Your child’s height is above the x percentile.
Less than x% of other children in this age are taller than your child.
Your child’s height is above the x percentile.
Less than x% of other children in this age are taller than your child.
Your child’s height is between the x and x percentile.
x-x% of other children in this age are taller than your child.
Your child’s height is below the x percentile.
More than x% of other children in this age are taller than your child.
Your child’s height is at the x percentile.
x% of other children in this age are taller than your child.
Your child’s height is X cm behind average^, but it is within the standard or normal range
Please consult your child’s pediatrician if you are concerned about your child’s height.
Please consult your child’s pediatrician if you are concerned about your child’s height.
Measure height regularly to ensure your child tracks on current percentile. Please consult your child’s pediatrician if you are concerned about your child’s height.
Continue to measure and monitor your child’s growth regularly. Provide your child with a healthy, balanced diet comprising adequate energy, macronutrients (e.g., protein) and micronutrients (vitamins and minerals). Also, do ensure your child gets enough physical activity and sleep. If you have any concerns about your child’s growth, please consult a doctor for advice.
Are you worried that there may be nutritional gaps in your child’s diet? Seek guidance from your doctor or dietitian about the need of using a child nutritional supplement.
Your child’s height is currently below population norms. Please do consult your child’s pediatrician to know if your child’s height is appropriate for genetic potential.
Height in early childhood is a strong marker for physical and mental growth! So, careful attention to a child’s height growth is important.
A short child is defined as any child whose height is less than the 3rd percentile for his or her cohort. Being short does not mean that your child has a health problem. However, children who are stunted in early life are found to experience worse cognitive development and economic outcomes as adults.
If you notice that your child is growing very slowly or has stopped growing, please consult your doctor. A child’s growth is considered acceptable if he grows by at least 4 cm in a year, or 2 cm in 6 months.
Height faltering, also known as stunting, occurs when height fails to demonstrate age-appropriate increases over time. Poor height gain over time may be due to underlying poor health, suboptimal nutrition or hormonal disease.
Genetics and nutrition play important roles in optimizing a child’s natural height potential.
If both parents are shorter than the average, the child may also be shorter than peers. Sometimes, like their parents, children may take a while to catch up in height with their peers.
Nutrition has a part to play in determining height, so it is essential that you make sure your growing child continues to get all the nutrition he needs daily.
To realize genetic growth potential, a child must be in good health and have sufficient nutrition, optimal weight, adequate sleep and physical activity.
Poor nutrition is one of the most common cause for falling behind on height growth. Poor nutrition can be a result of inadequate nutrient intake, absorption, or utilization.
Inadequate nutrient intake |
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Inadequate nutrient absorption |
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Inadequate nutrient utilisation |
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Nutritional management for optimal catch-up growth requires:
Include two-servings each day of a Child Nutrition Supplement (CNS) as part of a healthy and well-balanced diet to ensure your child receives the additional nutrients to support catch up growth.
References:
1.My Child Is Short for His Age. What Should I Do? (healthhub.sg); Accessed 29 January 2024.
2.Yap F, Lee YS, Aw MMH. Growth Assessment and Monitoring during Childhood. Ann Acad Med Singap. 2018 Apr;47(4):149-155.
3.Mertens, Andrew, et al. "Causes and consequences of child growth faltering in low-resource settings." Nature 621.7979 (2023): 568-576.
4.Schurgers LJ, Teunissen KJ, Hamulyák K, Knapen MH, Vik H, Vermeer C. Vitamin K-containing dietary supplements: comparison of synthetic vitamin K1 and natto-derived menaquinone-7. Blood. 2007 Apr 15;109(8):3279-83.
5.Cooke R, Goulet O, Huysentruyt K, Joosten K, Khadilkar AV, Mao M, Meyer R, Prentice AM, Singhal A. Catch-Up Growth in Infants and Young Children With Faltering Growth: Expert Opinion to Guide General Clinicians. J Pediatr Gastroenterol Nutr. 2023 Jul 1;77(1):7-15.
6.Zhang Z, Li F, Hannon BA, Hustead DS, Aw MM, Liu Z, Chuah KA, Low YL, Huynh DTT. Effect of Oral Nutritional Supplementation on Growth in Children with Undernutrition: A Systematic Review and Meta-Analysis. Nutrients. 2021 Aug 30;13(9):3036.
Your child’s height is currently in line with/ above population norms. Please do consult your child’s pediatrician to know if your child’s height is appropriate for genetic potential.
Height in early childhood is a strong marker for physical and mental growth! So, careful attention to a child’s height growth is important.
Genetics and nutrition play important roles in optimizing a child’s natural height potential.
To achieve genetic growth potential, a child must be in good health and have sufficient nutrition, optimal weight, adequate sleep and physical activity.
Good nutrition is important to support overall growth and health. Read on to pick up some tips on healthy eating.
Here are some tips to help you track your child’s height:
Here are some food and nutrition tips to help you provide a healthy and well-balanced diet for your child each day.
References:
1.Yap F, Lee YS, Aw MMH. Growth Assessment and Monitoring during Childhood. Ann Acad Med Singap. 2018 Apr;47(4):149-155.
Your child’s height is currently within the population norms. If you are still concerned that your child is smaller than peers, please do consult your child’s pediatrician to know if your child’s height is within genetic potential.
Height in early childhood is a strong marker for physical and mental growth! So, careful attention to a child’s height growth is important.
Track your child’s height regularly and plot it in the Health Booklet. If you notice that your child is growing very slowly or has stopped growing, please consult your doctor. A child’s growth is considered acceptable if he grows by at least 4 cm in a year, or 2 cm in 6 months.
To achieve genetic growth potential, a child must be in good health and have sufficient nutrition, optimal weight, adequate sleep and physical activity.
In Singapore, one-half of the parents reported that the child was 'all the time' (25.1%) or ‘sometimes’ (24.1%) a picky eater. Persistent picky eating in children is related to lower height at 15 years of age.
Read on to pick up nutrition tips to help your child track well on height and weight growth.
Now that you are assured that your child has a normal height for age, aim to achieve genetic potential.
If your child is a picky eater, here are some practical tips:
Include two-servings each day of a Child Nutrition Supplement (CNS) as part of a healthy and well-balanced diet to ensure your child receives the additional nutrients to fill nutrition gaps and help your child achieve genetic height potential.
References:
1.Yap F, Lee YS, Aw MMH. Growth Assessment and Monitoring during Childhood. Ann Acad Med Singap. 2018 Apr;47(4):149-155.
2.Grulichova M, Kuruczova D, Svancara J, Pikhart H, Bienertova-Vasku J. Association of Picky Eating with Weight and Height-The European Longitudinal Study of Pregnancy and Childhood (ELSPAC-CZ). Nutrients. 2022 Jan 19;14(3):444.
3.Goh DY, Jacob A. Perception of picky eating among children in Singapore and its impact on caregivers: a questionnaire survey. Asia Pac Fam Med. 2012 Jul 20;11(1):5.
4.Xue Y, Lee E, Ning K, Zheng Y, Ma D, Gao H, Yang B, Bai Y, Wang P, Zhang Y. Prevalence of picky eating behaviour in Chinese school-age children and associations with anthropometric parameters and intelligence quotient. A cross-sectional study. Appetite. 2015 Aug;91:248-55.
5.Parent Hub (healthhub.sg)
6.Help! My Toddler Is a Fussy Eater! (healthhub.sg)
7.Khanna D, Yalawar M, Saibaba PV, Bhatnagar S, Ghosh A, Jog P, Khadilkar AV, Kishore B, Paruchuri AK, Pote PD, Mandyam RD, Shinde S, Shah A, Huynh DTT. Oral Nutritional Supplementation Improves Growth in Children at Malnutrition Risk and with Picky Eating Behaviors. Nutrients. 2021 Oct 14;13(10):3590.
8.Anwar F, Yalawar M, Suryawanshi P, Ghosh A, Jog P, Khadilkar AV, Kishore B, Paruchuri AK, Pote PD, Mandyam RD, Shinde S, Shah A. Effect of Oral Nutritional Supplementation on Adequacy of Nutrient Intake among Picky-Eating Children at Nutritional Risk in India: A Randomized Double Blind Clinical Trial. Nutrients. 2023 May 29;15(11):2528.
References:
1.Alarcon PA, et al. Clin Pediatr (Phila). 2003;42(3):209-17. Significant difference in height gain at 90 days between children 3-5 years at nutritional risk who received PediaSure plus dietary counseling, and those who received dietary counseling alone.
DISCLAIMER: For educational purposes only and not for use to diagnose any medical condition. Please consult a healthcare professional for advice.
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