AbstractThe LMS method (Cole, 1988) is a method for fitting and summarising growth standards. The standard is represented by three curves plotted against age: The Box–Cox power transformation needed to bring the distribution close to normality (the L Curve), the mean (the M curve), and the coefficient of variation (the S curve), respectively. Individual centiles of the weight distribution at any age can be obtained from the age‐specific L, M, and S values by assuming that transformed weight is normally distributed. The British (Tanner et al.,1966 ), American NCHS (Hamill et al., 1977), and Ducth (Roede and Van Wieringen, 1985) national weight standards are compared by this method, and the centiles closely. The fit is better for the British and Dutch standards, where the centiles were originally drawn by eye, than for the American NCHS standard, which used cubic splines in its construction. The L curves from the three standards show a consistent pattern of changing skewness during childhood, particularly in puberty, which has not previously been noted. The values of the L, M, and S curves in each standard are tabulated by age and sex, and they allow any reference weight centile to be calculated. Equally, observed weights including those in the tails of the weight distribution can be expressed as centiles or SD scores to full accuracy.
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