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Updated: Mar 1, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
The decanalization of weight, recumbent length, and head circumference during infancy
Won J Park1, James Li2, Alex F Roche3
1Department of Mathematics and Statistics, Dayton, Ohio 45435.
Insights
Infant growth tracking shows weight changes more than length or head circumference in the first six months. Growth canal shifts are more common at younger ages and towards the median.
Area of Science:
- Pediatric growth analysis
- Human biology and growth
- Longitudinal study methodologies
Background:
- Accurate tracking of infant growth is crucial for identifying potential health issues.
- Growth charts provide a standardized method for monitoring child development.
- Understanding growth canal stability informs early detection of deviations.
Purpose of the Study:
- To estimate the stability of infant growth trajectories on NCHS growth charts.
- To calculate the probabilities of significant shifts in growth percentiles over time.
- To identify factors influencing deviations from established growth paths.
Main Methods:
- Analysis of 659 infants from the Fels Longitudinal Study.
- Calculation of decanalization probabilities across 6- and 12-month intervals.
- Examination of weight, length, and head circumference from birth to 36 months.
Main Results:
- Weight showed higher decanalization probabilities than length or head circumference from birth to 6 months.
- Decanalization probabilities were generally higher in younger infants and for shifts towards the median.
- Growth deviations were linked to birth weight (weight) and midparent stature (length).
Conclusions:
- Infant growth canal stability varies by measurement and age.
- Early infancy is a critical period for monitoring growth deviations, especially for weight.
- Predictive factors like birth weight and parental stature offer insights into growth patterns.
Abstract:
This study has estimated the extent to which 659 infants in the Fels Longitudinal Study maintained their positions in canals on the current NCHS growth charts during 6- and 12-month intervals. These canals are the zones between adjacent major percentile lines (5th, 10th, 25th, 50th, 75th, 90th, and 95th) on the growth charts. The probabilities of increases or decreases in level by two or more canals were calculated. Additionally, the probabilities were calculated for changes in level from between the 5th and 10th percentiles or between the 90th and 95th percentiles to zones beyond the 5th or 95th percentiles, respectively (transitions from normal limits). The analyses were made from birth to 36 months for weight and from 1-36 months for length and head circumference. The probabilities of decanalization were larger for weight than for length or head circumference for the interval from birth to 6 months, but not later. The probabilities for each variable analyzed tended to be large for young age intervals and larger for changes toward the medians than for changes from the medians. The directions of decanalization for weight from birth to 6 months were related to birth weight and those for length were related to midparent stature for the intervals from 6-12 months in each sex, 1-12 months in girls, and 6-18 months in boys. Am. J. Hum. Biol. 9:689-698, 1997. © 1997 Wiley-Liss, Inc.
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