2008VAL-NUD-PED

LN Isaac Alejandro Hernandez Ruiz [Escribir el nombre de la compaa] 06/02/2008

Valoracin nutricional nio y adolescente

LN Isaac Alejandro Hernndez Ruiz

[Escribir texto] Pgina 2

Valoracin nutricional nio y adolescente

LN Isaac Alejandro Hernndez Ruiz

[Escribir texto] Pgina 3

Valoracin nutricional nio y adolescente

PESO/EDAD Edad 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 2/0 2/01 2/02 2/03 2/04 2/05 2/06 2/07 2/08 2/09 2/10 2/11 3/0 3/01 3/02 3/03 3/04 3/05 3/06 3/07 3/08 3/09 3/10 3/11 4/0 4/01 4/02 4/03 4/04 4/05 4/06 4/07 4/08 -3 DE 1.8 2.2 2.7 3.2 3.7 4.1 4.6 5.0 5.3 5.7 5.9 6.2 6.4 6.6 6.7 6.9 7.0 7.2 7.3 7.5 7.6 7.7 7.9 8.0 8.3 8.4 8.5 8.6 8.8 8.9 9.0 9.1 9.2 9.4 9.5 9.6 9.7 9.8 9.9 10.0 10.1 10.2 10.3 10.4 10.5 10.6 10.7 10.8 10.9 10.9 11.0 11.1 11.2 11.3 11.4 11.5 11.5

0 MESES A 10 AOS IAS -2 DE 2.2 2.8 3.3 3.9 4.5 5.0 5.5 5.9 6.3 6.6 6.9 7.2 7.4 7.6 7.8 8.0 8.2 8.3 8.5 8.6 8.8 9.0 9.1 9.3 9.4 9.6 9.8 9.9 10.1 10.2 10.3 10.5 10.6 10.8 10.9 11.0 11.2 11.3 11.4 11.5 11.6 11.8 11.9 12.0 12.1 12.2 12.3 12.4 12.6 12.7 12.8 12.9 13.0 13.1 13.2 13.3 13.4 -1 DE 2.7 3.4 4.0 4.7 5.3 5.8 6.3 6.8 7.2 7.6 7.9 8.2 8.5 8.7 8.9 9.1 9.3 9.5 9.7 9.8 10.0 10.2 10.3 10.5 10.6 10.8 11.0 11.2 11.3 11.5 11.7 11.9 12.0 12.2 12.3 12.5 12.6 12.8 12.9 13.1 13.2 13.3 13.5 13.6 13.7 13.9 14.0 14.1 14.3 14.4 14.5 14.6 14.8 14.9 15.0 15.1 15.2 M 3.2 4.0 4.7 5.4 6.0 6.7 7.2 7.7 8.2 8.6 8.9 9.2 9.5 9.8 10.0 10.2 10.4 10.6 10.8 11.0 11.2 11.4 11.5 11.7 11.8 12.0 12.2 12.4 12.6 12.8 13.0 13.2 13.4 13.6 13.8 13.9 14.1 14.3 14.4 14.6 14.8 14.9 15.1 15.2 15.4 15.5 15.7 15.8 16.0 16.1 16.2 16.4 16.5 16.7 16.8 17.0 17.1 +1 DE +2 DE +3 DE 3.6 4.0 4.3 4.5 5.1 5.6 5.4 6.1 6.7 6.2 7.0 7.7 6.9 7.7 8.6 7.5 8.4 9.3 8.1 9.0 10.0 8.7 9.6 10.5 9.1 10.1 11.1 9.6 10.5 11.5 9.9 10.9 11.9 10.3 11.3 12.3 10.6 11.6 12.7 10.8 11.9 13.0 11.1 12.2 13.2 11.3 12.4 13.5 11.5 12.6 13.7 11.8 12.9 14.0 12.0 13.1 14.2 12.2 13.3 14.5 12.4 13.5 14.7 12.6 13.8 15.0 12.8 14.0 15.2 13.0 14.2 15.5 13.2 14.6 16.0 13.5 14.9 16.4 13.7 15.2 16.8 14.0 15.6 17.1 14.2 15.9 17.5 14.5 16.1 17.8 14.7 16.4 18.1 15.0 16.7 18.5 15.2 17.0 18.8 15.4 17.2 19.1 15.6 17.5 19.4 15.8 17.8 19.7 16.1 18.0 20.0 16.3 18.3 20.2 16.5 18.5 20.5 16.7 18.7 20.8 16.9 19.0 21.1 17.0 19.2 21.3 17.2 19.4 21.6 17.4 19.6 21.8 17.6 19.8 22.1 17.8 20.1 22.3 18.0 20.3 22.6 18.1 20.5 22.8 18.3 20.7 23.1 18.5 20.9 23.3 18.7 21.1 23.5 18.9 21.3 23.8 19.0 21.5 24.0 19.2 21.7 24.3 19.4 21.9 24.5 19.6 22.2 24.8 19.7 22.4 25.0 Edad 5: 1 5: 2 5: 3 5: 4 5: 5 5: 6 5: 7 5: 8 5: 9 5: 10 5: 11 6: 0 6: 1 6: 2 6: 3 6: 4 6: 5 6: 6 6: 7 6: 8 6: 9 6: 10 6: 11 7: 0 7: 1 7: 2 7: 3 7: 4 7: 5 7: 6 7: 7 7: 8 7: 9 7: 10 7: 11 8: 0 8: 1 8: 2 8: 3 8: 4 8: 5 8: 6 8: 7 8: 8 8: 9 8: 10 8: 11 9: 0 9: 1 9: 2 9: 3 9: 4 9: 5 9: 6 9: 7 9: 8 9: 9 -3 SD 12.4 12.5 12.6 12.7 12.8 12.9 13.0 13.1 13.2 13.3 13.4 13.5 13.6 13.7 13.8 13.9 14.0 14.1 14.2 14.3 14.4 14.5 14.6 14.8 14.9 15.0 15.1 15.2 15.4 15.5 15.6 15.7 15.9 16.0 16.2 16.3 16.4 16.6 16.7 16.9 17.0 17.2 17.3 17.5 17.7 17.8 18.0 18.1 18.3 18.5 18.7 18.8 19.0 19.2 19.4 19.5 19.7 -2 SD 14.0 14.1 14.2 14.3 14.4 14.6 14.7 14.8 14.9 15.0 15.2 15.3 15.4 15.5 15.6 15.8 15.9 16.0 16.1 16.3 16.4 16.5 16.6 16.8 16.9 17.1 17.2 17.3 17.5 17.6 17.8 17.9 18.1 18.3 18.4 18.6 18.8 18.9 19.1 19.3 19.5 19.6 19.8 20.0 20.2 20.4 20.6 20.8 21.0 21.2 21.4 21.6 21.8 22.0 22.2 22.4 22.6 -1 SD 15.9 16.0 16.2 16.3 16.5 16.6 16.8 16.9 17.0 17.2 17.3 17.5 17.6 17.8 17.9 18.0 18.2 18.3 18.5 18.6 18.8 18.9 19.1 19.3 19.4 19.6 19.8 19.9 20.1 20.3 20.5 20.7 20.9 21.0 21.2 21.4 21.6 21.8 22.0 22.3 22.5 22.7 22.9 23.1 23.3 23.6 23.8 24.0 24.3 24.5 24.7 25.0 25.2 25.5 25.7 26.0 26.2 M 18.3 18.4 18.6 18.8 19.0 19.1 19.3 19.5 19.6 19.8 20.0 20.2 20.3 20.5 20.7 20.9 21.0 21.2 21.4 21.6 21.8 22.0 22.2 22.4 22.6 22.8 23.0 23.2 23.4 23.6 23.9 24.1 24.3 24.5 24.8 25.0 25.3 25.5 25.8 26.0 26.3 26.6 26.8 27.1 27.4 27.6 27.9 28.2 28.5 28.8 29.1 29.4 29.7 30.0 30.3 30.6 30.9 1 SD 21.2 21.4 21.6 21.8 22.0 22.2 22.5 22.7 22.9 23.1 23.3 23.5 23.8 24.0 24.2 24.4 24.6 24.9 25.1 25.3 25.6 25.8 26.1 26.3 26.6 26.8 27.1 27.4 27.6 27.9 28.2 28.5 28.8 29.1 29.4 29.7 30.0 30.3 30.6 30.9 31.2 31.6 31.9 32.2 32.6 32.9 33.3 33.6 34.0 34.4 34.7 35.1 35.5 35.9 36.2 36.6 37.0 2 SD 24.8 25.1 25.4 25.6 25.9 26.2 26.5 26.7 27.0 27.3 27.6 27.8 28.1 28.4 28.7 29.0 29.3 29.6 29.9 30.2 30.5 30.8 31.1 31.4 31.8 32.1 32.5 32.8 33.1 33.5 33.9 34.2 34.6 35.0 35.4 35.8 36.2 36.6 37.0 37.4 37.8 38.3 38.7 39.1 39.6 40.0 40.5 41.0 41.4 41.9 42.4 42.9 43.3 43.8 44.3 44.8 45.3 3 SD 29.5 29.8 30.2 30.5 30.9 31.3 31.6 32.0 32.3 32.7 33.1 33.4 33.8 34.2 34.6 35.0 35.4 35.8 36.2 36.6 37.0 37.4 37.8 38.3 38.7 39.2 39.6 40.1 40.6 41.1 41.5 42.0 42.6 43.1 43.6 44.1 44.7 45.2 45.8 46.3 46.9 47.5 48.1 48.7 49.3 49.9 50.5 51.1 51.8 52.4 53.1 53.7 54.4 55.0 55.7 56.4 57.1

LN Isaac Alejandro Hernndez Ruiz

[Escribir texto] Pgina 4

Valoracin nutricional nio y adolescente4/09 4/10 4/11 2007 11.6 13.5 15.4 11.7 13.6 15.5 11.8 13.7 15.6 WHO Reference 17.2 19.9 17.4 20.1 17.5 20.3 22.6 22.8 23.0 25.3 25.5 25.8 9: 10 19.9 9: 11 20.1 10: 0 20.3 22.8 23.0 23.3 26.5 26.8 27.0 31.2 37.4 31.5 37.8 31.9 38.2 45.8 46.4 46.9 57.8 58.5 59.2

PESO EDAD NIAS 10-18 AOSAos/mes P80 P3 P97 P20 P50

LN Isaac Alejandro Hernndez Ruiz

[Escribir texto] Pgina 5

Valoracin nutricional nio y adolescente

Fuente: Medicin del Cambio del Estado Nutricional. OMS. Ginebra, 1983. Tomadas de NCHS. Growth curves for Children. Birth - 18 years, 1977. Edad 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 -3 DE 2.0 2.2 2.6 3.1 3.7 4.3 4.9 5.4 5.9 6.3 6.6 6.9 7.1 7.3 7.5 7.6 7.7 7.8 7.9 8.0 8.1 8.3 -2 DE 2.4 2.9 3.5 4.1 4.7 5.3 5.9 6.4 6.9 7.2 7.6 7.9 8.1 8.3 8.5 8.7 8.8 9.0 9.1 9.2 9.4 9.5 -1 DE 2.9 3.6 4.3 5.0 5.7 6.3 6.9 7.4 7.8 8.2 8.6 8.9 9.1 9.4 9.6 9.8 10.0 10.1 10.3 10.5 10.6 10.8 M 3.3 4.3 5.2 6.0 6.7 7.3 7.8 8.3 8.8 9.2 9.5 9.9 10.2 10.4 10.7 10.9 11.1 11.3 11.5 11.7 11.8 12.0 PESO/EDAD 0 MESES A 10 +1 DE +2 DE +3 DE Edad 3.8 4.3 4.8 5: 1 5.0 5.6 6.3 5: 2 6.0 6.8 7.6 5: 3 6.9 7.7 8.6 5: 4 7.6 8.5 9.4 5: 5 8.2 9.2 10.1 5: 6 8.8 9.8 10.8 5: 7 9.3 10.3 11.3 5: 8 9.8 10.8 11.8 5: 9 10.2 11.3 12.3 5: 10 10.6 11.7 12.7 5: 11 10.9 12.0 13.1 6: 0 11.3 12.4 13.5 6: 1 11.5 12.7 13.8 6: 2 11.8 13.0 14.1 6: 3 12.0 13.2 14.4 6: 4 12.3 13.5 14.7 6: 5 12.5 13.7 14.9 6: 6 12.7 13.9 15.2 6: 7 12.9 14.1 15.4 6: 8 13.1 14.4 15.6 6: 9 13.3 14.6 15.8 6: 10 AOS -3 SD 12.7 12.8 13.0 13.1 13.2 13.3 13.4 13.6 13.7 13.8 13.9 14.1 14.2 14.3 14.5 14.6 14.7 14.9 15.0 15.1 15.3 15.4 NIOS -2 SD -1 SD 14.4 16.3 14.5 16.4 14.6 16.6 14.8 16.7 14.9 16.9 15.0 17.0 15.2 17.2 15.3 17.4 15.4 17.5 15.6 17.7 15.7 17.8 15.9 18.0 16.0 18.2 16.2 18.3 16.3 18.5 16.5 18.7 16.6 18.8 16.8 19.0 16.9 19.2 17.1 19.3 17.2 19.5 17.4 19.7 M 18.5 18.7 18.9 19.0 19.2 19.4 19.6 19.8 19.9 20.1 20.3 20.5 20.7 20.9 21.1 21.3 21.5 21.7 21.9 22.1 22.3 22.5 1 SD 21.1 21.3 21.5 21.7 22.0 22.2 22.4 22.6 22.8 23.1 23.3 23.5 23.7 24.0 24.2 24.4 24.7 24.9 25.2 25.4 25.6 25.9 2 SD 24.2 24.4 24.7 24.9 25.2 25.5 25.7 26.0 26.3 26.6 26.8 27.1 27.4 27.7 28.0 28.3 28.6 28.9 29.2 29.5 29.8 30.1 3 SD 27.8 28.1 28.4 28.8 29.1 29.4 29.8 30.1 30.4 30.8 31.2 31.5 31.9 32.2 32.6 33.0 33.3 33.7 34.1 34.5 34.9 35.3

LN Isaac Alejandro Hernndez Ruiz

[Escribir texto] Pgina 6

Valoracin nutricional nio y adolescente22 23 2/0 2/01 2/02 2/03 2/04 2/05 2/06 2/07 2/08 2/09 2/10 2/11 3/0 3/01 3/02 3/03 3/04 3/05 3/06 3/07 3/08 3/09 3/10 3/11 4/0 4/01 4/02 4/03 4/04 4/05 4/06 4/07 4/08 4/09 4/10 4/11 2007 8.4 9.7 10.9 8.5 9.8 11.1 9.0 10.1 11.2 9.0 10.2 11.4 9.1 10.3 11.5 9.1 10.4 11.7 9.2 10.5 11.8 9.3 10.6 12.0 9.4 10.7 12.1 9.4 10.9 12.3 9.5 11.0 12.4 9.6 11.1 12.6 9.7 11.2 12.7 9.7 11.3 12.9 9.8 11.4 13.0 9.9 11.5 13.2 10.0 11.7 13.3 10.1 11.8 13.5 10.2 11.9 13.6 10.3 12.0 13.8 10.4 12.1 13.9 10.5 12.3 14.1 10.6 12.4 14.2 10.7 12.5 14.4 10.8 12.6 14.5 10.9 12.8 14.6 11.0 12.9 14.8 11.1 13.0 14.9 11.2 13.1 15.1 11.3 13.3 15.2 11.4 13.4 15.4 11.5 13.5 15.5 11.6 13.7 15.7 11.8 13.8 15.8 11.9 13.9 16.0 12.0 14.0 16.1 12.1 14.2 16.3 12.2 14.3 16.4 WHO Reference 12.2 12.4 12.3 12.5 12.7 12.9 13.1 13.3 13.5 13.7 13.9 14.1 14.3 14.4 14.6 14.8 15.0 15.2 15.3 15.5 15.7 15.8 16.0 16.2 16.4 16.5 16.7 16.9 17.0 17.2 17.4 17.5 17.7 17.9 18.0 18.2 18.3 18.5 13.5 13.7 14.0 14.2 14.4 14.6 14.8 15.1 15.3 15.5 15.7 15.9 16.0 16.2 16.4 16.6 16.8 17.0 17.2 17.4 17.6 17.8 18.0 18.2 18.4 18.6 18.7 18.9 19.1 19.3 19.5 19.7 19.9 20.1 20.3 20.5 20.7 20.9 14.8 15.0 15.7 15.9 16.1 16.3 16.6 16.8 17.0 17.2 17.4 17.6 17.8 18.0 18.3 18.5 18.7 18.9 19.1 19.3 19.5 19.7 19.9 20.1 20.4 20.6 20.8 21.0 21.2 21.4 21.7 21.9 22.1 22.3 22.6 22.8 23.0 23.3 16.0 16.3 17.4 17.6 17.8 18.0 18.3 18.5 18.7 19.0 19.2 19.4 19.6 19.8 20.1 20.3 20.5 20.7 21.0 21.2 21.4 21.7 21.9 22.1 22.4 22.6 22.8 23.1 23.3 23.6 23.8 24.1 24.3 24.6 24.8 25.1 25.4 25.6 6: 11 7: 0 7: 1 7: 2 7: 3 7: 4 7: 5 7: 6 7: 7 7: 8 7: 9 7: 10 7: 11 8: 0 8: 1 8: 2 8: 3 8: 4 8: 5 8: 6 8: 7 8: 8 8: 9 8: 10 8: 11 9: 0 9: 1 9: 2 9: 3 9: 4 9: 5 9: 6 9: 7 9: 8 9: 9 9: 10 9: 11 10: 0 15.5 15.7 15.8 15.9 16.1 16.2 16.3 16.5 16.6 16.7 16.9 17.0 17.1 17.3 17.4 17.5 17.7 17.8 17.9 18.1 18.2 18.3 18.4 18.6 18.7 18.8 18.9 19.1 19.2 19.3 19.5 19.6 19.7 19.9 20.0 20.1 20.3 20.4 17.5 17.7 17.8 18.0 18.1 18.3 18.4 18.6 18.7 18.9 19.0 19.2 19.3 19.5 19.6 19.8 19.9 20.1 20.2 20.4 20.5 20.7 20.8 21.0 21.1 21.3 21.4 21.6 21.7 21.9 22.1 22.2 22.4 22.5 22.7 22.9 23.0 23.2 19.9 20.0 20.2 20.4 20.6 20.7 20.9 21.1 21.3 21.4 21.6 21.8 22.0 22.1 22.3 22.5 22.7 22.9 23.0 23.2 23.4 23.6 23.8 23.9 24.1 24.3 24.5 24.7 24.9 25.1 25.3 25.5 25.7 25.9 26.1 26.3 26.5 26.7 22.7 22.9 23.1 23.3 23.5 23.7 23.9 24.1 24.3 24.6 24.8 25.0 25.2 25.4 25.6 25.9 26.1 26.3 26.5 26.7 27.0 27.2 27.4 27.6 27.9 28.1 28.3 28.6 28.8 29.1 29.3 29.6 29.8 30.1 30.4 30.6 30.9 31.2 26.1 26.4 26.6 26.9 27.1 27.4 27.7 27.9 28.2 28.4 28.7 29.0 29.2 29.5 29.8 30.1 30.3 30.6 30.9 31.2 31.5 31.8 32.1 32.4 32.7 33.0 33.3 33.6 33.9 34.3 34.6 34.9 35.3 35.6 36.0 36.3 36.7 37.0 30.4 30.7 31.0 31.3 31.7 32.0 32.3 32.6 33.0 33.3 33.7 34.0 34.4 34.7 35.1 35.5 35.8 36.2 36.6 37.0 37.4 37.8 38.2 38.6 39.0 39.4 39.9 40.3 40.7 41.2 41.7 42.1 42.6 43.1 43.5 44.0 44.5 45.0 35.7 36.1 36.5 36.9 37.4 37.8 38.2 38.7 39.1 39.6 40.1 40.5 41.0 41.5 42.0 42.5 43.1 43.6 44.1 44.7 45.2 45.8 46.4 47.0 47.6 48.2 48.8 49.5 50.1 50.8 51.5 52.1 52.8 53.5 54.2 55.0 55.7 56.4

PESO/ EDAD nios de 10-18 aos Aos/mes P3 P20 P50 P80 P95

LN Isaac Alejandro Hernndez Ruiz

[Escribir texto] Pgina 7

Valoracin nutricional nio y adolescente

Fuente: Medicin del Cambio del Estado Nutricional. OMS. Ginebra, 1983. Tomadas de NCHS. Growth curves for Children. Birth - 18 years, 1977. TALLA (cm) POR EDAD -------AOS------NIAS -3 SD -2 SD -1 SD M 1 SD 95.3 100.1 104.8 109.6 114.4 95.7 100.5 105.3 110.1 114.9 96.1 101.0 105.8 110.6 115.5 96.5 101.4 106.3 111.2 116.0 97.0 101.9 106.8 111.7 116.6 97.4 102.3 107.2 112.2 117.1 97.8 102.7 107.7 112.7 117.6 98.2 103.2 108.2 113.2 118.2 98.6 103.6 108.6 113.7 118.7 99.0 104.0 109.1 114.2 119.2 99.4 104.5 109.6 114.6 119.7 99.8 104.9 110.0 115.1 120.2 100.2 105.3 110.5 115.6 120.8 100.5 105.7 110.9 116.1 121.3 100.9 106.1 111.3 116.6 121.8 101.3 106.6 111.8 117.0 122.3 101.7 107.0 112.2 117.5 122.8 102.1 107.4 112.7 118.0 123.3 102.5 107.8 113.1 118.4 123.8 102.9 108.2 113.6 118.9 124.3 103.2 108.6 114.0 119.4 124.8 103.6 109.0 114.5 119.9 125.3 104.0 109.5 114.9 120.3 125.8 104.4 109.9 115.3 120.8 126.3 104.8 110.3 115.8 121.3 126.8 105.2 110.7 116.2 121.8 127.3 0 MESES A 10 2 SD 119.1 119.7 120.3 120.9 121.5 122.0 122.6 123.2 123.7 124.3 124.8 125.4 125.9 126.4 127.0 127.5 128.0 128.6 129.1 129.6 130.2 130.7 131.2 131.7 132.3 132.8 3 SD 123.9 124.5 125.2 125.8 126.4 127.0 127.6 128.2 128.8 129.3 129.9 130.5 131.1 131.6 132.2 132.7 133.3 133.9 134.4 135.0 135.5 136.1 136.7 137.2 137.8 138.3

Edad 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 2/0 2/01

-3 DE 43.4 46.7 49.6 52.1 54.3 56.3 58.0 59.5 60.9 62.2 63.5 64.7 65.8 66.9 67.9 68.9 69.9 70.8 71.7 72.6 73.4 74.3 75.1 75.9 74.9 75.6

-2 DE 45.5 49.0 52.0 54.6 56.9 58.9 60.6 62.2 63.7 65.0 66.2 67.5 68.6 69.8 70.8 71.9 72.9 73.8 74.8 75.7 76.6 77.4 78.3 79.1 78.1 78.8

-1 DE 47.7 51.2 54.4 57.1 59.4 61.5 63.3 64.9 66.4 67.7 69.0 70.3 71.5 72.6 73.7 74.8 75.9 76.9 77.9 78.8 79.7 80.6 81.5 82.4 81.3 82.1

M 49.9 53.5 56.8 59.5 62.0 64.1 65.9 67.6 69.1 70.4 71.8 73.1 74.3 75.5 76.7 77.8 78.9 79.9 80.9 81.9 82.9 83.8 84.7 85.6 84.5 85.4

+1 DE +2 DE +3 DE 52.0 54.2 56.4 55.8 58.1 60.4 59.2 61.6 64.0 62.0 64.5 67.0 64.5 67.1 69.6 66.7 69.3 71.9 68.6 71.2 73.9 70.2 72.9 75.6 71.3 74.5 77.2 73.2 75.9 78.7 74.5 77.3 80.1 75.9 78.8 81.5 77.1 80.0 82.8 78.4 81.2 84.1 79.6 82.5 85.4 80.7 83.7 86.6 81.8 84.3 87.8 82.9 86.0 89.0 84.0 87.1 90.1 85.0 88.1 91.2 86.0 89.2 92.3 87.0 90.2 93.4 87.9 91.1 94.4 88.9 92.1 95.3 87.7 90.9 94.1 88.6 91.9 95.1

Edad 5: 1 5: 2 5: 3 5: 4 5: 5 5: 6 5: 7 5: 8 5: 9 5: 10 5: 11 6: 0 6: 1 6: 2 6: 3 6: 4 6: 5 6: 6 6: 7 6: 8 6: 9 6: 10 6: 11 7: 0 7: 1 7: 2

LN Isaac Alejandro Hernndez Ruiz

[Escribir texto] Pgina 8

Valoracin nutricional nio y adolescente2/02 2/03 2/04 2/05 2/06 2/07 2/08 2/09 2/10 2/11 3/0 3/01 3/02 3/03 3/04 3/05 3/06 3/07 3/08 3/09 3/10 3/11 4/0 4/01 4/02 4/03 4/04 4/05 4/06 4/07 4/08 4/09 4/10 4/11 5/0 2007 76.3 79.6 82.9 77.0 80.3 83.7 77.6 81.0 84.5 78.3 81.8 85.2 79.0 82.5 86.0 79.6 83.2 86.7 80.3 83.8 87.4 80.9 84.5 88.1 81.5 85.2 88.8 82.1 85.8 89.5 82.8 86.5 90.2 83.4 87.1 90.9 84.0 87.7 91.5 84.5 88.4 92.2 85.1 89.0 92.8 85.7 89.6 93.4 86.3 90.2 94.0 86.8 90.7 94.7 87.4 91.3 95.3 87.9 91.9 95.8 88.4 92.4 96.4 89.0 93.0 97.0 89.5 93.5 97.6 90.0 94.1 98.1 90.5 94.6 98.7 91.0 95.1 99.3 91.5 95.6 99.8 92.0 96.1 100.3 92.4 96.7 100.9 92.9 97.1 101.4 93.4 97.6 101.9 93.8 98.1 102.4 94.3 98.6 102.9 94.7 99.1 103.5 95.1 99.5 104 WHO Reference 86.2 89.5 87.0 90.4 87.9 91.3 88.7 92.1 89.5 93.0 90.2 93.8 91.0 94.6 91.7 95.4 92.5 96.1 93.2 96.9 93.9 97.6 94.6 98.4 95.3 99.1 96.0 99.8 96.6 100.5 97.3 101.2 97.9 101.8 98.6 102.5 99.2 103.1 99.8 103.8 100.4 104.4 101.0 105.1 101.6 105.7 102.2 106.3 102.8 106.9 103.4 107.5 104.0 108.1 104.5 108.7 105.1 109.3 105.6 109.9 106.2 110.5 106.7 111.1 107.3 111.6 107.8 112.2 108.4 112.8 92.8 93.8 94.7 95.6 96.5 97.3 98.2 99.0 99.8 100.6 101.4 102.1 102.9 103.6 104.3 105.0 105.7 106.4 107.1 107.8 108.4 109.1 109.7 110.4 111.0 111.6 112.3 112.9 113.5 114.1 114.8 115.4 116.0 116.6 117.2 96.2 97.1 98.1 99.0 100.0 100.9 101.7 102.6 103.4 104.3 105.1 105.9 106.6 107.4 108.2 108.9 109.6 110.3 111.0 111.7 112.4 113.1 113.8 114.4 115.1 115.8 116.4 117.1 117.7 118.4 119.0 119.7 120.3 121.0 121.6 7: 3 7: 4 7: 5 7: 6 7: 7 7: 8 7: 9 7: 10 7: 11 8: 0 8: 1 8: 2 8: 3 8: 4 8: 5 8: 6 8: 7 8: 8 8: 9 8: 10 8: 11 9: 0 9: 1 9: 2 9: 3 9: 4 9: 5 9: 6 9: 7 9: 8 9: 9 9: 10 9: 11 10: 0 105.6 106.0 106.4 106.8 107.2 107.6 108.0 108.4 108.8 109.2 109.6 110.0 110.4 110.8 111.2 111.6 112.0 112.5 112.9 113.3 113.7 114.2 114.6 115.0 115.5 115.9 116.3 116.8 117.2 117.7 118.1 118.5 119.0 119.4 111.1 111.6 112.0 112.4 112.8 113.2 113.7 114.1 114.5 115.0 115.4 115.8 116.3 116.7 117.1 117.6 118.0 118.5 118.9 119.4 119.8 120.3 120.7 121.2 121.6 122.1 122.6 123.0 123.5 124.0 124.4 124.9 125.4 125.8 116.7 117.1 117.6 118.0 118.5 118.9 119.4 119.8 120.3 120.8 121.2 121.7 122.1 122.6 123.1 123.5 124.0 124.5 125.0 125.4 125.9 126.4 126.9 127.3 127.8 128.3 128.8 129.3 129.8 130.3 130.8 131.2 131.7 132.2 122.2 127.8 122.7 128.3 123.2 128.8 123.7 129.3 124.1 129.8 124.6 130.3 125.1 130.8 125.6 131.3 126.1 131.8 126.6 132.4 127.0 132.9 127.5 133.4 128.0 133.9 128.5 134.4 129.0 134.9 129.5 135.5 130.0 136.0 130.5 136.5 131.0 137.0 131.5 137.5 132.0 138.1 132.5 138.6 133.0 139.1 133.5 139.7 134.0 140.2 134.5 140.7 135.0 141.3 135.5 141.8 136.1 142.3 136.6 142.9 137.1 143.4 137.6 144.0 138.1 144.5 138.6 145.0 133.3 133.9 134.4 134.9 135.5 136.0 136.5 137.1 137.6 138.2 138.7 139.2 139.8 140.3 140.9 141.4 142.0 142.5 143.1 143.6 144.2 144.7 145.3 145.8 146.4 146.9 147.5 148.1 148.6 149.2 149.7 150.3 150.9 151.4 138.9 139.4 140.0 140.6 141.1 141.7 142.3 142.8 143.4 143.9 144.5 145.1 145.7 146.2 146.8 147.4 147.9 148.5 149.1 149.7 150.2 150.8 151.4 152.0 152.6 153.1 153.7 154.3 154.9 155.5 156.1 156.7 157.2 157.8

TALLA (cm) POR EDAD -------- 10 AOS A 19 AOS-----NIASEdad -3 DE 10: 1 119.9 10: 2 120.4 10: 3 120.8 10: 4 121.3 10: 5 121.7 10: 6 122.2 10: 7 122.7 10: 8 123.2 10: 9 123.6 10: 10124.1 10: 11124.6 11: 0 125.1 11: 1 125.5 11: 2 126.0 11: 3 126.5 11: 4 127.0 11: 5 127.4 11: 6 127.9 11: 7 128.4 11: 8 128.9 11: 9 129.3 11: 10129.8 11: 11130.3 12: 0 130.7 -2 DE 126.3 126.8 127.3 127.8 128.2 128.7 129.2 129.7 130.2 130.7 131.2 131.7 132.2 132.7 133.2 133.7 134.2 134.7 135.2 135.7 136.1 136.6 137.1 137.6 -1 DE 132.7 133.2 133.7 134.2 134.8 135.3 135.8 136.3 136.8 137.3 137.8 138.3 138.9 139.4 139.9 140.4 140.9 141.4 141.9 142.4 142.9 143.4 143.9 144.4 M 139.2 139.7 140.2 140.7 141.3 141.8 142.3 142.9 143.4 143.9 144.5 145.0 145.5 146.1 146.6 147.1 147.7 148.2 148.7 149.2 149.7 150.2 150.7 151.2 +1 DE 145.6 146.1 146.7 147.2 147.8 148.3 148.9 149.4 150.0 150.5 151.1 151.6 152.2 152.7 153.3 153.8 154.4 154.9 155.5 156.0 156.5 157.1 157.6 158.1 +2 DE 152.0 152.6 153.1 153.7 154.3 154.8 155.4 156.0 156.6 157.1 157.7 158.3 158.9 159.4 160.0 160.6 161.1 161.7 162.2 162.8 163.3 163.9 164.4 164.9 +3 DE 158.4 159.0 159.6 160.2 160.8 161.4 162.0 162.6 163.1 163.7 164.3 164.9 165.5 166.1 166.7 167.3 167.9 168.4 169.0 169.6 170.1 170.7 171.2 171.8 Edad -3 SD 15: 1 141.2 15: 2 141.3 15: 3 141.4 15: 4 141.5 15: 5 141.6 15: 6 141.7 15: 7 141.8 15: 8 141.9 15: 9 141.9 15: 10142.0 15: 11142.1 16: 0 142.2 16: 1 142.2 16: 2 142.3 16: 3 142.3 16: 4 142.4 16: 5 142.4 16: 6 142.5 16: 7 142.5 16: 8 142.6 16: 9 142.6 16: 10142.7 16: 11142.7 17: 0 142.8 -2 SD 148.0 148.1 148.2 148.3 148.4 148.5 148.6 148.7 148.7 148.8 148.9 148.9 149.0 149.1 149.1 149.2 149.2 149.2 149.3 149.3 149.4 149.4 149.4 149.5 -1 SD 154.9 155.0 155.1 155.2 155.3 155.4 155.4 155.5 155.6 155.6 155.7 155.7 155.8 155.8 155.9 155.9 155.9 156.0 156.0 156.0 156.1 156.1 156.1 156.2 M 161.8 161.9 162.0 162.0 162.1 162.2 162.3 162.3 162.4 162.4 162.5 162.5 162.6 162.6 162.6 162.7 162.7 162.7 162.7 162.8 162.8 162.8 162.8 162.9 1 SD 168.6 168.7 168.8 168.9 169.0 169.0 169.1 169.1 169.2 169.2 169.3 169.3 169.3 169.4 169.4 169.4 169.4 169.5 169.5 169.5 169.5 169.5 169.5 169.5 2 SD 175.5 175.6 175.7 175.7 175.8 175.9 175.9 176.0 176.0 176.0 176.1 176.1 176.1 176.1 176.2 176.2 176.2 176.2 176.2 176.2 176.2 176.2 176.2 176.2 3 SD 182.4 182.5 182.5 182.6 182.6 182.7 182.7 182.8 182.8 182.8 182.9 182.9 182.9 182.9 182.9 182.9 182.9 182.9 182.9 182.9 182.9 182.9 182.9 182.9

LN Isaac Alejandro Hernndez Ruiz

[Escribir texto] Pgina 9

Valoracin nutricional nio y adolescente12: 12: 12: 12: 12: 12: 12: 12: 12: 12: 12: 13: 13: 13: 13: 13: 13: 13: 13: 13: 13: 13: 13: 14: 14: 14: 14: 14: 14: 14: 14: 14: 14: 14: 14: 15: 1 131.2 2 131.6 3 132.0 4 132.5 5 132.9 6 133.3 7 133.7 8 134.1 9 134.5 10134.8 11135.2 0 135.6 1 135.9 2 136.2 3 136.5 4 136.9 5 137.2 6 137.4 7 137.7 8 138.0 9 138.2 10138.5 11138.7 0 139.0 1 139.2 2 139.4 3 139.6 4 139.8 5 140.0 6 140.1 7 140.3 8 140.5 9 140.6 10140.8 11140.9 0 141.0 138.0 138.5 138.9 139.3 139.8 140.2 140.6 141.0 141.4 141.8 142.1 142.5 142.8 143.2 143.5 143.8 144.1 144.4 144.7 144.9 145.2 145.4 145.7 145.9 146.1 146.3 146.5 146.7 146.9 147.1 147.2 147.4 147.5 147.7 147.8 147.9 144.9 145.3 145.8 146.2 146.7 147.1 147.5 147.9 148.3 148.7 149.1 149.4 149.8 150.1 150.4 150.8 151.1 151.3 151.6 151.9 152.1 152.4 152.6 152.8 153.1 153.3 153.5 153.6 153.8 154.0 154.1 154.3 154.4 154.5 154.7 154.8 151.7 152.2 152.7 153.1 153.6 154.0 154.4 154.8 155.2 155.6 156.0 156.4 156.7 157.1 157.4 157.7 158.0 158.3 158.6 158.8 159.1 159.3 159.6 159.8 160.0 160.2 160.4 160.6 160.7 160.9 161.0 161.2 161.3 161.4 161.6 161.7 158.6 159.1 159.5 160.0 160.5 160.9 161.3 161.8 162.2 162.6 162.9 163.3 163.7 164.0 164.3 164.7 165.0 165.3 165.5 165.8 166.0 166.3 166.5 166.7 166.9 167.1 167.3 167.5 167.7 167.8 168.0 168.1 168.2 168.3 168.4 168.5 165.4 165.9 166.4 166.9 167.4 167.8 168.3 168.7 169.1 169.5 169.9 170.3 170.6 171.0 171.3 171.6 171.9 172.2 172.5 172.7 173.0 173.2 173.5 173.7 173.9 174.1 174.2 174.4 174.6 174.7 174.9 175.0 175.1 175.2 175.3 175.4 172.3 172.8 173.3 173.8 174.3 174.7 175.2 175.6 176.0 176.4 176.8 177.2 177.6 177.9 178.2 178.6 178.9 179.2 179.4 179.7 179.9 180.2 180.4 180.6 180.8 181.0 181.2 181.3 181.5 181.6 181.8 181.9 182.0 182.1 182.2 182.3 17: 17: 17: 17: 17: 17: 17: 17: 17: 17: 17: 18: 18: 18: 18: 18: 18: 18: 18: 18: 18: 18: 18: 19: 1 142.8 2 142.9 3 142.9 4 142.9 5 143.0 6 143.0 7 143.1 8 143.1 9 143.1 10143.2 11143.2 0 143.2 1 143.3 2 143.3 3 143.3 4 143.4 5 143.4 6 143.4 7 143.4 8 143.5 9 143.5 10143.5 11143.5 0 143.5 149.5 149.5 149.6 149.6 149.6 149.7 149.7 149.7 149.8 149.8 149.8 149.8 149.9 149.9 149.9 149.9 150.0 150.0 150.0 150.0 150.0 150.0 150.1 150.1 156.2 156.2 156.2 156.3 156.3 156.3 156.3 156.4 156.4 156.4 156.4 156.5 156.5 156.5 156.5 156.5 156.5 156.6 156.6 156.6 156.6 156.6 156.6 156.6 162.9 162.9 162.9 162.9 162.9 163.0 163.0 163.0 163.0 163.0 163.0 163.1 163.1 163.1 163.1 163.1 163.1 163.1 163.1 163.1 163.1 163.2 163.2 163.2 169.6 169.6 169.6 169.6 169.6 169.6 169.6 169.6 169.6 169.7 169.7 169.7 169.7 169.7 169.7 169.7 169.7 169.7 169.7 169.7 169.7 169.7 169.7 169.7 176.2 176.2 176.3 176.3 176.3 176.3 176.3 176.3 176.3 176.3 176.3 176.3 176.3 176.3 176.3 176.3 176.3 176.3 176.3 176.3 176.3 176.3 176.2 176.2 182.9 182.9 182.9 182.9 182.9 182.9 182.9 182.9 182.9 182.9 182.9 182.9 182.9 182.9 182.9 182.9 182.9 182.9 182.8 182.8 182.8 182.8 182.8 182.8

2007 WHO Reference

TALLA (cm) POR EDAD-----0 MESES A 10 AOS------NIOSEdad -3 DE -2 DE -1 DE M +1 DE +2 DE +3 DE Edad -3 SD -2 SD -1 SD M 1 SD 2 SD 3 SD

0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23

43.6 47.2 50.4 53.2 55.6 57.8 59.8 61.5 63.0 64.0 65.7 66.9 68.0 69.0 70.0 70.9 71.7 72.5 73.3 74.0 74.7 75.4 76.1 76.8

45.9 49.7 52.9 55.8 58.3 60.5 62.4 64.1 65.7 67.0 68.3 69.6 70.7 71.8 72.8 73.7 74.6 75.5 76.3 77.1 77.9 78.7 79.4 80.2

48.2 52.1 55.5 58.5 61.0 63.2 65.1 66.8 68.3 69.7 71.0 72.2 73.4 74.5 75.6 76.6 77.5 78.5 79.4 80.2 81.1 81.9 82.7 83.5

50.5 54.6 58.1 61.1 63.7 65.9 67.8 69.5 71.0 72.3 73.6 74.9 76.1 77.2 78.3 79.4 80.4 81.4 82.4 83.3 84.2 85.1 86.0 86.8

52.8 57.0 60.7 63.7 66.4 68.6 70.5 72.2 73.6 75.0 76.3 77.5 78.8 80.0 81.1 82.3 83.4 84.4 85.4 86.4 87.4 88.4 89.3 90.2

55.1 59.5 63.2 66.4 69.1 71.3 73.2 74.8 76.3 77.6 78.9 80.2 81.5 82.7 83.9 85.1 86.3 87.4 88.5 89.5 90.6 91.6 92.5 93.5

57.4 61.9 65.8 69.0 71.7 74.0 75.9 77.5 78.9 80.3 81.6 82.9 84.2 85.5 86.7 88.0 89.2 90.4 91.5 92.7 93.8 94.8 95.8 96.8

5/0 5: 1 5: 2 5: 3 5: 4 5: 5 5: 6 5: 7 5: 8 5: 9 5: 10 5: 11 6: 0 6: 1 6: 2 6: 3 6: 4 6: 5 6: 6 6: 7 6: 8 6: 9 6: 10 6: 11

96.1 96.5 96.9 97.4 97.8 98.2 98.7 99.1 99.5 99.9 100.4 100.8 101.2 101.6 102.0 102.4 102.8 103.2 103.6 103.9 104.3 104.7 105.1 105.5

100.1 101.1 101.6 102.0 102.5 103.0 103.4 103.9 104.3 104.8 105.2 105.7 106.1 106.5 107.0 107.4 107.8 108.2 108.7 109.1 109.5 109.9 110.3 110.8

105.3 105.7 106.2 106.7 107.2 107.7 108.2 108.7 109.1 109.6 110.1 110.6 111.0 111.5 111.9 112.4 112.9 113.3 113.8 114.2 114.7 115.1 115.6 116.0

109.9 114.5 110.3 114.9 110.8 115.4 111.3 116.0 111.9 116.5 112.4 117.1 112.9 117.7 113.4 118.2 113.9 118.7 114.5 119.3 115.0 119.8 115.5 120.4 116.0 120.9 116.4 121.4 116.9 121.9 117.4 122.4 117.9 123.0 118.4 123.5 118.9 124.0 119.4 124.5 119.8 125.0 120.3 125.5 120.8 126.0 121.3 126.5

119.1 119.4 120.0 120.6 121.2 121.8 122.4 123.0 123.6 124.1 124.7 125.2 125.8 126.4 126.9 127.5 128.0 128.5 129.1 129.6 130.2 130.7 131.2 131.8

123.7 124.0 124.7 125.3 125.9 126.5 127.1 127.8 128.4 129.0 129.6 130.1 130.7 131.3 131.9 132.5 133.0 133.6 134.2 134.8 135.3 135.9 136.5 137.0

LN Isaac Alejandro Hernndez Ruiz

[Escribir texto] Pgina 10

Valoracin nutricional nio y adolescente2/0 76.0 79.2 82.4 85.6 88.8 92.0 95.2 7: 0 2/01 76.7 79.9 83.2 86.4 89.7 92.9 96.2 7: 1 2/02 77.3 80.6 83.9 87.2 90.6 93.9 97.2 7: 2 2/03 78.0 81.3 84.7 88.1 91.4 94.8 98.1 7: 3 2/04 78.6 82.0 85.4 88.9 92.3 95.7 99.1 7: 4 2/05 79.2 82.7 86.2 89.7 93.1 96.6 100.1 7: 5 2/06 79.9 83.4 86.9 90.4 94.0 97.5 101.0 7: 6 2/07 80.5 84.1 87.6 91.2 94.8 98.3 101.9 7: 7 2/08 81.1 84.7 88.3 92.0 95.6 99.2 102.8 7: 8 2/09 81.7 85.4 89.0 92.7 96.4 100.1 103.7 7: 9 2/10 82.3 86.0 89.7 93.5 97.2 100.9 104.6 7: 10 2/11 82.9 86.7 90.4 94.2 98.0 101.7 105.5 7: 11 3/0 83.5 87.3 91.1 94.9 98.7 102.5 106.3 8: 0 3/01 84.1 87.9 91.8 95.6 99.5 103.0 107.2 8: 1 3/02 84.7 88.6 92.4 96.3 100.2 104.1 108.0 8: 2 3/03 85.2 89.2 93.1 97.0 101.0 104.9 108.8 8: 3 3/04 85.8 89.8 93.8 97.7 101.7 105.7 109.7 8: 4 3/05 86.4 90.4 94.4 98.4 102.4 106.4 110.5 8: 5 3/06 86.9 91.0 95.0 99.1 103.1 107.2 111.2 8: 6 3/07 87.5 91.6 95.7 99.7 103.8 107.9 112.0 8: 7 3/08 88.0 92.1 96.3 100.4 104.5 108.7 112.8 8: 8 3/09 88.6 92.7 96.9 101.0 105.2 109.4 113.5 8: 9 3/10 89.1 93.3 97.5 101.7 105.9 110.1 114.3 8: 10 3/11 89.6 93.9 98.1 102.3 106.6 110.8 115.0 8: 11 4/0 90.2 94.4 98.7 102.9 107.2 111.5 115.7 9: 0 4/01 90.7 95.0 99.3 103.6 107.9 112.2 116.5 9: 1 4/02 91.2 95.5 99.9 104.2 108.5 112.8 117.2 9: 2 4/03 91.7 96.1 100.4 104.8 109.1 113.5 117.8 9: 3 4/04 92.2 96.6 101.0 105.4 109.8 114.2 118.5 9: 4 4/05 92.7 97.1 101.6 106.0 110.4 114.8 119.2 9: 5 4/06 93.2 97.7 102.1 106.6 111.0 115.4 119.9 9: 6 4/07 93.7 98.2 102.7 107.1 111.6 116.1 120.5 9: 7 4/08 94.2 98.7 103.2 107.7 112.2 116.7 121.2 9: 8 4/09 94.7 99.2 103.7 108.3 112.8 117.3 121.8 9: 9 4/10 95.2 99.7 104.3 108.8 113.4 117.9 122.5 9: 10 4/11 95.7 100.2 104.8 109.4 114.0 118.5 123.1 9: 11 2007 WHO Reference ALLA (cm) POR EDAD-----10 AOS A 19 AOS------NIOSEdad -3 DE -2 DE -1 DE M +1 DE +2 DE +3 DE

105.9 106.3 106.6 107.0 107.4 107.8 108.1 108.5 108.9 109.2 109.6 110.0 110.3 110.7 111.0 111.4 111.7 112.1 112.4 112.8 113.1 113.5 113.8 114.2 114.5 114.9 115.2 115.6 115.9 116.3 116.6 116.9 117.3 117.6 118.0 118.3

111.2 111.6 112.0 112.4 112.8 113.2 113.6 114.0 114.4 114.8 115.2 115.6 116.0 116.4 116.7 117.1 117.5 117.9 118.3 118.7 119.0 119.4 119.8 120.2 120.5 120.9 121.3 121.7 122.0 122.4 122.8 123.2 123.5 123.9 124.3 124.7

116.4 116.9 117.3 117.8 118.2 118.6 119.1 119.5 119.9 120.4 120.8 121.2 121.6 122.0 122.5 122.9 123.3 123.7 124.1 124.5 124.9 125.3 125.7 126.1 126.6 127.0 127.4 127.8 128.2 128.6 129.0 129.4 129.8 130.2 130.6 131.0

121.7 127.0 122.2 127.5 122.7 128.0 123.1 128.5 123.6 129.0 124.1 129.5 124.5 130.0 125.0 130.5 125.5 131.0 125.9 131.5 126.4 132.0 126.8 132.4 127.3 132.9 127.7 133.4 128.2 133.9 128.6 134.3 129.0 134.8 129.5 135.3 129.9 135.8 130.4 136.2 130.8 136.7 131.3 137.2 131.7 137.6 132.1 138.1 132.6 138.6 133.0 139.0 133.4 139.5 133.9 140.0 134.3 140.4 134.7 140.9 135.2 141.4 135.6 141.8 136.1 142.3 136.5 142.8 136.9 143.2 137.3 143.7

132.3 132.8 133.4 133.9 134.4 134.9 135.5 136.0 136.5 137.0 137.5 138.1 138.6 139.1 139.6 140.1 140.6 141.1 141.6 142.1 142.6 143.1 143.6 144.1 144.6 145.1 145.6 146.1 146.6 147.1 147.6 148.1 148.6 149.1 149.5 150.0

137.6 138.2 138.7 139.3 139.8 140.4 140.9 141.5 142.0 142.6 143.1 143.7 144.2 144.7 145.3 145.8 146.4 146.9 147.4 148.0 148.5 149.0 149.5 150.1 150.6 151.1 151.7 152.2 152.7 153.2 153.8 154.3 154.8 155.3 155.9 156.4

Edad -3 SD -2 SD -1 SD M

1 SD

2 SD

3 SD

10: 10: 10: 10: 10: 10: 10: 10: 10: 10: 10: 10: 11: 11: 11: 11: 11: 11: 11: 11: 11: 11: 11: 11:

0 118.7 1 119.0 2 119.3 3 119.7 4 120.0 5 120.4 6 120.7 7 121.1 8 121.4 9 121.8 10 122.2 11122.5 0 122.9 1 123.3 2 123.7 3 124.1 4 124.5 5 124.9 6 125.3 7 125.7 8 126.1 9 126.5 10 126.9 11127.4

125.0 125.4 125.8 126.2 126.5 126.9 127.3 127.7 128.1 128.5 128.8 129.2 129.7 130.1 130.5 130.9 131.3 131.7 132.2 132.6 133.1 133.5 134.0 134.4

131.4 131.8 132.2 132.6 133.0 133.4 133.8 134.3 134.7 135.1 135.5 135.9 136.4 136.8 137.3 137.7 138.2 138.6 139.1 139.6 140.0 140.5 141.0 141.5

137.8 144.2 138.2 144.6 138.6 145.1 139.1 145.5 139.5 146.0 140.0 146.5 140.4 146.9 140.8 147.4 141.3 147.9 141.7 148.4 142.2 148.9 142.7 149.4 143.1 149.8 143.6 150.3 144.1 150.8 144.5 151.3 145.0 151.9 145.5 152.4 146.0 152.9 146.5 153.4 147.0 154.0 147.5 154.5 148.0 155.0 148.5 155.6

150.5 151.0 151.5 152.0 152.5 153.0 153.5 154.0 154.5 155.0 155.5 156.1 156.6 157.1 157.6 158.2 158.7 159.3 159.8 160.4 160.9 161.5 162.1 162.7

156.9 157.4 157.9 158.5 159.0 159.5 160.1 160.6 161.1 161.7 162.2 162.8 163.3 163.9 164.4 165.0 165.6 166.1 166.7 167.3 167.9 168.5 169.1 169.7

15: 15: 15: 15: 15: 15: 15: 15: 15: 15: 15: 15: 16: 16: 16: 16: 16: 16: 16: 16: 16: 16: 16: 16:

0 145.5 1 145.9 2 146.3 3 146.7 4 147.1 5 147.4 6 147.7 7 148.1 8 148.4 9 148.7 10 149.0 11 149.3 0 149.6 1 149.9 2 150.1 3 150.4 4 150.6 5 150.9 6 151.1 7 151.3 8 151.5 9 151.7 10 151.9 11 152.1

153.4 153.7 154.1 154.5 154.9 155.2 155.5 155.9 156.2 156.5 156.8 157.1 157.4 157.6 157.9 158.1 158.4 158.6 158.8 159.0 159.2 159.4 159.6 159.7

161.2 161.5 161.9 162.3 162.7 163.0 163.3 163.7 164.0 164.3 164.6 164.9 165.1 165.4 165.6 165.9 166.1 166.3 166.5 166.7 166.9 167.1 167.2 167.4

169.0 176.8 169.4 177.2 169.7 177.5 170.1 177.9 170.5 178.3 170.8 178.6 171.1 178.9 171.5 179.3 171.8 179.6 172.1 179.9 172.4 180.1 172.6 180.4 172.9 180.7 173.1 180.9 173.4 181.1 173.6 181.4 173.8 181.6 174.0 181.8 174.2 181.9 174.4 182.1 174.6 182.3 174.7 182.4 174.9 182.6 175.0 182.7

184.6 185.0 185.4 185.7 186.1 186.4 186.8 187.1 187.4 187.7 187.9 188.2 188.4 188.7 188.9 189.1 189.3 189.5 189.7 189.8 190.0 190.1 190.2 190.3

192.4 192.8 193.2 193.5 193.9 194.2 194.6 194.9 195.2 195.4 195.7 196.0 196.2 196.4 196.7 196.9 197.0 197.2 197.4 197.5 197.7 197.8 197.9 198.0

LN Isaac Alejandro Hernndez Ruiz

[Escribir texto] Pgina 11

Valoracin nutricional nio y adolescente12: 0 127.8 134.9 142.0 12: 1 128.3 135.4 142.5 12: 2 128.7 135.9 143.0 12: 3 129.2 136.4 143.6 12: 4 129.7 136.9 144.1 12: 5 130.2 137.4 144.6 12: 6 130.7 137.9 145.2 12: 7 131.2 138.5 145.7 12: 8 131.7 139.0 146.3 12: 9 132.2 139.5 146.9 12: 10 132.7 140.1 147.5 12: 11133.2 140.6 148.0 13: 0 133.8 141.2 148.6 13: 1 134.3 141.7 149.2 13: 2 134.8 142.3 149.8 13: 3 135.4 142.9 150.4 13: 4 135.9 143.4 151.0 13: 5 136.4 144.0 151.5 13: 6 137.0 144.5 152.1 13: 7 137.5 145.1 152.7 13: 8 138.0 145.7 153.3 13: 9 138.6 146.2 153.8 13: 10 139.1 146.7 154.4 13: 11139.6 147.3 154.9 14: 0 140.1 147.8 155.5 14: 1 140.6 148.3 156.0 14: 2 141.1 148.8 156.5 14: 3 141.6 149.3 157.1 14: 4 142.1 149.8 157.6 14: 5 142.5 150.3 158.1 14: 6 143.0 150.8 158.5 14: 7 143.4 151.2 159.0 14: 8 143.9 151.7 159.5 14: 9 144.3 152.1 159.9 14: 10 144.7 152.5 160.3 14: 11145.1 152.9 160.7 2007 WHO Reference 149.1 156.2 149.6 156.7 150.2 157.3 150.7 157.9 151.3 158.5 151.9 159.1 152.4 159.7 153.0 160.3 153.6 160.9 154.2 161.6 154.8 162.2 155.4 162.8 156.0 163.5 156.7 164.1 157.3 164.7 157.9 165.4 158.5 166.0 159.1 166.6 159.7 167.3 160.3 167.9 160.9 168.5 161.5 169.1 162.1 169.7 162.6 170.3 163.2 170.9 163.7 171.4 164.3 172.0 164.8 172.5 165.3 173.1 165.8 173.6 166.3 174.1 166.8 174.6 167.2 175.0 167.7 175.5 168.1 175.9 168.5 176.3 163.3 163.9 164.5 165.1 165.7 166.3 167.0 167.6 168.3 168.9 169.6 170.2 170.9 171.6 172.2 172.9 173.5 174.2 174.8 175.5 176.1 176.7 177.4 178.0 178.6 179.1 179.7 180.3 180.8 181.3 181.8 182.3 182.8 183.3 183.7 184.1 170.3 171.0 171.6 172.2 172.9 173.6 174.2 157.4 157.9 158.5 159.0 159.5 160.1 160.6 161.1 161.7 162.2 162.8 163.3 163.9 164.4 165.0 165.6 166.1 166.7 167.3 167.9 168.5 118.5 119.2 119.9 120.5 121.2 121.8 122.5 123.1 17: 17: 17: 17: 17: 17: 17: 17: 17: 17: 17: 17: 18: 18: 18: 18: 18: 18: 18: 18: 18: 18: 18: 18: 19: 0 152.2 1 152.4 2 152.5 3 152.7 4 152.8 5 153.0 6 153.1 7 153.2 8 153.3 9 153.4 10 153.5 11 153.6 0 153.7 1 153.8 2 153.9 3 154.0 4 154.1 5 154.2 6 154.2 7 154.3 8 154.4 9 154.5 10 154.5 11 154.6 0 154.6 159.9 160.0 160.2 160.3 160.4 160.5 160.6 160.8 160.9 160.9 161.0 161.1 161.2 161.3 161.4 161.4 161.5 161.6 161.6 161.7 161.7 161.8 161.8 161.9 161.9 167.5 167.7 167.8 167.9 168.0 168.1 168.2 168.3 168.4 168.5 168.5 168.6 168.7 168.7 168.8 168.9 168.9 169.0 169.0 169.0 169.1 169.1 169.2 169.2 169.2 175.2 182.8 175.3 182.9 175.4 183.0 175.5 183.1 175.6 183.2 175.7 183.3 175.8 183.3 175.8 183.4 175.9 183.4 176.0 183.5 176.0 183.5 176.1 183.6 176.1 183.6 176.2 183.6 176.2 183.7 176.3 183.7 176.3 183.7 176.4 183.8 176.4 183.8 176.4 183.8 176.4 183.8 176.5 183.8 176.5 183.8 176.5 183.8 176.5 183.8 190.4 190.5 190.6 190.7 190.8 190.8 190.9 190.9 191.0 191.0 191.0 191.1 191.1 191.1 191.1 191.1 191.1 191.1 191.1 191.2 191.2 191.2 191.1 191.1 191.1 198.1 198.2 198.2 198.3 198.4 198.4 198.4 198.5 198.5 198.5 198.5 198.6 198.6 198.6 198.6 198.6 198.6 198.5 198.5 198.5 198.5 198.5 198.5 198.5 198.4

PESO (kg) POR LONGITUD (cm)------50 cm A 135 cm---------NIASTALLA -3 DE -2 DE -1 DE M +1 DE +2 DE +3 DE TALLA-3 SD -2 SD -1 SD M 1 SD 2 SD 3 SD

45.0 45.5 46.0 46.5 47.0 47.5 48.0 48.5 49.0 49.5 50.0 51 52 53 54 55 56 57 58 59 60 61

1.9 2.0 2.0 2.1 2.2 2.2 2.3 2.4 2.4 2.5 2.6 2.3 2.4 2.5 2.7 2.8 3.0 3.1 3.3 3.5 3.7 3.9

2.1 2.1 2.2 2.3 2.4 2.4 2.5 2.6 2.6 2.7 2.8 2.7 2.8 3.0 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6

2.3 2.3 2.4 2.5 2.6 2.6 2.7 2.8 2.9 3.0 3.1 3.1 3.3 3.4 3.6 3.8 4.0 4.2 4.4 4.7 4.9 5.2

2.5 2.5 2.6 2.7 2.8 2.9 3.0 3.1 3.2 3.3 3.4 3.5 3.7 3.9 4.1 4.3 4.5 4.8 5.0 5.3 5.5 5.8

2.7 2.8 2.9 3.0 3.1 3.2 3.3 3.4 3.5 3.6 3.7 4.0 4.2 4.4 4.6 4.9 5.1 5.4 5.7 5.9 6.2 6.5

3.0 3.1 3.2 3.3 3.4 3.5 3.6 3.7 3.8 3.9 4.0 4.4 4.7 4.9 5.2 5.5 5.7 6.0 6.3 6.6 6.9 7.2

3.3 3.4 3.5 3.6 3.7 3.8 4.0 4.1 4.2 4.3 4.5 4.9 5.1 5.4 5.7 6.0 6.3 6.6 7.0 7.3 7.6 7.9

90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111

9.7 9.9 10.1 10.3 10.5 10.7 11.0 11.2 11.5 11.7 12.0 11.5 11.7 11.9 12.1 12.3 12.5 12.7 13.0 13.2 13.4 13.7

10.7 10.9 11.1 11.3 11.5 11.8 12.0 12.2 12.5 12.8 13.1 12.9 13.1 13.3 13.5 13.8 14.0 14.3 14.5 14.8 15.0 15.3

11.6 11.8 12.1 12.3 12.5 12.8 13.0 13.3 13.5 13.8 14.1 14.3 14.5 14.7 15.0 15.3 15.5 15.8 16.1 16.4 16.6 16.9

12.6 12.8 13.0 13.3 13.5 13.8 14.0 14.3 14.6 14.9 15.2 15.6 15.9 16.2 16.5 16.7 17.0 17.3 17.6 17.9 18.2 18.6

13.6 13.8 14.0 14.3 14.5 14.8 15.1 15.4 15.7 16.0 16.3 17.3 17.6 17.9 18.2 18.5 18.9 19.2 19.5 19.8 20.2 20.6

14.5 14.8 15.0 15.3 15.6 15.9 16.1 16.5 16.8 17.1 17.4 19.0 19.3 19.6 20.0 20.3 20.7 21.0 21.4 21.8 22.2 22.6

15.5 15.8 16.0 16.3 16.6 16.9 17.2 17.5 17.9 18.2 18.6 20.7 21.0 21.4 21.7 22.1 22.5 22.9 23.3 23.7 24.1 24.6

LN Isaac Alejandro Hernndez Ruiz

[Escribir texto] Pgina 12

Valoracin nutricional nio y adolescente62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 2007 4.1 4.4 4.6 4.8 5.1 5.3 5.5 5.8 6.0 6.2 6.4 6.6 6.8 7.0 7.2 7.4 7.6 7.8 8.0 8.1 8.3 8.5 8.7 8.8 9.0 9.2 9.4 9.5 WHO 4.8 5.4 5.0 5.7 5.3 6.0 5.5 6.3 5.8 6.5 6.0 6.8 6.3 7.1 6.5 7.3 6.8 7.6 7.0 7.8 7.2 8.1 7.5 8.3 7.7 8.5 7.9 8.7 8.1 8.9 8.3 9.1 8.5 9.3 8.7 9.5 8.8 9.7 9.0 9.9 9.2 10.1 9.4 10.3 9.6 10.5 9.7 10.6 9.9 10.8 10.1 11.0 10.3 11.2 10.5 11.4 Reference 6.1 6.4 6.7 7.0 7.3 7.5 7.8 8.1 8.4 8.6 8.9 9.1 9.4 9.6 9.8 10.0 10.2 10.4 10.6 10.8 11.0 11.2 11.4 11.6 11.8 11.9 12.2 12.4 6.8 7.1 7.4 7.7 8.0 8.3 8.6 8.9 9.1 9.4 9.7 9.9 10.2 10.4 10.6 10.8 11.1 11.3 11.5 11.7 11.9 12.1 12.3 12.5 12.7 12.9 13.1 13.3 7.5 7.8 8.1 8.4 8.7 9.0 9.3 9.6 9.9 10.2 10.5 10.7 11.0 11.2 11.4 11.7 11.9 12.1 12.3 12.6 12.8 13.0 13.2 13.4 13.6 13.9 14.1 14.3 8.2 8.5 8.9 9.2 9.5 9.8 10.1 10.4 10.7 11.0 11.2 11.5 11.8 12.0 12.3 12.5 12.7 13.0 13.2 13.4 13.7 13.9 14.1 14.3 14.6 14.8 15.0 15.3 112 14.0 113 14.2 114 14.5 115 14.8 116 15.0 117 15.3 118 15.6 119 15.9 120 16.2 121 16.5 122 16.8 123 17.1 124 17.4 125 17.8 126 18.1 127 18.4 128 18.7 129 19.0 130 19.4 131 19.7 132 20.0 133 20.4 134 20.7 135 21.0 135.5 21.2 136. 21.3 137 21.7 15.6 15.9 16.2 16.5 16.8 17.1 17.4 17.7 18.1 18.4 18.8 19.1 19.5 19.9 20.2 20.6 21.0 21.4 21.8 22.3 22.7 23.1 23.6 24.0 24.3 24.5 25.0 17.2 17.5 17.9 18.2 18.5 18.9 19.2 19.6 20.0 20.3 20.7 21.1 21.6 22.0 22.4 22.9 23.3 23.8 24.3 24.8 25.4 25.9 26.5 27.0 27.3 27.6 28.2 18.9 19.2 19.5 19.9 20.3 20.6 21.0 21.4 21.8 22.2 22.7 23.1 23.6 24.1 24.6 25.1 25.7 26.2 26.8 27.4 28.0 28.7 29.4 30.1 30.4 30.8 31.5 20.9 21.3 21.7 22.1 22.5 23.0 23.4 23.9 24.4 24.9 25.5 26.1 26.7 27.3 28.0 28.6 29.4 30.1 30.9 31.8 32.6 33.6 34.5 35.5 36.0 36.5 37.6 23.0 23.4 23.8 24.3 24.8 25.3 25.8 26.4 27.0 27.6 28.3 29.0 29.7 30.5 31.3 32.2 33.1 34.0 35.1 36.1 37.2 38.4 39.7 41.0 41.6 42.3 43.7 25.0 25.5 26.0 26.5 27.0 27.6 28.2 28.9 29.6 30.3 31.1 31.9 32.8 33.7 34.7 35.7 36.8 37.9 39.2 40.5 41.8 43.3 44.8 46.4 47.2 48.1 49-6

PESO (kg) POR LONGITUD (cm)--------50 cm A 145 cm NIOSTALLA -3 DE -2 DE -1 DE M +1 DE +2 DE +3 DE TALLA-3 SD -2 SD -1 SD M 1 SD 2 SD 3 SD

45.0 45.5 46.0 46.5 47.0 47.5 48.0 48.5 49.0 49.5 50.0 51 52 53 54 55 56 57 58

1.9 1.9 2.0 2.1 2.1 2.2 2.3 2.3 2.4 2.5 2.6 2.2 2.3 2.4 2.6 2.7 2.9 3.1 3.3

2.0 2.1 2.2 2.3 2.3 2.4 2.5 2.6 2.6 2.7 2.8 2.6 2.8 2.9 3.1 3.3 3.5 3.7 3.9

2.2 2.3 2.4 2.5 2.5 2.6 2.7 2.8 2.9 3.0 3.0 3.1 3.2 3.4 3.6 3.8 4.0 4.3 4.5

2.4 2.5 2.6 2.7 2.8 2.9 2.9 3.0 3.1 3.2 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5.1

2.7 2.8 2.9 3.0 3.0 3.1 3.2 3.3 3.4 3.5 3.6 4.0 4.2 4.5 4.7 5.0 5.2 5.5 5.8

3.0 3.1 3.1 3.2 3.3 3.4 3.6 3.7 3.8 3.9 4.0 4.6 4.8 5.0 5.3 5.6 5.9 6.1 6.4

3.3 3.4 3.5 3.6 3.7 3.8 3.9 4.0 4.2 4.3 4.4 5.1 5.4 5.6 5.9 6.2 6.5 6.8 7.1

93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111

10.6 10.8 11.0 11.3 11.5 11.7 11.9 12.1 11.8 12.0 12.2 12.4 12.7 12.9 13.1 13.4 13.6 13.8 14.1

11.6 11.9 12.1 12.3 12.5 12.8 13.0 13.3 13.2 13.4 13.7 13.9 14.2 14.4 14.7 14.9 15.2 15.4 15.7

12.6 12.9 13.1 13.3 13.6 13.9 14.1 14.4 14.6 14.9 15.1 15.4 15.6 15.9 16.2 16.5 16.8 17.1 17.4

13.7 13.9 14.1 14.4 14.7 14.9 15.2 15.5 16.0 16.3 16.6 16.9 17.1 17.4 17.7 18.0 18.3 18.7 19.0

14.7 15.0 15.2 15.5 15.7 16.0 16.3 16.6 17.5 17.8 18.1 18.4 18.8 19.1 19.4 19.7 20.1 20.4 20.8

15.8 16.1 16.3 16.6 16.8 17.1 17.4 17.7 19.1 19.4 19.7 20.0 20.4 20.7 21.1 21.4 21.8 22.2 22.6

16.9 17.1 17.4 17.7 17.9 18.2 18.5 18.8 20.6 20.9 21.3 21.6 22.0 22.4 22.7 23.1 23.6 24.0 24.5

LN Isaac Alejandro Hernndez Ruiz

[Escribir texto] Pgina 13

Valoracin nutricional nio y adolescente59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 2007 3.5 3.7 4.0 4.2 4.5 4.7 5.0 5.3 5.5 5.8 6.0 6.3 6.5 6.8 7.0 7.2 7.4 7.6 7.8 8.0 8.2 8.3 8.5 8.7 8.8 9.0 9.2 9.3 9.5 9.7 9.9 10.0 10.2 10.4 WHO 4.1 4.8 4.4 5.0 4.6 5.3 4.9 5.6 5.2 5.8 5.4 6.1 5.7 6.4 6.0 6.7 6.2 7.0 6.5 7.3 6.8 7.5 7.0 7.8 7.3 8.1 7.5 8.3 7.8 8.6 8.0 8.8 8.2 9.0 8.4 9.2 8.6 9.4 8.8 9.7 9.0 9.9 9.2 10.1 9.4 10.2 9.6 10.4 9.7 10.6 9.9 10.8 10.1 11.0 10.3 11.2 10.5 11.4 10.6 11.6 10.8 11.8 11.0 12.0 11.2 12.2 11.4 12.4 Reference 5.4 5.7 5.9 6.2 6.5 6.8 7.1 7.4 7.7 8.0 8.3 8.5 8.8 9.1 9.3 9.6 9.8 10.0 10.3 10.5 10.7 10.9 11.1 11.3 11.5 11.7 11.9 12.1 12.3 12.5 12.8 13.0 13.2 13.4 6.1 6.4 6.7 7.0 7.3 7.6 7.9 8.2 8.5 8.8 9.1 9.4 9.7 9.9 10.2 10.5 10.7 11.0 11.2 11.4 11.7 11.9 12.1 12.3 12.5 12.8 13.0 13.2 13.4 13.6 13.8 14.0 14.3 14.5 6.7 7.1 7.4 7.7 8.0 8.3 8.7 9.0 9.3 9.6 9.9 10.2 10.5 10.8 11.1 11.4 11.6 11.9 12.1 12.4 12.6 12.9 13.1 13.3 13.5 13.8 14.0 14.2 14.4 14.7 14.9 15.1 15.3 15.6 7.4 7.8 8.1 8.4 8.8 9.1 9.4 9.8 10.1 10.4 10.7 11.1 11.4 11.7 12.0 12.3 12.5 12.8 13.1 13.3 13.6 13.8 14.1 14.3 14.6 14.8 15.0 15.3 15.5 15.7 16.0 16.2 16.4 16.7 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 14.4 14.6 14.9 15.2 15.5 15.8 16.1 16.4 16.7 17.0 17.4 17.7 18.0 18.4 18.7 19.1 19.4 19.8 20.1 20.4 20.8 21.1 21.5 21.8 22.1 22.4 22.8 23.1 23.4 23.7 24.0 24.2 24.5 24.8 16.0 16.3 16.6 16.9 17.2 17.5 17.9 18.2 18.5 18.9 19.2 19.6 20.0 20.4 20.7 21.1 21.5 21.9 22.3 22.7 23.1 23.6 24.0 24.4 24.8 25.3 25.7 26.1 26.6 27.0 27.5 27.9 28.4 28.8 17.7 18.0 18.3 18.6 18.9 19.3 19.6 20.0 20.4 28.7 21.1 21.5 21.9 22.3 22.8 23.2 23.6 24.1 24.5 25.0 25.5 26.0 26.5 27.0 27.5 28.1 28.6 29.2 29.8 30.4 31.0 31.6 32.2 32.8 19.3 19.6 20.0 20.3 20.7 21.1 21.4 21.8 22.2 22.6 23.0 23.4 23.9 24.3 24.8 25.2 25.7 26.2 26.8 27.3 27.8 28.4 29.0 29.6 30.2 30.9 31.6 32.3 33.0 33.7 34.5 35.2 36.1 36.9 21.2 21.6 22.0 22.4 22.8 23.2 23.7 24.2 24.6 25.1 25.6 26.2 26.7 27.2 27.8 28.4 29.0 29.7 30.3 31.0 31.7 32.4 33.2 33.9 34.7 35.5 36.4 37.2 38.1 39.1 40.0 41.0 42.0 43.0 23.1 23.5 24.0 24.4 24.9 25.4 26.0 26.5 27.1 27.6 28.3 28.9 29.5 30.2 30.9 31.6 32.3 33.1 33.9 34.7 35.5 36.4 37.3 38.2 39.2 40.2 41.2 42.2 43.3 44.4 45.6 46.7 48.0 49.2 24.9 25.4 25.9 26.5 27.0 27.6 28.2 28.8 29.5 30.2 30.9 31.6 32.4 33.1 33.9 34.8 35.6 36.5 37.5 38.4 39.4 40.4 41.5 42.5 43.7 44.8 46.0 47.2 48.5 49.8 51.1 52.5 53.9 55.4

VALORACION DE LA NUTRICION Y EL CRECIMIENTO DEL NIO MENOR Desviacin estndar Peso/edad Porcentaje +2a+3 Obesidad + 1 a + 1.99 Sobrepeso ms-menos 1 Peso normal 90-110 - 1 a - 1.99 Desnutricin leve 81-90 - 2 a - 2.99 Desnutricin 61-80 moderada - 3 y menos Desnutricin grave Menor 60

LN Isaac Alejandro Hernndez Ruiz

[Escribir texto] Pgina 14

Valoracin nutricional nio y adolescenteDesviacin estndar Talla/edad +2a+3 Alta + 1 a + 1.99 Ligeramente alta ms-menos 1 Estatura normal - 1 a - 1.99 Ligeramente baja - 2 a - 2.99 Baja - 3 y menos Alta Porcentaje

Desviacin estndar Peso/Talla Porcentaje +2a+3 Obesidad + 1 a + 1.99 Sobrepeso ms-menos 1 Peso normal 90-110 - 1 a - 1.99 Desnutricin leve 90-95 - 2 a - 2.99 Desnutricin 75-85 moderada - 3 y menos Desnutricin grave Menor 75

Mayor 95 87-98 80-87 Menor 80

Gomez F. Galvan RR. Cravioto J. Frenk S. malnutrition in infancy and childhood with special reference to kwashiorkor. Adv Pediatr 1955; 7: 131. Waterlow JC. Classificatin and definition of protein calorie malnutrition. BMJ 1972; 3: 565.

Retardo Bajo peso Emaciaci Edema Apata Irritabilida Desequilibri Hipoalbum anemia gado H Baja Dermatitis Crecimiento Severo n Fatiga d o iGraso Temp. dolorosa Muscular Hidroelectro Nemia litico Marasmo ++ ++ + + + + + + kwashiorkor+ ++ + ++ + + + ++ + ++ + - No presente. + Presente. ++ Presente ms frecuente o ms marcada. PERIMETRO CEFALICO (cm) POR EDAD (MESES)----1 MES A 36 MESES----NIAS-NIOS EDAD MESES 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 27 30 33 36 Fuente: PERCENTILES 3 10 25 50 NIAS 75 90 97 Edad 3 10 25 NIOS 50 75 90 97

33.6 34.7 35.7 36.4 37.3 38.4 39.8 1 35.0 35.7 36.3 37.2 38.0 39.0 40.0 35.8 36.6 37.3 37.9 38.9 39.7 41.6 2 37.3 37.8 38.4 39.0 39.9 40.7 42.0 37.4 38.0 38.6 39.2 40.1 41.1 42.8 3 38.7 39.2 3938.0 40.5 41.4 42.3 43.6 38.5 39.2 39.7 40.4 41.3 42.3 43.6 4 39.7 40.3 41.0 41.7 42.5 43.4 44.6 39.3 40.0 40.7 41.5 42.4 43.2 44.4 5 40.7 41.2 42.0 42.7 43.5 44.2 45.5 40.0 40.7 41.5 42.4 43.1 44.0 45.5 6 41.6 42.1 42.8 43.6 44.5 45.0 46.3 40.6 41.3 42.1 43.2 43.9 44.7 45.6 7 42.2 42.8 43.5 44.2 45.1 45.8 47.0 41.1 41.9 42.7 43.8 44.5 45.3 46.2 8 42.8 43.5 44.0 44.9 45.8 46.5 47.5 41.6 42.5 43.3 44.4 45.0 45.8 46.7 9 43.3 44.0 44.6 45.5 46.2 47.0 48.0 42.1 43.0 43.8 44.9 45.4 46.3 47.1 10 43.8 44.4 45.1 46.0 46.7 47.4 48.5 42.5 43.3 44.2 45.2 45.8 46.6 47.5 11 44.2 44.8 45.5 46.4 47.2 47.9 48.9 42.8 43.6 44.6 45.6 46.2 47.0 47.8 12 44.5 45.3 46.0 46.9 47.6 48.3 49.3 43.2 44.0 45.0 45.9 46.5 47.3 48.1 13 44.8 45.6 46.3 47.2 47.9 48.6 49.6 43.5 44.3 45.2 46.2 46.8 47.6 48.4 14 45.1 45.8 46.6 47.5 48.2 48.9 49.9 43.7 44.6 45.4 46.4 47.1 47.9 48.7 15 45.3 46.1 46.9 47.8 48.5 49.2 50.1 44.0 44.8 45.7 46.7 47.3 48.1 48.9 16 45.6 46.4 47.2 48.0 48.8 49.5 50.3 44.2 45.0 45.9 46.9 47.6 48.3 49.1 17 45.8 46.6 47.4 48.2 49.1 49.8 50.5 44.4 45.2 46.1 47.1 47.8 48.5 49.3 18 46.0 46.9 47.6 48.5 49.3 50.0 50.7 44.5 45.4 46.3 47.3 48.0 48.7 49.5 19 46.2 47.0 47.8 48.7 49.4 50.1 50.9 44.7 45.5 46.5 47.4 48.2 49.0 49.7 20 46.4 47.2 48.0 48.9 49.6 50.3 51.1 44.9 45.7 46.6 47.5 48.4 49.1 49.8 21 46.6 47.4 48.2 49.1 49.8 50.4 51.3 45.0 45.9 46.8 47.7 48.5 49.3 50.0 22 46.7 47.5 48.4 49.3 49.9 50.6 51.5 45.2 46.0 46.9 47.8 48.7 49.4 50.1 23 46.8 47.6 48.5 49.4 50.0 50.8 51.6 45.3 46.2 47.1 48.0 48.8 49.6 50.3 24 46.9 47.7 48.6 49.5 50.1 50.9 51.7 45.6 46.5 47.4 48.3 49.2 50.0 50.7 27 47.2 48.1 48.9 49.8 50.5 51.2 52.1 46.0 46.8 47.7 48.6 49.5 50.3 51.1 30 47.5 48.3 49.2 50.0 50.7 51.5 52.4 46.2 47.1 48.0 48.9 49.7 50.6 51.4 33 47.6 48.5 49.4 50.2 50.9 51.8 52.6 46.4 47.4 48.3 49.3 50.0 50.9 51.7 36 47.8 48.7 49.6 50.4 51.1 52.0 52.8 Archivos de Investigacin Mdica, 6, sup 1, 1975. Somatometra Peditrica, IMSS.

VALORACION DEL PERIMETRO CEFALICO EN EL NIO MENOR DE TRES AOS (CLASIFICACION) Permetro ceflico desde el nacimiento hasta los dos aos de edad en que se completa el crecimiento del sistema nervioso central. - Si el permetro ceflico se encuentra dentro de los percentiles 3 y 97 se considerar como valor normal.

LN Isaac Alejandro Hernndez Ruiz

[Escribir texto] Pgina 15

Valoracin nutricional nio y adolescente

LN Isaac Alejandro Hernndez Ruiz

[Escribir texto] Pgina 16

Valoracin nutricional nio y adolescenteDE ACUERDO CON LA EDAD GESTACIONAL: PRETERMINO.- Antes de la semana 37 de gestacin. DE TERMINO.- Entre las semanas 37 y 42 de gestacin. POSTERMINO.-Despus de 42 semanas de gestacin. CON RESPECTO A SU PESO AL NACER: PEQUEO.- Con peso por debajo de la percentila 10, correspondiente a su edad gestacional. APROPIADO O ADECUADO.- Cuyo peso se localiza entre las percentilas 10 y 90 correspondientes a su edad gestacional. GRANDE.- Con peso por arriba de la percentila 90 correspondiente a su edad gestacional.

Ganancia esperada en prematuro Peso20-30 g/d Talla--- 0.8 1.1 cm/semana Pcef---0.5-0.8 cm/semana

Valoracin nutricional nio y adolescente

LN Isaac Alejandro Hernndez Ruiz

[Escribir texto] Pgina 18

Valoracin nutricional nio y adolescenteIMC MUJERES 5-19 AOS EDAD 3rd 5: 1 12.9 5: 2 12.9 5: 3 12.9 5: 4 12.9 5: 5 12.9 5: 6 12.8 5: 7 12.8 5: 8 12.8 5: 9 12.8 5: 10 12.8 5: 11 12.8 6: 0 12.8 6: 1 12.8 6: 2 12.8 6: 3 12.8 6: 4 12.8 6: 5 12.8 6: 6 12.8 6: 7 12.8 6: 8 12.8 6: 9 12.8 6: 10 12.9 6: 11 12.9 7: 0 12.9 7: 1 12.9 7: 2 12.9 7: 3 12.9 7: 4 12.9 7: 5 12.9 7: 6 12.9 7: 7 12.9 7: 8 13.0 7: 9 13.0 7: 10 13.0 7: 11 13.0 8: 0 13.0 8: 1 13.0 8: 2 13.1 8: 3 13.1 8: 4 13.1 8: 5 13.1 8: 6 13.1 8: 7 13.2 8: 8 13.2 8: 9 13.2 8: 10 13.2 8: 11 13.3 9: 0 13.3 9: 1 13.3 9: 2 13.3 9: 3 13.4 9: 4 13.4 9: 5 13.4 9: 6 13.4 9: 7 13.5 9: 8 13.5 9: 9 13.5 9: 10 13.6 9: 11 13.6 10: 0 13.6 10: 1 13.6 15th 13.8 13.8 13.8 13.8 13.8 13.8 13.8 13.8 13.8 13.8 13.8 13.8 13.8 13.8 13.8 13.8 13.8 13.8 13.8 13.8 13.9 13.9 13.9 13.9 13.9 13.9 13.9 13.9 13.9 14.0 14.0 14.0 14.0 14.0 14.0 14.1 14.1 14.1 14.1 14.2 14.2 14.2 14.2 14.3 14.3 14.3 14.4 14.4 14.4 14.4 14.5 14.5 14.5 14.6 14.6 14.6 14.7 14.7 14.7 14.8 14.8 Med 15.2 15.2 15.2 15.2 15.2 15.2 15.2 15.3 15.3 15.3 15.3 15.3 15.3 15.3 15.3 15.3 15.3 15.3 15.3 15.3 15.4 15.4 15.4 15.4 15.4 15.4 15.5 15.5 15.5 15.5 15.5 15.6 15.6 15.6 15.7 15.7 15.7 15.7 15.8 15.8 15.8 15.9 15.9 15.9 16.0 16.0 16.1 16.1 16.1 16.2 16.2 16.3 16.3 16.3 16.4 16.4 16.5 16.5 16.6 16.6 16.7 85th 16.9 16.9 17.0 17.0 17.0 17.0 17.0 17.0 17.0 17.0 17.1 17.1 17.1 17.1 17.1 17.2 17.2 17.2 17.2 17.3 17.3 17.3 17.3 17.4 17.4 17.4 17.5 17.5 17.5 17.6 17.6 17.6 17.7 17.7 17.8 17.8 17.9 17.9 18.0 18.0 18.1 18.1 18.2 18.2 18.3 18.3 18.4 18.4 18.5 18.5 18.6 18.7 18.7 18.8 18.8 18.9 18.9 19.0 19.1 19.1 19.2 97th 18.6 18.6 18.7 18.7 18.7 18.7 18.8 18.8 18.8 18.9 18.9 18.9 19.0 19.0 19.0 19.1 19.1 19.2 19.2 19.3 19.3 19.3 19.4 19.4 19.5 19.6 19.6 19.7 19.7 19.8 19.8 19.9 20.0 20.0 20.1 20.2 20.2 20.3 20.4 20.4 20.5 20.6 20.7 20.7 20.8 20.9 21.0 21.1 21.1 21.2 21.3 21.4 21.5 21.6 21.6 21.7 21.8 21.9 22.0 22.1 22.2 EDAD 3rd 10: 3 13.7 10: 4 13.7 10: 5 13.8 10: 6 13.8 10: 7 13.9 10: 8 13.9 10: 9 13.9 10: 1014.0 10: 1114.0 11: 0 14.0 11: 1 14.1 11: 2 14.1 11: 3 14.2 11: 4 14.2 11: 5 14.2 11: 6 14.3 11: 7 14.3 11: 8 14.4 11: 9 14.4 11: 1014.5 11: 1114.5 12: 0 14.6 12: 1 14.6 12: 2 14.7 12: 3 14.7 12: 4 14.7 12: 5 14.8 12: 6 14.8 12: 7 14.9 12: 8 14.9 12: 9 15.0 12: 1015.0 12: 1115.1 13: 0 15.1 13: 1 15.2 13: 2 15.2 13: 3 15.3 13: 4 15.3 13: 5 15.3 13: 6 15.4 13: 7 15.4 13: 8 15.5 13: 9 15.5 13: 1015.6 13: 1115.6 14: 0 15.6 14: 1 15.7 14: 2 15.7 14: 3 15.8 14: 4 15.8 14: 5 15.8 14: 6 15.9 14: 7 15.9 14: 8 15.9 14: 9 16.0 14: 1016.0 14: 1116.0 15: 0 16.1 15: 1 16.1 15: 2 16.1 15: 3 16.2 15th 14.9 14.9 15.0 15.0 15.1 15.1 15.1 15.2 15.2 15.3 15.3 15.4 15.4 15.5 15.5 15.6 15.6 15.7 15.7 15.8 15.8 15.9 15.9 16.0 16.1 16.1 16.2 16.2 16.3 16.3 16.4 16.4 16.5 16.5 16.6 16.7 16.7 16.8 16.8 16.9 16.9 17.0 17.0 17.1 17.1 17.2 17.2 17.3 17.3 17.4 17.4 17.4 17.5 17.5 17.6 17.6 17.6 17.7 17.7 17.8 17.8 Med 16.8 16.8 16.9 16.9 17.0 17.0 17.1 17.1 17.2 17.2 17.3 17.4 17.4 17.5 17.5 17.6 17.7 17.7 17.8 17.9 17.9 18.0 18.1 18.1 18.2 18.3 18.3 18.4 18.5 18.5 18.6 18.7 18.7 18.8 18.9 18.9 19.0 19.1 19.1 19.2 19.3 19.3 19.4 19.4 19.5 19.6 19.6 19.7 19.7 19.8 19.9 19.9 20.0 20.0 20.1 20.1 20.2 20.2 20.3 20.3 20.4 85th 19.3 19.4 19.5 19.5 19.6 19.7 19.8 19.8 19.9 20.0 20.0 20.1 20.2 20.3 20.4 20.4 20.5 20.6 20.7 20.8 20.8 20.9 21.0 21.1 21.2 21.3 21.3 21.4 21.5 21.6 21.7 21.8 21.8 21.9 22.0 22.1 22.2 22.3 22.3 22.4 22.5 22.6 22.6 22.7 22.8 22.9 22.9 23.0 23.1 23.2 23.2 23.3 23.4 23.4 23.5 23.5 23.6 23.7 23.7 23.8 23.8 97th 22.3 22.4 22.5 22.6 22.7 22.8 22.9 23.0 23.1 23.2 23.3 23.4 23.5 23.6 23.7 23.8 23.9 24.0 24.1 24.2 24.3 24.4 24.5 24.6 24.7 24.8 24.9 25.0 25.1 25.2 25.3 25.4 25.5 25.6 25.7 25.8 25.9 26.0 26.1 26.1 26.2 26.3 26.4 26.5 26.6 26.7 26.8 26.8 26.9 27.0 27.1 27.1 27.2 27.3 27.4 27.4 27.5 27.6 27.6 27.7 27.7

LN Isaac Alejandro Hernndez Ruiz

[Escribir texto] Pgina 19

Valoracin nutricional nio y adolescente10: 2 13.7 14.9 16.7 19.3 85th 23.9 24.0 24.0 24.1 24.1 24.2 24.2 24.2 24.3 24.3 24.4 24.4 24.4 24.5 24.5 24.5 24.6 24.6 24.6 24.7 24.7 24.7 22.2 97th 27.9 27.9 28.0 28.0 28.1 28.1 28.2 28.2 28.2 28.3 28.3 28.4 28.4 28.4 28.5 28.5 28.5 28.6 28.6 28.6 28.6 28.7 15: 4 16.2 EDAD 17: 3 17: 4 17: 5 17: 6 17: 7 17: 8 17: 9 17: 10 17: 11 18: 0 18: 1 18: 2 18: 3 18: 4 18: 5 18: 6 18: 7 18: 8 18: 9 18: 10 18: 11 19: 0 3rd 16.6 16.6 16.6 16.6 16.6 16.7 16.7 16.7 16.7 16.7 16.7 16.7 16.7 16.7 16.7 16.7 16.7 16.7 16.7 16.7 16.7 16.7 17.8 15th 18.4 18.4 18.4 18.4 18.4 18.4 18.5 18.5 18.5 18.5 18.5 18.5 18.5 18.5 18.5 18.5 18.6 18.6 18.6 18.6 18.6 18.6 20.4 Med 21.1 21.1 21.1 21.2 21.2 21.2 21.2 21.2 21.2 21.3 21.3 21.3 21.3 21.3 21.3 21.3 21.4 21.4 21.4 21.4 21.4 21.4 23.9 85th 24.7 24.8 24.8 24.8 24.8 24.8 24.9 24.9 24.9 24.9 24.9 25.0 25.0 25.0 25.0 25.0 25.0 25.1 25.1 25.1 25.1 25.1 27.8 97th 28.7 28.7 28.7 28.8 28.8 28.8 28.8 28.8 28.9 28.9 28.9 28.9 28.9 28.9 28.9 29.0 29.0 29.0 29.0 29.0 29.0 29.0

EDAD 3rd 15th Med 15: 5 16.2 17.9 20.4 15: 6 16.2 17.9 20.5 15: 7 16.3 17.9 20.5 15: 8 16.3 18.0 20.6 15: 9 16.3 18.0 20.6 15: 10 16.3 18.0 20.6 15: 11 16.4 18.0 20.7 16: 0 16.4 18.1 20.7 16: 1 16.4 18.1 20.7 16: 2 16.4 18.1 20.8 16: 3 16.4 18.1 20.8 16: 4 16.5 18.2 20.8 16: 5 16.5 18.2 20.9 16: 6 16.5 18.2 20.9 16: 7 16.5 18.2 20.9 16: 8 16.5 18.3 20.9 16: 9 16.5 18.3 21.0 16: 10 16.6 18.3 21.0 16: 11 16.6 18.3 21.0 17: 0 16.6 18.3 21.0 17: 1 16.6 18.3 21.1 17: 2 16.6 18.4 21.1 2007 WHO Reference IMC NIOS DE 5 A 19 AOS EDAD 3rd 7: 7 13.4 7: 8 13.4 7: 9 13.4 7: 10 13.4 7: 11 13.4 8: 0 13.4 8: 1 13.4 8: 2 13.5 8: 3 13.5 8: 4 13.5 8: 5 13.5 8: 6 13.5 8: 7 13.5 8: 8 13.5 8: 9 13.6 8: 10 13.6 8: 11 13.6 9: 0 13.6 9: 1 13.6 9: 2 13.7 9: 3 13.7 9: 4 13.7 9: 5 13.7 9: 6 13.7 9: 7 13.8 9: 8 13.8 9: 9 13.8 9: 10 13.8 9: 11 13.8 10: 0 13.9 10: 1 13.9 10: 2 13.9 15th 14.3 14.3 14.3 14.3 14.3 14.4 14.4 14.4 14.4 14.4 14.4 14.5 14.5 14.5 14.5 14.5 14.6 14.6 14.6 14.6 14.6 14.7 14.7 14.7 14.7 14.8 14.8 14.8 14.8 14.9 14.9 14.9 Med 15.6 15.6 15.7 15.7 15.7 15.7 15.8 15.8 15.8 15.8 15.9 15.9 15.9 15.9 16.0 16.0 16.0 16.0 16.1 16.1 16.1 16.2 16.2 16.2 16.3 16.3 16.3 16.4 16.4 16.4 16.5 16.5

85th 17.3 17.4 17.4 17.4 17.5 17.5 17.5 17.6 17.6 17.7 17.7 17.7 17.8 17.8 17.9 17.9 17.9 18.0 18.0 18.1 18.1 18.2 18.2 18.3 18.3 18.4 18.4 18.5 18.5 18.6 18.6 18.7

97th 19.1 19.2 19.2 19.3 19.3 19.4 19.4 19.5 19.5 19.6 19.7 19.7 19.8 19.9 19.9 20.0 20.0 20.1 20.2 20.2 20.3 20.4 20.5 20.5 20.6 20.7 20.8 20.8 20.9 21.0 21.1 21.1

EDAD 3rd 12: 1115.0 13: 0 15.1 13: 1 15.1 13: 2 15.2 13: 3 15.2 13: 4 15.3 13: 5 15.3 13: 6 15.4 13: 7 15.4 13: 8 15.5 13: 9 15.5 13: 1015.5 13: 1115.6 14: 0 15.6 14: 1 15.7 14: 2 15.7 14: 3 15.8 14: 4 15.8 14: 5 15.9 14: 6 15.9 14: 7 16.0 14: 8 16.0 14: 9 16.1 14: 1016.1 14: 1116.1 15: 0 16.2 15: 2 16.3 15: 3 16.3 15: 4 16.4 15: 5 16.4 15: 6 16.4 15: 7 16.5

15th 16.3 16.3 16.4 16.4 16.5 16.5 16.6 16.6 16.7 16.7 16.8 16.8 16.9 16.9 17.0 17.0 17.1 17.2 17.2 17.3 17.3 17.4 17.4 17.5 17.5 17.6 17.7 17.7 17.8 17.8 17.9 17.9

Med 18.2 18.2 18.3 18.4 18.4 18.5 18.6 18.6 18.7 18.7 18.8 18.9 18.9 19.0 19.1 19.1 19.2 19.3 19.3 19.4 19.5 19.5 19.6 19.6 19.7 19.8 19.9 20.0 20.0 20.1 20.1 20.2

85th 20.9 20.9 21.0 21.1 21.2 21.3 21.3 21.4 21.5 21.6 21.7 21.7 21.8 21.9 22.0 22.0 22.1 22.2 22.3 22.4 22.4 22.5 22.6 22.7 22.7 22.8 23.0 23.0 23.1 23.2 23.2 23.3

97th 24.1 24.2 24.3 24.4 24.5 24.6 24.7 24.8 24.9 24.9 25.0 25.1 25.2 25.3 25.4 25.5 25.6 25.7 25.8 25.8 25.9 26.0 26.1 26.2 26.3 26.4 26.5 26.6 26.7 26.7 26.8 26.9

LN Isaac Alejandro Hernndez Ruiz

[Escribir texto] Pgina 20

Valoracin nutricional nio y adolescente10: 3 13.9 10: 4 14.0 10: 5 14.0 10: 6 14.0 10: 7 14.0 10: 8 14.1 10: 9 14.1 10: 10 14.1 10: 11 14.2 11: 0 14.2 11: 1 14.2 10: 5 14.0 10: 6 14.0 10: 7 14.0 10: 8 14.1 10: 9 14.1 10: 10 14.1 10: 11 14.2 11: 0 14.2 11: 1 14.2 11: 2 14.3 11: 3 14.3 11: 4 14.3 11: 5 14.4 11: 6 14.4 11: 7 14.4 11: 8 14.5 11: 9 14.5 11: 10 14.5 11: 11 14.6 12: 0 14.6 12: 1 14.6 12: 2 14.7 12: 3 14.7 12: 4 14.8 12: 5 14.8 12: 6 14.8 12: 7 14.9 12: 8 14.9 12: 9 15.0 12: 10 15.0 2007 WHO 15.0 16.6 15.0 16.6 15.0 16.6 15.1 16.7 15.1 16.7 15.1 16.8 15.2 16.8 15.2 16.9 15.2 16.9 15.3 16.9 15.3 17.0 15.0 16.6 15.1 16.7 15.1 16.7 15.1 16.8 15.2 16.8 15.2 16.9 15.2 16.9 15.3 16.9 15.3 17.0 15.3 17.0 15.4 17.1 15.4 17.1 15.4 17.2 15.5 17.2 15.5 17.3 15.6 17.3 15.6 17.4 15.6 17.4 15.7 17.5 15.7 17.5 15.8 17.6 15.8 17.6 15.9 17.7 15.9 17.8 16.0 17.8 16.0 17.9 16.1 17.9 16.1 18.0 16.2 18.0 16.2 18.1 Reference 18.7 18.8 18.8 18.9 19.0 19.0 19.1 19.1 19.2 19.3 19.3 18.8 18.9 19.0 19.0 19.1 19.1 19.2 19.3 19.3 19.4 19.4 19.5 19.6 19.6 19.7 19.8 19.8 19.9 20.0 20.1 20.1 20.2 20.3 20.3 20.4 20.5 20.6 20.6 20.7 20.8 21.2 21.3 21.4 21.5 21.6 21.6 21.7 21.8 21.9 22.0 22.1 21.4 21.5 21.6 21.6 21.7 21.8 21.9 22.0 22.1 22.2 22.2 22.3 22.4 22.5 22.6 22.7 22.8 22.9 23.0 23.1 23.1 23.2 23.3 23.4 23.5 23.6 23.7 23.8 23.9 24.0 15: 15: 15: 15: 16: 16: 16: 16: 16: 16: 16: 16: 16: 16: 16: 16: 17: 17: 17: 17: 17: 17: 17: 17: 17: 17: 17: 17: 18: 18: 18: 18: 18: 18: 18: 18: 18: 18: 18: 18: 19: 8 16.5 9 16.6 1016.6 1116.7 0 16.7 1 16.7 2 16.8 3 16.8 4 16.8 5 16.9 6 16.9 7 17.0 8 17.0 9 17.0 1017.1 1117.1 0 17.1 1 17.2 2 17.2 3 17.2 4 17.3 5 17.3 6 17.3 7 17.4 8 17.4 9 17.4 1017.4 1117.5 0 17.5 1 17.5 2 17.5 3 17.6 4 17.6 5 17.6 6 17.6 7 17.7 8 17.7 9 17.7 1017.7 1117.8 0 17.8 18.0 18.0 18.1 18.1 18.2 18.2 18.3 18.3 18.4 18.4 18.5 18.5 18.5 18.6 18.6 18.7 18.7 18.7 18.8 18.8 18.9 18.9 18.9 19.0 19.0 19.1 19.1 19.1 19.2 19.2 19.2 19.3 19.3 19.3 19.4 19.4 19.4 19.5 19.5 19.5 19.5 20.3 20.3 20.4 20.4 20.5 20.6 20.6 20.7 20.7 20.8 20.8 20.9 20.9 21.0 21.0 21.1 21.1 21.2 21.2 21.3 21.3 21.4 21.4 21.5 21.5 21.6 21.6 21.7 21.7 21.8 21.8 21.8 21.9 21.9 22.0 22.0 22.0 22.1 22.1 22.2 22.2 23.4 23.5 23.5 23.6 23.7 23.7 23.8 23.9 23.9 24.0 24.0 24.1 24.2 24.2 24.3 24.3 24.4 24.5 24.5 24.6 24.6 24.7 24.7 24.8 24.8 24.9 24.9 25.0 25.0 25.1 25.1 25.2 25.2 25.3 25.3 25.4 25.4 25.5 25.5 25.5 25.6 27.0 27.0 27.1 27.2 27.3 27.3 27.4 27.5 27.5 27.6 27.7 27.7 27.8 27.8 27.9 28.0 28.0 28.1 28.1 28.2 28.2 28.3 28.4 28.4 28.5 28.5 28.6 28.6 28.6 28.7 28.7 28.8 28.8 28.9 28.9 29.0 29.0 29.0 29.1 29.1 29.1

LN Isaac Alejandro Hernndez Ruiz

[Escribir texto] Pgina 21

Valoracin nutricional nio y adolescente

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Valoracin nutricional nio y adolescente

LN Isaac Alejandro Hernndez Ruiz

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Valoracin nutricional nio y adolescente

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[Escribir texto] Pgina 24

Valoracin nutricional nio y adolescente

LN Isaac Alejandro Hernndez Ruiz

[Escribir texto] Pgina 25

Valoracin nutricional nio y adolescente

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Valoracin nutricional nio y adolescente

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Valoracin nutricional nio y adolescente

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Valoracin nutricional nio y adolescente

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Valoracin nutricional nio y adolescente

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Valoracin nutricional nio y adolescente

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Valoracin nutricional nio y adolescente

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Valoracin nutricional nio y adolescente

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Valoracin nutricional nio y adolescente

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Valoracin nutricional nio y adolescente

Calificacin Z Forma alternativa de expresar altura, peso y el peso para la altura es la calificacin Z, se denota en unidades de desviacin estndar de la media DE. Permite localizar una observacin en la curva normal mediante el nmero de DE en el que est dentro del la curva y con ello detectar el movimiento hacia o alejndose de la media, lo cual es ms sensible. Y es ms til en los casos que caen fuera de la p5 o arriba de la p95. OMS Calificacin Z = valor antropomtrico real - valor medio de referencia DE 3% = 1.88 50% = 0.0 97% = + 1.88 Clasificacin de la Desnutricin DNT estado patolgico de intensidad variable, caractersticas clnicas estn causadas por una deficiencia o desequilibrio de nutrimentos esenciales. La causa puede ser primaria (cantidad o calidad insuficiente de los alimentos) o secundaria (aumento de requerimientos o utilizacin inadecuada). Marasmo, se presenta despus de una privacin severa de caloras primeramente, y se caracteriza por un retardo en el crecimiento, consumo de msculo y grasa subcutnea. Kwashiorkor, la deficiencia de protenas excede la deficiencia calrica; el edema acompaa el consumo muscular que es resultado de una privacin aguda de protenas o prdida de protenas causada por estrs o ingesta inadecuada de caloras. En ambos casos hay indiferencia, apata y fatiga y las alteraciones psicolgicas pueden ser LN Isaac Alejandro Hernndez Ruiz [Escribir texto] Pgina 35

Valoracin nutricional nio y adolescenteParmetros para reconocer pacientes con desnutricin o riesgo nutricional. % de cambio de peso = (peso usual peso actual) / peso usual x 100 Prdida de peso involuntaria = o > 10% del peso usual en 6 meses. = o > 5% del peso habitual en 1 mes. 20% por debajo del peso ideal. Alteracin de la ingesta. Ingesta inadecuada por ms de 7 das. Consecuencias de la DNT > hipermetabolismo > perdida urinaria de N2. Aumento de GEB Hipo o hiperglicemia2 1 mes 5 >5 3 meses 7-5 >7.5 6 meses 10 >10 Fuente: Blackburn & Bistrian, 1977. P ideal corregido para personas con amputacin de extremidades. Miembro amputado % de peso* Proporcin Mano 0.8 Antebrazo 2.3 Brazo hasta hombro 6.6 Pie 1.7 Pierna debajo de rodilla 7.0 Pierna encima de rodilla 11.0 Pierna entera 18.6 * Para amputaciones bilaterales % se duplican. Fuente: Adaptado de Winkler & Lysen, 1993; Pronsky 1997 por Martis & Pierosan, 2000. Calculo de estatura (talla) en nios de 2 a 12 aos con limitaciones fisicas. Medida del segmento Talla estimada (cm) DE (cm) CSB T = (4.35 x CSB) + 21.8 +- 1.7 CT T = (3.26 x CT) + 30.8 +- 1.4 CR T = (2.69 x CR) + 24.2 +- 1.1 Fuente: Stevenson RD, 1995 (tomado de: Lopez FA et al. Terapia Nutricional em Pediatria, Sao Paulo: Sarvier), 2003. p22. CSB: longitud superior de brazo = medida del acromio hasta cabeza de radio con miembro flejado a 90. CT = longitud tibial = borde supero medial hasta el malolo medial inferior. CR = longitud miembro inferior a partir de rodilla = longitud de rodilla a tobillo. Calculo de Superficie Corporal menor a 10 kg: peso x 4 + 9 / 100 mayor a 10 kg: peso x 4 + 7 / 90 + peso adulto [[talla cm (0.725)] x peso (0.429)] x 0.007184 LN Isaac Alejandro Hernndez Ruiz [Escribir texto] Pgina 37

Valoracin nutricional nio y adolescente

TABLA DE CONVERSIONES (aproximados) Masa/peso 1 onza 28 gramos 1 libra 0.45 kilogramos 1 gramo 0.36 onzas 1 kilogramo 2.2 libras Onzas a gramos multiplicar x 28. Gramos a onzas dividir entre 28. Libras a kg multiplicar x 0.45. kg a libras multiplicar x 2.2. Longitud 1 pulgada 2.54 cm 1 pie 30.5 cm 1 yarda 0.91 cm 1 milla 1.61 km 1 cm .4 pulgadas 1 metro 3.3 pies o 1.1 yardas 1 km 1093.6 yardas Pulgadas a cm multiplicar x 2.54. cm a pulgadas multiplicar x 0.4 Liquidos 1 cucharadita 5 mililitros 1 cucharada 10 mililitros 1 onza 30 mililitros 8 onzas 236 mililitros Mililitros a onzas dividir entre 30. Onzas a ml multiplicar x 30 Temperatura Agua se congela 0C --- 32F T ambiente 27C --- 80.6 F T corporal 37C 98.6F Agua hierve 100C 212F De F a C restar 32, multiplique x 5, divida entre 9. C a F multiplique x 9, divida entre 5 y sume 32

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Valoracin nutricional nio y adolescente

LABORATORIOS Albumina g/dL Edad Menor 5d o 2.5 kg 1-3 a 4-6 a 7-19 a 1-3 a 4-6 a 7-9 a 10-15 a 16-19 a Menor 30d Menor 1 a 1-14 a Mayor 14 a Menor 5d o 2.5 kg 1-3 a 4-19 a 0-1m 1-6m 1-19 a 1-3 a 1-9 a 10-13 a 14-19 a 1-5 a Hombre Indistinto 2.0-3.6 3.4-4.2 3.5-5.2 3.7-5.6 145-320 150-380 175-420 130-420 21-95 28-74 17-68 22-66 7.9-10.7 8.7-9-8 8.7-10.7 1.0-1,5 0.95-1.5 1.22-1.37 44-181 240-400 220-360 140-340 6-24 230-430 200-450 Mujeres

Fosfatasa alcalina U/L

65-260

50-130

Amoniaco umol/L

Calcio mg/dL Calcio ionizado mmol/L Colesterol mg/dL

Ferritina

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Valoracin nutricional nio y adolescente6-9 a 10-55 10-19 a 23-70 6-40 Protenas totales Menor 5d o 2.5 kg 3.8-6.2 g/dL 0-5 d mayor 2.5 kg 5.4-7.0 1a6a 5.9-7.8 7 a 19 a 6.2-8.6 Protena fijadora 0.5 d 0.8-4.5 de retinol 1-5 a 1.0-7.6 mg/dL 6-9 a 2.0-7.8 10-13 a 1.3-9.9 14-19 a 3.0-9.2 Transferrina 0.5 d 1.43-4.46 g/dL 1-19 a 10-19 Triglicridos 1-3 a 27-125 mg/dL 4-9 a 32-129 10-19 a 25-140 37-140 Nitrgeno ureico 1-3 a 5-17 mg/dL 4-13 a 7-17 14-19 a 8-21 Glucosa 0-1m 55-115 mg/dL 1-6m 57-117 Mayor 1 a 90-110 Hemoglobina 1-14 d 14.7-18.6 12.7-18.7 g/dL 15-30 d 9.9-14.9 10.5-14.7 31d- 6m 9.0-12.2 6m a18 a 10.3-15.7 Hierro 1-5 a 22-136 umol/dL 6-9 a 39-136 10-14 a 28-124 45-145 14-19 a 34-162 28-184 Osmolalidad Nacimiento 275-300 mOsm/kg 28 d 276-305 Adultos 282-300 Prealbumina (transferrina) 0-5 d 6-21 mg/dL 1-9 a 14-33 10-13 a 20-36 14-19 a 22.45 Soldin Sj. Brugnara C. Gunter KC. Hicks Jm. Pediatric reference ranges. 2nd ed Washington (DC) AACC Press; 1977; y Alpers JB editor. Laboratory handbook. 6th ed Bostron: Childrens Hospital; 1988 ng/mL

Tabla de valores normales EABValores normales: PH: 7,35 - 7,45. PCO2: 35 - 45. PH > 7.4 Alcalosis. PCO2 > 45 PH < 7.3 Acidosis . PCO2< 35. Bicarbonato: 22 - 28 meq./lt. Bicarbonato > 28 Alcalosis

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Valoracin nutricional nio y adolescente" < 22 Acidosis.

Total PCO2: < 30. Alcalosis respiratoria. " > 50. Acidosis respiratoria.

PO2: RNpT: 50 -70. PO2: RNAT: 60- 80.

Balance de Nitrgeno Cuantificacin de la excrecin de N2, en ayuno, embarazo y crecimiento se debe lograr un balance positivo. En el nio la urea y el amonio urinarios corresponden a 90% de la excrecin de N2. Blackbum. El catabolismo se puede medir de acuerdo con la excrecin de N2. Catabolismo severo: > de 15 g Catabolismo moderado: 10-15 g Catabolismo leve: 5-10 g Normal: < de 5 g. Se calcula utilizando el N2 ingerido menos N2 ureico urinario (orina de 24 horas) ms las prdidas insensibles. Balance de N2 (g) = N2 ingerido (g) (N2 excretado (g) + 4g (PI)) N2 ingerido= proteina ingerida (va NP o NE) 6.25 * N2 urinario = urea excretada en orina de 24 h 2.14 * Prdidas insensibles de piel, heces etc. = 4 g. Otras perdidas insensibles = 2.5 en diarrea, 1 g en fistula GI. Fuente: MacLean, 1979; Mirtallo et al., 1983.CALCULO DE REQUERIMIENTOS ENERGTICOS

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Valoracin nutricional nio y adolescente

Frmula de la OMS/FAO: GER (CUANDO SOLO SE CUENTA CON PESO) Menores de 3 aos: Nios: (60,9 peso [kg]) 54 Nias: (61 peso [kg]) 51 3 a 10 aos Nios: 22,7 x Peso + 495 Nias: 22,5 x Peso + 499 10-18 aos Nios: 17,5 xPhillips S. Parenteral nutrition in infants and children. J Pediatr 1.Shulman RJ, Peso + 651 Gastroenterol Nutr 2003; 746 Nias: 12,2 x Peso + 36:587-607. Frmula de Harris-Benedict 2. Koletzko B, Goulet O, Hunt J, et al. Guidelines on Pediatric Parenteral Nutrition of (ADULTOS) ESPGHAN and European Society for Clinical Nutrition and Metabolism (ESPEN), Varones: 66,437 + (5,0033 supported[cm]) + (13,7516Pediatric Research (ESPR). J Pediatr Gastroenterol talla by European Society of peso [kg]) (6,755 Nutr 2005; 41: S1-S87. edad [aos]) 3.. Schofield W. Predicting basal metabolic rate, new standards and review of previous work. Human Nutr Clin (9,5634 (suppl [kg]) Mujeres: 655,0955 + (1,8496 talla [cm]) + Nutr 1985; 39C peso 1); 5-41. 4. Joint FAO/WHO/UNU Expert Consultation. Energy and protein requirements. (4,6756 edad [aos]) Technical Report Series 724. Geneva: WHO, 1985.

Varones: {(28,6 peso [kg]) + (23,6 talla [cm]) (69,1 edad [aos]) + 1287}/4,186 Mujeres: {(35,8 peso [kg]) + (15,6 talla [cm]) (36,3 edad[aos]) + Isaac Alejandro Hernndez Ruiz LN 1552}/4,186 [Escribir texto] Frmula de Fleisch (RECOMENDADA PARA PACIENTE QUEMADO) Varones Edad: 0-155: 24 SC (m2) {54 (0,855 edad [aos])} Edad: > 155: 24 SC (m2) {42,5 (0,643 edad [aos]) 13}

5. Duro D, Rising R, Cole C, Valois S, Cedillo M, Lifshitz F. New equations for alculating the components of energy expenditure in infants. J Pediatr 2002; Frmula de Caldwell-KennedyDietz WH, Bandini LG, Schoeller D.MENORESmetabolic rate 140: 534-9. non (RECOMENDADO PARA Estimates of DE 1 6. in obese and AO) obese adolescents. J Pediatr 1991;118:146-9. 7. Okada Imura neonates. En: Rombeau 22 + (31,05 peso [kg]) + (1,16 A,edad K. Parenteral nutrition in2nd ed, Philadelphia: WB.JL, Caldwell MD, [aos]) eds. Clinical nutrition: Parenteral nutrition. Saundres Company, 1993;756-69. 8. Martnez Costa C, Sierra C, Pedrn Giner C, Moreno Villares JM, Lama R y Codoceo Frmula de Maffeis R. Nutricin enteral y parenteral en pediatra. An Esp Pediatr 2000; 52 (supl 3): 1-33.

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RECOMENDACIONES

En pacientes neurolgicos se deber de multiplicar por un grado de espasticidad el GEB segn se encuentre este. Tono. 0.9 hipotnico 1 normal 1.1 hipertnico. LN Isaac Alejandro Hernndez Ruiz [Escribir texto] Pgina 43

Valoracin nutricional nio y adolescenteCalorimetra indirecta CI. Se cuantifica intercambio gaseoso a travs de consumo de oxgeno VO2 y produccin de bixido de carbono VCO2. Calcula gasto energtico GE y cociente respiratorio CR. Calcula GMB con paciente en ayuno por 12 h en reposo absoluto, en la maana y a T ambiente. GMR se calcula con el paciente sometido a ayuno por un periodo de 8 h, en reposo por menos de 30 min, en ngulo de 30 a T. (Patio, 2000; Mora, 2002) Para el calculo de CI en nios se usa la ecuacin de Weir modificada. GER (Kcal/kg/d) = [VO2 x 0.0039 + (VCO2 x 0.0011)] x 1140 Fuente: Weir. 1949 Equivalentes Energticos, Caloras y Produccin de O2 y CO2. HdC Grasa Protena Etanol Dieta promedio Kcal/g 3.7-4.3 9.3 4.2 7.1 CO2 (L/g) 0.75-0.83 1.39 0.75 0.98 O2 0.75-0.83 1.96 0.94 1.46 RQ 1.0 0.71 0.80 0.67 0.82 Caloras/L de O2 5.0 4.7 4.5 4.9 4.8 Fuente: Adaptado de Cantarow & Tumper, 1977; Wilmore, 1977. Cociente Respiratorio (RQ) segn sustrato y condicin del paciente. Sustrato/Condicin RQ Oxidacin de HdC 1.0 Oxidacin sustrato mixto 0.85 Oxidacin de protenas 0.8-0.82 Oxidacin de grasa 0.70 Lipognesis 1.0-1.2 Hiperventilacin-Estado inestable > 1.0 Cetoacidosis < 0.7 Fuente. Weir, 1949 RQ (ml/min) = VCO2 / VO2 Donde: VO2: consumo de O2 VCO2: produccin de CO2 Fuente: Consolario et al., 1963 Las RDI Ferrannini, 1988; Bursztein et al., 1989.

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Valoracin nutricional nio y adolescenteRecomendaciones RDA, nivel de ingesta de un nutriente suficiente para el 97 98% de los individuos de la poblacin sana, segn edad y sexo. AI (Adequate Intake), valor recomendado obtenido por estimacin basndose en la evaluacin de la ingesta de la poblacin sana. Paso anterior a las RDA. UL (Tolerable Upper Intake Level), nivel mximo que no presenta riesgos de efectos adversos para la mayor parte de la poblacin sana. EAR (Estimated Average Requirement), nivel de ingesta diaria de nutrientes que se estima que cubre los requerimientos de la mitad de los individuos sanos, segn edad y sexo. EER (Estimated Energy Requirement), nivel de ingesta energtica diaria que permite mantener un buen balance energtico y mantener un peso normal en cada individuo segn edad, sexo, peso, altura y nivel de actividad saludable.

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Valoracin nutricional nio y adolescente

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Valoracin nutricional nio y adolescente

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Primer ao de vida Crecimiento somtico: suma del incremento en masa protoplasmtica en diferentes estirpes celulares que conforman los rganos y sistemas del cuerpo humano. A partir del nacimiento, crecimiento corporal es a una gran velocidad. Edad meses Aumento ponderal de peso/da 0-2 30 g/d 2-6 29 g/d 9 10-15 g/d Nio a trmino sano duplica su peso a los 4 meses y lo triplica al ao. Longitud corporal, el incremento en el primero ao de vida de 25 cm promedio, equivalente a 50% de la longitud con la que nace. 0-6 meses crecen 16 cm promedio. 6-12 meses crecen 8 cm promedio Al ao miden aproximadamente 75 cm. Composicin corporal Primeros 12 meses el agua extracelular pasa de 42.5% a 32.9%. Protenas disminuyen de 12.9 a 11.9% a los cinco meses y regresa a 12.9% a los 12 meses. Lpidos decrecen de 13.7% a 22.5% en el 1er. Ao de vida. Numero de tetadas: Primeras semanas de vida, demanda pecho cerca de 8-10 v/d. el horario se aconseja que sea cada 3 horas aprox. Sndrome Ictrico: Nios alimentados al seno materno presentan un sndrome ictrico caracterstico por aumento de bilirrubina indirecta, se hace evidente en el 4 da de vida, alcanza mxima concentracin entre da 10-15 y comienza a declinar; dx de sndrome ictrico por leche humana Manejo: Si concentracin de bilirrubina es > 290-324 micromoles/Lt, interrumpir lactancia por lapso de 48-96 hrs. Evaluar concentracin de bilirrubina c/12-24 hrs. Reiniciar lactancia cuando disminuyen las cifras.

Lactancia Artificial Leche de vaca: concentracin de protenas 2 veces ms alta por la concentracin de casena, tiene menos proteinas solubles que la leche humana. Leche humana tiene > cantidad de lactosa y un poco ms de lpidos, de estos cerca de la mitad AGI. Tambin hay diferencia en el contenido de vit. Y nut. Inorgnicos.

Leche de vaca aporta una < cantidad de vit E y ac. ascrbico que leche humana. Leche de vaca tiene cantidades excesivas de Ca. P. Na. Cl. K. Ambas leches tienen concentraciones bajas de vit D, niacina y Fe. Pero el Fe en la leche humana es ms biodisponible.

Distribucin Calrica recomendada para nios HCO Prot. Grasas 2 aos 5-55% 3 10-20% 35-60% 5 10-20% 2 aos 5-60% 30% Reproducido de Kleinman.