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Height measurements are by nature Skeleton IDK IDC cap subject to statistical sampling errors even for a single individual. In a clinical situation, height measurements are seldom taken more often than once per office visit, which may mean sampling taking place a week to several months apart. The smooth 50th percentile male and female growth curves illustrated above are aggregate values from thousands of individuals sampled at ages from birth to age 20. In reality, a single individual’s growth curve shows large upward and downward spikes, partly due to actual differences in growth velocity, and partly due to small measurement errors For example, a typical measurement error of plus or minus 0.5 cm may completely nullify 0.5 cm of actual growth resulting in either a “negative” 0.5 cm growth (due to overestimation in the previous visit combined with underestimation in the latter), up to a 1.5 cm growth (the first visit underestimating and the second visit overestimating) in the same elapsed time period between measurements. Note there is a discontinuity in the growth curves at age 2, which reflects the difference in recumbent length (with the child on his or her back), used in measuring infants and toddlers and standing height typically measured from age 2 onwards.
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