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PEDIATRICS Vol. 109 No. 1 January 2002, pp. 45-60

Centers for Disease Control and Prevention 2000 Growth Charts for the United States: Improvements to the 1977 National Center for Health Statistics Version

Cynthia L. Ogden, PhD*, Robert J. Kuczmarski, DrPH*, Katherine M. Flegal, PhD*, Zuguo Mei, MD{ddagger}, Shumei Guo, PhD§, Rong Wei, PhD*, Laurence M. Grummer-Strawn, PhD{ddagger}, Lester R. Curtin, PhD*, Alex F. Roche, MD, PhD, ScD§ and Clifford L. Johnson, MSPH*

* National Center for Health Statistics, Hyattsville, Maryland
{ddagger} National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia
§ Wright State University, Kettering, Ohio

--> Objective. To present a clinical version of the 2000 Centers for Disease Control and Prevention (CDC) growth charts and to compare them with the previous version, the 1977 National Center for Health Statistics (NCHS) growth charts.

Methods. The 2000 CDC percentile curves were developed in 2 stages. In the first stage, the empirical percentiles were smoothed by a variety of parametric and nonparametric procedures. To obtain corresponding percentiles and z scores, we approximated the smoothed percentiles using a modified LMS estimation procedure in the second stage. The charts include of a set of curves for infants, birth to 36 months of age, and a set for children and adolescents, 2 to 20 years of age.

Results. The charts represent a cross-section of children who live in the United States; breastfed infants are represented on the basis of their distribution in the US population. The 2000 CDC growth charts more closely match the national distribution of birth weights than did the 1977 NCHS growth charts, and the disjunction between weight-for-length and weight-for-stature or length-for-age and stature-for-age found in the 1977 charts has been corrected. Moreover, the 2000 CDC growth charts can be used to obtain both percentiles and z scores. Finally, body mass index-for-age charts are available for children and adolescents 2 to 20 years of age.

Conclusion. The 2000 CDC growth charts are recommended for use in the United States. Pediatric clinics should make the transition from the 1977 NCHS to the 2000 CDC charts for routine monitoring of growth in infants, children, and adolescents.

Key Words: growth charts • stature • length • weight • body mass index • head circumference • NHANES • preschool-age children • disjunction

Abbreviations: NCHS, National Center for Health Statistics • CDC, Centers for Disease Control and Prevention • WHO, World Health Organization • BMI, body mass index • NHANES, National Health and Nutrition Examination Survey


Received for publication Apr 18, 2001; Accepted Jul 24, 2001.


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Am. J. Clinical Nutrition, April 1, 2006; 83(4): 795 - 802.
[Abstract] [Full Text] [PDF]


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J. Clin. Endocrinol. Metab.Home page
F. Rauch, C. Munns, C. Land, and F. H. Glorieux
Pamidronate in Children and Adolescents with Osteogenesis Imperfecta: Effect of Treatment Discontinuation
J. Clin. Endocrinol. Metab., April 1, 2006; 91(4): 1268 - 1274.
[Abstract] [Full Text] [PDF]


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PediatricsHome page
M. Tanofsky-Kraff, M. L. Cohen, S. Z. Yanovski, C. Cox, K. R. Theim, M. Keil, J. C. Reynolds, and J. A. Yanovski
A Prospective Study of Psychological Predictors of Body Fat Gain Among Children at High Risk for Adult Obesity
Pediatrics, April 1, 2006; 117(4): 1203 - 1209.
[Abstract] [Full Text] [PDF]


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PediatricsHome page
R. A. Ehrenkranz, A. M. Dusick, B. R. Vohr, L. L. Wright, L. A. Wrage, W. K. Poole, and for the National Institutes of Child Health and Hu
Growth in the Neonatal Intensive Care Unit Influences Neurodevelopmental and Growth Outcomes of Extremely Low Birth Weight Infants
Pediatrics, April 1, 2006; 117(4): 1253 - 1261.
[Abstract] [Full Text] [PDF]


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PediatricsHome page
R. Becquet, V. Leroy, D. K. Ekouevi, I. Viho, K. Castetbon, P. Fassinou, F. Dabis, M. Timite-Konan, and ANRS 1201/1202 Ditrame Plus Study Group
Complementary Feeding Adequacy in Relation to Nutritional Status Among Early Weaned Breastfed Children Who Are Born to HIV-Infected Mothers: ANRS 1201/1202 Ditrame Plus, Abidjan, Cote d'Ivoire
Pediatrics, April 1, 2006; 117(4): e701 - e710.
[Abstract] [Full Text] [PDF]


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Am. J. Clin. Nutr.Home page
K. Z Long, Y. Montoya, E. Hertzmark, J. I Santos, and J. L Rosado
A double-blind, randomized, clinical trial of the effect of vitamin A and zinc supplementation on diarrheal disease and respiratory tract infections in children in Mexico City, Mexico
Am. J. Clinical Nutrition, March 1, 2006; 83(3): 693 - 700.
[Abstract] [Full Text] [PDF]


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Arch Pediatr Adolesc MedHome page
S. E. Anderson, P. Cohen, E. N. Naumova, and A. Must
Association of Depression and Anxiety Disorders With Weight Change in a Prospective Community-Based Study of Children Followed Up Into Adulthood
Arch Pediatr Adolesc Med, March 1, 2006; 160(3): 285 - 291.
[Abstract] [Full Text] [PDF]


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PediatricsHome page
E. W. Demerath, C. M. Schubert, L. M. Maynard, S. S. Sun, W. C. Chumlea, A. Pickoff, S. A. Czerwinski, B. Towne, and R. M. Siervogel
Do Changes in Body Mass Index Percentile Reflect Changes in Body Composition in Children? Data From the Fels Longitudinal Study
Pediatrics, March 1, 2006; 117(3): e487 - e495.
[Abstract] [Full Text] [PDF]


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J. Clin. Endocrinol. Metab.Home page
F. Rauch, R. Travers, and F. H. Glorieux
Pamidronate in Children with Osteogenesis Imperfecta: Histomorphometric Effects of Long-Term Therapy
J. Clin. Endocrinol. Metab., February 1, 2006; 91(2): 511 - 516.
[Abstract] [Full Text] [PDF]


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J. Nutr.Home page
H. M. Coutinho, L. P. Acosta, S. T. McGarvey, B. Jarilla, M. Jiz, A. Pablo, L. Su, D. L. Manalo, R. M. Olveda, J. D. Kurtis, et al.
Nutritional Status Improves after Treatment of Schistosoma japonicum-Infected Children and Adolescents
J. Nutr., January 1, 2006; 136(1): 183 - 188.
[Abstract] [Full Text] [PDF]


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PediatricsHome page
R. A. Ehrenkranz, M. C. Walsh, B. R. Vohr, A. H. Jobe, L. L. Wright, A. A. Fanaroff, L. A. Wrage, K. Poole, and for the National Institutes of Child Health and Hu
Validation of the National Institutes of Health Consensus Definition of Bronchopulmonary Dysplasia
Pediatrics, December 1, 2005; 116(6): 1353 - 1360.
[Abstract] [Full Text] [PDF]


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PediatricsHome page
J. Biederman, J. M. Swanson, S. B. Wigal, C. J. Kratochvil, S. W. Boellner, C. Q. Earl, J. Jiang, and L. Greenhill
Efficacy and Safety of Modafinil Film-Coated Tablets in Children and Adolescents With Attention-Deficit/Hyperactivity Disorder: Results of a Randomized, Double-Blind, Placebo-Controlled, Flexible-Dose Study
Pediatrics, December 1, 2005; 116(6): e777 - e784.
[Abstract] [Full Text] [PDF]


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Am J Sports MedHome page
B. Yu, S. B. McClure, J. A. Onate, K. M. Guskiewicz, D. T. Kirkendall, and W. E. Garrett
Age and Gender Effects on Lower Extremity Kinematics of Youth Soccer Players in a Stop-Jump Task
Am. J. Sports Med., September 1, 2005; 33(9): 1356 - 1364.
[Abstract] [Full Text] [PDF]


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Am. J. Clin. Nutr.Home page
J. M Burnham, J. Shults, E. Semeao, B. J Foster, B. S Zemel, V. A Stallings, and M. B Leonard
Body-composition alterations consistent with cachexia in children and young adults with Crohn disease
Am. J. Clinical Nutrition, August 1, 2005; 82(2): 413 - 420.
[Abstract] [Full Text] [PDF]


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Am J Trop Med HygHome page
C. C. CARLOS, K. OISHI, M. T. D. D. CINCO, C. A. MAPUA, S. INOUE, D. J. M. CRUZ, M. A. M. PANCHO, C. Z. TANIG, R. R. MATIAS, K. MORITA, et al.
COMPARISON OF CLINICAL FEATURES AND HEMATOLOGIC ABNORMALITIES BETWEEN DENGUE FEVER AND DENGUE HEMORRHAGIC FEVER AMONG CHILDREN IN THE PHILIPPINES
Am J Trop Med Hyg, August 1, 2005; 73(2): 435 - 440.
[Abstract] [Full Text] [PDF]


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J. Clin. Endocrinol. Metab.Home page
E. Codner, D. Mook-Kanamori, R. A. Bazaes, N. Unanue, H. Sovino, F. Ugarte, A. Avila, G. Iniguez, and F. Cassorla
Ovarian Function during Puberty in Girls with Type 1 Diabetes Mellitus: Response to Leuprolide
J. Clin. Endocrinol. Metab., July 1, 2005; 90(7): 3939 - 3945.
[Abstract] [Full Text] [PDF]


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Am J Trop Med HygHome page
J. F. FRIEDMAN, H. K. KANZARIA, L. P. ACOSTA, G. C. LANGDON, D. L. MANALO, H. WU, R. M. OLVEDA, S. T. MCGARVEY, and J. D. KURTIS
RELATIONSHIP BETWEEN SCHISTOSOMA JAPONICUM AND NUTRITIONAL STATUS AMONG CHILDREN AND YOUNG ADULTS IN LEYTE, THE PHILIPPINES
Am J Trop Med Hyg, May 1, 2005; 72(5): 527 - 533.
[Abstract] [Full Text] [PDF]


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Am J Trop Med HygHome page
A. E. EZEAMAMA, J. F. FRIEDMAN, L. P. ACOSTA, D. C. BELLINGER, G. C. LANGDON, D. L. MANALO, R. M. OLVEDA, J. D. KURTIS, and S. T. MCGARVEY
HELMINTH INFECTION AND COGNITIVE IMPAIRMENT AMONG FILIPINO CHILDREN
Am J Trop Med Hyg, May 1, 2005; 72(5): 540 - 548.
[Abstract] [Full Text] [PDF]


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CirculationHome page
S. R. Daniels, D. K. Arnett, R. H. Eckel, S. S. Gidding, L. L. Hayman, S. Kumanyika, T. N. Robinson, B. J. Scott, S. St. Jeor, and C. L. Williams
Overweight in Children and Adolescents: Pathophysiology, Consequences, Prevention, and Treatment
Circulation, April 19, 2005; 111(15): 1999 - 2012.
[Abstract] [Full Text] [PDF]


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Am. J. Clin. Nutr.Home page
D. L. de Romana, M. Salazar, K M. Hambidge, M. E Penny, J. M Peerson, N. F Krebs, and K. H Brown
Longitudinal measurements of zinc absorption in Peruvian children consuming wheat products fortified with iron only or iron and 1 of 2 amounts of zinc
Am. J. Clinical Nutrition, March 1, 2005; 81(3): 637 - 647.
[Abstract] [Full Text] [PDF]


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Diabetes CareHome page
L. Touger, H. C. Looker, J. Krakoff, R. S. Lindsay, V. Cook, and W. C. Knowler
Early Growth in Offspring of Diabetic Mothers
Diabetes Care, March 1, 2005; 28(3): 585 - 589.
[Abstract] [Full Text] [PDF]


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J. Clin. Endocrinol. Metab.Home page
P. W. Speiser, M. C. J. Rudolf, H. Anhalt, C. Camacho-Hubner, F. Chiarelli, A. Eliakim, M. Freemark, A. Gruters, E. Hershkovitz, L. Iughetti, et al.
Childhood Obesity
J. Clin. Endocrinol. Metab., March 1, 2005; 90(3): 1871 - 1887.
[Abstract] [Full Text] [PDF]


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PediatricsHome page
S. J. Gross, R. D. Anbar, and B. B. Mettelman
Follow-up at 15 Years of Preterm Infants From a Controlled Trial of Moderately Early Dexamethasone for the Prevention of Chronic Lung Disease
Pediatrics, March 1, 2005; 115(3): 681 - 687.
[Abstract] [Full Text] [PDF]


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Arch. Dis. Child. Fetal Neonatal Ed.Home page
B F Kalanda, S van Buuren, F H Verhoeff, and B J Brabin
Anthropometry of fetal growth in rural Malawi in relation to maternal malaria and HIV status
Arch. Dis. Child. Fetal Neonatal Ed., March 1, 2005; 90(2): F161 - F165.
[Abstract] [Full Text] [PDF]


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Am. J. Respir. Crit. Care Med.Home page
A. G. Kaditis, E. I. Alexopoulos, E. Kalampouka, E. Kostadima, A. Germenis, E. Zintzaras, and K. Gourgoulianis
Morning Levels of C-Reactive Protein in Children with Obstructive Sleep-disordered Breathing
Am. J. Respir. Crit. Care Med., February 1, 2005; 171(3): 282 - 286.
[Abstract] [Full Text] [PDF]


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JAMAHome page
B. J. Lange, R. B. Gerbing, J. Feusner, J. Skolnik, N. Sacks, F. O. Smith, and T. A. Alonzo
Mortality in Overweight and Underweight Children With Acute Myeloid Leukemia
JAMA, January 12, 2005; 293(2): 203 - 211.
[Abstract] [Full Text] [PDF]


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J. Epidemiol. Community HealthHome page
L. Seguin, Q. Xu, L. Gauvin, M.-V. Zunzunegui, L. Potvin, and K. L Frohlich
Understanding the dimensions of socioeconomic status that influence toddlers' health: unique impact of lack of money for basic needs in Quebec's birth cohort
J Epidemiol Community Health, January 1, 2005; 59(1): 42 - 48.
[Abstract] [Full Text] [PDF]


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J. Nutr.Home page
M. N. Ballesteros, R. M. Cabrera, M. d. S. Saucedo, D. Aggarwal, N. S. Shachter, and M. L. Fernandez
High Intake of Saturated Fat and Early Occurrence of Specific Biomarkers May Explain the Prevalence of Chronic Disease in Northern Mexico
J. Nutr., January 1, 2005; 135(1): 70 - 73.
[Abstract] [Full Text] [PDF]


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PediatricsHome page
D. S. Freedman, L. K. Khan, M. K. Serdula, W. H. Dietz, S. R. Srinivasan, and G. S. Berenson
The Relation of Childhood BMI to Adult Adiposity: The Bogalusa Heart Study
Pediatrics, January 1, 2005; 115(1): 22 - 27.
[Abstract] [Full Text] [PDF]


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PediatricsHome page
M. Misra, A. Aggarwal, K. K. Miller, C. Almazan, M. Worley, L. A. Soyka, D. B. Herzog, and A. Klibanski
Effects of Anorexia Nervosa on Clinical, Hematologic, Biochemical, and Bone Density Parameters in Community-Dwelling Adolescent Girls
Pediatrics, December 1, 2004; 114(6): 1574 - 1583.
[Abstract] [Full Text] [PDF]


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Eur Respir JHome page
A.G. Kaditis, E.I. Alexopoulos, E. Kalampouka, E. Kostadima, N. Angelopoulos, A. Germenis, E. Zintzaras, and K. Gourgoulianis
Morning levels of fibrinogen in children with sleep-disordered breathing
Eur. Respir. J., November 1, 2004; 24(5): 790 - 797.
[Abstract] [Full Text] [PDF]


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Am. J. Clin. Nutr.Home page
L. G Bandini, A. Must, S. M Phillips, E. N Naumova, and W. H Dietz
Relation of body mass index and body fatness to energy expenditure: longitudinal changes from preadolescence through adolescence
Am. J. Clinical Nutrition, November 1, 2004; 80(5): 1262 - 1269.
[Abstract] [Full Text] [PDF]