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Updated: Aug 1, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
A simple chart to identify non-familial short stature
1Department of Epidemiology and Public Health, Institute of Child Health, London WC1N 1EH, UK. Tim.Cole@ich.ucl.ac.uk
Objective:
To develop a chart to identify non-familial short stature.
Design:
A height chart that adjusts for maternal, paternal, midparental, or sibling height based on the British 1990 height reference.
Main Outcome Measure:
Height between 2 and 9 years of age.
Results:
The chart identifies children whose height is below the familially adjusted 0.4th centile, assuming a correlation of 0.4 between child height standard deviation score (SDS) and familial height SDS. The adjustment can be for parents, either alone or together, or for a sibling aged 2-9 years. The chart identifies about 2 children/1,000 over and above the 4/1,000 identified by the unconditional 0.4th centile.
Conclusion:
The chart should be a useful addition to screening programmes for short stature.
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