GIRLS UK

Please place sticker (if available) otherwise write in space provided.

Data Recording
Measurement 1
Recording Date Weight Length/Height BMI Location Health worker name

Body mass index (BMI) 2-20 years

The BMI centile is a simple and reliable indicator of thinness and fatness in childhood. Where severe over- or underweight is a concern, or where there is a need for monitoring over time, BMI can be calculated and plotted on this chart. It is important also to plot the height and weight separately on the main 2-18 chart. There is also a BMI centile look-up on the standard 2-18 chart for less complex cases.

Name: ________________________________________ NHS /CHI No: Hospital No: Date of Birth:

Overweight and obesity A BMI above the 91st centile suggests overweight. A child above the 98th centile is very overweight (clinically obese) while a BMI above the 99.6th centile is severely obese. In addition to the usual nine centile lines, the BMI chart displays high lines at +3, +3.33, +3.66 and + 4 SD, which can be used to monitor the progress of children in overweight treatment programmes. Thinness A BMI below the 2nd centile is unusual and may reflect undernutrition, but may simply reflect a small build. The chart also displays low lines at -4 and -5 SD for those who are severely underweight. Children whose BMI lies below the 0.4th centile are likely to have additional problems and if not already receiving medical or dietetic attention should be referred. 50
11 12 13 14 15 16 17 18 19 20

Measurement 2
Recording Date Weight Length/Height BMI Location Health worker name

Measurement 3
Recording Date Weight Length/Height BMI Location Health worker name

BMI is calculated by dividing weight (in kg) by the square of height (in metres e.g. 1.32 m, not centimetres e.g. 132 cm). A simple way to do this on a calculator or mobile phone is: 1. Enter the weight. 2. Divide by height. 3. Divide the result by height. The result can then be plotted on the chart below. 50 49 48 47 46 45 44 43 42 41 40 39 38 37 36 35 34 33 Body mass index (kg/m2) 32 31 30 29 from UK-WHO 28 to UK90 data. 27 26 25 24 23 22 21 20 19 18 17 16 15 14
Copyright RCPCH 2013
+4 SD

10

49 48 47 46 45 44 43

Age in years
+4 SD

Measurement 4
Recording Date Weight Length/Height BMI Location Health worker name

+3.66 SD

42 41 40 39 38 37

Measurement 5
Recording Date Weight Length/Height BMI Location Health worker name

+3.33 SD

ly rbid Mo

se obe

+3 SD

36 35 34

Measurement 6
Recording Date Weight Length/Height BMI Location Health worker name

99.6th

33 32 31 30

e Sev

rely

se obe
98th

Measurement 7
Recording Date Weight Length/Height BMI Location Health worker name

Transit point

29 28 27

t (o eigh verw o y Ver

) bese
91st

26 25 24 23 22 21 20 19 18 17 16 15 14 13 12 11

Measurement 8
Recording Date Weight Length/Height BMI Location Health worker name

ight rwe Ove

75th

+3.66

SD +3.33 S D +3 SD

50th

99.6th
98th

91st
75th

I M B
Low BMI

25th
9th

Measurement 9
Recording Date Weight Length/Height BMI Location Health worker name

2nd

0.4th

50th

25th

9th
2nd 0.4th
-4 SD

hin Very t

-4 SD

-5 SD

13 12 11 10 9 2 8

Measurement 10
Recording Date Weight Length/Height BMI Location Health worker name

-5 SD

Age in years 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19

10 20 9 8

Data Recording
Measurement 1
Recording Date Weight Length/Height BMI Location Health worker name

BOYS UK

Please place sticker (if available) otherwise write in space provided.

Body mass index (BMI) 2-20 years

The BMI centile is a simple and reliable indicator of thinness and fatness in childhood. Where severe over- or underweight is a concern, or where there is a need for monitoring over time, BMI can be calculated and plotted on this chart. It is important also to plot the height and weight separately on the main 2-18 chart. There is also a BMI centile look-up on the standard 2-18 chart for less complex cases. BMI is calculated by dividing weight (in kg) by the square of height (in metres e.g. 1.32 m, not centimetres e.g. 132 cm). A simple way to do this on a calculator or mobile phone is: 1. Enter the weight. 2. Divide by height. 3. Divide the result by height. The result can then be plotted on the chart below. 50 49 48 47 46 45 44 43 42 41 40 39 38 37 36 35 34 33
2 3 4 5 6 7 8 9 10

Name: ________________________________________ NHS/CHI No: Hospital No: Date of Birth:

Overweight and obesity A BMI above the 91st centile suggests overweight. A child above the 98th centile is very overweight (clinically obese) while a BMI above the 99.6th centile is severely obese. In addition to the usual nine centile lines, the BMI chart displays high lines at +3, +3.33, +3.66 and + 4 SD, which can be used to monitor the progress of children in overweight treatment programmes. Thinness A BMI below the 2nd centile is unusual and may reflect undernutrition, but may simply reflect a small build. The chart also displays low lines at -4 and -5 SD for those who are severely underweight. Children whose BMI lies below the 0.4th centile are likely to have additional problems and if not already receiving medical or dietetic attention should be referred. 50
12 13 14 15 16 17 18 19 20

Measurement 2
Recording Date Weight Length/Height BMI Location Health worker name

Measurement 3
Recording Date Weight Length/Height BMI Location Health worker name

11

Measurement 4
Recording Date Weight Length/Height BMI Location Health worker name

49 48 47 46 45 44 43 42 41 40 39

Age in years
+4 SD

Measurement 5
Recording Date Weight Length/Height BMI Location Health worker name

+3.66 SD

+3.33 SD

38 37 36

Measurement 6
Recording Date Weight Length/Height BMI Location Health worker name

rb Mo

se obe idly

+3 SD

35 34 33 32 31 30

99.6th

Body mass index (kg/m2)

32 31 30 29 28 27 26 25 24 23 22 21 20 19 18 17 16 15 14 13 12 11 10 9 2 8 3 4 5 6 7 8 9 10 11 12 13 14 15
+4 S D +3.6 6 +3.3 SD 3 +3 S SD D 99.6th
98th

Measurement 7
Recording Date Weight Length/Height BMI Location Health worker name

Sev

ere

e bes ly o

98th

29 28 27

Transit point from UK-WHO to UK90 data.

t igh rwe ove

ese (o b

91st

26 25 24 23 22 21 20 19 18 17 16 15 14 12 11
May 13 Manufacture 1

Measurement 8
Recording Date Weight Length/Height BMI Location Health worker name

y Ver

75th
t igh rwe Ove

50th

25th

Measurement 9
Recording Date Weight Length/Height BMI Location Health worker name
Copyright RCPCH 2013

91st
75th

50th

I M B
MI Low B in Very th

9th

2nd
0.4th

25th
9th

-4 SD

Measurement 10
Recording Date Weight Length/Height BMI Location Health worker name

2nd 0.4th
-4 SD
-5 SD

-5 SD

13

Age in years 16 17 18 19

10 20 9 8