Chart Gizi Pasien Anak denganCerebral Palsy

GMFCS (gross motor function classificationsystem)With level 5 additionally divided into thoserequiring a feeding tube (TF) and those not (NT).

1. Walks without limitations2. Walks with limitations3. Walks using a hand-held mobility device4. Self-mobility with limitations, may use

powered mobility5. Transported in a manual wheelchair

510

25

50

75

90

95

10

20

30

40

50

60

70

80

lbs10

20

30

40

50

60

70

80

90

100

110

120

130

140

150

160

170

180

190

200

210

220

230

lbs5

10

15

20

25

30

35

kg

WEIGHT

5

10

15

20

25

30

35

40

45

50

55

60

65

70

75

80

85

90

95

100

105

kg

WEIGHT

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

AGE (YEARS)

2 to 20 years: BoysCerebral palsyGMFCS IWeightforage percentiles

NAME _____________________________RECORD # ____________

SOURCE: Life Expectancy Project (2011)Based on data from the California Department of Developmental Services and California Bureau of Vital Statisticshttp://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml

Mother's Stature:___________Father's Stature:___________

Date Age Weight Stature BMI

Notes:

Low weight (see text)

510

25

50

75

90

95

22

24

26

28

30

32

34

36

38

40

42

44

46

48

50

52

54

56

58

60

62

64

66

68

70

72

74

76

78

in22

24

26

28

30

32

34

36

38

40

42

44

46

48

50

52

54

56

58

60

62

64

66

68

70

72

74

76

78

in55

60

65

70

75

80

85

90

95

100

105

110

115

120

125

130

135

140

145

150

155

160

165

170

175

180

185

190

195

200

cm

STATURE

55

60

65

70

75

80

85

90

95

100

105

110

115

120

125

130

135

140

145

150

155

160

165

170

175

180

185

190

195

200

cm

STATURE

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

AGE (YEARS)

2 to 20 years: BoysCerebral palsyGMFCS IStatureforage percentiles

NAME _____________________________RECORD # ____________

SOURCE: Life Expectancy Project (2011)Based on data from the California Department of Developmental Serviceshttp://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml

Mother's Stature:___________Father's Stature:___________Date Age Weight Stature BMI

Notes:

510

25

50

75

90

95

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

BMI

kg/m2

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36BMI

kg/m2

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

AGE (YEARS)

2 to 20 years: BoysCerebral palsyGMFCS IBMIforage percentiles

NAME _____________________________RECORD # ____________

SOURCE: Life Expectancy Project (2011)Based on data from the California Department of Developmental Serviceshttp://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml

Mother's Stature:___________Father's Stature:___________Date Age Weight Stature BMI*

Notes:

*To Calculate BMI: Weight (kg) Stature (cm) Stature (cm) 10,000 or Weight (lb) Stature (in) Stature (in) 703

510

25

50

75

90

95

10

20

30

40

50

60

70

80

lbs10

20

30

40

50

60

70

80

90

100

110

120

130

140

150

160

170

180

190

200

210

220

230

lbs5

10

15

20

25

30

35

kg

WEIGHT

5

10

15

20

25

30

35

40

45

50

55

60

65

70

75

80

85

90

95

100

105

kg

WEIGHT

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

AGE (YEARS)

2 to 20 years: BoysCerebral palsyGMFCS IIWeightforage percentiles

NAME _____________________________RECORD # ____________

SOURCE: Life Expectancy Project (2011)Based on data from the California Department of Developmental Services and California Bureau of Vital Statisticshttp://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml

Mother's Stature:___________Father's Stature:___________

Date Age Weight Stature BMI

Notes:

Low weight (see text)

510

25

50

75

90

95

22

24

26

28

30

32

34

36

38

40

42

44

46

48

50

52

54

56

58

60

62

64

66

68

70

72

74

76

78

in22

24

26

28

30

32

34

36

38

40

42

44

46

48

50

52

54

56

58

60

62

64

66

68

70

72

74

76

78

in55

60

65

70

75

80

85

90

95

100

105

110

115

120

125

130

135

140

145

150

155

160

165

170

175

180

185

190

195

200

cm

STATURE

55

60

65

70

75

80

85

90

95

100

105

110

115

120

125

130

135

140

145

150

155

160

165

170

175

180

185

190

195

200

cm

STATURE

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

AGE (YEARS)

2 to 20 years: BoysCerebral palsyGMFCS IIStatureforage percentiles

NAME _____________________________RECORD # ____________

SOURCE: Life Expectancy Project (2011)Based on data from the California Department of Developmental Serviceshttp://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml

Mother's Stature:___________Father's Stature:___________Date Age Weight Stature BMI

Notes:

510

25

50

75

90

95

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

BMI

kg/m2

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36BMI

kg/m2

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

AGE (YEARS)

2 to 20 years: BoysCerebral palsyGMFCS IIBMIforage percentiles

NAME _____________________________RECORD # ____________

SOURCE: Life Expectancy Project (2011)Based on data from the California Department of Developmental Serviceshttp://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml

Mother's Stature:___________Father's Stature:___________Date Age Weight Stature BMI*

Notes:

*To Calculate BMI: Weight (kg) Stature (cm) Stature (cm) 10,000 or Weight (lb) Stature (in) Stature (in) 703

510

25

50

75

90

95

10

20

30

40

50

60

70

80

lbs10

20

30

40

50

60

70

80

90

100

110

120

130

140

150

160

170

180

190

200

210

220

230

lbs5

10

15

20

25

30

35

kg

WEIGHT

5

10

15

20

25

30

35

40

45

50

55

60

65

70

75

80

85

90

95

100

105

kg

WEIGHT

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

AGE (YEARS)

2 to 20 years: BoysCerebral palsyGMFCS IIIWeightforage percentiles

NAME _____________________________RECORD # ____________

SOURCE: Life Expectancy Project (2011)Based on data from the California Department of Developmental Services and California Bureau of Vital Statisticshttp://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml

Mother's Stature:___________Father's Stature:___________

Date Age Weight Stature BMI

Notes:

Low weight (see text)

510

25

50

75

90

95

22

24

26

28

30

32

34

36

38

40

42

44

46

48

50

52

54

56

58

60

62

64

66

68

70

72

74

76

78

in22

24

26

28

30

32

34

36

38

40

42

44

46

48

50

52

54

56

58

60

62

64

66

68

70

72

74

76

78

in55

60

65

70

75

80

85

90

95

100

105

110

115

120

125

130

135

140

145

150

155

160

165

170

175

180

185

190

195

200

cm

STATURE

55

60

65

70

75

80

85

90

95

100

105

110

115

120

125

130

135

140

145

150

155

160

165

170

175

180

185

190

195

200

cm

STATURE

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

AGE (YEARS)

2 to 20 years: BoysCerebral palsyGMFCS IIIStatureforage percentiles

NAME _____________________________RECORD # ____________

SOURCE: Life Expectancy Project (2011)Based on data from the California Department of Developmental Serviceshttp://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml

Mother's Stature:___________Father's Stature:___________Date Age Weight Stature BMI

Notes:

510

25

50

75

90

95

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

BMI

kg/m2

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36BMI

kg/m2

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

AGE (YEARS)

2 to 20 years: BoysCerebral palsyGMFCS IIIBMIforage percentiles

NAME _____________________________RECORD # ____________

SOURCE: Life Expectancy Project (2011)Based on data from the California Department of Developmental Serviceshttp://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml

Mother's Stature:___________Father's Stature:___________Date Age Weight Stature BMI*

Notes:

*To Calculate BMI: Weight (kg) Stature (cm) Stature (cm) 10,000 or Weight (lb) Stature (in) Stature (in) 703

510

25

50

75

90

95

10

20

30

40

50

60

70

80

lbs10

20

30

40

50

60

70

80

90

100

110

120

130

140

150

160

170

180

190

200

210

220

230

lbs5

10

15

20

25

30

35

kg

WEIGHT

5

10

15

20

25

30

35

40

45

50

55

60

65

70

75

80

85

90

95

100

105

kg

WEIGHT

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

AGE (YEARS)

2 to 20 years: BoysCerebral palsyGMFCS IVWeightforage percentiles

NAME _____________________________RECORD # ____________

SOURCE: Life Expectancy Project (2011)Based on data from the California Department of Developmental Services and California Bureau of Vital Statisticshttp://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml

Mother's Stature:___________Father's Stature:___________

Date Age Weight Stature BMI

Notes:

Low weight (see text)

510

25

50

75

90

95

22

24

26

28

30

32

34

36

38

40

42

44

46

48

50

52

54

56

58

60

62

64

66

68

70

72

74

76

78

in22

24

26

28

30

32

34

36

38

40

42

44

46

48

50

52

54

56

58

60

62

64

66

68

70

72

74

76

78

in55

60

65

70

75

80

85

90

95

100

105

110

115

120

125

130

135

140

145

150

155

160

165

170

175

180

185

190

195

200

cm

STATURE

55

60

65

70

75

80

85

90

95

100

105

110

115

120

125

130

135

140

145

150

155

160

165

170

175

180

185

190

195

200

cm

STATURE

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

AGE (YEARS)

2 to 20 years: BoysCerebral palsyGMFCS IVStatureforage percentiles

NAME _____________________________RECORD # ____________

SOURCE: Life Expectancy Project (2011)Based on data from the California Department of Developmental Serviceshttp://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml

Mother's Stature:___________Father's Stature:___________Date Age Weight Stature BMI

Notes:

510

25

50

75

90

95

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

BMI

kg/m2

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36BMI

kg/m2

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

AGE (YEARS)

2 to 20 years: BoysCerebral palsyGMFCS IVBMIforage percentiles

NAME _____________________________RECORD # ____________

SOURCE: Life Expectancy Project (2011)Based on data from the California Department of Developmental Serviceshttp://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml

Mother's Stature:___________Father's Stature:___________Date Age Weight Stature BMI*

Notes:

*To Calculate BMI: Weight (kg) Stature (cm) Stature (cm) 10,000 or Weight (lb) Stature (in) Stature (in) 703

510

25

50

75

90

95

10

20

30

40

50

60

70

80

lbs10

20

30

40

50

60

70

80

90

100

110

120

130

140

150

160

170

180

190

200

210

220

230

lbs5

10

15

20

25

30

35

kg

WEIGHT

5

10

15

20

25

30

35

40

45

50

55

60

65

70

75

80

85

90

95

100

105

kg

WEIGHT

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

AGE (YEARS)

2 to 20 years: BoysCerebral palsyGMFCS V, feeds orallyWeightforage percentiles

NAME _____________________________RECORD # ____________

SOURCE: Life Expectancy Project (2011)Based on data from the California Department of Developmental Services and California Bureau of Vital Statisticshttp://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml

Mother's Stature:___________Father's Stature:___________

Date Age Weight Stature BMI

Notes:

Low weight (see text)

510

25

50

75

90

95

22

24

26

28

30

32

34

36

38

40

42

44

46

48

50

52

54

56

58

60

62

64

66

68

70

72

74

76

78

in22

24

26

28

30

32

34

36

38

40

42

44

46

48

50

52

54

56

58

60

62

64

66

68

70

72

74

76

78

in55

60

65

70

75

80

85

90

95

100

105

110

115

120

125

130

135

140

145

150

155

160

165

170

175

180

185

190

195

200

cm

STATURE

55

60

65

70

75

80

85

90

95

100

105

110

115

120

125

130

135

140

145

150

155

160

165

170

175

180

185

190

195

200

cm

STATURE

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

AGE (YEARS)

2 to 20 years: BoysCerebral palsyGMFCS V, feeds orallyStatureforage percentiles

NAME _____________________________RECORD # ____________

SOURCE: Life Expectancy Project (2011)Based on data from the California Department of Developmental Serviceshttp://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml

Mother's Stature:___________Father's Stature:___________Date Age Weight Stature BMI

Notes:

510

25

50

75

90

95

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

BMI

kg/m2

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36BMI

kg/m2

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

AGE (YEARS)

2 to 20 years: BoysCerebral palsyGMFCS V, feeds orallyBMIforage percentiles

NAME _____________________________RECORD # ____________

SOURCE: Life Expectancy Project (2011)Based on data from the California Department of Developmental Serviceshttp://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml

Mother's Stature:___________Father's Stature:___________Date Age Weight Stature BMI*

Notes:

*To Calculate BMI: Weight (kg) Stature (cm) Stature (cm) 10,000 or Weight (lb) Stature (in) Stature (in) 703

510

25

50

75

90

95

10

20

30

40

50

60

70

80

lbs10

20

30

40

50

60

70

80

90

100

110

120

130

140

150

160

170

180

190

200

210

220

230

lbs5

10

15

20

25

30

35

kg

WEIGHT

5

10

15

20

25

30

35

40

45

50

55

60

65

70

75

80

85

90

95

100

105

kg

WEIGHT

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

AGE (YEARS)

2 to 20 years: BoysCerebral palsyGMFCS V, tube fedWeightforage percentiles

NAME _____________________________RECORD # ____________

SOURCE: Life Expectancy Project (2011)Based on data from the California Department of Developmental Services and California Bureau of Vital Statisticshttp://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml

Mother's Stature:___________Father's Stature:___________

Date Age Weight Stature BMI

Notes:

Low weight (see text)

510

25

50

75

90

95

22

24

26

28

30

32

34

36

38

40

42

44

46

48

50

52

54

56

58

60

62

64

66

68

70

72

74

76

78

in22

24

26

28

30

32

34

36

38

40

42

44

46

48

50

52

54

56

58

60

62

64

66

68

70

72

74

76

78

in55

60

65

70

75

80

85

90

95

100

105

110

115

120

125

130

135

140

145

150

155

160

165

170

175

180

185

190

195

200

cm

STATURE

55

60

65

70

75

80

85

90

95

100

105

110

115

120

125

130

135

140

145

150

155

160

165

170

175

180

185

190

195

200

cm

STATURE

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

AGE (YEARS)

2 to 20 years: BoysCerebral palsyGMFCS V, tube fedStatureforage percentiles

NAME _____________________________RECORD # ____________

SOURCE: Life Expectancy Project (2011)Based on data from the California Department of Developmental Serviceshttp://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml

Mother's Stature:___________Father's Stature:___________Date Age Weight Stature BMI

Notes:

510

25

50

75

90

95

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

BMI

kg/m2

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36BMI

kg/m2

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

AGE (YEARS)

2 to 20 years: BoysCerebral palsyGMFCS V, tube fedBMIforage percentiles

NAME _____________________________RECORD # ____________

SOURCE: Life Expectancy Project (2011)Based on data from the California Department of Developmental Serviceshttp://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml

Mother's Stature:___________Father's Stature:___________Date Age Weight Stature BMI*

Notes:

*To Calculate BMI: Weight (kg) Stature (cm) Stature (cm) 10,000 or Weight (lb) Stature (in) Stature (in) 703

510

25

50

75

90

95

10

20

30

40

50

60

70

80

lbs10

20

30

40

50

60

70

80

90

100

110

120

130

140

150

160

170

180

190

200

210

220

230

lbs5

10

15

20

25

30

35

kg

WEIGHT

5

10

15

20

25

30

35

40

45

50

55

60

65

70

75

80

85

90

95

100

105

kg

WEIGHT

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

AGE (YEARS)

2 to 20 years: GirlsCerebral palsyGMFCS IWeightforage percentiles

NAME _____________________________RECORD # ____________

SOURCE: Life Expectancy Project (2011)Based on data from the California Department of Developmental Services and California Bureau of Vital Statisticshttp://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml

Mother's Stature:___________Father's Stature:___________

Date Age Weight Stature BMI

Notes:

Low weight (see text)

510

25

50

75

9095

22

24

26

28

30

32

34

36

38

40

42

44

46

48

50

52

54

56

58

60

62

64

66

68

70

72

74

76

78

in22

24

26

28

30

32

34

36

38

40

42

44

46

48

50

52

54

56

58

60

62

64

66

68

70

72

74

76

78

in55

60

65

70

75

80

85

90

95

100

105

110

115

120

125

130

135

140

145

150

155

160

165

170

175

180

185

190

195

200

cm

STATURE

55

60

65

70

75

80

85

90

95

100

105

110

115

120

125

130

135

140

145

150

155

160

165

170

175

180

185

190

195

200

cm

STATURE

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

AGE (YEARS)

2 to 20 years: GirlsCerebral palsyGMFCS IStatureforage percentiles

NAME _____________________________RECORD # ____________

SOURCE: Life Expectancy Project (2011)Based on data from the California Department of Developmental Serviceshttp://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml

Mother's Stature:___________Father's Stature:___________Date Age Weight Stature BMI

Notes:

510

25

50

75

90

95

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

BMI

kg/m2

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36BMI

kg/m2

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

AGE (YEARS)

2 to 20 years: GirlsCerebral palsyGMFCS IBMIforage percentiles

NAME _____________________________RECORD # ____________

SOURCE: Life Expectancy Project (2011)Based on data from the California Department of Developmental Serviceshttp://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml

Mother's Stature:___________Father's Stature:___________Date Age Weight Stature BMI*

Notes:

*To Calculate BMI: Weight (kg) Stature (cm) Stature (cm) 10,000 or Weight (lb) Stature (in) Stature (in) 703

510

25

50

75

90

95

10

20

30

40

50

60

70

80

lbs10

20

30

40

50

60

70

80

90

100

110

120

130

140

150

160

170

180

190

200

210

220

230

lbs5

10

15

20

25

30

35

kg

WEIGHT

5

10

15

20

25

30

35

40

45

50

55

60

65

70

75

80

85

90

95

100

105

kg

WEIGHT

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

AGE (YEARS)

2 to 20 years: GirlsCerebral palsyGMFCS IIWeightforage percentiles

NAME _____________________________RECORD # ____________

SOURCE: Life Expectancy Project (2011)Based on data from the California Department of Developmental Services and California Bureau of Vital Statisticshttp://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml

Mother's Stature:___________Father's Stature:___________

Date Age Weight Stature BMI

Notes:

Low weight (see text)

510

25

50

75

90

95

22

24

26

28

30

32

34

36

38

40

42

44

46

48

50

52

54

56

58

60

62

64

66

68

70

72

74

76

78

in22

24

26

28

30

32

34

36

38

40

42

44

46

48

50

52

54

56

58

60

62

64

66

68

70

72

74

76

78

in55

60

65

70

75

80

85

90

95

100

105

110

115

120

125

130

135

140

145

150

155

160

165

170

175

180

185

190

195

200

cm

STATURE

55

60

65

70

75

80

85

90

95

100

105

110

115

120

125

130

135

140

145

150

155

160

165

170

175

180

185

190

195

200

cm

STATURE

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

AGE (YEARS)

2 to 20 years: GirlsCerebral palsyGMFCS IIStatureforage percentiles

NAME _____________________________RECORD # ____________

SOURCE: Life Expectancy Project (2011)Based on data from the California Department of Developmental Serviceshttp://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml

Mother's Stature:___________Father's Stature:___________Date Age Weight Stature BMI

Notes:

510

25

50

75

90

95

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

BMI

kg/m2

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36BMI

kg/m2

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

AGE (YEARS)

2 to 20 years: GirlsCerebral palsyGMFCS IIBMIforage percentiles

NAME _____________________________RECORD # ____________

SOURCE: Life Expectancy Project (2011)Based on data from the California Department of Developmental Serviceshttp://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml

Mother's Stature:___________Father's Stature:___________Date Age Weight Stature BMI*

Notes:

*To Calculate BMI: Weight (kg) Stature (cm) Stature (cm) 10,000 or Weight (lb) Stature (in) Stature (in) 703

510

25

50

75

90

95

10

20

30

40

50

60

70

80

lbs10

20

30

40

50

60

70

80

90

100

110

120

130

140

150

160

170

180

190

200

210

220

230

lbs5

10

15

20

25

30

35

kg

WEIGHT

5

10

15

20

25

30

35

40

45

50

55

60

65

70

75

80

85

90

95

100

105

kg

WEIGHT

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

AGE (YEARS)

2 to 20 years: GirlsCerebral palsyGMFCS IIIWeightforage percentiles

NAME _____________________________RECORD # ____________

SOURCE: Life Expectancy Project (2011)Based on data from the California Department of Developmental Services and California Bureau of Vital Statisticshttp://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml

Mother's Stature:___________Father's Stature:___________

Date Age Weight Stature BMI

Notes:

Low weight (see text)

510

25

50

75

90

95

22

24

26

28

30

32

34

36

38

40

42

44

46

48

50

52

54

56

58

60

62

64

66

68

70

72

74

76

78

in22

24

26

28

30

32

34

36

38

40

42

44

46

48

50

52

54

56

58

60

62

64

66

68

70

72

74

76

78

in55

60

65

70

75

80

85

90

95

100

105

110

115

120

125

130

135

140

145

150

155

160

165

170

175

180

185

190

195

200

cm

STATURE

55

60

65

70

75

80

85

90

95

100

105

110

115

120

125

130

135

140

145

150

155

160

165

170

175

180

185

190

195

200

cm

STATURE

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

AGE (YEARS)

2 to 20 years: GirlsCerebral palsyGMFCS IIIStatureforage percentiles

NAME _____________________________RECORD # ____________

SOURCE: Life Expectancy Project (2011)Based on data from the California Department of Developmental Serviceshttp://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml

Mother's Stature:___________Father's Stature:___________Date Age Weight Stature BMI

Notes:

510

25

50

75

90

95

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

BMI

kg/m2

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36BMI

kg/m2

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

AGE (YEARS)

2 to 20 years: GirlsCerebral palsyGMFCS IIIBMIforage percentiles

NAME _____________________________RECORD # ____________

SOURCE: Life Expectancy Project (2011)Based on data from the California Department of Developmental Serviceshttp://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml

Mother's Stature:___________Father's Stature:___________Date Age Weight Stature BMI*

Notes:

*To Calculate BMI: Weight (kg) Stature (cm) Stature (cm) 10,000 or Weight (lb) Stature (in) Stature (in) 703

510

25

50

75

90

95

10

20

30

40

50

60

70

80

lbs10

20

30

40

50

60

70

80

90

100

110

120

130

140

150

160

170

180

190

200

210

220

230

lbs5

10

15

20

25

30

35

kg

WEIGHT

5

10

15

20

25

30

35

40

45

50

55

60

65

70

75

80

85

90

95

100

105

kg

WEIGHT

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

AGE (YEARS)

2 to 20 years: GirlsCerebral palsyGMFCS IVWeightforage percentiles

NAME _____________________________RECORD # ____________

SOURCE: Life Expectancy Project (2011)Based on data from the California Department of Developmental Services and California Bureau of Vital Statisticshttp://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml

Mother's Stature:___________Father's Stature:___________

Date Age Weight Stature BMI

Notes:

Low weight (see text)

510

25

50

75

90

95

22

24

26

28

30

32

34

36

38

40

42

44

46

48

50

52

54

56

58

60

62

64

66

68

70

72

74

76

78

in22

24

26

28

30

32

34

36

38

40

42

44

46

48

50

52

54

56

58

60

62

64

66

68

70

72

74

76

78

in55

60

65

70

75

80

85

90

95

100

105

110

115

120

125

130

135

140

145

150

155

160

165

170

175

180

185

190

195

200

cm

STATURE

55

60

65

70

75

80

85

90

95

100

105

110

115

120

125

130

135

140

145

150

155

160

165

170

175

180

185

190

195

200

cm

STATURE

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

AGE (YEARS)

2 to 20 years: GirlsCerebral palsyGMFCS IVStatureforage percentiles

NAME _____________________________RECORD # ____________

SOURCE: Life Expectancy Project (2011)Based on data from the California Department of Developmental Serviceshttp://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml

Mother's Stature:___________Father's Stature:___________Date Age Weight Stature BMI

Notes:

510

25

50

75

90

95

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

BMI

kg/m2

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36BMI

kg/m2

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

AGE (YEARS)

2 to 20 years: GirlsCerebral palsyGMFCS IVBMIforage percentiles

NAME _____________________________RECORD # ____________

SOURCE: Life Expectancy Project (2011)Based on data from the California Department of Developmental Serviceshttp://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml

Mother's Stature:___________Father's Stature:___________Date Age Weight Stature BMI*

Notes:

*To Calculate BMI: Weight (kg) Stature (cm) Stature (cm) 10,000 or Weight (lb) Stature (in) Stature (in) 703

510

25

50

75

90

95

10

20

30

40

50

60

70

80

lbs10

20

30

40

50

60

70

80

90

100

110

120

130

140

150

160

170

180

190

200

210

220

230

lbs5

10

15

20

25

30

35

kg

WEIGHT

5

10

15

20

25

30

35

40

45

50

55

60

65

70

75

80

85

90

95

100

105

kg

WEIGHT

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

AGE (YEARS)

2 to 20 years: GirlsCerebral palsyGMFCS V, feeds orallyWeightforage percentiles

NAME _____________________________RECORD # ____________

SOURCE: Life Expectancy Project (2011)Based on data from the California Department of Developmental Services and California Bureau of Vital Statisticshttp://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml

Mother's Stature:___________Father's Stature:___________

Date Age Weight Stature BMI

Notes:

Low weight (see text)

510

25

50

75

90

95

22

24

26

28

30

32

34

36

38

40

42

44

46

48

50

52

54

56

58

60

62

64

66

68

70

72

74

76

78

in22

24

26

28

30

32

34

36

38

40

42

44

46

48

50

52

54

56

58

60

62

64

66

68

70

72

74

76

78

in55

60

65

70

75

80

85

90

95

100

105

110

115

120

125

130

135

140

145

150

155

160

165

170

175

180

185

190

195

200

cm

STATURE

55

60

65

70

75

80

85

90

95

100

105

110

115

120

125

130

135

140

145

150

155

160

165

170

175

180

185

190

195

200

cm

STATURE

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

AGE (YEARS)

2 to 20 years: GirlsCerebral palsyGMFCS V, feeds orallyStatureforage percentiles

NAME _____________________________RECORD # ____________

SOURCE: Life Expectancy Project (2011)Based on data from the California Department of Developmental Serviceshttp://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml

Mother's Stature:___________Father's Stature:___________Date Age Weight Stature BMI

Notes:

510

25

50

75

90

95

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

BMI

kg/m2

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36BMI

kg/m2

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

AGE (YEARS)

2 to 20 years: GirlsCerebral palsyGMFCS V, feeds orallyBMIforage percentiles

NAME _____________________________RECORD # ____________

SOURCE: Life Expectancy Project (2011)Based on data from the California Department of Developmental Serviceshttp://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml

Mother's Stature:___________Father's Stature:___________Date Age Weight Stature BMI*

Notes:

*To Calculate BMI: Weight (kg) Stature (cm) Stature (cm) 10,000 or Weight (lb) Stature (in) Stature (in) 703

510

25

50

75

90

95

10

20

30

40

50

60

70

80

lbs10

20

30

40

50

60

70

80

90

100

110

120

130

140

150

160

170

180

190

200

210

220

230

lbs5

10

15

20

25

30

35

kg

WEIGHT

5

10

15

20

25

30

35

40

45

50

55

60

65

70

75

80

85

90

95

100

105

kg

WEIGHT

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

AGE (YEARS)

2 to 20 years: GirlsCerebral palsyGMFCS V, tube fedWeightforage percentiles

NAME _____________________________RECORD # ____________

SOURCE: Life Expectancy Project (2011)Based on data from the California Department of Developmental Services and California Bureau of Vital Statisticshttp://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml

Mother's Stature:___________Father's Stature:___________

Date Age Weight Stature BMI

Notes:

Low weight (see text)

510

25

50

75

9095

22

24

26

28

30

32

34

36

38

40

42

44

46

48

50

52

54

56

58

60

62

64

66

68

70

72

74

76

78

in22

24

26

28

30

32

34

36

38

40

42

44

46

48

50

52

54

56

58

60

62

64

66

68

70

72

74

76

78

in55

60

65

70

75

80

85

90

95

100

105

110

115

120

125

130

135

140

145

150

155

160

165

170

175

180

185

190

195

200

cm

STATURE

55

60

65

70

75

80

85

90

95

100

105

110

115

120

125

130

135

140

145

150

155

160

165

170

175

180

185

190

195

200

cm

STATURE

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

AGE (YEARS)

2 to 20 years: GirlsCerebral palsyGMFCS V, tube fedStatureforage percentiles

NAME _____________________________RECORD # ____________

SOURCE: Life Expectancy Project (2011)Based on data from the California Department of Developmental Serviceshttp://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml

Mother's Stature:___________Father's Stature:___________Date Age Weight Stature BMI

Notes:

510

25

50

75

90

95

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

BMI

kg/m2

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36BMI

kg/m2

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

AGE (YEARS)

2 to 20 years: GirlsCerebral palsyGMFCS V, tube fedBMIforage percentiles

NAME _____________________________RECORD # ____________

SOURCE: Life Expectancy Project (2011)Based on data from the California Department of Developmental Serviceshttp://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml

Mother's Stature:___________Father's Stature:___________Date Age Weight Stature BMI*

Notes:

*To Calculate BMI: Weight (kg) Stature (cm) Stature (cm) 10,000 or Weight (lb) Stature (in) Stature (in) 703

1.pdfB1.pdfB2.pdfB3.pdfB4.pdfB5NT.pdfB5TF.pdfG1.pdfG2.pdfG3.pdfG4.pdfG5NT.pdfG5TF.pdf