WS_T 423—2022 7岁以下儿童生长标准.pdf

ICS 11.020CCS C 63WS中 华 人 民 共 和 国 卫 生 行 业 标 准WS/T 4232022代替 WS/T 423-20137 岁以下儿童生长标准Growth standard for children under 7 years of age2022-09-19 发布2023-03-01 实施中华人民共和国国家卫生健康委员会发 布WS/T 4232022I前言本标准代替 WS/T 42320135 岁以下儿童生长状况判定。与 WS/T 4232013 相比，除结构调整和格式改动外，主要技术变化如下：更改了范围（见第 1 章，2013 版的第 1 章）；更改了术语和定义（见第 3 章，2013 版的第 3 章）；增加了儿童生长水平的评价方法，增加了头围的评价（见 4.1、4.2）；更改了儿童营养状况的评价方法（见 4.3，2013 版的第 4 章）增加了评价指标的百分位数值（见附录 A）；更改了评价指标的标准差数值（见附录 B，2013 版的附录 A）；增加了 03 岁儿童头围的百分位数值和标准差数值（表 A.11、表 A.12、表 B.11、表 B.12）。本标准由国家卫生健康委妇幼健康标准专业委员会负责技术审查和技术咨询，由国家卫生健康委医疗管理服务指导中心负责协调性和格式审查，由国家卫生健康委员会妇幼健康司负责业务管理、法规司负责统筹管理。本标准起草单位：首都儿科研究所、中国疾病预防控制中心妇幼保健中心、上海儿童医学中心、南京市妇幼保健院。本标准主要起草人：李辉、宗心南、张亚钦、王惠珊、江帆、童梅玲。本标准及其所代替文件的历次版本发布情况为：WS/T 4232013。WS/T 423202217 岁以下儿童生长标准1范围本标准规定了 7 岁以下儿童生长水平与营养状况的评价指标和评价方法。本标准适用于 7 岁以下儿童生长水平与营养状况的群体评价及个体评价。2规范性引用文件下列文件中的内容通过文中的规范性引用而构成本标准必不可少的条款。其中，注日期的引用文件，仅该日期对应的版本适用于本标准；不注日期的引用文件，其最新版本（包括所有的修改单）适用于本标准。WS/T 424人群健康监测人体测量方法3术语和定义下列术语和定义适用于本标准。3.17 岁以下儿童children under 7 years of age从出生到未满 7 周岁（84 月龄）之间的儿童。3.2体重weight人体的总重量。3.3身长length平卧位头顶到足跟的长度。3.4身高height站立位头顶到足底的垂直高度。3.5头围head circumference右侧齐眉弓上缘经过枕骨粗隆最高点的头部周长。3.6体重指数body mass index;BMI一种计算身高别体重的指数。按式（1）计算：BMI=体重(kg)（1）身高(m)2WS/T 423202224生长水平与营养状况的评价4.17 岁以下儿童生长水平的百分位数评价方法采用附录 A、按照表 1 对 7 岁以下儿童生长水平进行评价。表 1儿童生长水平的百分位数评价方法百分位数法评价指标年龄别体重年龄别身长/身高身长/身高别体重年龄别 BMI年龄别头围P97上上上上上P75 P97中上中上中上中上中上P25 P75中中中中中P3 P25中下中下中下中下中下P3下下下下下4.27 岁以下儿童生长水平的标准差评价方法采用附录 B、按照表 2 对 7 岁以下儿童生长水平进行评价。表 2儿童生长水平的标准差评价方法4.37 岁以下儿童营养状况的标准差评价方法采用附录 B、按照表 3 对 7 岁以下儿童营养状况进行评价。标准差法评价指标年龄别体重年龄别身长/身高身长/身高别体重年龄别 BMI年龄别头围+2 SD上上上上上+1 SD +2 SD中上中上中上中上中上-1 SD +1 SD中中中中中-2 SD -1 SD中下中下中下中下中下-2 SD下下下下下WS/T 42320223表 3儿童营养状况的标准差评价方法标准差法评价指标年龄别体重年龄别身长/身高身长/身高别体重年龄别 BMI+3 SD重度肥胖重度肥胖+2 SD +3 SD肥胖肥胖+1 SD +2 SD超重超重-1 SD +1 SD-2 SD -1 SD-3 SD -2 SD低体重生长迟缓消瘦消瘦-3 SD重度低体重重度生长迟缓重度消瘦重度消瘦5体格测量方法体重、身长、身高和头围的测量方法按照 WS/T 424 的规定。WS/T 42320224附录A（规范性）儿童年龄别体重、年龄别身长/身高、身长/身高别体重、年龄别 BMI、年龄别头围的百分位数值7 岁以下男童年龄别体重的百分位数值见表 A.1。7 岁以下女童年龄别体重的百分位数值见表 A.2。7 岁以下男童年龄别身长/身高的百分位数值见表 A.3。7 岁以下女童年龄别身长/身高的百分位数值见表 A.4。02 岁以下男童身长别体重的百分位数值见表 A.5。02 岁以下女童身长别体重的百分位数值见表 A.6。27 岁以下男童身高别体重的百分位数值见表 A.7。27 岁以下女童身高别体重的百分位数值见表 A.8。7 岁以下男童年龄别 BMI 的百分位数值见表 A.9。7 岁以下女童年龄别 BMI 的百分位数值见表 A.10。03 岁男童年龄别头围的百分位数值见表 A.11。03 岁女童年龄别头围的百分位数值见表 A.12。WS/T 42320225表 A.17 岁以下男童年龄别体重的百分位数值单位为千克年龄P3P10P25P50P75P90P970 月2.83.03.23.53.74.04.21 月3.73.94.24.64.95.25.62 月4.75.05.45.86.26.77.13 月5.55.96.36.87.37.88.34 月6.16.57.07.58.18.69.25 月6.67.07.58.08.69.29.86 月6.97.47.98.49.19.710.37 月7.27.78.28.89.510.110.88 月7.58.08.59.19.810.411.19 月7.78.28.79.410.110.811.510 月7.98.49.09.610.311.011.811 月8.18.69.29.810.611.312.01 岁8.38.89.410.110.811.512.31 岁 1 月8.49.09.610.311.011.712.51 岁 2 月8.69.29.710.511.212.012.81 岁 3 月8.89.39.910.711.412.213.01 岁 4 月9.09.510.110.911.712.413.31 岁 5 月9.19.710.311.111.912.713.51 岁 6 月9.39.910.511.312.112.913.81 岁 7 月9.510.110.711.512.313.214.01 岁 8 月9.710.310.911.712.613.414.31 岁 9 月9.810.511.111.912.813.714.61 岁 10 月10.010.611.312.213.013.914.81 岁 11 月10.210.811.512.413.314.215.12 岁10.411.011.712.613.514.415.42 岁 3 月10.811.512.213.114.115.116.12 岁 6 月11.212.012.713.714.715.716.72 岁 9 月11.612.413.214.215.216.317.43 岁12.012.813.614.615.816.918.03 岁 3 月12.413.214.115.216.317.518.73 岁 6 月12.813.714.615.716.918.119.43 岁 9 月13.214.115.116.217.518.720.14 岁13.614.515.516.718.119.420.84 岁 3 月14.015.016.017.318.720.121.64 岁 6 月14.515.416.517.919.320.822.44 岁 9 月14.915.917.118.420.021.623.35 岁15.316.417.619.120.722.424.25 岁 3 月15.816.918.119.721.423.225.1WS/T 42320226表 A.1（续）单位为千克年龄P3P10P25P50P75P90P975 岁 6 月16.217.418.720.322.224.026.05 岁 9 月16.617.919.321.022.924.827.06 岁17.118.319.821.623.625.727.96 岁 3 月17.518.820.322.224.326.528.96 岁 6 月17.819.220.822.825.027.329.86 岁 9 月18.219.721.323.425.728.030.6注：年龄为整月或整岁。表 A.27 岁以下女童年龄别体重的百分位数值单位为千克年龄P3P10P25P50P75P90P970 月2.72.93.13.33.63.84.11 月3.53.74.04.34.64.95.32 月4.44.75.05.45.86.26.63 月5.15.45.86.26.77.27.64 月5.66.06.46.97.47.98.45 月6.06.46.97.47.98.59.16 月6.46.87.27.88.49.09.67 月6.77.17.68.18.89.410.08 月6.97.47.98.49.19.710.49 月7.27.68.18.79.410.010.810 月7.47.88.39.09.610.311.111 月7.68.08.69.29.910.611.41 岁7.78.28.89.410.110.911.61 岁 1 月7.98.49.09.610.411.111.91 岁 2 月8.18.69.29.810.611.312.21 岁 3 月8.38.89.310.010.811.612.41 岁 4 月8.49.09.510.311.011.812.71 岁 5 月8.69.19.710.511.312.112.91 岁 6 月8.89.39.910.711.512.313.21 岁 7 月9.09.510.110.911.712.613.51 岁 8 月9.19.710.311.112.012.813.81 岁 9 月9.39.910.511.312.213.114.01 岁 10 月9.510.110.711.512.413.314.31 岁 11 月9.710.310.911.712.613.614.62 岁9.810.411.111.912.913.814.82 岁 3 月10.310.911.612.513.514.415.52 岁 6 月10.711.412.113.014.115.116.2WS/T 42320227表 A.2（续）单位为千克年龄P3P10P25P50P75P90P972 岁 9 月11.111.812.613.614.615.716.93 岁11.512.313.114.115.316.417.73 岁 3 月12.012.713.614.715.917.118.43 岁 6 月12.413.214.115.216.417.719.13 岁 9 月12.813.614.515.717.018.319.84 岁13.114.015.016.217.618.920.54 岁 3 月13.514.415.416.718.119.621.14 岁 6 月13.914.815.917.218.720.221.94 岁 9 月14.315.316.417.819.320.922.65 岁14.715.816.918.420.021.623.45 岁 3 月15.116.217.519.020.722.424.35 岁 6 月15.516.718.019.621.423.225.15 岁 9 月15.917.118.520.222.023.926.06 岁16.317.619.020.722.724.726.86 岁 3 月16.718.019.521.323.325.427.66 岁 6 月17.018.419.921.824.026.128.56 岁 9 月17.418.820.422.424.626.829.3注：年龄为整月或整岁。表 A.37 岁以下男童年龄别身长/身高的百分位数值单位为厘米年龄P3P10P25P50P75P90P970 月47.648.749.951.252.553.654.81 月51.352.553.855.156.557.759.02 月54.956.257.559.060.461.763.03 月58.059.460.762.263.765.166.44 月60.561.963.364.866.467.869.15 月62.563.965.466.968.569.971.36 月64.265.767.168.770.371.873.27 月65.767.268.770.371.973.474.98 月67.168.670.171.773.474.976.49 月68.369.871.473.174.776.377.810 月69.571.072.674.376.077.679.111 月70.772.273.875.577.378.880.41 岁71.773.374.976.778.580.181.61 岁 1 月72.874.476.077.879.681.282.81 岁 2 月73.875.477.178.980.782.484.01 岁 3 月74.876.578.180.081.883.585.1WS/T 42320228表 A.3（续）单位为厘米年龄P3P10P25P50P75P90P971 岁 4 月75.877.579.281.082.984.686.31 岁 5 月76.878.580.282.184.085.787.41 岁 6 月77.779.481.283.185.086.888.51 岁 7 月78.680.482.184.186.187.889.61 岁 8 月79.681.383.185.187.188.990.61 岁 9 月80.582.384.186.188.189.991.71 岁 10 月81.483.285.087.089.190.992.71 岁 11 月82.284.185.988.090.091.993.72 岁82.484.286.188.290.392.294.02 岁 3 月84.886.788.690.893.094.996.82 岁 6 月87.088.991.093.295.497.499.42 岁 9 月89.091.093.195.497.799.8101.83 岁90.993.095.197.599.9102.0104.13 岁 3 月92.794.897.099.5101.9104.1106.23 岁 6 月94.496.698.8101.3103.8106.1108.33 岁 9 月96.098.3100.6103.1105.7108.0110.24 岁97.699.9102.3104.9107.5109.8112.24 岁 3 月99.2101.6104.0106.6109.3111.7114.14 岁 6 月100.8103.2105.7108.4111.1113.6116.04 岁 9 月102.4104.9107.4110.2113.0115.5117.95 岁104.1106.6109.1112.0114.8117.4119.95 岁 3 月105.7108.2110.9113.7116.6119.2121.85 岁 6 月107.2109.9112.5115.5118.4121.1123.75 岁 9 月108.8111.4114.1117.1120.2122.9125.56 岁110.3113.0115.7118.8121.9124.6127.36 岁 3 月111.7114.5117.3120.4123.5126.3129.16 岁 6 月113.1116.0118.8122.0125.2128.0130.86 岁 9 月114.5117.4120.3123.5126.7129.6132.5注：2 岁以下适用于身长，27 岁以下适用于身高。年龄为整月或整岁。表 A.47 岁以下女童年龄别身长/身高的百分位数值单位为厘米年龄P3P10P25P50P75P90P970 月46.847.949.150.351.652.753.81 月50.451.652.854.155.456.657.82 月53.855.056.357.759.160.461.63 月56.758.059.360.862.263.564.84 月59.160.461.763.364.866.167.4WS/T 42320229表 A.4（续）单位为厘米年龄P3P10P25P50P75P90P975 月61.062.463.865.366.968.269.66 月62.764.165.567.168.770.171.57 月64.265.667.168.770.371.773.18 月65.667.068.570.171.773.274.79 月66.868.369.871.573.174.676.110 月68.169.671.172.874.576.077.511 月69.270.872.374.075.777.378.81 岁70.471.973.575.277.078.680.11 岁 1 月71.473.074.676.478.279.881.41 岁 2 月72.574.175.777.579.381.082.61 岁 3 月73.575.276.878.680.582.183.81 岁 4 月74.676.277.979.781.683.384.91 岁 5 月75.577.278.980.882.784.486.11 岁 6 月76.578.279.981.983.885.587.21 岁 7 月77.579.280.982.984.886.688.31 岁 8 月78.480.281.983.985.987.689.41 岁 9 月79.381.182.984.986.988.790.41 岁 10 月80.282.083.885.887.989.791.51 岁 11 月81.182.984.786.888.890.792.52 岁81.283.084.987.089.190.992.82 岁 3 月83.685.587.489.591.793.695.52 岁 6 月85.787.789.791.994.196.198.12 岁 9 月87.789.891.894.196.498.4100.53 岁89.791.893.996.298.5100.7102.73 岁 3 月91.593.695.898.2100.6102.8104.93 岁 6 月93.295.497.6100.1102.5104.8106.93 岁 9 月94.997.199.4101.9104.4106.7108.94 岁96.598.8101.1103.7106.3108.6110.94 岁 3 月98.1100.4102.8105.4108.1110.4112.84 岁 6 月99.7102.1104.5107.2109.9112.3114.74 岁 9 月101.3103.8106.2109.0111.8114.2116.75 岁103.0105.5108.0110.8113.6116.1118.65 岁 3 月104.6107.1109.7112.6115.4118.0120.65 岁 6 月106.1108.7111.3114.3117.2119.8122.45 岁 9 月107.6110.3112.9115.9118.9121.6124.26 岁109.0111.7114.5117.5120.6123.3126.06 岁 3 月110.4113.2116.0119.1122.2124.9127.76 岁 6 月111.8114.6117.4120.6123.7126.6129.4WS/T 423202210表 A.4（续）单位为厘米年龄P3P10P25P50P75P90P976 岁 9 月113.2116.0118.9122.1125.3128.2131.0注：2 岁以下适用于身长，27 岁以下适用于身高。年龄为整月或整岁。表 A.502 岁以下男童身长别体重的百分位数值单位为千克身长cmP3P10P25P50P75P90P97452.02.12.22.32.52.62.7462.12.22.42.52.72.83.0472.32.42.52.72.93.03.2482.52.62.72.93.13.23.4492.62.82.93.13.33.53.7502.82.93.13.33.53.73.9513.03.13.33.53.73.94.2523.23.43.53.84.04.24.5533.43.63.84.04.34.54.8543.73.84.14.34.64.85.1553.94.14.34.64.95.25.5564.24.44.64.95.25.55.8574.44.64.95.25.55.86.2584.74.95.25.55.86.26.5594.95.25.55.86.16.56.9605.25.45.76.16.56.87.2615.45.76.06.46.87.27.6625.76.06.36.77.17.57.9635.96.26.66.97.47.88.2646.26.56.87.27.78.18.6656.46.77.17.57.98.48.9666.67.07.37.78.28.79.2676.97.27.58.08.59.09.5687.17.47.88.28.79.29.8697.37.68.08.59.09.510.0707.57.88.28.79.29.710.3717.78.08.48.99.410.010.6727.98.28.69.19.710.210.8738.18.48.89.39.910.411.0748.28.69.09.510.110.711.3758.48.89.29.710.310.911.5WS/T 423202211表 A.5（续）单位为千克身长cmP3P10P25P50P75P90P97768.69.09.49.910.511.111.7778.89.29.610.110.711.312.0788.99.39.810.310.911.512.2799.19.510.010.511.111.712.4809.39.710.110.711.311.912.6819.59.910.310.911.512.112.8829.610.110.511.111.712.313.0839.810.210.711.311.912.613.38410.010.410.911.512.112.813.58510.210.611.111.712.313.013.78610.410.811.311.912.613.214.08710.611.011.512.112.813.514.28810.811.211.712.313.013.714.48911.011.411.912.613.213.914.79011.211.612.112.813.514.214.99111.411.812.413.013.714.415.29211.612.012.613.213.914.715.59311.812.312.813.414.214.915.79412.012.513.013.714.415.216.09512.212.713.213.914.715.416.29612.412.913.514.214.915.716.59712.613.113.714.415.216.016.89812.913.414.014.715.416.217.19913.113.614.214.915.716.517.410013.313.914.515.216.016.817.7注：身长为整数。表 A.602 岁以下女童身长别体重的百分位数值单位为千克身长cmP3P10P25P50P75P90P97452.02.12.22.32.52.62.8462.12.32.42.52.72.83.0472.32.42.62.72.93.03.2482.52.62.72.93.13.23.4492.62.82.93.13.33.53.6502.82.93.13.33.53.73.9WS/T 423202212表 A.6（续）单位为千克身长cmP3P10P25P50P75P90P97513.03.23.33.53.73.94.2523.23.43.63.84.04.24.5533.43.63.84.04.34.54.8543.73.94.14.34.64.85.1553.94.14.34.64.95.15.4564.24.44.64.95.25.55.8574.44.64.85.15.55.86.1584.64.95.15.45.76.16.4594.95.15.45.76.06.46.8605.15.45.66.06.36.77.1615.35.65.96.26.67.07.4625.65.86.16.56.97.37.7635.86.16.46.87.27.68.0646.06.36.67.07.47.98.3656.26.56.97.37.78.18.6666.56.87.17.57.98.48.9676.77.07.37.78.28.79.2686.97.27.58.08.48.99.4697.17.47.78.28.79.19.7707.27.67.98.48.99.49.9717.47.88.18.69.19.610.2727.68.08.38.89.39.810.4737.88.18.59.09.510.110.6748.08.38.79.29.710.310.9758.18.58.99.49.910.511.1768.38.79.19.610.110.711.3778.58.89.39.810.310.911.5788.69.09.49.910.511.111.7798.89.29.610.110.711.311.9809.09.49.810.310.911.512.2819.29.610.010.511.111.712.4829.39.710.210.711.311.912.6839.59.910.410.911.512.212.8849.710.110.611.111.812.413.1859.910.310.811.312.012.613.38610.110.511.011.612.212.813.68710.310.711.211.812.413.113.8WS/T 423202213表 A.6（续）单位为千克身长cmP3P10P25P50P75P90P978810.510.911.412.012.713.314.18910.711.111.612.212.913.614.39010.911.311.812.413.113.814.69111.111.512.012.713.414.114.89211.311.712.312.913.614.315.19311.512.012.513.113.814.615.49411.712.212.713.414.114.815.79511.912.412.913.614.415.116.09612.112.613.213.914.615.416.39712.412.913.414.114.915.716.69812.613.113.714.415.216.016.99912.813.414.014.715.516.317.210013.113.614.214.915.816.617.5注：身长为整数。表 A.727 岁以下男童身高别体重的百分位数值单位为千克身高cmP3P10P25P50P75P90P97758.58.99.49.910.511.011.7768.79.19.510.110.711.211.9778.99.39.710.310.911.512.1789.19.59.910.511.111.712.3799.29.610.110.611.311.912.5809.49.810.310.811.512.112.7819.610.010.511.011.712.313.0829.810.210.711.211.912.513.2839.910.410.811.412.112.713.48410.110.611.011.612.312.913.68510.310.811.211.812.513.213.98610.511.011.512.112.713.414.18710.711.211.712.312.913.614.48810.911.411.912.513.213.914.68911.111.612.112.713.414.114.99011.311.812.312.913.614.315.19111.512.012.513.213.914.615.49211.712.212.713.414.114.815.6WS/T 423202214表 A.7（续）单位为千克身高cmP3P10P25P50P75P90P979311.912.412.913.614.315.115.99412.112.613.213.814.615.316.29512.312.813.414.114.815.616.49612.613.113.614.315.115.916.79712.813.313.914.615.416.117.09813.013.614.114.815.616.417.39913.313.814.415.115.916.717.610013.514.114.715.416.217.017.910113.814.314.915.716.517.318.310214.014.615.216.016.817.718.610314.314.815.516.317.118.018.910414.515.115.816.617.418.319.310514.815.416.016.817.718.719.710615.015.616.317.118.119.020.010715.315.916.617.418.419.320.410815.516.216.917.818.719.720.810915.816.517.218.119.120.121.211016.116.717.518.419.420.521.611116.317.017.818.719.820.922.011216.617.318.119.120.221.322.511316.917.618.419.420.621.723.011417.217.918.819.821.022.223.511517.418.219.120.221.422.724.011617.818.619.520.621.923.224.611718.118.919.921.022.423.725.211818.419.320.321.522.924.325.911918.719.620.721.923.424.926.612019.020.021.122.423.925.527.312119.420.421.522.924.526.128.012219.720.821.923.425.126.828.712320.121.222.423.925.727.529.512420.421.622.824.426.328.230.312520.822.023.325.026.928.931.112621.122.423.825.527.529.632.012721.522.824.226.028.130.332.812821.823.224.726.628.831.133.712922.223.625.127.129.431.834.5WS/T 423202215表 A.7（续）单位为千克身高cmP3P10P25P50P75P90P9713022.524.025.627.730.132.535.4注：身高为整数。表 A.827 岁以下女童身高别体重的百分位数值单位为千克身高cmP3P10P25P50P75P90P97758.38.69.09.510.110.611.2768.48.89.29.710.310.811.4778.69.09.49.910.511.011.7788.89.19.610.110.711.211.9798.99.39.710.310.911.412.1809.19.59.910.511.111.712.3819.39.710.110.711.311.912.5829.59.910.310.911.512.112.8839.710.110.511.111.712.313.0849.810.310.711.311.912.513.28510.010.510.911.512.112.813.58610.210.711.111.712.413.013.78710.410.911.311.912.613.314.08810.611.111.512.112.813.514.28910.811.311.812.413.013.714.59011.011.512.012.613.314.014.89111.211.712.212.813.514.215.09211.411.912.413.113.814.515.39311.612.112.613.314.014.815.69411.812.312.913.514.315.015.99512.112.613.113.814.615.316.29612.312.813.414.114.815.616.59712.513.013.614.315.115.916.89812.813.313.914.615.416.217.19913.013.514.114.915.716.517.410013.213.814.415.116.016.817.810113.514.014.715.416.317.118.110213.714.314.915.716.617.518.410313.914.515.216.016.917.818.810414.214.815.416.317.218.119.1WS/T 423202216表 A.8（续）单位为千克身高cmP3P10P25P50P75P90P9710514.415.015.716.517.518.419.510614.715.316.016.817.818.819.810714.915.516.317.118.119.120.210815.115.816.517.418.519.520.610915.416.116.817.818.819.821.011015.716.417.118.119.120.221.411115.916.617.418.419.520.621.811216.216.917.818.819.921.022.311316.517.218.119.120.321.522.811416.717.518.419.520.721.923.311517.017.818.819.92