Enter the current growth velocity, mean growth velocity for age and sex, and the standard deviation (SD) of growth velocity for age and sex to estimate the growth velocity Z-score and an approximate percentile.
Informational use only (not a diagnosis). Growth velocity should be interpreted by a qualified clinician using validated reference standards (e.g., WHO/CDC) and accurate, consistent measurement technique (ideally using a stadiometer); intervals shorter than ~2–3 months can be misleading. For convenience, the last numeric results may be saved in your browser’s local storage (not sent to a server); use Reset to clear.
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Growth Velocity Z-score Formula
The following formula is used to calculate the growth velocity Z-score (standard deviation score) for a given current growth velocity, mean growth velocity, and standard deviation of growth velocity.
Z = (V - M) / SD
If you want an approximate percentile, you can convert the Z-score using the standard normal cumulative distribution function:
Percentile \approx \Phi(Z)\times 100
Variables:
- Z is the growth velocity Z-score (standard deviation score/SDS)
- V is the current growth velocity
- M is the mean growth velocity for age and sex
- SD is the standard deviation of growth velocity for age and sex
- Percentile is the approximate percentile corresponding to Z (normal approximation)
To calculate the growth velocity Z-score, subtract the mean growth velocity from the current growth velocity. Then, divide the result by the standard deviation of growth velocity for age and sex. To estimate a percentile, convert the Z-score using a normal CDF (or use published reference percentiles when available).
What is Growth Velocity Z-score?
Growth velocity Z-score (also called a standard deviation score, SDS) is a standardized measure used to compare an individual’s growth rate to a reference population. It describes how far a child’s growth velocity is above or below the mean growth velocity for their age and sex, measured in standard deviations. A Z-score can be converted to an approximate percentile (assuming a normal distribution), but clinical tools may also use published reference percentiles.
How to Calculate Growth Velocity Z-score (and Approximate Percentile)?
The following steps outline how to calculate the Growth Velocity Z-score and estimate a percentile.
- First, determine the current growth velocity (V).
- Next, determine the mean growth velocity for age and sex (M).
- Next, determine the standard deviation of growth velocity for age and sex (SD).
- Calculate the Z-score using the formula Z = (V – M) / SD.
- If needed, estimate an approximate percentile using Percentile ≈ Φ(Z) × 100 (normal approximation), or compare with published reference percentiles.
- After inserting the values and calculating the result, check your answer with the calculator above.
Example Problem :
Use the following variables as an example problem to test your knowledge.
Current Growth Velocity (V) = 5 cm/year
Mean Growth Velocity for Age and Sex (M) = 4 cm/year
Standard Deviation of Growth Velocity for Age and Sex (SD) = 1 cm/year
