Ideal body weight (pediatric)
Independent clinical validation: pending
Two independent clinical validators will be named here once review is complete.
How it is calculated
Ideal body weight (kg) is estimated from height, shown per method. Traub–Kichen (exponential): IBW = 2.396 × e^(0.01863 × height in cm) — sex-independent, validated 1–17 years. Simplified Traub (Lexicomp quadratic): IBW = (height in cm)² × 1.65 ÷ 1000 — same domain, runs about 7% higher than Traub–Kichen (16.50 vs 15.44 kg at 100 cm). Devine (adult-derived, shown only when height is at or above 60 inches / 152.4 cm): height in inches = height in cm ÷ 2.54, then IBW = 50.0 + 2.3 × (height in inches − 60) for males and 45.5 + 2.3 × (height in inches − 60) for females. Pick the method appropriate to the child's age and height (see notes). Values are raw; the display rounds to 0.1 kg.
Limitations and notes
No consensus method exists — the published methods disagree, most in adolescents and at extreme percentiles (≥10 kg in Ward 2018, PMID 30277896; 13.7–16.6% median disagreement in Moylan 2019), so each height-computable method is shown separately and none is silently chosen. IBW has NO interpretive bands: it is an input to weight-based drug dosing, to %-IBW nutritional classification (%IBW = actual weight ÷ IBW × 100; the McLaren & Read 1972 malnutrition categories attach to that derived ratio, NOT to IBW), and to lung-protective tidal-volume setting in pediatric ARDS — interpretation is intentionally empty. Method applicability by age/height: Traub–Kichen (A1) is the primary pediatric height-based equation, validated ages 1–17 y and sex-independent by design; the simplified Traub quadratic (A2) is a Lexicomp approximation over the same domain and is NOT numerically equal to A1 (~7% higher). Devine (A3) is ADULT-DERIVED (a 1974 gentamicin-dosing formula), requires sex, and is only defined for height > 60 in (152.4 cm), so it is emitted only at/above 152.4 cm and over-estimates versus pediatric methods (~65.9 vs 56.9 kg at 170 cm). Units caveat: the simplified Traub formula takes CENTIMETRES — Moylan 2019 prints it with 'inches', an apparent transcription error that yields non-physiologic values; centimetres reproduces the Traub curve. Below ~1–2 years, height-only equations are weakest (Traub validated from 1 y; Devine invalid), and the reference-standard growth-chart methods (McLaren, Moore, ADA, BMI50) require CDC/WHO LMS percentile-table lookups — they are NOT computable from height alone and are therefore documented but NOT implemented here (BMI-for-age is undefined < 2 y). [NEEDS SOURCE] carried from the research file: Traub & Johnson 1980 PMID (not fetched); McLaren & Read 1972 PMID (not confirmed); Moore 1985 exact volume/pages; ADA 2003 exact page; the BMI50 original primary citation; and the Moylan 2019 exact journal/venue. Training aid, not a prescription — confirm any weight-based dose against a current pediatric reference.
Accepted input ranges
- Height / recumbent length — 45–200 cm
- Sex
References
- Traub SL, Kichen L. Estimating ideal body mass in children. Am J Hosp Pharm. 1983;40(1):107–110.PMID 6823980
- Kang K, Absher R, Farrington E, Ackley R, So T-Y. Evaluation of Different Methods Used to Calculate Ideal Body Weight in the Pediatric Population. J Pediatr Pharmacol Ther. 2019;24(5):421–430.PMID 31598106DOI 10.5863/1551-6776-24.5.421
- Ward SL, Quinn CM, Steurer MA, Liu KD, Flori HR, Matthay MA. Variability in Pediatric Ideal Body Weight Calculation: Implications for Lung-Protective Mechanical Ventilation Strategies in Pediatric ARDS. Pediatr Crit Care Med. 2018;19(12):e643–e652.PMID 30277896DOI 10.1097/PCC.0000000000001740
- Moylan A, et al. Assessing the Agreement of 5 Ideal Body Weight Calculations for Selecting Medication Dosages for Children With Obesity. 2019.Source
- physiology R package — ideal_weight_Traub.Source
Version and changelog
v1.0.0 · General
- 2026-07-25 v1.0.0 — Initial release: pediatric IBW via Traub–Kichen, simplified Traub, and (height > 152.4 cm) Devine.