[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-564009-105":53,"doc-detail-564009-en":126},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":119,"head_meta":121,"extra_data":123,"updated_unix":125},105,"en","growth-assessment-and-monitoring-during-childhood-commentary","Growth Assessment and Monitoring during Childhood - Commentary","","Growth serves as a key indicator of infants’ and children’s health and nutritional status, and health organizations worldwide promote routine growth monitoring to detect and prevent malnutrition and/or obesity. Although growth monitoring should be part of every healthcare consultation, physicians may miss it during busy management of acute issues. Effective monitoring requires familiarity with measurement methods, appropriate growth charts, interpretation, and normal growth patterns, enabling timely detection of abnormal growth and supportive guidance for parents in primary care.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":46,"@type":70,"position":76},"https://docshare.wps.com/template/paper-templates/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/growth-assessment-and-monitoring-during-childhood-commentary/564009/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/growth-assessment-and-monitoring-during-childhood-commentary/564009.png","ImageObject",442,249,{"name":88,"@type":89},"Dipper","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-14","2026-10-12",true,{"@type":98,"interactionType":99,"userInteractionCount":9},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"Why is growth monitoring important in childhood?","Question",{"text":108,"@type":109},"Growth monitoring helps identify and prevent malnutrition and/or obesity and should be integrated into routine healthcare consultations. It also supports timely detection of abnormal growth patterns and reassurance when concerns are unfounded.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"What skills do physicians need to monitor growth effectively?",{"text":113,"@type":109},"Physicians need familiarity with measurement methods, appropriate growth charts, and how to interpret results. They must also understand what constitutes normal growth because weight, height, and growth rates vary among children.",{"name":115,"@type":106,"acceptedAnswer":116},"How does growth monitoring address parents’ anxieties?",{"text":117,"@type":109},"By demonstrating normal growth, clinicians can manage expectations, correct misperceptions, and allay undue anxiety. It also reduces inappropriate actions such as unnecessary referrals, investigations, or overfeeding based on incorrect interpretation.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},564009,1792009769,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":45,"category_name":46,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":9,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":135,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":76},1374404997633,"https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd","Commentary  \nGrowth Assessment and Monitoring during Childhood  \nFabian Yap,1MMED (Paediatrics), FRCPCH, FAMS, Yung Seng Lee,2,3MMED (Paediatrics), FRCPCH, PhD, Marion Margaret HY Aw, 3,4MMED (Paediatrics), FRCPCH, MD  \nAbstract  \nGrowth is an indicator of the health and nutritional status of infantsand children. Health  \norganisations and professionals worldwide advocate monitoring the growth of children  \nwith the primary aim of identifying and preventing malnutrition and/or obesity. Growth  \nmonitoring should be part of every healthcare consultation forchildren. However, physicians  \nduring health care consultations are often so busy addressing acute health issues, that they  \nmiss the opportunity to monitor the child’s growth and provide anticipatory guidance.  \nAppropriate growth monitoring would enable health care providers to detect abnormal  \ngrowth in a timely manner, as well as to reassure parents if their concerns are unfounded.  \nTo perform this effectively, physicians need to be familiar with measurement methods, use  \nof appropriate growth charts and interpretation of results. As weight, height and growth  \nrates may vary among children, physicians also need to understand what constitutes  \nnormal growth. This paper aims to clarify the purpose of growth monitoring and provide  \nrecommendations for physicians to assess, monitor and manage growth in infants and  \nchildren in a primary care setting.  \nAnn Acad Med Singapore 2018;47:149-55  \nKey words: Body mass index, Child, Height, Weight  \nIntroduction  \nHuman physical development is continuous from infancy to maturity and involves changes in body size and appearance, including the development of secondary sexual characteristics.Although children tend to have body shapes and sizes similar to their parents or grandparents, living conditions including nutrition and sanitation have significant influence on growth. Growth and development from conception to final height are influenced by genetics, prenatal factors such as maternal-fetal health and wellbeing1 and postnatal factors such as nutrition and disease.2 There are 2 distinct components of physical development, namely height growth (which continues throughout childhood and puberty until attainment of final height by 18 years of age) and weight growth (which influences height  \ngrowth during childhood and determines adiposity status even after final height is attained) . Physicians should be familiar with height, weight and body mass index (BMI) -for-age growth charts, since comparison of a child’s height, weight and BMI with the respective values of a reference population provides evidence or otherwise of the normal growth process.3 Although growthis compared to population norms on growth charts, the 50th population percentile isnot necessarily the target growth pattern for all individuals, and should be de-emphasised during growth monitoring. Growth involves height and weight changes over time and is quantified as growth velocity.4 Hence, it is the monitoring of growth velocity that is important. Doing so will enable us to detect abnormal growth and assess the impact of interventions.5  \n1Endocrinology Services, Division of Medicine, KK Women’s and Children’s Hospital, Singapore  \n2Division of Paediatric Endocrinology and Diabetes, Khoo Teck Puat-National University Children’s Medical Institute, National University Hospital, Singapore 3Department of Paediatrics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore  \n4Division of Gastroenterology and Hepatology, Khoo Teck Puat-National University Children’s Medical Institute, National University Hospital, Singapore Address for Correspondence: A/Prof Marion Margaret Aw Hui Yong, Department of Paediatrics, National University Health System, Tower Block, Level 12, 1E Kent Ridge Road, Singapore 119228.  \n[Email: paeawm@nus.edu.sg](Email: paeawm@nus.edu.sg)  \nApril 2018, Vol. 47 No. 4  \n150 Growth Assessment and Monitoring—Fabian Yap et al  \nPu","cbCaibMOi37fWWYg","https://ap.wps.com/l/cbCaibMOi37fWWYg","pdf",292219,7,"English","# Introduction\n## Purpose of Growth Monitoring\n## Demonstrate Normal Size/Growth","[{\"question\":\"Why is growth monitoring important in childhood?\",\"answer\":\"Growth monitoring helps identify and prevent malnutrition and/or obesity and should be integrated into routine healthcare consultations. It also supports timely detection of abnormal growth patterns and reassurance when concerns are unfounded.\"},{\"question\":\"What skills do physicians need to monitor growth effectively?\",\"answer\":\"Physicians need familiarity with measurement methods, appropriate growth charts, and how to interpret results. They must also understand what constitutes normal growth because weight, height, and growth rates vary among children.\"},{\"question\":\"How does growth monitoring address parents’ anxieties?\",\"answer\":\"By demonstrating normal growth, clinicians can manage expectations, correct misperceptions, and allay undue anxiety. It also reduces inappropriate actions such as unnecessary referrals, investigations, or overfeeding based on incorrect interpretation.\"}]","Growth Assessment and Monitoring during Childhood - Commentary | PDF",1791839833]