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©2013 UpToDate ® Print Email Nutritional assessment during routine care at a Cystic Fibrosis center At diagnosis Every 3 months birth to 24 months Every 3 months Annually Head circumference X* X Weight (to 0.1 kg) X X X Length (to 0.1 cm) X* X Height (to 0.1 cm) X X Weight for length (birth to 24 mo) X* X BMI percentile (24 mo to adult) X X Mid-arm circumference (to 0.1 cm) X X Triceps skinfold (to 1.0 mm) X• X Mid-arm muscle area, mm 2 (calculated from MAC and TSF) X• X Mid-arm fat area, mm 2 (calculated from MAC and TSF) X• X Biological parents heightΔ X Pubertal status, female X◊ Pubertal status, male X§ 24-hour diet recall X Nutritional supplement intake¥ X Anticipatory dietary and feeding behavior guidance X X‡ X MAC: Mid-arm circumference; TSF: Triceps skinfold. * If less than 24 months of age at diagnosis. • Only in patients over 1 year of age. Δ Record in cm and gender-specific height percentile; note patient's target height percentile on all growth charts. ◊ Starting at age 9 years, annual pubertal self-assessment form (patient, or parent and patient) or physician examination for breast and pubic hair, Tanner stage determination; annual question as to menarchal status. Record month and year of menarche on all growth charts. § Starting at age 10 years, annual pubertal self-assessment form (patient, or parent and patient) or physician examination for genital development and pubic hair, Tanner stage determination. ¥ A review of enzymes, vitamins, minerals, oral or enteral formulas; herbal, botanical, and other Complimentary and Alternative Medicine products. ������ Routine surveillance may be done informally by other team members, but the annual assessment and q 3 monthly visits in the first 2 years of life and q 3 monthly visits for patients at nutritional risk should be done by the center dietician. Modified with permission from: Borowitz D, Baker RD, Stallings V. Consensus report on nutrition for pediatric patients with cystic fibrosis. J Pediatr Gastroenterol Nutr 2002; 35:246. Copyright © 2002 Lippincott Williams & Wilkins.