GROWTH CHARTS FOR 22q11 DELETION SYNDROME A collaborative study between Great Ormond Street Hospital for Children London (GOSH), and Children’s Hospital of Philadelphia (CHOP) to produce five centile (9th, 25th, 50th, 75th, 91st) lines for weight, height, body mass index (BMI) and head circumference of Caucasian subjects Weight and height are plotted against WHO Reference centiles birth to 5 years alone and combined with US CDC 2000 Reference centiles 5 to 20 years, BMI from 2 to 20 years. Head circumference is plotted against WHO Reference centiles from birth to 5 years alone and combined with UK Reference centiles 5 to 20 years. 22q11 Deletion Syndrome (22q11DS) solid lines, US and UK Reference (R) dotted lines. kgs Boys Weight 22q11DS and WHO Centiles Birth to 5 years 25 WHO p91 22q p91 WHO p75 22q p75 WHO p50 22q p50 WHO p25 22q p25 WHO p9 22q p9 20 15 10 5 0 0 1 2 3 Age (years) CHOP-GOSH Growth charts for 22q11 deletion syndrome 4 5 kgs 100 Boys Weight 22q11 DS and Reference (R) Birth to 20 years R p91 22q p91 90 R p75 22q p75 80 R p50 70 22q p50 R p25 60 22q p25 R p9 50 22q p9 40 30 20 10 0 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Age (years) CHOP-GOSH Growth charts for 22q11 deletion syndrome Girls Weight 22q11 DS and WHO Centiles Birth to 5 years kgs 25 WHO p91 22q p91 WHO p75 20 22q p75 WHO p50 22q p50 WHO p25 22q p25 15 WHO p9 22q p9 10 5 0 0 1 2 3 Age (years) CHOP-GOSH Growth charts for 22q11 deletion syndrome 4 5 Girls Weight 22q11 DS and Reference (R) Birth to 20 years kgs 80 R p91 22q p91 70 R p75 22q p75 R p50 60 22q p50 R p25 22q p25 50 R p9 22q p9 40 30 20 10 0 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Age (years) CHOP-GOSH Growth charts for 22q11 deletion syndrome cms Boys Height 22q11 DS and WHO Centiles Birth to 5 years 120 WHO p91 22q p91 WHO p75 22q p75 WHO p50 22q p50 WHO p25 22q p25 WHO p9 22q p9 110 100 90 80 70 60 50 40 0 1 2 3 Age (years) CHOP-GOSH Growth charts for 22q11 deletion syndrome 4 5 cms 190 Boys height 22q11 DS and reference (R) Birth to 20 years R p91 22q p91 R p75 22q p75 R p50 22q p50 R p25 22q p25 R p9 22q p9 180 170 160 150 140 130 120 110 100 90 80 70 60 50 40 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Age (years) CHOP-GOSH Growth charts for 22q11 deletion syndrome Girls Height 22q11 DS and WHO Centiles Birth to 5 years cms 120 WHO p91 22q p91 WHO p75 110 22q p75 WHO p50 22q p50 WHO p25 100 22q p25 WHO p9 22q p9 90 80 70 60 50 40 0 1 2 3 Age (years) CHOP-GOSH Growth charts for 22q11 deletion syndrome 4 5 Girls Height 22q11 DS and Reference Centiles Birth to 20 years cms 180 R 91 22q p91 R 75 22q p75 R 50 22q p50 R 25 22q p25 R9 22q p9 170 160 150 140 130 120 110 100 90 80 70 60 50 40 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Age (years) CHOP-GOSH Growth charts for 22q11 deletion syndrome Boys BMI 22q11 DS and Reference Centiles Birth to 20 years kg/m2 32 R p91 30 22q p91 28 R p75 26 22q p75 R p50 24 22q p50 22 R p25 20 22q p25 R p9 18 22q p9 16 14 12 10 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Age (years) CHOP-GOSH Growth charts for 22q11 deletion syndrome kg/m2 Girls BMI 22q11 DS and Reference (R) Birth to 20 years 32 R p91 22q p91 30 R p75 28 22q p75 26 R p50 24 22q p50 R p25 22 22q p25 R p9 20 22q p9 18 16 14 12 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Age (years) CHOP-GOSH Growth charts for 22q11 deletion syndrome Boys Head Circumference 22q11DS and WHO centiles Birth to 5 years cms 54 WHO p91 22q p91 WHO p75 22q p75 WHO p50 22q p50 WHO p25 22q p25 WHO p9 22q p9 52 50 48 46 44 42 40 38 36 34 32 30 0 1 2 3 Age (years) CHOP-GOSH Growth charts for 22q11 deletion syndrome 4 5 Boys Head Circumference 22q11 DS and Reference (R) Birth to 20 years kg/m2 60 58 56 54 R 91p 22q p91 R 75p 22q p75 R 50p 22q p50 R p25 22q p25 R p9 22q p9 52 50 48 46 44 42 40 38 36 34 32 30 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 Age (years) Arrow at disjunction between WHO and UK Reference values for head circumference CHOP-GOSH Growth charts for 22q11 deletion syndrome Girls Head Circumference 22q11 DS and WHO Birth to 5 years cms WHO p91 22q p91 WHO p75 22q p75 WHO p50 22q p50 WHO p25 22q p25 WHO p9 22q p9 52 50 48 46 44 42 40 38 36 34 32 30 0 1 2 3 Age (years) CHOP-GOSH Growth charts for 22q11 deletion syndrome 4 5 cms Girls Head Circumference 22q11 DS and Reference Birth to 20 years R p91 22q p91 R p75 22q p75 R p50 22q p50 R p25 22q p25 58 56 54 52 50 48 46 44 42 40 38 36 34 32 30 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Age (years) Arrow at disjunction between WHO and UK Reference values for head circumference CHOP-GOSH Growth charts for 22q11 deletion syndrome
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