cdcanthro - Standardized Metrics Based on the CDC and WHO Growth Charts
Calculation of sex- and age-standardized growth metrics
using the LMS method (lambda-mu-sigma). The package includes
functions for the CDC Growth Charts, cdc_z(), and the WHO Child
Growth Standards, who_z(). Because CDC recommends using the WHO
Standards for children under 24 months and the CDC Charts among
older children, there can be large differences at age 2.0
years. For example, a girl weighing 9.9 kg would be at the WHO
10th percentile on the day before her second birthday, but at
the CDC 2nd percentile the following day. The gradual_z()
function reduces the differences among 2- to 5-year-olds by
taking a weighted average of the CDC and WHO z-scores, as
described in Daymont et al. (2025)
<doi:10.1542/peds.2025-070697>.