36 38.5 40.5 42.5 44 45 46 47 47.3 47.9 48 9th 81.4 86 90 93.5 96.1 99.5 103 106 109 111.7 114.2 117.3 120 122.7 125 127.5 130 132.5 135 137.5 140 143 146 148.7 151 152.7 154 154.7 155 155.3 155.3 155.3 155.3 25th 10.6 11.7 12.7 13.8 14.5 15.8 16.9 17.7 18.7 19.7 20.8 22 23.3 24.5 26 27.2 28.8 30.2 32 33.5 35.7 38 40.3 43 45 47 48.4 49.5 50.5 51.3 51.8 52.2 52.3 25th 83.5 88.3 92.5 96.3 98.8 102.3 106 109 112 115 117.8 120.7 123.7 126.5 129 131.5 134 137 139.5 142 145 147.9 150.7 153 155 157 158 158.7 159 159.3 159.4 159.4 159.4 50th 11.5 12.8 13.9 15.0 16.0 17.2 18.3 19.4 20.5 21.7 23.0 24.4 25.9 27.4 28.9 30.6 32.3 34.1 36.0 38.1 40.3 42.8 45.4 47.9 50.1 51.9 53.4 54.6 55.5 56.2 56.9 57.2 57.5 50th 85.7 90.7 95.0 99.0 101.5 105.2 108.9 112.2 115.3 118.3 121.3 124.3 127.3 130.1 132.8 135.6 138.4 141.3 144.1 146.9 149.8 152.6 155.3 157.7 159.6 161.1 162.2 162.9 163.2 163.5 163.5 163.5 163.5 75th 12.5 13.9 15 16.2 17.6 18.9 20 21.3 22.5 24 25.5 27.3 29 30.8 32.5 34.5 36.8 39 41 43.5 46 48.4 51 53.5 56 57.5 59 60.3 61.5 62 62.6 63 63.5 75th 87.9 93.1 97.6 101.8 104.3 108 112 115.4 118.6 121.7 124.8 128 131 134 136.7 139.7 142.7 145.8 148.8 151.8 154.5 157.5 160 162 164 165.5 166.5 167 167.2 167.5 167.5 167.5 167.6 91st 13.5 15 16.5 18 19.4 20.8 22 23.5 25 26.8 28.5 30.5 33 35 37 39.5 42 45 47.2 50 52.5 55 58 60 62.5 64 66 67 68 68.8 69.3 70 70.5 91st 90 95.5 100.2 104.5 107 110.8 115 118.5 122 125 128 131.5 134.8 137.7 140.5 144 147 150 153.2 156.2 159 162 164.5 167 168.5 169.8 170.5 171 171.5 171.5 171.5 171.5 171.5 98th 14.9 16.4 18 19.8 21.5 22.9 24.5 26 28 30 32.5 35 37.7 40 43 46 49 52 55 58 61 63 65.5 68 70 72 73.5 74.5 76 76.5 77 78 78 98th 92.5 98 103 107.5 110 113.5 118 122 125 128.5 131.5 135 138 141.5 144.5 148 151 154.5 158 161 164 167 169 171 173 174 175 175 175.5 175.5 175.5 175.5 175.5 99.6th 16.1 18 20 21.9 23.9 25.3 27.2 29.5 32 34 37 40.5 44 47.5 51 55 59 62 66 69 71 73 75 77 79 81 82 84 85 86 87 87 88 99.6th 94.4 100 105 110 112.4 116.5 120.5 124.8 128 131.8 135 138.5 142 145 148.5 152 155.5 159 162.2 166 169 171.5 174 175.8 177 178 179 179.5 180 179.5 179.5 179.5 179.5

Height centiles (cm)

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Central Manchester University Hospitals

2010 Central Manchester University Hospitals NHS Foundation Trust