throbber
Number 361 + July 7, 2005
`
`Anthropometric Reference Data for Children and
`Adults: U.S. Population, 1999–2002
`
`by Margaret A. McDowell, M.P.H., R.D.; Cheryl D. Fryar, M.S.P.H.; Rosemarie Hirsch, M.D.; and
`Cynthia L. Ogden, Ph.D., Division of Health and Nutrition Examination Surveys
`
`Abstract
`This report presents national anthropometric reference data based on health
`examination survey results from the National Health and Nutrition Examination
`Survey (NHANES), 1999–2002, for all ages of the U.S. population (1,2). Weighted
`population means, standard errors of the means, and selected percentiles are
`presented for the total U.S. population by sex, race or ethnic group, and age in
`years or age group. Findings for some population groups are reported in a way that
`is comparable with results reported from National Health Examination Surveys
`(NHES) and NHANES conducted between 1960 and 1994 (3–9). These data add to
`the knowledge about trends in child growth and development and are used to
`monitor prevalent conditions in the U.S. population such as overweight and obesity
`(10–13).
`
`Keywords: c Anthropometry c Body measures c Nutrition surveys c National Health
`and Nutrition Examination Survey (NHANES)
`
`Introduction
`The field of anthropometry
`encompasses a variety of human body
`measurements, such as weight, height,
`and size, including circumferences,
`lengths, breadths, and skinfold
`thicknesses. Anthropometry is a key
`component of nutrition status assessment
`in children and adults (14).
`Anthropometric data for children reflect
`general health status, dietary adequacy,
`and growth and development over time.
`In adults, body measurement data are
`used to evaluate health and dietary
`status, disease risk, and body
`composition changes that occur over the
`
`adult lifespan. This report provides
`anthropometric reference data for U.S.
`children and adults of all ages.
`
`Methods
`National Health and Nutrition
`Examination Surveys are conducted by
`the National Center for Health Statistics
`(NCHS), Centers for Disease Control
`and Prevention. NHANES data are the
`primary source of body measurement
`and related health and nutrition data for
`the civilian noninstitutionalized U.S.
`population. Surveys were conducted on
`a periodic basis from 1960 to 1994.
`NHANES became a continuous survey
`
`in 1999. Each annual survey sample is
`nationally representative; 2 or more
`years of data are required for subgroup
`analyses (15,16). NHANES 1999–2002
`data were released in two, 2-year data
`sets. A combined 4-year dataset was
`used for this report because it provides
`robust sample sizes and more reliable
`statistical estimates. Additional 2-year
`data sets will be released as more data
`become available.
`Household interview and health
`examination methods are used to collect
`NHANES data. All health examinations
`are conducted in mobile examination
`centers (MECs). The MECs provide a
`standardized environment for the
`collection of high-quality health data.
`The MECs are staffed by full-time
`personnel including health technicians
`and interviewers, dentists, physicians,
`dietary interviewers, laboratory
`technicians, and data managers. All
`NHANES health technicians complete a
`comprehensive body measurement
`training program that uses videotape,
`demonstration, and practice exercises
`with an expert examiner. Health
`technician performance is monitored by
`means of direct observation, data
`review, and expert examiner evaluations.
`Although portions of the health
`examination component have varied
`during the survey’s history, much of the
`
`U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
`Centers for Disease Control and Prevention
`National Center for Health Statistics
`
`CFAD Ex. 1038 (1 of 32)
`
`

`
`2
`
`Advance Data No. 361 + July 7, 2005
`
`anthropometry component methodology
`has remained consistent over time. The
`use of consistent data collection
`methods makes it possible to examine
`trends in body measurements over time.
`NHANES data have been used to
`produce growth charts for growing
`infants and children and to produce
`national prevalence estimates for
`overweight and obesity.
`The NHANES body measurement
`component is conducted in a dedicated
`room in the MEC. The room is
`equipped with a digital scale, wall-
`mounted stadiometer, bench, wall
`mirror, infantometer, and computer
`workstation. A health technician
`performs the anthropometry exam and is
`assisted by a recorder. NHANES
`subjects wear socks and lightweight
`examination gowns at the MEC.
`
`Sample description
`The NHANES 1999–2002 sample
`includes all ages. Adolescents aged
`12–19 years, persons aged 60 years and
`over, Mexican Americans, black
`persons, low income persons, and
`pregnant women are oversampled to
`improve the precision of statistical
`estimates produced for these groups.
`Additional information pertaining to the
`NHANES 1999–2002 survey design,
`survey methodology, and public-use
`microdata is posted on the NHANES
`Web site (15).
`The analytic sample for this report
`was based on the NHANES 1999–2002
`eligible sample composed of 21,004
`persons, and of these, 19,759 were
`examined. All examined persons are
`eligible for the body measurement
`component of the NHANES health
`examination. Pregnant women are
`excluded from weight and circumference
`tabulations. The estimates in this report
`are based on a single body measurement
`examination.
`
`Anthropometry component
`The NHANES 1999–2000 Body
`Measurements Training and Procedures
`Manual describes the protocol,
`equipment, and measurement procedures
`in detail (17). The manual also provides
`detailed information about equipment
`calibration methods, quality control, and
`
`survey procedures. NCHS produced an
`anthropometry methodology videotape
`during NHANES III (18). Weight is
`measured to the nearest 0.1 kilogram;
`height, length, and circumference are
`measured to the nearest millimeter;
`skinfold thickness is measured to the
`nearest 0.1 millimeter. (For this report,
`weight is also reported in pounds
`(tables 4, 17, and 30), and height is
`reported in inches (tables 6, 19, and 32).
`Kilograms were converted to pounds by
`multiplying weight in kilograms by a
`conversion factor of 2.2. Centimeters
`were converted to inches by dividing
`height in centimeters by 2.54.)
`Weight is measured using a digital
`floor scale. An infantometer is used to
`measure recumbent length of infants and
`young children. Standing height is
`measured with a wall-mounted
`stadiometer. Head circumference
`measurements are made using a plastic
`head circumference measurement tape.
`Waist circumference is measured at the
`lateral border of the ilium bone. Upper
`arm length is measured from the
`posterior border of the acromial process
`to the tip of the olecranon, and the
`upper-arm-length midpoint is marked.
`The upper arm length midpoint mark is
`used to measure mid-arm circumference
`and the triceps skinfold. Subscapular
`skinfold is measured on all subjects at a
`point medial to the inferior angle of the
`scapula. Weight, recumbent length, and
`standing height values are recorded
`automatically; other data are recorded
`using computer-assisted data entry.
`In addition to weight, standing
`height, upper arm length, mid-arm
`circumference, waist circumference, and
`skinfold measurements, three additional
`measurements are taken on subjects
`aged 8 years and over. Upper leg length
`measurements are taken on seated
`subjects; the distance from the inguinal
`crease to the distal end of the femur is
`measured. Maximal calf circumference
`is also measured in a seated position; a
`measurement tape is positioned around
`the calf at the point of maximum
`circumference. Mid-thigh circumference
`is measured on standing subjects with
`the measurement tape placed around the
`mid-thigh, perpendicular to the long axis
`of the femur bone.
`
`Statistical analysis
`Population means, standard errors
`of the means, and percentiles were
`weighted using the NHANES
`examination sample weights to produce
`national estimates. The NHANES
`examination sample weights incorporate
`the differential probabilities of selection
`and include adjustments for
`oversampling of selected populations,
`noncoverage, and nonresponse. Standard
`errors were estimated using SUDAAN
`by Taylor series linearization (19). The
`reliability of the estimates was
`determined using the relative standard
`error (RSE), a calculated figure defined
`as the ratio of the standard error of the
`mean. NCHS recommends using an
`RSE greater than 30 percent to identify
`unreliable estimates (16). Percentile
`values that did not meet the standard of
`reliability or precision were replaced
`with asterisks in all tables.
`The age categories recommended in
`the NHANES 1999–2000 Analytic
`Guidelines, based on the survey sample
`domains, were used for adults aged 20
`years and over (16). The results for
`subjects under age 20 years are by
`single years (or less for the youngest
`children). All age categories were based
`on age at the time of the examination.
`
`Results
`The anthropometric measurements
`performed in the survey are listed in
`figure 1, by measurement and target age.
`Figure 2 lists the tables in this report by
`age group and sex, measurement, and
`unit of measurement.
`Results are reported by sex and age
`groups in all tables; results for adults 20
`years of age and over also are presented
`by race or ethnicity group. Results for
`infants, children, and teenagers through
`19 years are presented in tables 1–15.
`Results for adults aged 20 years and
`over are presented in tables 16–41. The
`NHANES 1999–2002 findings for some
`population groups may be compared
`with the results reported from previous
`NHES and NHANES conducted
`between 1960 and 1994 (20–28).
`
`CFAD Ex. 1038 (2 of 32)
`
`

`
`Advance Data No. 361 + July 7, 2005
`
`3
`
`Measurement and target ages
`
`Table numbers
`
`Body weight (all ages) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
`
`Tables 3 and 4 (males and females birth–19 years)
`Tables 16 and 17 (females 20 years and over)
`Tables 29 and 30 (males 20 years and over)
`
`Recumbent length (through 47 months) . . . . . . . . . . . . . . . . . . . . .
`
`Table 2 (males and females 0–47 months)
`
`Standing height (2 years and over) . . . . . . . . . . . . . . . . . . . . . . . .
`
`Upper leg length (8 years and over) . . . . . . . . . . . . . . . . . . . . . . .
`
`Upper arm length (2 months and over). . . . . . . . . . . . . . . . . . . . . .
`
`Tables 5 and 6 (males and females 2–19 years)
`Tables 18 and 19 (females 20 years and over)
`Tables 31 and 32 (males 20 years and over)
`
`Table 14 (males and females 8–19 years)
`Table 24 (females 20 years and over)
`Table 37 (males 20 years and over)
`
`Table 10 (males and females 2 months–19 years)
`Table 22 (females 20 years and over)
`Table 35 (males 20 years and over)
`
`Head circumference (0–6 months) . . . . . . . . . . . . . . . . . . . . . . . .
`
`Table 1 (males and females 0–6 months)
`
`Mid-upper arm circumference (2 months and over) . . . . . . . . . . . . . .
`
`Waist circumference (2 years and over) . . . . . . . . . . . . . . . . . . . . .
`
`Mid-thigh circumference (8 years and over). . . . . . . . . . . . . . . . . . .
`
`Maximal calf circumference (8 years and over). . . . . . . . . . . . . . . . .
`
`Triceps skin fold (2 months and over) . . . . . . . . . . . . . . . . . . . . . .
`
`Subscapular skin fold (2 months and over) . . . . . . . . . . . . . . . . . . .
`
`Body mass index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
`
`Table 9 (males and females 2 months–19 years)
`Table 21 (females 20 years and over)
`Table 34 (males 20 years and over)
`
`Table 7 (males and females 2–19 years)
`Table 26 (females 20 years and over)
`Table 39 (males 20 years and over)
`
`Table 15 (males and females 8–19 years)
`Table 25 (females 20 years and over)
`Table 38 (males 20 years and over)
`
`Table 13 (males and females 8–19 years)
`Table 23 (females 20 years and over)
`Table 36 (males 20 years and over)
`
`Table 12 (males and females 2 months–19 years)
`Table 28 (females 20 years and over)
`Table 41 (males 20 years and over)
`
`Table 11 (males and females 2 months–19 years)
`Table 27 (females 20 years and over)
`Table 40 (males 20 years and over)
`
`Table 7 (males and females 2–19 years)
`Table 20 (females 20 years and over)
`Table 33 (males 20 years and over)
`
`Figure 1. Anthropometric measurements, target ages, and tables: United States, 1999–2002
`
`CFAD Ex. 1038 (3 of 32)
`
`

`
`4
`
`Advance Data No. 361 + July 7, 2005
`
`Table
`number
`
`Age group and sex
`
`Measurement
`
`Unit of
`measurement
`
`1 . . . . . . . . . . . . . .
`2 . . . . . . . . . . . . . .
`3 . . . . . . . . . . . . . .
`4 . . . . . . . . . . . . . .
`5 . . . . . . . . . . . . . .
`6 . . . . . . . . . . . . . .
`7 . . . . . . . . . . . . . .
`8 . . . . . . . . . . . . . .
`9 . . . . . . . . . . . . . .
`10 . . . . . . . . . . . . .
`11 . . . . . . . . . . . . .
`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 . . . . . . . . . . . . .
`37 . . . . . . . . . . . . .
`38 . . . . . . . . . . . . .
`39 . . . . . . . . . . . . .
`40 . . . . . . . . . . . . .
`41 . . . . . . . . . . . . .
`
`Infant, child, and adolescent
`
`Both sexes:
`
`Birth through 6 months
`
`Birth through 47 months
`
`Birth through 19 years
`
`Birth through 19 years
`
`2–19 years
`
`2–19 years
`
`2–19 years
`
`2–19 years
`
`2 months–19 years
`
`2 months–19 years
`
`2 months–19 years
`
`2 months–19 years
`
`8–19 years
`
`8–19 years
`
`8–19 years
`
`
`Adult
`
`
`Female:
`
`20 years and over
`
`20 years and over
`
`20 years and over
`
`20 years and over
`
`20 years and over
`
`20 years and over
`
`20 years and over
`
`20 years and over
`
`20 years and over
`
`20 years and over
`
`20 years and over
`
`20 years and over
`
`20 years and over
`
`
`Male:
`
`20 years and over
`
`20 years and over
`
`20 years and over
`
`20 years and over
`
`20 years and over
`
`20 years and over
`
`20 years and over
`
`20 years and over
`
`20 years and over
`
`20 years and over
`
`20 years and over
`
`20 years and over
`
`20 years and over
`
`
`Head circumference
`Recumbent length
`Weight
`Weight
`Standing height
`Standing height
`Body mass index
`Waist circumference
`Mid-arm circumference
`Upper arm length
`Subscapular skinfold thickness
`Triceps skinfold thickness
`Maximal calf circumference
`Upper leg length
`Mid-thigh circumference
`
`Weight
`Weight
`Standing height
`Standing height
`Body mass index
`Mid-arm circumference
`Upper arm length
`Maximal calf circumference
`Upper leg length
`Mid-thigh circumference
`Waist circumference
`Subscapular skinfold thickness
`Triceps skinfold thickness
`
`Weight
`Weight
`Standing height
`Standing height
`Body mass index
`Mid-arm circumference
`Upper arm length
`Maximal calf circumference
`Upper leg length
`Mid-thigh circumference
`Waist circumference
`Subscapular skinfold thickness
`Triceps skinfold thickness
`
`Centimeters
`Centimeters
`Kilograms
`Pounds
`Centimeters
`Inches
`BMI value
`Centimeters
`Centimeters
`Centimeters
`Millimeters
`Millimeters
`Centimeters
`Centimeters
`Centimeters
`
`Kilograms
`Pounds
`Centimeters
`Inches
`BMI value
`Centimeters
`Centimeters
`Centimeters
`Centimeters
`Centimeters
`Centimeters
`Millimeters
`Millimeters
`
`Kilograms
`Pounds
`Centimeters
`Inches
`BMI value
`Centimeters
`Centimeters
`Centimeters
`Centimeters
`Centimeters
`Centimeters
`Millimeters
`Millimeters
`
`Figure 2. Data tables by age group and sex, measurement, and unit of measurement
`
`CFAD Ex. 1038 (4 of 32)
`
`

`
`Advance Data No. 361 + July 7, 2005
`
`5
`
`National Center for Health Statistics.
`Vital Health Stat 11(14). 1966.
`23. Malina RM, Hamill PVV, Lemeshow
`S. Selected body measurements of
`children 6–11 years, United States.
`National Center for Health Statistics.
`Vital Health Stat 11(123). 1973.
`24. Hamill PVV, Johnston FE,
`Lemeshow S. Height and weight of
`youths 12–17 years, United States.
`National Center for Health Statistics.
`Vital Health Stat 11(124). 1973.
`25. Johnson CL, Fulwood R, Abraham S,
`Bryner JD. Basic data on
`anthropometric measurements and
`angular measurements of the hip and
`knee joints for selected age groups
`1–74 years of age, United States,
`1971–1975. National Center for
`Health Statistics. Vital Health Stat
`11(219). 1981.
`26. Najjar MF, Rowland M.
`Anthropometric reference data and
`prevalence of overweight, United
`States, 1976–80. National Center for
`Health Statistics. Vital Health Stat
`11(238). 1987.
`27. Najjar MF, Kuczmarski RJ.
`Anthropometric data and prevalence
`of overweight for Hispanics,
`1982–84. National Center for Health
`Statistics. Vital Health Stat 11(239).
`1989.
`28. CDC. Anthropometric reference data,
`United States, 1988–1994. http://
`www.cdc.gov/nchs/about/major/
`nhanes/Anthropometric%20
`Measures.htm. 2005.
`
`References
`1. CDC. 2002a. NHANES 1999–2000
`Data File Documentation.
`Examination File; Body
`Measurements Dataset. National
`Center for Health Statistics. 2002b.
`http://www.cdc.gov/nchs/about/major/
`nhanes/nhanes99_00.htm
`#Examination%20Files. 2004.
`2. CDC. 2002b. NHANES 2001–2002
`Data File Documentation.
`Examination File; Body
`Measurements Dataset. National
`Center for Health Statistics. http://
`www.cdc.gov/nchs/about/major/
`nhanes/nhanes01–02.htm#
`Examination%20Files. 2004.
`3. National Center for Health Statistics.
`Plan and initial program of the
`Health Examination Survey. National
`Center for Health Statistics. Vital
`Health Stat 1(4). 1965.
`4. National Center for Health Statistics.
`Plan, operation, and response results
`of a program of children’s
`examinations. National Center for
`Health Statistics. Vital Health Stat
`1(5). 1967.
`5. National Center for Health Statistics.
`Plan and operation of a health
`examination survey of U.S. youths
`12–17 years of age. National Center
`for Health Statistics. Vital Health Stat
`1(8). 1969.
`6. CDC. Reports and manuals from the
`first National Health and Nutrition
`Examination Survey (NHANES I,
`1971–75). http://www.cdc.gov/nchs/
`about/major/nhanes/nh1rrm.htm.
`2004.
`7. CDC. Reports and manuals from the
`second National Health and Nutrition
`Examination Survey (NHANES II,
`1976–80). http://www.cdc.gov/nchs/
`about/major/nhanes/nh2rrm.htm.
`2004.
`8. CDC. Reports and manuals from the
`Hispanic Health and Nutrition
`Examination Survey (HHANES,
`1982–84). http://www.cdc.gov/nchs/
`about/major/nhanes/hhanesrrm.htm.
`2004.
`9. CDC. Reports and manuals from the
`third National Health and Nutrition
`Examination Survey (NHANES III,
`1988–94). http://www.cdc.gov/nchs/
`about/major/nhanes/NHANESIII_
`Reference_Manuals.htm. 2004.
`10. Ogden CL, Fryar CD, Carroll MD,
`Flegal KM. Mean body weight,
`height, and body mass index, United
`States 1960–2002. Advance data
`
`from vital and health statistics; no
`347. Hyattsville, MD: National
`Center for Health Statistics. 2004.
`11. Kuczmarski RJ, Ogden CL, Guo SS,
`et al. 2000 CDC growth charts for
`the United States: Methods and
`development. National Center for
`Health Statistics. Vital Health Stat
`11(246). 2002.
`12. Flegal KM, Ogden CL, Carroll MD.
`Prevalence and trends in overweight
`in Mexican-American adults and
`children. Nutr Rev 62(7 part 2).
`S144–8. 2004.
`13. Hedley AA, Ogden CL, Johnson Cl,
`et al. Prevalence of overweight and
`obesity among U.S. children,
`adolescents, and adults, 1999–2002.
`JAMA 291(23). 2,847–50. 2004.
`14. Simko MD, Cowell C, Gilbride JA.
`Nutrition assessment: A
`comprehensive guide for planning
`intervention. 2nd ed. Gaithersburg,
`MD: Aspen Publishers. 1995.
`15. CDC. 2004a. Descriptive information
`about the National Health and
`Nutrition Examination Survey
`(NHANES). http://www.cdc.gov/
`nchs/nhanes.htm. 2004.
`16. CDC. 2004b. NHANES 1999–2000
`Analytic Guidelines. Hyattsville,
`MD: National Center for Health
`Statistics. http://www.cdc.gov/nchs/
`data/nhanes/guidelines1.pdf. 2003.
`17. National Center for Health Statistics.
`NHANES Anthropometry Procedures
`Manual. Revised January 2002.
`http://www.cdc.gov/nchs/data/nhanes/
`nhanes_01_02/body_measures_
`year_3.pdf. 2004.
`18. National Center for Health Statistics.
`NHANES III: Anthropometric
`Procedures. [Videotape]. http://
`www.cdc.gov/nchs/about/major/
`nhanes/avideo.htm. 1996.
`19. Wolter KM. Introduction to variance
`estimation. New York: Springer-
`Verlag. 1990.
`20. Stoudt HW, Damon A, McFarland
`RA, Roberts J. Skin folds, body
`girths, biacromial diameter, and
`selected anthropometric indices of
`adults: United States, 1960–1962.
`National Center for Health Statistics.
`Vital Health Stat 11(35). 1970.
`21. Stoudt HW, Damon A, McFarland R,
`Roberts J. Weight, height, and
`selected body dimensions of adults,
`United States, 1960–1962. National
`Center for Health Statistics. Vital
`Health Stat 11(8). 1965.
`22. Roberts J. Weight by height and age
`of adults, United States, 1960–1962.
`
`CFAD Ex. 1038 (5 of 32)
`
`

`
`6
`
`Advance Data No. 361 + July 7, 2005
`
`Table 1. Number examined, mean, standard error of mean, and head circumference for infants from birth through 6 months of age for
`selected percentiles, by sex and age: United States, 1999–2002
`
`Number of
`examined
`persons
`
`Mean
`
`Standard
`error of
`mean
`
`Percentile
`
`5th
`
`10th
`
`15th
`
`25th
`
`50th
`
`75th
`
`85th
`
`90th
`
`95th
`
`Sex and age1
`
`Male
`
`0–2 months . . . . . . . . . . . . . . . . . . . . . . . . . . . .
`3–5 months . . . . . . . . . . . . . . . . . . . . . . . . . . . .
`6–8 months . . . . . . . . . . . . . . . . . . . . . . . . . . . .
`
`Female
`
`0–2 months . . . . . . . . . . . . . . . . . . . . . . . . . . . .
`3–5 months . . . . . . . . . . . . . . . . . . . . . . . . . . . .
`6–8 months . . . . . . . . . . . . . . . . . . . . . . . . . . . .
`
`91
`116
`74
`
`92
`129
`60
`
`39.4
`42.6
`44.6
`
`38.4
`41.9
`43.7
`
`0.21
`0.20
`0.22
`
`0.26
`0.15
`0.34
`
`*
`*
`*
`
`*
`*
`*
`
`Centimeters
`
`*
`*
`*
`
`37.2 37.9 39.5 40.5 41.1
`41.0 41.4 42.5 43.5 44.4
`*
`43.6 44.5 45.4
`*
`
`*
`*
`*
`
`*
`36.6 36.8 37.5 38.4 39.3 39.9
`39.8 40.3 40.8 41.9 42.9 43.1 43.2
`*
`*
`42.5 43.3 44.1
`*
`*
`
`*
`
`*
`
`*
`
`
`*
`*
`*
`
`* Figure does not meet standard of reliability or precision.
`1Age shown is age at time of examination.
`NOTE: This table reports data for infants who were between birth and 6 months of age on the day of the household interview. Examination may have occurred up to 6 weeks after the interview.
`Thus, a child aged 6 months at the time of the interview could have been as old as 8 months of age on the date of the examination.
`
`Table 2. Number examined, mean, standard error of mean, and recumbent length for children from birth through 47 months of age for
`selected percentiles, by sex and age: United States, 1999–2002
`
`Number of
`examined
`persons
`
`Mean
`
`Standard
`error of
`mean
`
`Percentile
`
`5th
`
`10th
`
`15th
`
`25th
`
`50th
`
`75th
`
`85th
`
`90th
`
`95th
`
`Sex and age
`
`Male
`
`0–2 months . . . . . . . . . . . . . . . . . . . . . . . . . . . .
`3–5 months . . . . . . . . . . . . . . . . . . . . . . . . . . . .
`6–8 months . . . . . . . . . . . . . . . . . . . . . . . . . . . .
`9–11 months . . . . . . . . . . . . . . . . . . . . . . . . . . . .
`12–23 months . . . . . . . . . . . . . . . . . . . . . . . . . . .
`24–35 months . . . . . . . . . . . . . . . . . . . . . . . . . . .
`36–47 months . . . . . . . . . . . . . . . . . . . . . . . . . . .
`
`Female
`
`0–2 months . . . . . . . . . . . . . . . . . . . . . . . . . . . .
`3–5 months . . . . . . . . . . . . . . . . . . . . . . . . . . . .
`6–8 months . . . . . . . . . . . . . . . . . . . . . . . . . . . .
`9–11 months . . . . . . . . . . . . . . . . . . . . . . . . . . . .
`12–23 months . . . . . . . . . . . . . . . . . . . . . . . . . . .
`24–35 months . . . . . . . . . . . . . . . . . . . . . . . . . . .
`36–47 months . . . . . . . . . . . . . . . . . . . . . . . . . . .
`
`* Figure does not meet standard of reliability or precision.
`
`91
`117
`129
`134
`322
`264
`214
`
`92
`129
`109
`129
`259
`249
`169
`
`58.1
`63.7
`69.1
`73.2
`81.1
`91.3
`99.4
`
`56.3
`63.5
`67.5
`72.1
`80.2
`90.4
`98.2
`
`0.31
`0.28
`0.28
`0.26
`0.29
`0.38
`0.33
`
`0.43
`0.24
`0.36
`0.38
`0.27
`0.34
`0.59
`
`Centimeters
`
`60.3
`54.1 54.8 55.2 58.2
`*
`66.1
`60.3 61.0 61.7 63.3
`*
`71.0
`65.4 66.0 67.4 69.1
`*
`74.8
`70.0 70.2 71.7 73.2
`*
`84.3
`73.9 74.8 76.1 77.5 80.9
`94.6
`84.0 85.1 86.2 87.4 90.8
`90.9 93.4 94.4 96.5 99.6 102.1
`
`61.6
`66.6
`72.0
`75.8
`85.8
`97.4
`104.0
`
`61.8
`66.9
`73.1
`77.2
`86.7
`98.2
`104.7
`
`*
`*
`*
`*
`88.9
`99.9
`106.6
`
`*
`*
`*
`*
`*
`*
`*
`
`58.4
`53.1 54.1 56.2
`*
`65.2
`60.7 61.6 63.6
`*
`69.6
`63.9 65.5 67.6
`*
`74.1
`68.9 70.2 72.3
`*
`83.1
`74.2 74.9 76.7 80.2
`93.6
`85.7 86.7 87.6 89.4
`93.1 93.9 95.1 98.3 101.1
`
`59.9
`66.2
`70.5
`75.0
`85.7
`95.0
`102.6
`
`*
`*
`*
`*
`86.7
`95.7
`103.2
`
`*
`*
`*
`*
`*
`*
`*
`
`CFAD Ex. 1038 (6 of 32)
`
`

`
`Table 3. Number examined, mean, standard error of mean, and weight for children and adolescents from birth through 19 years of age
`for selected percentiles, by sex and age: United States, 1999–2002
`
`Advance Data No. 361 + July 7, 2005
`
`7
`
`Sex and age
`
`Male
`
`0–2 months . . . . . . . . . . . . . . . . . . . . . . . . . . . .
`3–5 months . . . . . . . . . . . . . . . . . . . . . . . . . . . .
`6–8 months . . . . . . . . . . . . . . . . . . . . . . . . . . . .
`9–11 months . . . . . . . . . . . . . . . . . . . . . . . . . . . .
`1 year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
`2 years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
`3 years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
`4 years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
`5 years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
`6 years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
`7 years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
`8 years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
`9 years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
`10 years
`. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
`11 years
`. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
`12 years
`. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
`13 years
`. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
`14 years
`. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
`15 years
`. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
`16 years
`. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
`17 years
`. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
`18 years
`. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
`19 years
`. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
`
`Female
`
`0–2 months . . . . . . . . . . . . . . . . . . . . . . . . . . . .
`3–5 months . . . . . . . . . . . . . . . . . . . . . . . . . . . .
`6–8 months . . . . . . . . . . . . . . . . . . . . . . . . . . . .
`9–11 months . . . . . . . . . . . . . . . . . . . . . . . . . . . .
`1 year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
`2 years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
`3 years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
`4 years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
`5 years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
`6 years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
`7 years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
`8 years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
`9 years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
`10 years
`. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
`11 years
`. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
`12 years
`. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
`13 years
`. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
`14 years
`. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
`15 years
`. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
`16 years
`. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
`17 years
`. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
`18 years
`. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
`19 years
`. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
`
`* Figure does not meet standard of reliability or precision.
`NOTE: Pregnant women are excluded.
`
`Number of
`examined
`persons
`
`Mean
`
`Standard
`error of
`mean
`
`Percentile
`
`5th
`
`10th
`
`15th
`
`25th
`
`50th
`
`75th
`
`85th
`
`90th
`
`95th
`
`Kilograms
`
`*
`6.3
`5.4
`4.9
`*
`*
`8.2
`7.9
`7.1
`6.5
`6.1
`*
`9.4 10.0
`8.5
`7.9
`7.4
`*
`9.8 10.4 10.8
`9.0
`8.6
`*
`11.1
`12.2
`12.9
`10.2
`9.8
`9.5
`13.7
`14.9
`15.5
`12.2
`11.9
`11.5
`16.0
`17.2
`17.9
`14.3
`13.4
`12.9
`18.2
`19.7
`20.9
`16.7
`15.8
`15.4
`20.7
`23.2
`24.1
`18.1
`17.3
`17.0
`22.7
`25.2
`26.7
`20.7
`18.7
`18.2
`25.7
`30.1
`32.8
`23.3
`22.0
`21.6
`30.4
`37.1
`42.9
`25.6
`24.1
`23.5
`34.1
`38.4
`45.3
`28.4
`27.2
`26.5
`36.1
`42.8
`45.8
`32.2
`29.3
`27.8
`31.2 32.9 34.7 42.1 49.6 54.7
`35.0
`35.5
`38.0
`46.3
`58.5
`66.0
`34.2
`37.3
`42.0
`53.0
`61.9
`67.4
`45.4
`48.4
`51.4
`61.0
`72.0
`82.8
`51.7
`53.1
`57.6
`64.0
`77.4
`85.5
`54.9
`57.7
`62.1
`69.4
`82.4
`92.2
`55.6
`58.8
`62.3
`72.9
`82.6
`92.5
`58.3
`60.5
`63.7
`70.6
`82.1
`92.4
`58.1
`60.9
`65.2
`73.8
`86.7
`97.0
`
`*
`5.4
`4.9
`4.5
`*
`*
`7.8
`7.5
`6.9
`6.3
`6.0
`*
`*
`8.6
`8.0
`7.4
`*
`*
`9.8 10.4
`9.1
`8.2
`7.7
`*
`11.8
`12.4
`10.6
`9.8
`9.4
`9.1
`14.2
`14.8
`12.9
`11.9
`11.5
`11.1
`16.2
`17.2
`15.0
`13.8
`13.3
`12.9
`19.1
`20.0
`17.2
`15.6
`15.1
`14.7
`22.0
`25.2
`19.2
`17.7
`17.2
`16.6
`24.1
`26.3
`21.5
`19.4
`18.6
`17.9
`28.3
`31.3
`24.7
`22.3
`21.4
`20.3
`35.9
`40.3
`29.1
`25.3
`23.6
`22.3
`41.0
`44.6
`34.1
`28.8
`26.9
`25.6
`44.8
`52.1
`38.3
`31.8
`29.2
`27.8
`32.9 35.5 38.1 44.9 55.5 64.3
`36.3
`37.4
`43.1
`49.7
`58.4
`64.7
`41.0
`43.3
`45.9
`55.5
`64.9
`72.5
`46.2
`47.5
`50.6
`56.3
`63.4
`73.0
`45.7
`48.6
`51.2
`57.6
`67.2
`75.4
`47.7
`49.5
`52.3
`59.1
`70.2
`79.6
`46.7
`48.8
`52.8
`59.3
`65.5
`71.5
`47.0
`48.2
`51.6
`60.9
`73.4
`87.0
`48.2
`51.4
`55.7
`64.1
`77.0
`87.1
`
`*
`*
`*
`*
`13.1
`15.9
`18.8
`21.4
`26.0
`29.0
`33.1
`45.8
`49.6
`50.2
`57.2
`71.8
`75.3
`90.1
`93.1
`98.1
`98.9
`97.6
`102.4
`
`*
`*
`*
`*
`12.9
`15.6
`17.5
`20.8
`26.9
`27.7
`32.9
`44.1
`48.4
`53.9
`69.0
`69.3
`79.7
`80.9
`83.3
`84.1
`77.3
`93.2
`92.1
`
`*
`*
`*
`*
`13.4
`16.8
`*
`*
`*
`*
`*
`*
`*
`*
`*
`78.6
`83.2
`99.3
`100.2
`110.9
`110.5
`113.3
`110.9
`
`*
`*
`*
`*
`*
`*
`*
`*
`*
`*
`*
`*
`*
`*
`*
`78.3
`87.2
`89.5
`*
`*
`*
`*
`*
`
`*
`*
`*
`*
`8.9
`11.1
`*
`*
`*
`*
`*
`*
`*
`*
`*
`31.9
`32.4
`42.9
`48.3
`51.6
`51.9
`56.3
`56.1
`
`*
`*
`*
`*
`*
`*
`*
`*
`*
`*
`*
`*
`*
`*
`*
`35.5
`39.7
`43.9
`*
`*
`*
`*
`*
`
`0.15
`0.11
`0.14
`0.10
`0.11
`0.11
`0.18
`0.24
`0.48
`0.43
`0.44
`0.96
`0.67
`0.82
`1.10
`1.26
`1.86
`1.62
`1.14
`1.36
`1.38
`1.12
`1.29
`
`0.15
`0.10
`0.12
`0.15
`0.10
`0.15
`0.22
`0.32
`0.57
`0.50
`0.46
`1.17
`0.73
`1.03
`1.31
`1.06
`1.37
`1.01
`1.69
`1.18
`1.21
`1.52
`1.21
`
`5.5
`7.2
`8.6
`9.8
`11.2
`13.7
`15.9
`18.5
`21.3
`23.5
`27.2
`32.7
`36.0
`38.6
`43.7
`50.4
`53.9
`63.9
`68.3
`74.4
`75.6
`75.6
`78.2
`
`5.1
`7.0
`8.1
`9.2
`10.9
`13.3
`15.2
`17.9
`20.6
`22.4
`25.9
`31.9
`35.4
`40.0
`47.9
`52.0
`57.7
`59.9
`61.1
`63.0
`61.7
`65.2
`67.9
`
`82
`106
`113
`118
`288
`262
`216
`179
`147
`182
`185
`214
`174
`187
`182
`299
`298
`266
`283
`306
`313
`284
`270
`
`84
`119
`100
`112
`228
`248
`178
`191
`186
`171
`196
`184
`183
`164
`194
`316
`321
`324
`266
`273
`256
`243
`225
`
`CFAD Ex. 1038 (7 of 32)
`
`

`
`8
`
`Advance Data No. 361 + July 7, 2005
`
`Table 4. Number examined, mean, standard error of mean, and weight for children and adolescents from birth through 19 years of age
`for sel

This document is available on Docket Alarm but you must sign up to view it.


Or .

Accessing this document will incur an additional charge of $.

After purchase, you can access this document again without charge.

Accept $ Charge
throbber

Still Working On It

This document is taking longer than usual to download. This can happen if we need to contact the court directly to obtain the document and their servers are running slowly.

Give it another minute or two to complete, and then try the refresh button.

throbber

A few More Minutes ... Still Working

It can take up to 5 minutes for us to download a document if the court servers are running slowly.

Thank you for your continued patience.

This document could not be displayed.

We could not find this document within its docket. Please go back to the docket page and check the link. If that does not work, go back to the docket and refresh it to pull the newest information.

Your account does not support viewing this document.

You need a Paid Account to view this document. Click here to change your account type.

Your account does not support viewing this document.

Set your membership status to view this document.

With a Docket Alarm membership, you'll get a whole lot more, including:

  • Up-to-date information for this case.
  • Email alerts whenever there is an update.
  • Full text search for other cases.
  • Get email alerts whenever a new case matches your search.

Become a Member

One Moment Please

The filing “” is large (MB) and is being downloaded.

Please refresh this page in a few minutes to see if the filing has been downloaded. The filing will also be emailed to you when the download completes.

Your document is on its way!

If you do not receive the document in five minutes, contact support at support@docketalarm.com.

Sealed Document

We are unable to display this document, it may be under a court ordered seal.

If you have proper credentials to access the file, you may proceed directly to the court's system using your government issued username and password.


Access Government Site

We are redirecting you
to a mobile optimized page.





Document Unreadable or Corrupt

Refresh this Document
Go to the Docket

We are unable to display this document.

Refresh this Document
Go to the Docket