Recommended criteria for extra growth monitoring and further assessment are listed in Table. In addition to making reference to these recommended criteria, healthcare professionals should conduct an appropriate assessment of the child and manage accordingly.
| Parameter | Doctor assessment & potential specialist referral | Doctor assessment & monitoring
(consider referral if other features on examination & history that raise concern of underlying growth issues) |
|---|---|---|
| Head / Stature | < 0.4th centile OR > 99.6th centile |
0.4th – 2nd centiles OR 98th – 99.6th centiles |
| BMI | < 0.4th centile OR Obesity: > 99.6th centile (0 to 60 months) > 98th centile (>5.0 to <18.0 years) |
0.4th – 2nd centiles OR Overweight: 99.6th centile ≥ BMI > 98th centile (0 to 60 months) 98th centile ≥ BMI > 91st centile (>5.0 to <18.0 years) |
| Weight | Growth faltering in infants - Weight-for-age declines across for 2 or more centiles | |