Simple Algorithm to diffentiate stunting with

other causes of short stature (Sjarif 2017)

• Length velocity <p5 classified as growth deceleration, evaluate
with interval 2,3,4,and 6 months
Growth
• WHO 2006 Growth Chart
velocity

• US/LS newborn = 1,7:1

• US/LS 1 year = 1,6:5
Proporti
• US/LS 2 year = 1,5:1
onate

• STUNTING
• Weight for Age < Height for Age < Chronological Age
• OR
Postnatal • Weight for Height (WHZ < Z score +1)
Simple Algorithm to differentiate stunting to other causes
of short stature 0-24 month II (DR Sjarif 2017)

Proportionate
US:UL= (1,7-1,5):1

Prenatal Postnatal

WA<HA<CA HA<WA<CA<
IUGR
OR WHZ ≤ +1 OR WHZ > +1
SGA
STUNTING Endocrinopathy
?
 Consitutional delay of growth and adolescecence
Normal Variant
Family or genetic short stature

Endocrinopathies
GH deficiency
Increassed Wt/Ht GH insensitivity
Hypothyroidsm
Glucocorticoroid excess

SHORT Inadequate calories

STATURE Starvation/ Anorexia nervosa/Poorly
Proportionate controlled Diabetes Militus
Decreased or GI pathology – malabsorption
normal Wt/Ht inflammatory bowel
cellac desease
Pathologic Renal Disease
Renal tubular acidosis/ Renal failure/
Nephrogenic diabetes insipidus
Chronic Disease
Cardiac, renal, pulmonary, liver,
chronic infectional/ AIDS