The Problem: What is the normal state of nutrition for this child? The doctor's answer too often has depended on the shifting sands of subjective impressions. In the search for a solid objective standard, we have hunted through a quantity of books and articles on diseases of nutrition, metabolism, obesity and the like, many of them by writers of established reputation, but have been surprised and disappointed at the complete omission of a standard of nutrition in many of these monographs, and among the rest at the un-uniform "standards." This lack of uniformity not only catches the eye during casual perusal but on comparison becomes astounding, as we have pointed out in previous papers on body weight.1 We have also reported the case of a healthy child, aged 4 years, whose weight agreed exactly with one standard but differed from another standard by 31 per cent.
Averages of weights
GRAY H. INDICES OF THE STATE OF NUTRITION IN CHILDREN. Am J Dis Child. 1922;23(3):226-237. doi:10.1001/archpedi.1922.01910390045003