CDE Detailed Report

Enter the thickness in millimeters.

Use WHO and CDC growth charts to determine percentiles and Z-scores for age and sex. (In order to allow pooling of observational and clinical trials data across diverse populations, use of international standards is favored over country-specific standards.) Z-scores correspond approximately to standard deviations above or below the median or mean, and may provide additional information, particularly at the extremes of the distributions.

Severe thinness = Moderate thinness = 16-17
Mild thinness = 17-18.5
Underweight = Normal weight = 18.5-24.9
Overweight = 25-29.9
Obesity = BMI of 30 or greater
30 to 34.99 = Obesity (Class 1)
35 to 39.99 = Obesity (Class 2)
40 or greater = Morbid Obesity (Class 3)

Choose either pounds (lb) or kilograms (kg).

Use WHO and CDC growth charts to determine %iles and Z-scores for age and sex. (In order to allow pooling of observational and clinical trials data across diverse populations, use of international standards is favored over country-specific standards.) Z-scores correspond approximately to standard deviations above or below the median or mean, and may provide additional information, particularly at the extremes of the distributions.

Choose either inches (in) or centimeters (cm).

Indicate whether WHO or CDC growth charts were used in height Z-score calculation.

Calculate BMI (https://www.nhlbi.nih.gov/health/educational/lose_wt/BMI/bmicalc.htm) OR
BMI =weight (lb) / [height (in)]2 x 703 or weight (kg) / [height (m)]2

Use WHO and CDC growth charts to determine percentiles and Z-scores for age and sex. (In order to allow pooling of observational and clinical trials data across diverse populations, use of international standards is favored over country-specific standards.) Z-scores correspond approximately to standard deviations above or below the median or mean, and may provide additional information, particularly at the extremes of the distributions. If premature, 22-37 weeks gestation, use growth charts for premature babies. The Fenton Preterm Growth Chart (University of Calgary) is recommended and is the World Health Organization growth standard.

Obtain weight of the participant in light clothing without shoes and record. Infants should be weighed in a pan scale and children older than 2 years on a beam balance scale. To be collected at the visit, not self-reported. Also, indicate whether weight was measured in pounds (lb) or kilograms (kg). Measure recumbent length (for children 2 years) using a fixed stadiometer and record. To be collected at the visit, not self-reported. Also, indicate whether height was measured in inches (in) or centimeters (cm).

Obtain weight of the participant in light clothing without shoes and record. To be collected at the visit, not self-reported. Also, indicate whether weight was measured in pounds (lb) or kilograms (kg).

Use WHO and CDC growth charts to determine percentiles and Z-scores for age and sex. (In order to allow pooling of observational and clinical trials data across diverse populations, use of international standards is favored over country-specific standards.) Z-scores correspond approximately to standard deviations above or below the median or mean, and may provide additional information, particularly at the extremes of the distributions.

Use WHO and CDC growth charts to determine percentiles and Z-scores for age and sex. (In order to allow pooling of observational and clinical trials data across diverse populations, use of international standards is favored over country-specific standards.) Z-scores correspond approximately to standard deviations above or below the median or mean, and may provide additional information, particularly at the extremes of the distributions.

Choose either inches (in) or centimeters (cm).

Use WHO and CDC growth charts to determine percentiles and Z-scores for age and sex. (In order to allow pooling of observational and clinical trials data across diverse populations, use of international standards is favored over country-specific standards.) Z-scores correspond approximately to standard deviations above or below the median or mean, and may provide additional information, particularly at the extremes of the distributions. If premature, 22-37 weeks gestation, use growth charts for premature babies. The Fenton Preterm Growth Chart (University of Calgary) is recommended and is the World Health Organization growth standard.

Noting puberty stage by exam should be strongly considered. If exam is not possible, stage can be collected by self-report.
• Genitals (male) - testicular volumes differ from Tanner Stages by Emmanuel and Bokor: https://www.ncbi.nlm.nih.gov/books/NBK470280/
- Tanner I
o prepubescent (testicular volume less than 1.5 mL; small penis of 3 cm or less) [typically age 9 and younger]
- Tanner II
o testicular volume between 1.6 and 6 mL; skin on scrotum thins, reddens and enlarges; penis length unchanged [9-11]
- Tanner III
o testicular volume between 6 and 12 mL; scrotum enlarges further; penis begins to lengthen to about 6 cm [11-12.5]
- Tanner IV
o testicular volume between 12 and 20 mL; scrotum enlarges further and darkens; penis increases in length to 10 cm and circumference [12.5-14]
- Tanner V
o testicular volume greater than 20 mL; adult scrotum and penis of 15 cm in length [14+]
• Breasts (female)
- Tanner I
o no glandular tissue: areola follows the skin contours of the chest (prepubertal) [typically age 10 and younger]
- Tanner II
o breast bud forms, with small area of surrounding glandular tissue; areola begins to widen [10-11.5]
- Tanner III
o breast begins to become more elevated, and extends beyond the borders of the areola, which continues to widen but remains in contour with surrounding breast [11.5-13]
- Tanner IV
o increased breast size and elevation; areola and papilla form a secondary mound projecting from the contour of the surrounding breast [13-15]
- Tanner V
o breast reaches final adult size; areola returns to contour of the surrounding breast, with a projecting central papilla. [15+]

Use WHO and CDC growth charts to determine percentiles and Z-scores for age and sex. (In order to allow pooling of observational and clinical trials data across diverse populations, use of international standards is favored over country-specific standards.) Z-scores correspond approximately to standard deviations above or below the median or mean, and may provide additional information, particularly at the extremes of the distributions.