Date Weight Length HC

GROWTH CHART 0−15 MONTHS PRETERM BOYS 35 WEEKS

Name

Date of birth Reg. nr

Father (a/m) , cm Mother (a/m) , cm TH , cm

5 6 7 8 9 10 11 12 13 14 15
56 CM
AGE IN MONTHS
55
54
53
P
52
99.4
+2.5 51
98
+2
CM 50 50
HEAD CIRCUMFERENCE − AGE 84
49 +1 49
35 weeks
48 50 48
0
47 47
16
46 −1 46
45 −2 2 45
−2.5 0.6
44 44
43 43
42 42
41 41
40 40
11 12 13 14 15
39
LENGTH − AGE 92 CM
38 10
35 weeks 90
37 9 P
36 88
8 99.4
35 86
+2.5 98
34 7 +2 84
33 84 82
6
+1
32
5 80
50
31
0 78
30 4
16
76
29 −1
3
28 2 74
Bocca−Tjeertes et al, J Ped 2012

2 −2 0.6
27 72
−2.5 0.1
26 1 70
−3
68

CM 66 66

64 64

62 62

60 60

58 11 12 13 14 15
16 KG
WEIGHT − AGE
56 10
35 weeks
www.tno.nl/growth

54 P 15
9
52 99.4
8 14
TNODIAGRAM by Stef van Buuren +2.5
50 98
7 +2 13
48

46 6
84 12
+1
44 5
Lollipop study

42 11
4 50
0
40
3 10
38 16
2 −1
36 9
1 2
34 −2
0.6 8
−2.5
Form code: PJAAE351

KG 7 7

6 6

5 5

4 4
(c) TNO/UMCG 2012

3 3

2
11 12 13 14 15

AGE IN MONTHS
0 1 2 3 4 5 6 7 8 9 10
 GROWTH CHART FOR PRETERM BOYS, 35 WEEKS GESTATIONAL AGE SDS P
4.0
This growth chart is designed to monitor growth of prematurely born Physicians, nurses, trained assistants and other medical professionals P99.99
infants, born after a gestational age of 35 completed weeks (35w.0d − may use and interpret the chart for preterm children in the same way as
35w.6d). The references were calculated using data of children without charts for term children. Measurements are plotted at the calender age of
comorbidity other than related to prematurity (for example no congenital the child since birth. No correction for prematurity is needed.
P99.9
malformations). 3.0

STANDARD DEVIATION SCORES

P99

The standard deviation (SD) is a measure of the variability of The length in cm of the child can be transformed into an SDS by means 2.0
P97
measurements around the mean. The median (or P50) is the value below of the formula:
which 50% of the measurements occur. For length and head
circumference the median is equal to the mean, but this is not true for height SDS = (length in cm − mean length) / SD of length
P90
weight. The standard deviation score (SDS) is equal to the number of
standard deviations above or below the median (or P50) in the reference where mean length and SD of length both depend on the age at which 1.0
population. An SDS of 0.0 represents the median. A measurement above the child was measured. The table given below contains the mean
P75
the median corresponds to a positive SDS. A negative SDS is used to length and the SD at a number of exact ages. If the age of the child
represent a measurement below the median. Most children will have does not match the tabulated ages, we may calculate values from
measurements between −2.0 SDS and +2.0 SDS (approximately between the table by linear interpolation of age.
P2 and P98). About 0.6% of the measurements in the reference population 0.0 P50
occur below the −2.5 SD line. About 0.1% of the measurements occur
below the −3.0 SD line.

P25
Month 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Mean 50.4 54.2 57.9 61.0 63.8 66.2 68.3 70.1 71.8 73.2 74.6 75.9 77.1 78.3 79.4 −1.0

SD 2.2 2.2 2.2 2.3 2.3 2.4 2.4 2.5 2.6 2.6 2.7 2.7 2.8 2.8 2.9 P10

TARGET HEIGHT P3
−2.0

The Target Height (TH) is the expected final height of the child given the For boys, the following formula is used: P1
height of both biological parents. The TH is important in evaluating the
growth curve of a child. The TH is calculated according to the method of TH boy = 44.5 + 0.376 * height father + 0.411 * height mother
Van Dommelen, Schonbeck and Van Buuren, Arch Dis Child 2012, 97: −3.0
182. where the height of the father and mother are given in cm. P0.1

The 95% TH−range is equal to [TH − 11; TH + 11].

P0.01
The TH−Standard Deviation Score (TH−SDS) is equal to
−4.0
Bocca−Tjeertes et al, J Ped 2012

TH−SDS boy = (TH boy − 183.8) / 7.1

These charts have been made possible through a financial contribution from FrieslandCampina.
www.tno.nl/growth

TNODIAGRAM by Stef van Buuren

Lollipop study
Form code: PJABE351
(c) TNO/UMCG 2012