Question About 50%

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NanaOf8GirlsAndCounting

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My question is about the 50 percentale that the doctors keep pushing us towards. They do a rating on Grayson when she has a checkup and Green means that she is around 50% BMI she was on that 2 times in a row but now she is in the yellow, which means below 50%BMI. Ok she is really short at 3% and her weight has been going up so isn't she thriving anyway? We were like OMG she is on yellow. It is crazy. I think she is doing great with her weight even with having a short gut. Can we relax and not worry about her being on green? She is eating really good and they want us to bolbous her also but when we do she starts gagging and choking. She is way to full to do that so we have stopped. As long as she is eating enough should we be so focused on the GREEN zone and not on whether she is growing and gaining. Sorry this is so long but when we see she is growing and then you take her for a checkup you feel bummed because its not what they want.
 
N

NanaOf8GirlsAndCounting

Guest
My question is about the 50 percentale that the doctors keep pushing us towards. They do a rating on Grayson when she has a checkup and Green means that she is around 50% BMI she was on that 2 times in a row but now she is in the yellow, which means below 50%BMI. Ok she is really short at 3% and her weight has been going up so isn't she thriving anyway? We were like OMG she is on yellow. It is crazy. I think she is doing great with her weight even with having a short gut. Can we relax and not worry about her being on green? She is eating really good and they want us to bolbous her also but when we do she starts gagging and choking. She is way to full to do that so we have stopped. As long as she is eating enough should we be so focused on the GREEN zone and not on whether she is growing and gaining. Sorry this is so long but when we see she is growing and then you take her for a checkup you feel bummed because its not what they want.
 
N

NanaOf8GirlsAndCounting

Guest
My question is about the 50 percentale that the doctors keep pushing us towards. They do a rating on Grayson when she has a checkup and Green means that she is around 50% BMI she was on that 2 times in a row but now she is in the yellow, which means below 50%BMI. Ok she is really short at 3% and her weight has been going up so isn't she thriving anyway? We were like OMG she is on yellow. It is crazy. I think she is doing great with her weight even with having a short gut. Can we relax and not worry about her being on green? She is eating really good and they want us to bolbous her also but when we do she starts gagging and choking. She is way to full to do that so we have stopped. As long as she is eating enough should we be so focused on the GREEN zone and not on whether she is growing and gaining. Sorry this is so long but when we see she is growing and then you take her for a checkup you feel bummed because its not what they want.
 
N

NanaOf8GirlsAndCounting

Guest
My question is about the 50 percentale that the doctors keep pushing us towards. They do a rating on Grayson when she has a checkup and Green means that she is around 50% BMI she was on that 2 times in a row but now she is in the yellow, which means below 50%BMI. Ok she is really short at 3% and her weight has been going up so isn't she thriving anyway? We were like OMG she is on yellow. It is crazy. I think she is doing great with her weight even with having a short gut. Can we relax and not worry about her being on green? She is eating really good and they want us to bolbous her also but when we do she starts gagging and choking. She is way to full to do that so we have stopped. As long as she is eating enough should we be so focused on the GREEN zone and not on whether she is growing and gaining. Sorry this is so long but when we see she is growing and then you take her for a checkup you feel bummed because its not what they want.
 
N

NanaOf8GirlsAndCounting

Guest
My question is about the 50 percentale that the doctors keep pushing us towards. They do a rating on Grayson when she has a checkup and Green means that she is around 50% BMI she was on that 2 times in a row but now she is in the yellow, which means below 50%BMI. Ok she is really short at 3% and her weight has been going up so isn't she thriving anyway? We were like OMG she is on yellow. It is crazy. I think she is doing great with her weight even with having a short gut. Can we relax and not worry about her being on green? She is eating really good and they want us to bolbous her also but when we do she starts gagging and choking. She is way to full to do that so we have stopped. As long as she is eating enough should we be so focused on the GREEN zone and not on whether she is growing and gaining. Sorry this is so long but when we see she is growing and then you take her for a checkup you feel bummed because its not what they want.
 
V

valigirl21

Guest
After years of being told I was supposed to weigh an amount that was not phisiologically possible for me b/c its what some chart said I should weigh I've come to an astounding conclusion: charts are stupid! Plain and simple. If Gracie is gaining and growing then where is the problem? Just b/c some chart says this is what she should... It sounds like she is doing great, so bollocks to those docs!
 
V

valigirl21

Guest
After years of being told I was supposed to weigh an amount that was not phisiologically possible for me b/c its what some chart said I should weigh I've come to an astounding conclusion: charts are stupid! Plain and simple. If Gracie is gaining and growing then where is the problem? Just b/c some chart says this is what she should... It sounds like she is doing great, so bollocks to those docs!
 
V

valigirl21

Guest
After years of being told I was supposed to weigh an amount that was not phisiologically possible for me b/c its what some chart said I should weigh I've come to an astounding conclusion: charts are stupid! Plain and simple. If Gracie is gaining and growing then where is the problem? Just b/c some chart says this is what she should... It sounds like she is doing great, so bollocks to those docs!
 
V

valigirl21

Guest
After years of being told I was supposed to weigh an amount that was not phisiologically possible for me b/c its what some chart said I should weigh I've come to an astounding conclusion: charts are stupid! Plain and simple. If Gracie is gaining and growing then where is the problem? Just b/c some chart says this is what she should... It sounds like she is doing great, so bollocks to those docs!
 
V

valigirl21

Guest
After years of being told I was supposed to weigh an amount that was not phisiologically possible for me b/c its what some chart said I should weigh I've come to an astounding conclusion: charts are stupid! Plain and simple. If Gracie is gaining and growing then where is the problem? Just b/c some chart says this is what she should... It sounds like she is doing great, so bollocks to those docs!
 
J

just1more

New member
I would concern myself with trend, not actual position.

IE: if she was BMI of 30% and over a period of time stays in the 30% or even hits 40%, then don't worry about color.

On the flip side, if you get her to 60% by some miracle, but 6mths later she is at 40% then something is not going well.

The goal is a healthy height/weight that can be maintained over time. Not a set number on some chart; nutrionalists put WAY too much emphasis on their growth charts IMHO!
 
J

just1more

New member
I would concern myself with trend, not actual position.

IE: if she was BMI of 30% and over a period of time stays in the 30% or even hits 40%, then don't worry about color.

On the flip side, if you get her to 60% by some miracle, but 6mths later she is at 40% then something is not going well.

The goal is a healthy height/weight that can be maintained over time. Not a set number on some chart; nutrionalists put WAY too much emphasis on their growth charts IMHO!
 
J

just1more

New member
I would concern myself with trend, not actual position.

IE: if she was BMI of 30% and over a period of time stays in the 30% or even hits 40%, then don't worry about color.

On the flip side, if you get her to 60% by some miracle, but 6mths later she is at 40% then something is not going well.

The goal is a healthy height/weight that can be maintained over time. Not a set number on some chart; nutrionalists put WAY too much emphasis on their growth charts IMHO!
 
J

just1more

New member
I would concern myself with trend, not actual position.

IE: if she was BMI of 30% and over a period of time stays in the 30% or even hits 40%, then don't worry about color.

On the flip side, if you get her to 60% by some miracle, but 6mths later she is at 40% then something is not going well.

The goal is a healthy height/weight that can be maintained over time. Not a set number on some chart; nutrionalists put WAY too much emphasis on their growth charts IMHO!
 
J

just1more

New member
I would concern myself with trend, not actual position.
<br />
<br />IE: if she was BMI of 30% and over a period of time stays in the 30% or even hits 40%, then don't worry about color.
<br />
<br />On the flip side, if you get her to 60% by some miracle, but 6mths later she is at 40% then something is not going well.
<br />
<br />The goal is a healthy height/weight that can be maintained over time. Not a set number on some chart; nutrionalists put WAY too much emphasis on their growth charts IMHO!
 
M

Mommafirst

Guest
Thriving is more of a question of BMI than of height or weight independently. If she is short and is gaining weight and her BMI is still suffering, than it IS concerning -- since she is not gaining enough to stay on her curve.

Our center has four categories and for Alyssa's first year she was almost always considered "at risk" but when she dropped into "nutritional failure" I flipped out. She looked fine and normal and healthy and thriving to me, but the docs were saying this is a huge problem.. . .

They showed me a graph that shows that lung function is directly proportional to BMI. The closer the BMI to 50%+ the better a CFers lung function as they age. Our doctor also indicated to me that in early childhood it is particularly essential to get them up into the 50%+ because it is about getting them to grow to their maximum potential. The larger their body cavity, the more room for the lungs to grow. Larger lungs will give them more to work with as the disease progresses. Plus, if they need a transplant, they will have more options. A tiny person is limited and can only receive lungs that are small enough to fit.

All this is to say that I wouldn't freak about a small dip into the yellow zone. Maybe you need to increase her overall calories. If she can't handle bolus feeds, than just speed up her night feed rate so that you can slowly add more over the course of the night. Just increasing the rate by 30ml/hr will get in an extra can of formula over an 8 hour period. Or you could switch to a higher cal formula.

Hope this helps.
 
M

Mommafirst

Guest
Thriving is more of a question of BMI than of height or weight independently. If she is short and is gaining weight and her BMI is still suffering, than it IS concerning -- since she is not gaining enough to stay on her curve.

Our center has four categories and for Alyssa's first year she was almost always considered "at risk" but when she dropped into "nutritional failure" I flipped out. She looked fine and normal and healthy and thriving to me, but the docs were saying this is a huge problem.. . .

They showed me a graph that shows that lung function is directly proportional to BMI. The closer the BMI to 50%+ the better a CFers lung function as they age. Our doctor also indicated to me that in early childhood it is particularly essential to get them up into the 50%+ because it is about getting them to grow to their maximum potential. The larger their body cavity, the more room for the lungs to grow. Larger lungs will give them more to work with as the disease progresses. Plus, if they need a transplant, they will have more options. A tiny person is limited and can only receive lungs that are small enough to fit.

All this is to say that I wouldn't freak about a small dip into the yellow zone. Maybe you need to increase her overall calories. If she can't handle bolus feeds, than just speed up her night feed rate so that you can slowly add more over the course of the night. Just increasing the rate by 30ml/hr will get in an extra can of formula over an 8 hour period. Or you could switch to a higher cal formula.

Hope this helps.
 
M

Mommafirst

Guest
Thriving is more of a question of BMI than of height or weight independently. If she is short and is gaining weight and her BMI is still suffering, than it IS concerning -- since she is not gaining enough to stay on her curve.

Our center has four categories and for Alyssa's first year she was almost always considered "at risk" but when she dropped into "nutritional failure" I flipped out. She looked fine and normal and healthy and thriving to me, but the docs were saying this is a huge problem.. . .

They showed me a graph that shows that lung function is directly proportional to BMI. The closer the BMI to 50%+ the better a CFers lung function as they age. Our doctor also indicated to me that in early childhood it is particularly essential to get them up into the 50%+ because it is about getting them to grow to their maximum potential. The larger their body cavity, the more room for the lungs to grow. Larger lungs will give them more to work with as the disease progresses. Plus, if they need a transplant, they will have more options. A tiny person is limited and can only receive lungs that are small enough to fit.

All this is to say that I wouldn't freak about a small dip into the yellow zone. Maybe you need to increase her overall calories. If she can't handle bolus feeds, than just speed up her night feed rate so that you can slowly add more over the course of the night. Just increasing the rate by 30ml/hr will get in an extra can of formula over an 8 hour period. Or you could switch to a higher cal formula.

Hope this helps.
 
M

Mommafirst

Guest
Thriving is more of a question of BMI than of height or weight independently. If she is short and is gaining weight and her BMI is still suffering, than it IS concerning -- since she is not gaining enough to stay on her curve.

Our center has four categories and for Alyssa's first year she was almost always considered "at risk" but when she dropped into "nutritional failure" I flipped out. She looked fine and normal and healthy and thriving to me, but the docs were saying this is a huge problem.. . .

They showed me a graph that shows that lung function is directly proportional to BMI. The closer the BMI to 50%+ the better a CFers lung function as they age. Our doctor also indicated to me that in early childhood it is particularly essential to get them up into the 50%+ because it is about getting them to grow to their maximum potential. The larger their body cavity, the more room for the lungs to grow. Larger lungs will give them more to work with as the disease progresses. Plus, if they need a transplant, they will have more options. A tiny person is limited and can only receive lungs that are small enough to fit.

All this is to say that I wouldn't freak about a small dip into the yellow zone. Maybe you need to increase her overall calories. If she can't handle bolus feeds, than just speed up her night feed rate so that you can slowly add more over the course of the night. Just increasing the rate by 30ml/hr will get in an extra can of formula over an 8 hour period. Or you could switch to a higher cal formula.

Hope this helps.
 
M

Mommafirst

Guest
Thriving is more of a question of BMI than of height or weight independently. If she is short and is gaining weight and her BMI is still suffering, than it IS concerning -- since she is not gaining enough to stay on her curve.
<br />
<br />Our center has four categories and for Alyssa's first year she was almost always considered "at risk" but when she dropped into "nutritional failure" I flipped out. She looked fine and normal and healthy and thriving to me, but the docs were saying this is a huge problem.. . .
<br />
<br />They showed me a graph that shows that lung function is directly proportional to BMI. The closer the BMI to 50%+ the better a CFers lung function as they age. Our doctor also indicated to me that in early childhood it is particularly essential to get them up into the 50%+ because it is about getting them to grow to their maximum potential. The larger their body cavity, the more room for the lungs to grow. Larger lungs will give them more to work with as the disease progresses. Plus, if they need a transplant, they will have more options. A tiny person is limited and can only receive lungs that are small enough to fit.
<br />
<br />All this is to say that I wouldn't freak about a small dip into the yellow zone. Maybe you need to increase her overall calories. If she can't handle bolus feeds, than just speed up her night feed rate so that you can slowly add more over the course of the night. Just increasing the rate by 30ml/hr will get in an extra can of formula over an 8 hour period. Or you could switch to a higher cal formula.
<br />
<br />Hope this helps.
 
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