4 doctors weighed in:

My daughter is 3 years and 7 months old and her emi is 12.8 which places her below 1% othis measure. I am terribely concerned.Please advice.?

4 doctors weighed in
Dr. Robert Kwok
Pediatrics
3 doctors agree

In brief: Look at big picture

One day's measurement with such a low bmi creates worry, but doesn't give enough information.
Questions to ponder include: what does her growth chart from birth look like?, is she chronically ill?, does she have malabsorption of foods?, how does she compare with her sibs?, were her parents very slim as toddlers?, is she getting higher or lower on her bmi since 3 months ago?, etc...

In brief: Look at big picture

One day's measurement with such a low bmi creates worry, but doesn't give enough information.
Questions to ponder include: what does her growth chart from birth look like?, is she chronically ill?, does she have malabsorption of foods?, how does she compare with her sibs?, were her parents very slim as toddlers?, is she getting higher or lower on her bmi since 3 months ago?, etc...
Dr. Robert Kwok
Dr. Robert Kwok
Thank
1 comment
Dr. Marc Jacobson MD.
A common problem in this age group is mis-measurement. Re-do the height and weight at the pediatrician's office and compare each to the child's trend as well as to the BMI charts. Then discuss the results with your Doctor.
Dr. Carla Enriquez
Pediatrics
1 doctor agrees

In brief: Age matters

Bmi measures are less accurate as you approach extremes in age.
Very young/old people don't measure accurately in this ratio of weight/height. As dr kwok explains weight & height acceleration are better indications of nutrition. Remember prepubertal children are supposed to be thin. After puberty issues start. In this era of excessive obesity, a thin healthy child is the ideal. See your doctor.

In brief: Age matters

Bmi measures are less accurate as you approach extremes in age.
Very young/old people don't measure accurately in this ratio of weight/height. As dr kwok explains weight & height acceleration are better indications of nutrition. Remember prepubertal children are supposed to be thin. After puberty issues start. In this era of excessive obesity, a thin healthy child is the ideal. See your doctor.
Dr. Carla Enriquez
Dr. Carla Enriquez
Thank
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