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Characterizing extreme values of body mass index for age by using the 2000 Centers for Disease Control and Prevention growth charts
American Journal of Clinical Nutrition, 09/25/09

Flegal KM et al. – Several approximations can be used to describe extreme high values of BMI–for–age with the use of the CDC growth charts. Extrapolation from the CDC–supplied LMS parameters does not provide a good fit to the empirical 99th percentile values. Simple approximations to high values as percentages of the existing smoothed percentiles have some practical advantages over imputation of very high percentiles. The expression of high BMI values as a percentage of the 95th percentile can provide a flexible approach to describing and tracking heavier children.

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