Parents love to track their children's growth — and with good reason. This development can be an important indicator of how their overall health is shaping up. But kids' growth isn't always steady. There will likely be periods of rapid growth and times when growth slows or even plateaus.
So, whether you're tracking your child's height on a wall or carefully jotting down measurements in a journal, how can you tell if their growth and development is on track, especially with regard to slowed growth?
According to Jennifer Williams, MPH, an Abbott pediatric scientist, there are several key indicators of healthy growth in kids. And the best way to make sure your child is hitting those is by providing good nutrition from day one.
What Constitutes Healthy Growth?
When a child is slow to grow or is experiencing a growth plateau, it's easy to get discouraged by the numbers. But inches and pounds aren't always indicative of optimal growth. In fact, healthy growth is measured by what's normal for your child. When your pediatrician measures your child's height and weight, they are looking for a consistent trend — not a magic number.
For instance, if your child has always been in the 25th percentile, there's no cause for concern as long as they stay on that curve of the growth chart. However, a sudden drop to the 10th percentile could be a red flag. And, even though we tend to focus on height, it's not always the most important indicator of healthy growth.
Related: Growth and Height Charts
"When a child is behind in growth early on, changes in weight are often the first clue," explains Williams. "But when there's chronic undernutrition, height can be affected, leading to slowed growth if a child is undernourished over long periods of time."
How Can Nutrition Affect Child Growth and Development?
Slowed growth can have far-reaching effects, such as impacting a child's activity levels, performance in school, and may even increase their risk for chronic diseases later in life. If you're worried your child's growth may be falling behind, take solace in knowing that many factors affect their size. The first is genetics. For instance, if you or your partner has a small build, it's likely — and perfectly normal — to have a child whose height and weight are below average.
Nutrition will also affect growth and development. To reach their full growth potential, children need to consume sufficient calories and key nutrients. While starting a nutritious diet during pregnancy is optimal for initial healthy child development, continuing after they're born can also make a big difference.
"When kids aren't getting enough calories, we really want them to learn to eat whole foods first. Give them the chance to develop those healthy habits by eating meals with the rest of the family, and then add in a nutrition shake for a snack, if needed."
Jennifer Williams, MPH, pediatric scientist, Abbott
Are Some Nutrients More Beneficial in a Growing Child's Diet?
Good nutrition can go a long way in supporting your child's growth but knowing where to start can be tough. Williams recommends beginning by taking a close look at how your child is eating, especially if you suspect they're lagging in growth.
"Are they eating what they've always been eating or has something changed? If you see that your child is eating poorly, or you know that they aren't getting all the nutrition they need because there are not eating a variety of foods, adding a complete and balanced nutrition shake like PediaSure® could help," she says.
When choosing a nutrition supplement between meals, look for one that provides quality calories as well as nutrients that are proven to support growth, such as:
For busy parents, putting nutritious meals on the table isn't always easy. But Williams emphasizes that nutrition shakes shouldn't be used in place of a meal — no matter how hectic life gets.
"When kids aren't getting enough calories, we really want them to learn to eat whole foods well first," she explains. "Give them the chance to develop those healthy habits by eating meals with the rest of the family, and then add in a nutrition shake for a snack, if needed."
If you find that your child isn't always hungry at lunch, but is ravenous by dinnertime, well-timed snacks can be a great way to ensure they're getting all the nutrients they need. There are many tasty and nutritious snacks you can add to the rotation, but be sure to consult your child's doctor or dietitian before making significant changes to their diet. They can help you pinpoint the exact areas of nutrition where your child may be falling short, so you can help set them on the right track to optimal growth and development.
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Your Child's Growth and Development: Is Picky Eating Getting in the Way?
As a parent, it's natural to be concerned about your child's growth and development. But lately, many parents have had another pressing issue on their minds. According to a recent International Food Information Council (IFIC) report on children's nutrition, immune health is parents' second-largest nutritional concern, right behind growth and development. This is likely due to the COVID-19 pandemic and related shifts in social behaviors.
Decoding Your Child's Growth Chart
Pediatricians have several different tools they can use to measure your child's health. One of the most powerful among them is the growth chart. Sometimes, it can be difficult to make sense of all those lines and numbers — if you've felt this before, you're not alone. Here's some valuable insight into how to decode and better understand your child's chart. A Window Into Your Child's Health The growth chart might seem like just another piece of paper, but it's packed with several important insights. On the surface, it can look like these charts are simply about height and weight; however, growth is an indicator of many aspects of your child's health and well-being, such as cognitive development, immunity and nutrition status. One Size Doesn't Fit All The growth chart uses a set of measurements, called percentiles, to compare your child's weight, height and head size (in the case of infants) to those of other children of the same age and sex. The higher the percentile, the larger a child is compared to their peers. Conversely, the lower the percentile, the smaller the child. For example, if your child is in the 75th percentile for height, that means they are taller than 75% of kids their age. Kids of average height for their age based on WHO Child growth standards would measure in the 50th percentile. It's natural to assume bigger is better, but that's not necessarily the case. Many factors influence a child's size, including genetics, diet, and even their environment. Instead of focusing on a specific goal, pediatricians are far more interested in each child's individual growth trend. For instance, a child who has consistently been in the 30th percentile for height or weight might be experiencing perfectly healthy growth; however, if that number were to suddenly drop to the 15th percentile or below, further investigation might make sense. Adding Up the Numbers Because children experience different rates of growth according to their age, there are two basic types of growth charts. The first is designed for newborns and babies up to age 2, while the other is for kids and young adults between the ages of 2 and 20. At every wellness visit, your pediatrician will measure your child's height and weight to keep close tabs on their growth trend. Then, they'll plot these figures on the chart. You don't have to wait until your child's next appointment to learn the results. You can download the same charts they use and plot the results yourself.