LMS Method for BMI Percentile:
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The LMS method is a statistical technique used to calculate growth percentiles for children. It uses three parameters (L for skewness, M for median, and S for variability) to transform BMI measurements into z-scores and percentiles based on growth charts.
The calculator uses the LMS equations:
Where:
Explanation: The LMS method accounts for the non-normal distribution of BMI values in children, with different parameters for different ages and sexes.
Details: BMI percentile is the preferred measure of weight status in children and adolescents. It accounts for normal variations in body composition at different ages and between boys and girls.
Tips: Enter the child's BMI, along with the LMS parameters (M, L, S) from appropriate growth charts. All values must be positive numbers.
Q1: Where do I find the LMS parameters?
A: LMS parameters are typically provided in growth chart references like CDC or WHO growth standards, specific to age and sex.
Q2: What is a healthy BMI percentile for children?
A: Generally, 5th-85th percentile is considered healthy weight, 85th-95th overweight, and ≥95th obese. Below 5th may indicate underweight.
Q3: Why use percentiles instead of BMI categories like adults?
A: Children's body composition changes dramatically with age and development, making percentiles more appropriate than fixed cutoffs.
Q4: How often should children's BMI be measured?
A: The AAP recommends annual BMI screening starting at age 2, with more frequent monitoring if weight concerns exist.
Q5: Are there limitations to BMI percentiles?
A: While useful for screening, BMI doesn't distinguish between fat and muscle mass. Additional assessments may be needed for athletes or children with unusual body compositions.