The Down's Syndrome Medical Interest Group
encouraging best-practice medical care for people with Down's Syndrome
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UK Growth Charts

Boys and Girls Growth Charts

Boys and girls Down's syndrome,
9-centile, cross-sectional growth charts.
Available in both A4 and PCHR formats:

  • Exclusive UK / Republic of Ireland data
  • Integrated head circumference data
  • First 3 months of life data
  • Integrated BMI reference

The UK (2011) Growth charts

These new charts are jointly badged by DSMIG and the RCPCH. They are based on the same dataset as the year 2000 charts but the design has been brought in line with the standard UK90 WHO charts. These are based on data from around 6000 measurements of 1100 healthy children living throughout the UK and Republic of Ireland. Growth can be charted from term to 18 years. Children with significant cardiac disease or other major pathology were excluded from the study population. In addition, data for those born before 37 completed weeks were excluded up to age two. The charts are therefore representative of healthy children with Down's syndrome living in the UK and Republic of Ireland.

How were the centiles compiled?

The charts were commissioned by the UK Down's Syndrome Medical Interest Group (DSMIG) and the data collected by Dr Mary Styles on DSMIG's behalf. The centiles were compiled under the guidance of Professor Michael Preece with statistical analysis provided by Professor Tim Cole, both of the Institute of Child Health, London. Data were analysed by Cole's LMS method. Dr Styles' data collection was funded by the Child Growth Foundation and remains the copyright of DSMIG. See Styles et al (2002).

Action guidelines for preterm, overweight and underweight children

Information is included as to how to assess the growth of preterm babies and how to evaluate the needs of those with apparently faltering growth. As many older children with Down syndrome are overweight we have included on the charts a weight-height BMI conversion chart appropriate for children with Down syndrome age over 2 years. Instructions are given as to how this can be used to indicate if there is a serious problem which requires further assessment/guidance.

Further Information

PDF RCPCH/DSMIG Growth Chart Fact Sheet, May 2012

Explains why we need special charts for children with Down syndrome and how to use the charts to monitor children's growth, including premature babies and older infants and children. It also includes some advice on growth in puberty and over-weight and obesity.

PDF Basic Medical Surveillance Essential for people with Down syndrome: Growth
Gives more information about growth monitoring for children with Down's syndrome and is part of a set of Medical Surveillance Guidelines for people with Down's Syndrome produced by the Down's Syndrome Medical Interest Group.

Download Order Form  

PDF | Microsoft Word

You will need the Adobe Acrobat Reader
in order to view the PDF files.


Available in Packs of 20, 40 or 100

Pack of 20
(20 boys or 20 girls)

Pack of 40
(40 boys or 40 girls)

Pack of 100
(100 boys or 100 girls)


£15 + VAT
(£18 inc)

£30 + VAT
(£36 inc)

£75 + VAT
(£90 inc)

Plus £5 postage & packing

The charts are also available in A5 format for inclusion with the special PCHR Down's syndrome insert.



Please download the order form on the left in your preferred format (PDF or MSWord), then send your completed order form, along with full payment (cheque, Visa, Mastercard) to:

Harlow Printing Ltd, Maxwell Street, South Shields, Tyne & Wear NE33 4PU.
(Please make cheques payable to Harlow Printing)

Any queries about your order contact Harlow Printing on:
Tel: 0191 455 4286. Fax: 0191 427 0195.Email: