Algorithm for Addressing Growth Stunting

The algorithm presents a systematic approach to children with suspected growth delay. The investigation should begin with the calculation and representation of growth velocity (cm/year), considering a minimum interval of six months between measurements. In the presence of normal growth velocity and the absence of alarm signs, it is more likely to be a non-pathological cause of short stature, which includes familial short stature and constitutional delay of growth and puberty. In the presence of short stature or growth failure, associated with reduced growth velocity, there is a high probability of associated pathology. These children should be referred to a pediatric consultation at some point during the evaluation for further study and future guidance.