In 2010, the WHO Growth Charts for Canada were released and were recommended as the standard growth charts for all Canadian children, to replace the CDC growths in use since 2000. The formatting of the 2010 charts was the result of a collaborative statement by the Dietitians of Canada, the Canadian Paediatric Society, the College of Family Physicians of Canada, and the Community Health Nurses of Canada.

The BCCH Anthropometric Calculators can calculate Z-scores and centiles for height/length, weight, head circumference, body-mass index, waist circumference, waist/height ratio, BMI, blood pressure (2004 NHBLI and 2017 AAP), skinfold thickness, arm circumference, height velocity, target (midparental) height, and predicted adult height for typically growing children and for children with selected syndromes, based on published norms.

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For those who prefer to create growth charts by uploading anthropometric data in spreadsheet (csv) format, the Canadian Pediatric Endocrine Group has also created Shiny plotters for this purpose:

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You can also choose to plot selected growth parameters (such as height, weight, body-mass index and head circumference) for children with a number of syndromes (Turner, Down, Noonan, Prader–Willi and Russell–Silver).

These workbooks are free and do not contain macros. They may be used online or downloaded and saved to your hard drive or mobile device.

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Also take a look at the browser-based Growth Chart Plotter App (tab above) for plotting heights and weights for boys and girls ages 2 to 19 years, ideal for making growth charts for PowerPoint presentations.‎

A number of individuals and professional organizations, most notably the Canadian Pediatric Endocrine Group (CPEG), raised three concerns about the new WHO charts. In particular, CPEG felt that the loss of weight-for-age curves from ages 10–19 years in favour of a sole emphasis on the calculation of body-mass index (BMI) made the charts less useful for short-term clinical evaluation of weight gain or loss in growing children. Secondly, the inclusion of curves for the 0.1st and 99.9th centiles in the 2010 charts raised the possibility of some physicians considering these extremes as the “normal range”, possibly delaying referral of children until they reached one of these extremes. Finally, the loss of the number of intermediate-centile (10th, 25th, 75th and 90th) curves on the 2010 charts made it potentially more difficult for clinicians to identify children who were “crossing centiles”.

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This app requires an HTLM5-compliant browser with JavaScript (e.g. Safari, Chrome, Firefox, or Opera), and it will not work with current versions of Microsoft Internet Explorer or Edge.

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Dr. Atul Sharma, MD, MSc, FRCPC, Assistant Professor, Department of Pediatrics and Child Health, University of Manitoba, has developed a web-based height-, weight- and BMI-plotting app for children from birth to age 19 years, using the WHO Growth Charts for Canada, 2014 revision. The app can be used to make images of plots for presentations (see screenshot below).

Our AnthroCalc app is available on Google Play and on the App Store. The AnthroCalc app calculates centiles and Z-scores for height/length, weight, weight-for-length, body-mass index, waist circumference, head circumference, target (midparental) height, predicted adult height, and height velocity for typically growing children (using WHO or CDC references); for blood pressure (using NIH 2004 or AAP 2017 references); for children with a number of syndromes (Turner, Down, Prader–Willi, Russell–Silver and Noonan); and for preterm infants (Fenton, INTERGROWTH-21st).

There is also an option for those wanting to use these CPEG macros in either a clinical or research context, but who are uncomfortable with a statistical package. The Canadian Pediatric Endocrine Group has created on-line applications (Zapps™) running these macros on an R server (a/k/a Shiny), available here on their website.

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See also our Anthropometric Calculators (tab above) for determining percentiles and Z-scores for the WHO Growth Charts for Canada, in addition to the CDC Growth Charts and a number of common syndromes.

We also have available a number of Microsoft® Excel workbook–based batch calculators, to be used in conjunction with the above calculator workbooks. Please note that these workbooks contains macros, which will have to be enabled for them to work. For each batch calculator, there is a worksheet in its workbook with instructions for use. Please also note that these workbook files and the associated anthropometric calculator files must be placed in the same folder on your computer's hard drive or network drive. There are problems reported using this with Macs that we have been unable to resolve. Currently available:

BC Children’s Hospital has now printed and integrated the use of the Set 2 consensus charts. We encourage all clinicians and public-health clinics seeing children in BC to switch to the revised WHO Growth Charts for Canada, and measures are underway through the BC Ministry of Health to ensure that this occurs on the public-health side as well.

English and French versions of both sets of growth charts are freely available for download at www.whogrowthcharts.ca, as well as instructions for how they should be printed. For those individuals and electronic health-records companies wishing access to the LMS data used to plot the charts, these are available on the CPEG website here.

CPEG therefore undertook to recreate the weight-for-age curves for children 10–19 years of age, using a statistical method identical to that used by WHO, and including the majority of the data points in the WHO curves. Following discussions between the original collaborative group and CPEG, a consensus was achieved in March 2014, whereby two sets of growth charts would be released, both including the new weight-for-age curves developed by CPEG and differing only in the percentiles plotted:

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Our GrowthPlot app is available on Google Play and on the App Store. The GrowthPlot app plots length, weight, head circumference and weight-for-length for children (0–24 months of age for WHO, 0–36 months for CDC); and it plots height, weight and body-mass index for children (2–19 years of age for WHO, 2–20 years for CDC). Plots for WHO are made using the WHO Growth Charts for Canada, March 2014 revision, and plots for CDC are made using the 2000 CDC Growth Charts.

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A number of resources are available on this website and that of the Canadian Pediatric Endocrine Group to assist clinicians in calculating Z-scores and centiles for anthropometric data for typically growing children, children with syndromes, and premature infants.