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Dear Doctor, my daughter has just turned one year old and she is not able to stand while holding onto something.
Is this considered normal? At what age do children typically start to stand? Additionally, her weight is 7.5 kilograms, but she has a good appetite and eats a lot, drinking 150-180 c.c.
of milk and consuming a fair amount of solid foods.
However, her weight has not increased.
Is this weight normal for her age? Thank you!
Xiao Min, 20~29 year old female. Ask Date: 2009/09/25
Dr. Pei Rensheng reply Pediatrics
Dear Xiaomin,
The answers to your questions are as follows:
From 10 to 12 months, your baby should be able to:
- Crawl more steadily and quickly
- Transition between various positions more effectively
- Stand and walk while holding onto objects
- Take a few steps independently (with both hands raised beside her)
From 12 to 18 months, your baby should be able to:
- Walk independently, with increasing proficiency, and may start to walk quickly.
Your baby seems to be slightly delayed.
You can try holding her hand to help her stand up, or even support her while she walks.
By 18 months at the latest, she should be able to walk.
Additionally, the definition of growth delay in infants is: any measurement of height, weight, or head circumference below the third percentile on the growth chart.
For infants under one year, the normal growth ranges are as follows:
For boys:
- 2 months: Weight 4.5–7 kg / Height 52–62 cm / Head circumference 36–41 cm
- 4 months: Weight 5.5–8.5 kg / Height 58–68 cm / Head circumference 38–44 cm
- 6 months: Weight 6.5–10 kg / Height 62–73 cm / Head circumference 41–46 cm
- 8 months: Weight 7.5–11 kg / Height 66–76 cm / Head circumference 42–47.5 cm
- 10 months: Weight 8–11.5 kg / Height 68–80 cm / Head circumference 43–48.5 cm
- 12 months: Weight 8.2–12.3 kg / Height 70–82 cm / Head circumference 44–49 cm
For girls:
- 2 months: Weight 4–6.5 kg / Height 51–61 cm / Head circumference 35–40.5 cm
- 4 months: Weight 5–8 kg / Height 56–66 cm / Head circumference 37.5–41 cm
- 6 months: Weight 6–9.5 kg / Height 61–70 cm / Head circumference 40–45 cm
- 8 months: Weight 6–9.5 kg / Height 61–70 cm / Head circumference 40–45 cm
- 10 months: Weight 7.1–11.3 kg / Height 68–78 cm / Head circumference 42–47 cm
- 12 months: Weight 7.5–11.8 kg / Height 69–80 cm / Head circumference 42.5–47.5 cm
Note: For detailed percentile ranges, please refer directly to the baby health handbook.
At four months, the weight should be approximately double the birth weight, and by one year, it should be about three times the birth weight.
From one year to puberty, the average growth is about 2 kg per year.
Recommendations and prevention:
- Conduct newborn screening.
- Follow up with pediatric health check-ups; the National Health Insurance provides nine free child health examinations from birth to age six.
- Record the growth measurements in the child health handbook.
If any issues are detected, seek assistance from a pediatrician as soon as possible.
Wishing you health and happiness!
Sincerely,
Dr.
Pei Rensheng
Director of Pediatrics, Taoyuan Hospital, Department of Health
Reply Date: 2009/09/25
More Info
When it comes to the development of a one-year-old child, there are several milestones that parents often monitor, including the ability to stand and weight gain. Based on the information provided, your daughter has just turned one year old and is not yet able to stand while holding onto something. This can be a concern for many parents, but it's important to understand that children develop at different rates.
Typically, most children begin to pull themselves up to a standing position and may even take a few steps while holding onto furniture between the ages of 9 to 12 months. By 12 to 18 months, many children are able to stand independently and may start walking. If your daughter is not yet able to stand while holding onto something, it may be slightly behind the typical developmental curve, but it is not uncommon for some children to take a bit longer to reach this milestone. Encouraging her to practice standing with support, such as holding onto your hands or furniture, can help her develop the necessary strength and balance.
Regarding her weight, you mentioned that she weighs 7.5 kilograms. According to growth charts, the average weight for a one-year-old girl typically ranges from about 7.5 to 11.8 kilograms. Therefore, your daughter's weight is on the lower end of the spectrum, but it is still within the normal range. It's also important to note that weight is not the only indicator of health; growth patterns and overall development are equally crucial.
You mentioned that she has a good appetite and consumes a significant amount of milk (150-180 c.c.) along with solid foods. This is a positive sign, as adequate nutrition is essential for growth and development. However, if her weight has not increased despite her good appetite, it may be worth discussing with your pediatrician. They can assess her growth trajectory and ensure that she is receiving the right balance of nutrients.
In some cases, children may experience periods of slower weight gain, which can be normal as they become more active and mobile. It's also essential to consider factors such as genetics, metabolism, and overall health. If your daughter is meeting other developmental milestones, such as social engagement, communication, and motor skills, this can be reassuring.
In summary, while your daughter may be slightly behind in her ability to stand, this can be normal for her age. Her weight is within the acceptable range, but if you have concerns about her growth or nutrition, it is always best to consult with a pediatrician. They can provide personalized guidance and support to ensure that your daughter is developing healthily and meeting her milestones. Regular check-ups and monitoring her growth can help address any potential issues early on.
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