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© 2011 Ministério da Saúde.
Todos os direitos reservados. É permitida a reprodução parcial ou total desta obra, desde que citada a fonte e que não seja para venda ou qualquer fim comercial.
A responsabilidade pelos direitos autorais de textos e imagens dessa obra é da área técnica.
A coleção institucional do Ministério da Saúde pode ser acessada, na íntegra, na Biblioteca Virtual em Saúde do Ministério da Saúde: http://www.saude.gov.br/bvs
Série G. Estatística e Informação em Saúde
Tiragem: 1ª edição – 2011 – 25.000 exemplares
Elaboração, distribuição e informações:
MINISTÉRIO DA SAÚDE
Secretaria de Atenção à Saúde
Departamento de Atenção Básica
Coordenação-Geral de Alimentação e Nutrição
SAF Sul, Quadra 2, Lotes 5/6, Edifício Premium, Bloco II, Subsolo, Sala 8
CEP: 70070-600, Brasília – DF
E-mail: cgpan@saude.gov.br
Home page: www.saude.gov.br/nutricao
Supervisão geral:
Ana Beatriz Vasconcellos (CGAN/ DAB/ SAS/ MS)
Equipe de elaboração:
Antônio Fagundes (CGAN/ DAB/ SAS/ MS)
Eduardo Augusto Nilson (CGAN/ DAB/ SAS/ MS)
Janine Giuberti Coutinho (OPAS)
Helen Altoé Duar (CGAN/ DAB/ SAS/ MS)
Kathleen Sousa Oliveira (CGAN/ DAB/ SAS/ MS)
Kelva Aquino (CGAN/ DAB/ SAS/ MS)
Muriel Gubert (Universidade de Brasília)
Natacha Toral (CGAN/ DAB/ SAS/ MS)
Colaboradores especiais:
Wolney Lisboa Conde (Faculdade de Saúde Pública – Universidade de São Paulo)
Márcia Vítolo (Fundação Faculdade Federal de Ciências Médicas de Porto Alegre-RS)
Normalização:
Amanda Soares Moreira - Editora MS
Projeto gráfico, capa e diagramação:
Hosana Seiffert
Impresso no Brasil / Printed in Brazil
Ficha Catalográfica
Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica.
 Orientações para a coleta e análise de dados antropométricos em serviços de saúde : Norma Técnica do Sistema de Vigilância Alimentar e 
Nutricional - SISVAN / Ministério da Saúde, Secretaria de Atenção à Saúde, Departamento de Atenção Básica. – Brasília : Ministério da Saúde, 2011.
 76 p. : il. – (Série G. Estatística e Informação em Saúde)
 ISBN 978-85-334-1813-4 
 1. Sistema de Informações sobre Vigilância alimentar e nutricional. 2. Vigilância nutricional. 3. Administração de serviços de saúde. 4. Gestão do SUS. I. 
Título. II. Série.
 CDU 614:572.087
 Catalogação na fonte – Coordenação-Geral de Documentação e Informação – Editora MS – OS 2011/0032
Títulos para indexação:
Em inglês: Guidelines for collection and analysis of anthropometric data in health services: technical standard system of food and nutrition surveillance – SISVAN
Em espanhol: Orientaciones para recoger y analizar datos antropométricos en servicios de salud: norma técnica del sistema de vigilancia alimentar y nutricional – SISVAN
SUMÁRIO
 Introdução ...................................................................................................................................................................7
 PArtE I – dEFInIçÕES E ConCEItoS PArA o dIAGnÓStICo E o ACoMPAnHAMEnto
 do EStAdo nutrICIonAL ............................................................................................................................................8
 PArtE II - PArÂMEtroS PrEConIZAdoS PELA VIGILÂnCIA nutrICIonAL PArA CAdA FASE do
 CurSo dA VIdA ..............................................................................................................................................................13
 CrIAnçAS (< 10 anos de idade) .....................................................................................................................................13
� $'2/(6&(17(6�������DQRV�H������DQRV�GH�LGDGH� ......................................................................................................19
� $'8/726�������DQRV�H������DQRV�GH�LGDGH� ..................................................................................................................��
� ,'2626�������DQRV�� ........................................................................................................................................................��
 GEStAntES ......................................................................................................................................................................��
 PArtE III - o MÉtodo AntroPoMÉtrICo ..............................................................................................................30
 EQuIPAMEntoS AntroPoMÉtrICoS ......................................................................................................................31
� $)(5,d®2�'2�3(62�'(�&5,$1d$6�0(125(6�'(���$126 .....................................................................................��
� $)(5,d®2�'2�3(62�'(�&5,$1d$6�0$,25(6�'(���$126��$'2/(6&(17(6�(�$'8/726 ..................................��
� $)(5,d®2�'2�&2035,0(172�'(�&5,$1d$6�0(125(6�'(���$126 ..................................................................��
� $)(5,d®2�'$�$/785$�'(�&5,$1d$6�0$,25(6�'(���$126��$'2/(6&(17(6�(�$'8/726 .............................37
 AFErIção dA CIrCunFErÊnCIA dA CInturA dE AduLtoS ...............................................................................38
 rEFErÊnCIAS ...................................................................................................................................................................39
 AnExo A ..........................................................................................................................................................................��
7
orIEntAçÕES PArA A CoLEtA E AnáLISE
dE dAdoS AntroPoMÉtrICoS
EM SErVIçoS dE SAúdE
INTRODUÇÃO
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8
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PARTE I – DEFINIÇÕES E CONCEITOS PARA O DIAGNÓSTICO E O 
ACOMPANHAMENTO DO ESTADO NUTRICIONAL
O que é estado nutricional?
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- Adequação Nutricional (Eutrofia)��PDQLIHVWDomR� SURGX]LGD� SHOR� HTXLOtEULR� HQWUH� R� FRQVXPR� H� DV�necessidades nutricionais.
- Carência Nutricional:�VLWXDomR�HP�TXH�GHILFLrQFLDV�JHUDLV�RX�HVSHFtILFDV�GH�HQHUJLD�H�QXWULHQWHV�UHVXOWDP�
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- Distúrbio Nutricional:�SUREOHPDV�UHODFLRQDGRV�DR�FRQVXPR�LQDGHTXDGR�GH�DOLPHQWRV��WDQWR�SRU�HVFDVVH]�
TXDQWR�SRU�H[FHVVR��FRPR�D�GHVQXWULomR�H�D�REHVLGDGH�
 
Qual é o método de escolha a ser usado na avaliação do estado nutricional em serviços 
de saúde?
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estado nutricional. 
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Quais são as fases do curso da vida e suas faixas etárias contempladas pela Vigilância Nutricional?
- Criança: menor de 10 anos de idade
- Adolescente:�PDLRU�RX�LJXDO�D����DQRV�H�PHQRU�TXH����DQRV�GH�LGDGH
- Adulto:�PDLRU�RX�LJXDO�D����DQRV�H�PHQRU�TXH����DQRV�GH�LGDGH
- Idoso:�PDLRU�RX�LJXDO�D����DQRV�GH�LGDGH
- Gestante:�TXDOTXHU�PXOKHU�JUiYLGD
Quais são os dados fundamentais a serem coletados para fins de vigilância nutricional que 
possibilitam a avaliação do estado nutricional?
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9
orIEntAçÕES PArA A CoLEtA E AnáLISE
dE dAdoS AntroPoMÉtrICoS
EM SErVIçoS dE SAúdE
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Dados a coletar: &ULDQoD Adolescente Adulto Idoso Gestante
Demográficos
Sexo X X X X
data de nascimento X X X X X
'DWD�GD�~OWLPD�PHQVWUXDomR X
Antropométricos
Peso X X X X X
Estatura X X X X X
&LUFXQIHUrQFLD�GD�FLQWXUD X
 
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TXH�FDGD�XPD�GDV�IDVHV�GR�FXUVR�GD�YLGD�SRVVXL�UHIHUrQFLDV�H�SRQWRV�GH�FRUWH�HVSHFtILFRV��
O que são índices e indicadores?
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o termo indicador�UHIHUH�VH�j�DSOLFDomR�GRV�tQGLFHV��&RUUHVSRQGH�j�FODVVLILFDomR�TXH�p�DWULEXtGD�D�XP�LQGLYtGXR�
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O que são pontos de corte?
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para indicar baixo peso para idade�HQWUH�FULDQoDV�
O que são populações de referência e padrões de crescimento?
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VmR�FRQVWUXtGDV�curvas de crescimento de referência. 
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10
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Como são definidos percentil e escore-z?
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Desvio-padrão da população de referência 
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Qual é a relação existente entre percentil e escore-z em uma curva normal?
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11
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dE dAdoS AntroPoMÉtrICoS
EM SErVIçoS dE SAúdE
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Quadro 2���(TXLYDOrQFLDV�HQWUH�SHUFHQWLV�H�HVFRUHV�]
(VFRUH�] Percentil ,QWHUSUHWDomR
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12
MINISTÉRIO DA SAÚDE
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Quais são os índices antropométricos e demais parâmetros adotados pela Vigilância Nutricional, 
segundo as recomendações da Organização Mundial da Saúde e do Ministério da Saúde?
Quadro 3 -�ÌQGLFHV�DQWURSRPpWULFRV�H�GHPDLV�SDUkPHWURV�DGRWDGRV�SDUD�D�YLJLOkQFLD�QXWULFLRQDO��VHJXQGR�
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FASES DO CURSO DA VIDA ÍNDICES E PARÂMETROS
&ULDQoDV
Peso por idade D��E
Estatura por idade D��E
Peso por estatura a
IMC por idade D��E
Adolescentes
IMC por idade E
Estatura por idade E
Adultos
IMC c
&LUFXQIHUrQFLD�GD�&LQWXUD d
Idosos IMC e
Gestantes
IMC por semana gestacional I
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Fontes: 
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13
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PARTE II – PARÂMETROS PRECONIZADOS PELA VIGILÂNCIA 
NUTRICIONAL PARA CADA FASE DO CURSO DA VIDA
CRIANÇAS (< 10 anos de idade)
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Nº DE 
CONSULTAS
IDADE
Dias Meses Anos
15 1 2 4 6 9 12 18 24 3 4 5 6 7 8 9 10
1º ano X X X X X X X
���DQR X X
3º ano X
���DQR X
���DQR X
���DQR X
7º ano X
8º ano X
9º ano X
10º ano X
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14
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VHJXLQWHV�SRQWRV�GH�FRUWH��S���S���H�S����5HIHUrQFLDV��2UJDQL]DomR�0XQGLDO�GD�6D~GH��:+2��������SDUD�DV�FULDQoDV�PHQRUHV�GH���DQRV�H�National Center for Health Statistics�²�1&+6��+$0,//�HW�DO���������SDUD�DTXHODV�HQWUH���H����DQRV�
Índices antropométricos:
2V�tQGLFHV�DQWURSRPpWULFRV�PDLV�DPSODPHQWH�XVDGRV��UHFRPHQGDGRV�SHOD�206�H�DGRWDGRV�SHOR�0LQLVWpULR�
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Peso-para-idade (P/I): ([SUHVVD�D�UHODomR�HQWUH�D�PDVVD�FRUSRUDO�H�D�LGDGH�FURQROyJLFD�GD�FULDQoD��e�R�tQGLFH�
XWLOL]DGR�SDUD�D�DYDOLDomR�GR�HVWDGR�QXWULFLRQDO��FRQWHPSODGR�QD�&DGHUQHWD�GH�6D~GH�GD�&ULDQoD��SULQFLSDOPHQWH�
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RX�FU{QLFRV��3RU�LVVR��p�LPSRUWDQWH�FRPSOHPHQWDU�D�DYDOLDomR�FRP�RXWUR�tQGLFH�DQWURSRPpWULFR�
Peso-para-estatura (P/E): (VWH� tQGLFH� GLVSHQVD� D� LQIRUPDomR�GD� LGDGH�� H[SUHVVD� D� KDUPRQLD� HQWUH� DV�
GLPHQV}HV�GH�PDVVD�FRUSRUDO�H�HVWDWXUD��e�XWLOL]DGR�WDQWR�SDUD�LGHQWLILFDU�R�HPDJUHFLPHQWR�GD�FULDQoD��FRPR�R�
excesso de peso.
Índice de Massa Corporal (IMC)-para-idade:�H[SUHVVD�D�UHODomR�HQWUH�R�SHVR�GD�FULDQoD�H�R�TXDGUDGR�GD�
HVWDWXUD��e�XWLOL]DGR�SDUD�LGHQWLILFDU�R�H[FHVVR�GH�SHVR�HQWUH�FULDQoDV�H�WHP�D�YDQWDJHP�GH�VHU�XP�tQGLFH�TXH�VHUi�
XWLOL]DGR�HP�RXWUDV�IDVHV�GR�FXUVR�GD�YLGD�
3DUD�R�FiOFXOR�GR�,0&��p�XWLOL]DGD�D�VHJXLQWH�IyUPXOD�
Índice de Massa Corporal (IMC) = Peso (kg)
 Estatura² (m)
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Estatura-para-idade (E/I):�([SUHVVD�R�FUHVFLPHQWR�OLQHDU�GD�FULDQoD��e�R�tQGLFH�TXH�PHOKRU�LQGLFD�R�HIHLWR�
FXPXODWLYR�GH�VLWXDo}HV�DGYHUVDV�VREUH�R�FUHVFLPHQWR�GD�FULDQoD��e�FRQVLGHUDGR�R�LQGLFDGRU�PDLV�VHQVtYHO�SDUD�DIHULU�D�
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15
orIEntAçÕES PArA A CoLEtA E AnáLISE
dE dAdoS AntroPoMÉtrICoS
EM SErVIçoS dE SAúdE
Pontos de Corte:
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GR�HVWDGR�DQWURSRPpWULFR�GH�FULDQoDV�VHJXQGR�FDGD�tQGLFH�
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VALORES CRÍTICOS DIAGNÓSTICO NUTRICIONAL
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Percentil 3
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 Percentil 3 e 
Percentil 97
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(VFRUH�]���
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> Percentil 97 !�(VFRUH�]��� 3HVR�HOHYDGR�SDUD�D�LGDGH
 
Fontes: 
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�1RWD��(VWH�QmR�p�R�tQGLFH�DQWURSRPpWULFR�PDLV�UHFRPHQGDGR�SDUD�D�DYDOLDomR�GR�H[FHVVR�GH�SHVR�HQWUH�FULDQoDV��(VWD�VLWXDomR�
GHYH�VHU�DYDOLDGD�SHOD�LQWHUSUHWDomR�GRV�tQGLFHV�GH�SHVR�SDUD�HVWDWXUD�RX�,0&�SDUD�LGDGH�
Quadro 6 -�3RQWRV�GH�FRUWH�GH�SHVR�SDUD�HVWDWXUD�SDUD�FULDQoDV����D���DQRV
�
VALORES CRÍTICOS DIAGNÓSTICO NUTRICIONAL
��3HUFHQWLO���� ��(VFRUH�]��� 0DJUH]D�DFHQWXDGD
�3HUFHQWLO�����H���
Percentil 3
�(VFRUH�]����H���
(VFRUH�]���
0DJUH]D
 Percentil 3 e 
3HUFHQWLO���
�(VFRUH�]����H� 
(VFRUH�]���
(XWURILD
!�3HUFHQWLO����H� 
Percentil 97
!�(VFRUH�]����H� 
(VFRUH�]���
5LVFR�GH�VREUHSHVR
> Percentil 97 e 
3HUFHQWLO�����
!�(VFRUH�]����H� 
(VFRUH�]���
6REUHSHVR
!�3HUFHQWLO����� !�(VFRUH�]��� 2EHVLGDGH
Fontes: 
�:+2�������
�%5$6,/�������
�%5$6,/�������

�1RWD��$�2UJDQL]DomR�0XQGLDO�GD�6D~GH�DSUHVHQWD�UHIHUrQFLDV�GH�SHVR�SDUD�HVWDWXUD�DSHQDV�SDUD�PHQRUHV�GH���DQRV�SHOR�SDGUmR�
GH�FUHVFLPHQWR�GH�������$�SDUWLU�GHVVD�LGDGH��GHYH�VHU�XWLOL]DGR�R�ÌQGLFH�GH�0DVVD�&RUSRUDO�SDUD�LGDGH�SDUD�DYDOLDU�D�SURSRUomR�
HQWUH�R�SHVR�H�D�HVWDWXUD�GD�FULDQoD�
16
MINISTÉRIO DA SAÚDE
6HFUHWDULD�GH�$WHQomR�j�6D~GH�
'HSDUWDPHQWR�GH�$WHQomR�%iVLFD
Quadro 7 -�3RQWRV�GH�FRUWH�GH�,0&�SDUD�LGDGH�SDUD�FULDQoDV�PHQRUHV�GH���DQRV
VALORES CRÍTICOS DIAGNÓSTICO NUTRICIONAL
��3HUFHQWLO���� ��(VFRUH�]��� 0DJUH]D�DFHQWXDGD
�3HUFHQWLO�����H���
Percentil 3
�(VFRUH�]����H� 
(VFRUH�]���
0DJUH]D
> Percentil 3 e 
3HUFHQWLO���
�(VFRUH�]����H� 
(VFRUH�]���
(XWURILD
!�3HUFHQWLO����H� 
Percentil 97
!�(VFRUH�]����H� 
(VFRUH�]���
5LVFR�GH�VREUHSHVR
> Percentil 97 e 
3HUFHQWLO�����
!�(VFRUH�]����H� 
(VFRUH�]���
6REUHSHVR
!�3HUFHQWLO����� !�(VFRUH�]��� 2EHVLGDGH
 
Quadro 8 -�3RQWRV�GH�FRUWH�GH�,0&�SDUD�LGDGH�SDUD�FULDQoDV�GRV���DRV����DQRV�
VALORES CRÍTICOS DIAGNÓSTICO NUTRICIONAL
��3HUFHQWLO���� ��(VFRUH�]��� 0DJUH]D�DFHQWXDGD
�3HUFHQWLO�����H���
Percentil 3
�(VFRUH�]����H���
(VFRUH�]���
0DJUH]D
 Percentil 3 e 
3HUFHQWLO���
!�(VFRUH�]����H� 
(VFRUH�]���
(XWURILD
!�3HUFHQWLO����H� 
Percentil 97
!�(VFRUH�]����H� 
(VFRUH�]���
6REUHSHVR
> Percentil 97 e 
3HUFHQWLO�����
!�(VFRUH�]����H� 
(VFRUH�]���
2EHVLGDGH
!�3HUFHQWLO����� !�(VFRUH�]��� 2EHVLGDGH�JUDYH
Fontes: 
�:+2��������
�:+2�������
 
Quadro 9 -�3RQWRV�GH�FRUWH�GH�HVWDWXUD�SDUD�LGDGH�SDUD�FULDQoDV����D����DQRV�
VALORES CRÍTICOS DIAGNÓSTICO NUTRICIONAL
��3HUFHQWLO���� ��(VFRUH�]��� 0XLWR�EDL[D�HVWDWXUD�SDUD�D�LGDGH
�3HUFHQWLO�����H���
Percentil 3
�(VFRUH�]����H���
(VFRUH�]���
%DL[D�HVWDWXUD�SDUD�D�LGDGH
 Percentil 3 �(VFRUH�]��� (VWDWXUD�DGHTXDGD�SDUD�D�LGDGH
Fontes: 
�:+2�������
�%5$6,/�������
17
orIEntAçÕES PArA A CoLEtA E AnáLISE
dE dAdoS AntroPoMÉtrICoS
EM SErVIçoS dE SAúdE
Faixas de vigilância nutricional:
'HVWDFD�VH�TXH�XPD�FULDQoD�FODVVLILFDGD�HQWUH�RV�SHUFHQWLV���H����UHTXHU�XPD�DWHQomR�HVSHFLDO�GR�SURILVVLRQDO�
GH�VD~GH�H�GRV�FXLGDGRUHV�GD�FULDQoD��'HYH�VH�HVWDU�DWHQWR�SDUD�D�HYROXomR�GR�FUHVFLPHQWR�GD�FULDQoD��6H�D�OLQKD�
GH�FUHVFLPHQWR�UHJLVWUDGD�QD�&DGHUQHWD�GH�6D~GH�GD�&ULDQoD�HVWLYHU�GHVFHQGR�DR�ORQJR�GRV�DWHQGLPHQWRV��WUDWD�VH�
GH�XP�VLQDO�GH�DOHUWD��Mi�TXH�D�FULDQoD�HVWi�VH�DSUR[LPDQGR�GH�XPD�VLWXDomR�GH�EDL[R�SHVR�SRU�LGDGH�RX�GH�EDL[D�
HVWDWXUD�SRU�LGDGH��/RJR��R�LQWHUYDOR�HQWUH�RV�SHUFHQWLV���H�����LVWR�p��HQWUH�RV�HVFRUHV�]����H�����p�FRQVLGHUDGR�
FRPR�XPD�IDL[D�LPSRUWDQWH�SDUD�D�vigilância para o baixo peso��&RQWXGR��QmR�p�DGRWDGD�PDLV�D�FODVVLILFDomR�GH�ULVFR�
QXWULFLRQDO��FRPR�UHDOL]DGR�DQWHULRUPHQWH�
Quadro resumo:
�2�TXDGUR�D�VHJXLU�DSUHVHQWD�XP�UHVXPR�GDV�FODVVLILFDo}HV�GR�HVWDGR�QXWULFLRQDO�GH�FULDQoDV�UHFRPHQGDGDV�
SHOR�6,69$1�SDUD�FDGD�tQGLFH�DQWURSRPpWULFR�
Quadro 10 -�&ODVVLILFDomR�GR�HVWDGR�QXWULFLRQDO�GH�FULDQoDV�PHQRUHV�GH�FLQFR�DQRV�SDUD�FDGD�tQGLFH�
DQWURSRPpWULFR��VHJXQGR�UHFRPHQGDo}HV�GR�6,69$1
VALORES CRÍTICOS
ÍNDICES ANTROPOMÉTRICOS PARA MENORES DE 5 ANOS
Peso-
para-idade
Peso-
para-estatura
IMC-
para-idade
Estatura-
para-idade
< Percentil 0,1 < Escore-z -3
0XLWR�EDL[R�
peso para
a idade
0DJUH]D�
acentuada
0DJUH]D�
acentuada
0XLWR�EDL[D�
estatura para
a idade
 Percentil 0,1 e 
< Percentil 3 
 Escore-z -3 e 
< Escore-z -2
%DL[R�SHVR�
para a idade
0DJUH]D 0DJUH]D
%DL[D�HVWDWXUD�
para a idade
 Percentil 3 e 
< Percentil 15 
 Escore-z -2 e 
< Escore-z -1
3HVR�DGHTXDGR�
para a idade
(XWURILD (XWURILD
Estatura 
DGHTXDGD�SDUD
a idade �
 Percentil 15 e 
 Percentil 85
 Escore-z -1 e 
 Escore-z +1 risco de 
VREUHSHVR
risco de 
VREUHSHVR> Percentil 85 e 
 Percentil 97 
> Escore-z +1 eEscore-z +2
> Percentil 97 e 
 Percentil 99,9 
> Escore-z +2 e 
 Escore-z +3 3HVR�HOHYDGR�
para a idade 1
6REUHSHVR 6REUHSHVR
> Percentil 99,9 > Escore-z +3 2EHVLGDGH 2EHVLGDGH
Fonte: $GDSWDGR�GH���206�������
1��8PD�FULDQoD�FRP�D�FODVVLILFDomR�GH�SHVR�HOHYDGR�SDUD�D�LGDGH�SRGH�WHU�SUREOHPDV�GH�FUHVFLPHQWR��PDV�R�PHOKRU�tQGLFH�SDUD�HVVD�DYDOLDomR�p�R�
IMC-para-idade (ou o peso-para-estatura).
���8PD�FULDQoD�FODVVLILFDGD�FRP�HVWDWXUD�SDUD�LGDGH�DFLPD�GR�SHUFHQWLO�������(VFRUH�]�����p�PXLWR�DOWD��PDV�UDUDPHQWH�FRUUHVSRQGH�D�XP�SUREOHPD��
&RQWXGR��DOJXQV�FDVRV�FRUUHVSRQGHP�D�GHVRUGHQV�HQGyFULQDV�H�WXPRUHV��(P�FDVR�GH�VXVSHLWDV�GHVVDV�VLWXDo}HV��D�FULDQoD�GHYH�VHU�UHIHUHQFLDGD�
SDUD�XP�DWHQGLPHQWR�HVSHFLDOL]DGR�
18
MINISTÉRIO DA SAÚDE
6HFUHWDULD�GH�$WHQomR�j�6D~GH�
'HSDUWDPHQWR�GH�$WHQomR�%iVLFD
Quadro 11 -�&ODVVLILFDomR�GR�HVWDGR�QXWULFLRQDO�GH�FULDQoDV�GH���D����DQRV�SDUD�FDGD�tQGLFH�DQWURSRPpWULFR��
VHJXQGR�UHFRPHQGDo}HV�GR�6,69$1
VALORES CRÍTICOS
ÍNDICES ANTROPOMÉTRICOS PARA CRIANÇAS
DE 5 A 10 ANOS
Peso-
para-idade
IMC-
para-idade
Estatura-
para-idade
< Percentil 0,1 < Escore-z -3
0XLWR�EDL[R�SHVR�
para a idade
0DJUH]D�
acentuada
0XLWR�EDL[D�
estatura para
a idade
 Percentil 0,1 e 
< Percentil 3 
 Escore-z -3 e 
< Escore-z -2
%DL[R�SHVR�SDUD�D�
idade
0DJUH]D
%DL[D�HVWDWXUD�
para a idade
 Percentil 3 e 
< Percentil 15 
 Escore-z -2 e 
< Escore-z -1
3HVR�DGHTXDGR�
para a idade
(XWURILD
(VWDWXUD�DGHTXDGD�
para
a idade �
> Percentil 15 e 
< Percentil 85
 Escore-z -1 e 
 Escore-z +1
 Percentil 85 e 
 Percentil 97 
> Escore-z +1 e 
 Escore-z +2
6REUHSHVR
> Percentil 97 e 
 Percentil 99,9 
> Escore-z +2 e 
 Escore-z +3 3HVR�HOHYDGR
para a idade 1
2EHVLGDGH
> Percentil 99,9 > Escore-z +3 2EHVLGDGH�JUDYH
Fonte:�$GDSWDGR�GH���206�������
���8PD�FULDQoD�FRP�D�FODVVLILFDomR�GH�SHVR�HOHYDGR�SDUD�D�LGDGH�SRGH�WHU�SUREOHPDV�GH�FUHVFLPHQWR��PDV�R�PHOKRU�tQGLFH�SDUD�HVVD�DYDOLDomR�p�
o IMC-para-idade.
���8PD�FULDQoD�FODVVLILFDGD�FRP�HVWDWXUD�SDUD�LGDGH�DFLPD�GR�SHUFHQWLO�������(VFRUH�]�����p�PXLWR�DOWD��PDV�UDUDPHQWH�FRUUHVSRQGH�D�XP�SUREOHPD��
&RQWXGR��DOJXQV�FDVRV�FRUUHVSRQGHP�D�GHVRUGHQV�HQGyFULQDV�H�WXPRUHV��(P�FDVR�GH�VXVSHLWDV�GHVVDV�VLWXDo}HV��D�FULDQoD�GHYH�VHU�UHIHUHQFLDGD�
SDUD�XP�DWHQGLPHQWR�HVSHFLDOL]DGR�
Padronização para a idade:
3DUD�D�DYDOLDomR�GRV�tQGLFHV�DQWURSRPpWULFRV�GD�FULDQoD��SHVR�SRU�LGDGH��HVWDWXUD�SRU�LGDGH�RX�tQGLFH�GH�
PDVVD�FRUSRUDO���p�QHFHVViULR�VDEHU�FRP�SUHFLVmR�VXD�LGDGH�HP�GLDV�RX�PHVHV�GH�YLGD�
$V�LQIRUPDo}HV�GLVSRQtYHLV�QDV�FXUYDV�GH�FUHVFLPHQWR�VmR�HP�PHVHV��$�UHJUD�GH�DSUR[LPDomR�TXH�GHYH�VHU�
VHJXLGD�SDUD�DV�LGDGHV�QmR�H[DWDV�p��
��)UDomR�GH�LGDGH�DWp����GLDV��DSUR[LPD�VH�D�LGDGH�SDUD�EDL[R��LVWR�p��R�~OWLPR�PrV�FRPSOHWDGR�
��)UDomR�GH�LGDGH�LJXDO�RX�VXSHULRU�D����GLDV��DSUR[LPD�VH�D�LGDGH�SDUD�FLPD��LVWR�p��SDUD�R�SUy[LPR�PrV�D�
ser completado.
EXEMPLO: (GXDUGR�QDVFHX�HP������������H�,VDEHOD�HP�������������(OHV�IRUDP�D�XP�($6�SDUD�XPD�FRQVXOWD�
GH�URWLQD�QR�GLD�������������4XDLV�DV� LGDGHV�TXH�GHYHP�VHU�SURFXUDGDV�QRV�JUiILFRV�GH�FUHVFLPHQWR� LQIDQWLO�GD�
&DGHUQHWD�GH�6D~GH�GD�&ULDQoD�SDUD�ID]HU�R�GLDJQyVWLFR�QXWULFLRQDO"
��(GXDUGR����DQRV����PHVHV�H����GLDV� ���DQRV�H���PHVHV
��,VDEHOD����PHVHV�H����GLDV� ���PHVHV
EM RESUMO, OS PASSOS PARA A ANTROPOMETRIA E O DIAGNÓSTICO NUTRICIONAL DA 
CRIANÇA SÃO:
1º PASSO: &DOFXODU�D�LGDGH�HP�DQRV�FRPSOHWRV�H�PHVHV��ID]HQGR�DV�DSUR[LPDo}HV�QHFHVViULDV�
2º PASSO: 3HVDU�H�PHGLU�D�FULDQoD��XWLOL]DQGR�DV�WpFQLFDV�H�RV�LQVWUXPHQWRV�DGHTXDGRV�
3º PASSO: $QRWDU�RV�GDGRV�QR�IRUPXOiULR�GD�9LJLOkQFLD�$OLPHQWDU�H�1XWULFLRQDO���6,69$1�
4º PASSO: 0DUFDU�QRV�JUiILFRV�GH�FUHVFLPHQWR�GD�&DGHUQHWD�GH�6D~GH�GD�&ULDQoD�R�SRQWR�GH�LQWHUVHomR
HQWUH�R�SHVR�H�D�LGDGH��HQWUH�D�HVWDWXUD�H�D�LGDGH��H�HQWUH�R�ÌQGLFH�GH�0DVVD�&RUSRUDO�H�D�LGDGH�GD�FULDQoD�
19
orIEntAçÕES PArA A CoLEtA E AnáLISE
dE dAdoS AntroPoMÉtrICoS
EM SErVIçoS dE SAúdE
5º PASSO: &DOFXODU�R�,0&�GD�FULDQoD�
6º PASSO: )D]HU�R�GLDJQyVWLFR�QXWULFLRQDO�GD�FULDQoD��LQWHUSUHWDQGR�FDGD�tQGLFH�DYDOLDGR�
7º PASSO: 9HULILFDU�D�LQFOLQDomR�GDV�FXUYDV�GH�FUHVFLPHQWR�SDUD�FRPSOHPHQWDU�R�GLDJQyVWLFR�QXWULFLRQDO�
8º PASSO: &RPSDUWLOKDU�FRP�D�PmH�UHVSRQViYHO�R�GLDJQyVWLFR�QXWULFLRQDO�GD�FULDQoD�
9º PASSO: )D]HU�D�LQWHUYHQomR�DGHTXDGD�SDUD�FDGD�VLWXDomR�
10º PASSO: 5HDOL]DU�Do}HV�GH�SURPRomR�GD�VD~GH��9DORUL]DU�R�GLDJQyVWLFR�QXWULFLRQDO�p�WHU�DWLWXGH�GH�YLJLOkQFLD�
Ressalta-se que:
��$V�Do}HV�EiVLFDV�GH�VD~GH�GD�FULDQoD��VREUHWXGR�R�PRQLWRUDPHQWR�GR�FUHVFLPHQWR�H�GR�GHVHQYROYLPHQWR��
GHYHP�VHU�GHVHQYROYLGDV�HP�FRQMXQWR�FRP�D�YLJLOkQFLD�QXWULFLRQDO��3DUD�D�9LJLOkQFLD�$OLPHQWDU�H�1XWULFLRQDO���6,69$1��
HVVD�FRQMXJDomR�p�IXQGDPHQWDO�SDUD�D�DWLWXGH�GH�YLJLOkQFLD��&RP�LVVR��VHUi�SRVVtYHO�PHOKRUDU�D�HILFLrQFLD�GDV�Do}HV�
GH�SURPRomR�GD�VD~GH�H�GH�SUHYHQomR�GRV�SUREOHPDV�QXWULFLRQDLV�
��$�DYDOLDomR�GR�SHVR�DR�QDVFHU�p�R�SULPHLUR�GLDJQyVWLFR�QXWULFLRQDO��IHLWR�LPHGLDWDPHQWH�DSyV�R�QDVFLPHQWR��
(VWH�SHVR�UHIOHWH�RV�SUREOHPDV�QXWULFLRQDLV�RFRUULGRV�GXUDQWH�D�JHVWDomR��$�FODVVLILFDomR�XVDGD�p�
Quadro 12 -�&ODVVLILFDomR�GR�HVWDGR�QXWULFLRQDO�GH�FULDQoDV�LPHGLDWDPHQWH�DSyV�R�QDVFLPHQWR
PESO DA CRIANÇA CLASSIFICAÇÃO
�������J 3HVR�DGHTXDGR
��������J %DL[R�SHVR�DR�QDVFHU��%31�
��������J 0XLWR�EDL[R�SHVR�DR�QDVFHU
Fonte: �206�������
ADOLESCENTES ( 10 anos e < 20 anos de idade)
2�,0&�SDUD�D�LGDGH�p�UHFRPHQGDGR�LQWHUQDFLRQDOPHQWH�SDUD�GLDJQyVWLFR�LQGLYLGXDO�H�FROHWLYR�GRV�GLVW~UELRV�
QXWULFLRQDLV�QD�DGROHVFrQFLD��(VWH�LQGLFDGRU�LQFRUSRUD�D�LQIRUPDomR�GD�LGDGH�GR�LQGLYtGXR��IRL�YDOLGDGR�FRPR�LQGLFDGRU�
GH� JRUGXUD� FRUSRUDO� WRWDO� QRV�SHUFHQWLV� VXSHULRUHV� H�SURSRUFLRQD�XPD� FRQWLQXLGDGH� FRP�R� LQGLFDGRU�XWLOL]DGR�
HQWUH�DGXOWRV��$OpP�GR�,0&��WDPEpP�VH�UHFRPHQGD�D�XWLOL]DomR�GR�tQGLFH�GH�HVWDWXUD�SRU�LGDGH�SDUD�D�DYDOLDomR�GR�
crescimento linear. 
3DUD� D� DYDOLDomR� QXWULFLRQDO� GH� DGROHVFHQWHV�� R� 6,69$1� UHFRPHQGD� D� DGRomR� GD� UHIHUrQFLD� SURSRVWD�
UHFHQWHPHQWH�SHOD�2UJDQL]DomR�0XQGLDO�GH�6D~GH��:+2���������(VWD�SDVVRX�D�VHU�UHFRPHQGDGD�SDUD�D�FODVVLILFDomR�
GRV�tQGLFHV�DQWURSRPpWULFRV�QD�DGROHVFrQFLD��,0&�SRU�LGDGH�H�DOWXUD�SRU�LGDGH��1R�$QH[R��FRQVWDP�RV�YDORUHV�GH�
FDGD�tQGLFH�SDUD�D�DYDOLDomR�GR�HVWDGR�QXWULFLRQDO�GH�DGROHVFHQWHV�HP�FDGD�IDL[D�GH�LGDGH�H�VH[R��WDQWR�HP�SHUFHQWLV�
FRPR�HP�HVFRUHV�]��
3DUD�R�FiOFXOR�GR�,0&��DGRWD�VH�D�VHJXLQWH�IyUPXOD�
Índice de Massa Corporal (IMC) = Peso (kg)
 Altura² (m)
20
MINISTÉRIO DA SAÚDE
6HFUHWDULD�GH�$WHQomR�j�6D~GH�
'HSDUWDPHQWR�GH�$WHQomR�%iVLFD
Quadro 13 -�3RQWRV�GH�FRUWH�GH�,0&�SDUD�LGDGH�HVWDEHOHFLGRV�SDUD�DGROHVFHQWHV
VALORES CRÍTICOS DIAGNÓSTICO NUTRICIONAL
��3HUFHQWLO���� ��(VFRUH�]��� 0DJUH]D�DFHQWXDGD
�3HUFHQWLO�����H������
< Percentil 3
�(VFRUH�]����H�������
��(VFRUH�]���
0DJUH]D
> Percentil 3 e < 
3HUFHQWLO���
�(VFRUH�]����H��������
�(VFRUH�]���
(XWURILD
!�3HUFHQWLO����H�����
 Percentil 97
�(VFRUH�]����H�����
��(VFRUH�]���
6REUHSHVR
> Percentil 97 e 
�3HUFHQWLO�����
�(VFRUH�]����H������
�(VFRUH�]���
2EHVLGDGH
!�3HUFHQWLO����� !�(VFRUH�]��� 2EHVLGDGH�JUDYH
Fontes:���:+2�������

�1RWD��$�UHIHUrQFLD�GH�,0&�SDUD�LGDGH�GD�2UJDQL]DomR�0XQGLDO�GD�6D~GH�GH������DSUHVHQWD�YDORUHV�DWp����DQRV�FRPSOHWRV��Mi�TXH�
D�SDUWLU�GHVWD�LGDGH�D�LQVWLWXLomR�FRQVLGHUD�RV�LQGLYtGXRV�FRPR�DGXOWRV��&RPR�R�0LQLVWpULR�GD�6D~GH�FRQVLGHUD�TXH�D�IDVH�DGXOWD�VH�
LQLFLD�DSHQDV�FRP����DQRV�FRPSOHWRV��VXJHUH�VH�D�DGRomR�GRV�PHVPRV�YDORUHV�GH����DQRV�FRPSOHWRV�SDUD�D�DYDOLDomR�GH�LQGLYtGXRV�
FRP����DQRV�H���PrV�DWp����DQRV�H����PHVHV�
Quadro 14 -�3RQWRV�GH�FRUWH�GH�HVWDWXUD�SDUD�LGDGH�HVWDEHOHFLGRV�SDUD�DGROHVFHQWHV
VALORES CRÍTICOS DIAGNÓSTICO NUTRICIONAL
��3HUFHQWLO���� ��(VFRUH�]��� 0XLWR�EDL[D�HVWDWXUD�SDUD�D�LGDGH
�3HUFHQWLO�����H������
< Percentil 3
�(VFRUH�]����H��������
��(VFRUH�]���
%DL[D�HVWDWXUD�SDUD�D�LGDGH
 Percentil 3 �(VFRUH�]��� (VWDWXUD�DGHTXDGD�SDUD�D�LGDGH
Fonte: ��:+2�����������
Quadro resumo:
2�TXDGUR�D�VHJXLU�DSUHVHQWD�XP�UHVXPR�GDV�FODVVLILFDo}HV�GR�HVWDGR�QXWULFLRQDO�GH�DGROHVFHQWHV�UHFRPHQGDGDV�SHOR�6,69$1�SDUD�FDGD�tQGLFH�DQWURSRPpWULFR�
21
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22
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 Altura² (m)
Quadro 16 -�3RQWRV�GH�FRUWH�HVWDEHOHFLGRV�SDUD�DGXOWRV
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Fonte: �:+2�������
Circunferência da cintura:
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Fonte: �:+2�������
EM RESUMO, OS PASSOS PARA A ANTROPOMETRIA E O DIAGNÓSTICO NUTRICIONAL DO 
ADULTO SÃO:
1º PASSO:�3HVDU�D�FDGD�FRQVXOWD�H�PHGLU�D�HVWDWXUD�QD�SULPHLUD�FRQVXOWD��UHSHWLQGR�HVWD�PHGLGD�DQXDOPHQWH��
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Vigilância Alimentar e nutricional - SISVAn.
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23
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Quadro 18 -�3RQWRV�GH�FRUWH�HVWDEHOHFLGRV�SDUD�LGRVRV
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Fonte: (THE NUTRITION SCREENING INITIATIVE, 1994)
 
EM RESUMO, OS PASSOS PARA A ANTROPOMETRIA E O DIAGNÓSTICO NUTRICIONAL DO 
IDOSO SÃO:
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2º PASSO:�&DOFXODU�R�,0&�H�ID]HU�R�GLDJQyVWLFR�QXWULFLRQDO�VHJXQGR�RV�SRQWRV�GH�FRUWH�HVWLSXODGRV�SDUD�D�
Vigilância Alimentar e nutricional - SISVAn.
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24
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GESTANTES
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SHUPLWH�FRQKHFHU�VHX�HVWDGR�QXWULFLRQDO�DWXDO�H�VXEVLGLDU�D�SUHYLVmR�GR�JDQKR�GH�SHVR�DWp�R�ILQDO�GD�JHVWDomR��2�
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primeira consulta e a da gestante adolescente pelo menos trimestralmente. 
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1. Calcule o IMC da gestante:
Índice de Massa Corporal (IMC) = Peso (kg)
 Altura² (m)
2. Calcule a semana gestacional:
Atenção:�4XDQGR�QHFHVViULR��DUUHGRQGH�D�VHPDQD�JHVWDFLRQDO�GD�VHJXLQWH�IRUPD����������GLDV�²�FRQVLGHUH�R�
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3. Realize o diagnóstico nutricional: 
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VHJXLQWHV��D�FODVVLILFDomR�GR�HVWDGR�QXWULFLRQDO�GD�JHVWDQWH��D�SDUWLU�GH�,0&�FDOFXODGR�
OBSERVAÇÃO IMPORTANTE:
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25
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26
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6HFUHWDULD�GH�$WHQomR�j�6D~GH�
'HSDUWDPHQWR�GH�$WHQomR�%iVLFD
4. Estime a recomendação do ganho de peso para gestantes:
(P�IXQomR�GR�HVWDGR�QXWULFLRQDO�SUp�JHVWDFLRQDO��HVWLPH�R�JDQKR�GH�SHVR� WRWDO� UHFRPHQGDGR�DWp�R� ILQDO�
GD�JHVWDomR��FRQIRUPH�R�TXDGUR�D�VHJXLU��3DUD�FDGD�VLWXDomR�QXWULFLRQDO�LQLFLDO��HVWDGR�QXWULFLRQDO�SUp�JHVWDFLRQDO�
GHWHUPLQDGR�FRPR�EDL[R�SHVR��DGHTXDGR��VREUHSHVR�RX�REHVLGDGH���Ki�XPD�IDL[D�GH�JDQKR�GH�SHVR�UHFRPHQGDGD��
3DUD�R����WULPHVWUH��R�JDQKR�GH�SHVR�IRL�DJUXSDGR�SDUD�WRGR�SHUtRGR��HQTXDQWR�TXH��SDUD�R����H�R����WULPHVWUHV��p�
SUHYLVWR�SRU�VHPDQD��3RUWDQWR��Mi�QD�SULPHLUD�FRQVXOWD��GHYH�VH�HVWLPDU�TXDQWRV�JUDPDV�D�JHVWDQWH�GHYHUi�JDQKDU�QR�
���WULPHVWUH��DVVLP�FRPR�R�JDQKR�SRU�VHPDQD�DWp�R�ILQDO�GD�JHVWDomR��(VWD�LQIRUPDomR�GHYH�VHU�IRUQHFLGD�j�JHVWDQWH�
2EVHUYH�TXH�FDGD�JHVWDQWH�GHYHUi�WHU�JDQKR�GH�SHVR�GH�DFRUGR�FRP�VHX�,0&�SUp�JHVWDFLRQDO��3DUD�D�SUHYLVmR�
GR�JDQKR�GH�SHVR�WRWDO��LVWR�p��GXUDQWH�WRGR�R�SHUtRGR�GH�JHVWDomR��ID]�VH�QHFHVViULR�FDOFXODU�TXDQWR�SHVR�D�JHVWDQWH�
Mi�JDQKRX�H�TXDQWR�DLQGD�IDOWD�DWp�R�ILQDO�GD�JHVWDomR�HP�IXQomR�GD�DYDOLDomR�FOtQLFD�
Quadro 20 -�*DQKR�GH�SHVR��NJ��UHFRPHQGDGR�GXUDQWH�D�JHVWDomR��VHJXQGR�R�HVWDGR�QXWULFLRQDO�LQLFLDO
Estado Nutricional 
Inicial (IMC)
Recomendação de 
ganho de peso (kg) 
total no 1º trimestre
Recomendação de 
ganho de peso (kg) 
semanal médio no 2º e 3º 
trimestres
Recomendação de ganho 
de peso (kg) total na 
gestação
%DL[R�3HVR��%3� ��� ��� ���������
$GHTXDGR��$� ��� ��� ���������
6REUHSHVR��6� ��� ��� ��������
2EHVLGDGH��2� - ��� ���
Fonte: �,167,787(�2)�0(',&,1(�������
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VHQGR�HVWH�JDQKR��HP�PpGLD��GH�����NJ�QR�SULPHLUR�WULPHVWUH�GD�JHVWDomR��DWp�D�����VHPDQD��H�GH�����NJ�SRU�VHPDQD�QR�
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FRP�%3�DFHQWXDGR��RX�VHMD��DTXHODV�PXLWR�GLVWDQWHV�GD�IDL[D�GH�QRUPDOLGDGH��GHYHP�JDQKDU�PDLV�SHVR��DWp����NJ��
GR�TXH�DTXHODV�VLWXDGDV�HP�iUHD�SUy[LPD�j�IDL[D�GH�QRUPDOLGDGH��FXMR�JDQKR�GHYH�VLWXDU�VH�HP�WRUQR�GH������NJ�
'D�PHVPD�IRUPD��JHVWDQWHV�FRP�,0&�SUp�JHVWDFLRQDO�DGHTXDGR�GHYHP�JDQKDU��DR�ILQDO�GD�JHVWDomR��HQWUH�
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Consultas subseqüentes
1DV�FRQVXOWDV�VXEVHT�HQWHV��D�DYDOLDomR�QXWULFLRQDO�GHYH�UHSHWLU�RV�SURFHGLPHQWRV�GHVFULWRV�DQWHULRUPHQWH��
$�DYDOLDomR�FRQWLQXDGD�SHUPLWH�DFRPSDQKDU�D�HYROXomR�GR�JDQKR�GH�SHVR�GXUDQWH�D�JHVWDomR�H�H[DPLQDU�VH�HVWH�
JDQKR�HVWi�DGHTXDGR�HP�IXQomR�GR�HVWDGR�QXWULFLRQDO�GD�JHVWDQWH�QR�LQtFLR�GD�JUDYLGH]��(VWD�DQiOLVH�SRGH�VHU�IHLWD�
FRP�EDVH�HP�GRLV�LQVWUXPHQWRV��R�TXDGUR�TXH�LQGLFD�TXDO�p�D�IDL[D�GH�JDQKR�GH�SHVR�UHFRPHQGDGR�VHJXQGR�R�
HVWDGR�QXWULFLRQDO�GD�JHVWDQWH�QR�LQtFLR�GR�SUp�QDWDO��H�R�*UiILFR�QR�TXDO�VH�DFRPSDQKD�D�FXUYD�GH�ÌQGLFH�GH�0DVVD�
&RUSRUDO��,0&���VHJXQGR�VHPDQD�JHVWDFLRQDO��LGHQWULILFDQGR�VH�D�LQFOLQDomR�GR�WUDoDGR�p�DVFHQGHQWH��KRUL]RQWDO�
ou descendente.
5HDOL]H�R�DFRPSDQKDPHQWR�GR�HVWDGR�QXWULFLRQDO�XWLOL]DQGR�R�*UiILFR�GH�,0&�SRU�VHPDQD�JHVWDFLRQDO��(VWH�
p�FRPSRVWR�SRU�XP�HL[R�KRUL]RQWDO�FRP�RV�YDORUHV�GH�VHPDQD�JHVWDFLRQDO�H�SRU�XP�HL[R�YHUWLFDO�FRP�RV�YDORUHV�GH�
,0&��SHVR��NJ��DOWXUDò��P����2�JUiILFR�DSUHVHQWD�R�GHVHQKR�GH�WUrV�LQFOLQDo}HV�SRVVtYHLV��TXH�GHOLPLWDP�DV�TXDWUR�
FDWHJRULDV�GR�HVWDGR�QXWULFLRQDO��Baixo Peso �%3���Adequado �$���Sobrepeso (S) e Obesidade (o).
27
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dE dAdoS AntroPoMÉtrICoS
EM SErVIçoS dE SAúdE
$�LQFOLQDomR�SDUD�R�WUDoDGR�GD�FXUYD�LUi�YDULDU�GH�DFRUGR�FRP�R�HVWDGR�QXWULFLRQDO�LQLFLDO�GD�JHVWDQWH��FRQIRUPH�
R�TXDGUR�D�VHJXLU�
Quadro 21 -�$YDOLDomR�GR�WUDoDGR�GD�FXUYD�GH�DFRPSDQKDPHQWR�GR�HVWDGR�QXWULFLRQDO�GD�JHVWDQWH�
VHJXQGR�R�JUiILFR�GH�ÌQGLFH�GH�0DVVD�&RUSRUDO�SRU�VHPDQD�JHVWDFLRQDO
Estado Nutricional da gestante 
na 1ª avaliação
Inclinação da curva no Gráfico 
de IMC por semana gestacional
Exemplo*
%DL[R�3HVR��%3�
$�FXUYD�GH�JDQKR�GH�SHVR�GHYH�
DSUHVHQWDU�LQFOLQDomR�DVFHQGHQWH�
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HVWDGR�QXWULFLRQDO�DGHTXDGR��$��������������������
QR�JUiILFR�
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28
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Fonte: $GDSWDGR�GH���$7$/$+�6$085��(��������
 2�&DUWmR�GD�*HVWDQWH�p�R�LQVWUXPHQWR�XVDGR�SDUD�UHJLVWUDU�RV�SULQFLSDLV�GDGRV�GH�DFRPSDQKDPHQWR�GD�
JUDYLGH]��RV�TXDLV�VmR�LPSRUWDQWHV�SDUD�D�UHIHUrQFLD�H�FRQWUD�UHIHUrQFLD��(VWH�GHYHUi�ILFDU�VHPSUH�FRP�D�JHVWDQWH��
1D� YHUVmR� GH� ������ Ki� HVSDoRV� GLVSRQtYHLV� SDUD� R� UHJLVWUR� GR� SHVR� H� GR� ,0&�
REVHUYDGR�HP�FDGD�FRQVXOWD��DOpP�GR�JUiILFR�SDUD�PDUFDomR�H�DFRPSDQKDPHQWR�
do estado nutricional da gestante.
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GR�6,69$1�H�HP�SURQWXiULRV�GH�DWHQGLPHQWR�FRPR�QR�&DUWmR�GD�*HVWDQWH��$�
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D� LPSRUWkQFLD� GD� UHDOL]DomR� GH� RXWURV� SURFHGLPHQWRV� FRPSOHPHQWDUHV� DR�
GLDJQyVWLFR�QXWULFLRQDO�RX�TXH�SRGHP�DOWHUDU�D� LQWHUSUHWDomR�GHVWH��FRQIRUPH�
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29
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dE dAdoS AntroPoMÉtrICoS
EM SErVIçoS dE SAúdE
Gestante Adolescente
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YLGD��1R�HQWDQWR��HVWD�FODVVLILFDomR�SRGH�VHU�XVDGD�GHVGH�TXH�D�LQWHUSUHWDomR�GRV�UHVXOWDGRV�VHMD�IOH[tYHO�H�VH�
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FRP�PHQRV�GH�GRLV�DQRV�DSyV�D�PHQDUFD��p�SURYiYHO�TXH�PXLWDV�VHMDP�FODVVLILFDGDV�FRPR�GH�EDL[R�SHVR��(VWDV�
GHYHP�WHU�VXD�DOWXUD�PHQVXUDGD�HP�WRGDV�DV�FRQVXOWDV��SRLV�VH�HQFRQWUDP�DLQGD�HP�IDVH�GH�FUHVFLPHQWR��7DPEpP�
QHVWHV�FDVRV��R�PDLV�LPSRUWDQWH�p�DFRPSDQKDU�R�WUDoDGR�GD�FXUYD�GH�,0&�SRU�VHPDQD�JHVWDFLRQDO��TXH�GHYHUi�
VHU�DVFHQGHQWH�DR�ORQJR�GDV�FRQVXOWDV��'HYH�VH�WUDWDU�D�JHVWDQWH�DGROHVFHQWH�FRPR�GH�ULVFR�QXWULFLRQDO��UHIRUoDU�
D�DERUGDJHP�QXWULFLRQDO�H�DXPHQWDU�R�Q~PHUR�GH�YLVLWDV�DRV�($6�
 
EM RESUMO, OS PASSOS PARA O DIAGNÓSTICO NUTRICIONAL DA GESTANTE SÃO:
1º PASSO: 5HDOL]DU�DV�PHGLGDV�DQWURSRPpWULFDV��3HVDU�D�FDGD�FRQVXOWD�H�PHGLU�D�DOWXUD�QD�SULPHLUD�FRQVXOWD��
1R�FDVR�GH�JHVWDQWHV�DGROHVFHQWHV��D�DYDOLDomR�GD�DOWXUD�GHYH�VHU�UHDOL]DGD��QR�PtQLPR��D�FDGD�WULPHVWUH��&DOFXODU�
o IMC da gestante.
2º PASSO: &DOFXODU�D�VHPDQD�JHVWDFLRQDO�GD�PXOKHU�JUiYLGD�
3º PASSO: /RFDOL]DU��QR�HL[R�KRUL]RQWDO��D�VHPDQD�JHVWDFLRQDO�FDOFXODGD�H�LGHQWLILFDU��QR�HL[R�YHUWLFDO��R�,0&�
da gestante.
4º PASSO: 0DUFDU�XP�SRQWR�QD�LQWHUVHomR�GRV�YDORUHV�GH�,0&�H�GD�VHPDQD�JHVWDFLRQDO�
5º PASSO: &ODVVLILFDU�R�HVWDGR�QXWULFLRQDO�GD�JHVWDQWH�VHJXQGR�,0&�SRU�VHPDQD�JHVWDFLRQDO��FRQIRUPH�OHJHQGD�
GR�JUiILFR��BP, A, S, O��1R�FDVR�GH�JHVWDQWHV�DGROHVFHQWHV��YHU�DV�REVHUYDo}HV�FRQWLGDV�QR�TXDGUR�DSUHVHQWDGR�
anteriormente.
6º PASSO: (VWLPDU�D�UHFRPHQGDomR�GR�JDQKR�GH�SHVR�SDUD�D�JHVWDQWH�
7º PASSO: $�SDUWLU�GD����FRQVXOWD��OLJDU�RV�SRQWRV�REWLGRV�H�REVHUYDU�R�WUDoDGR�UHVXOWDQWH��$�PDUFDomR�
GH�GRLV�RX�PDLV�SRQWRV�QR�JUiILFR��SULPHLUD�FRQVXOWD�H�VXEVHT�HQWHV��SRVVLELOLWD�FRQVWUXLU�R�WUDoDGR�GD�FXUYD�SRU�
semana gestacional.
Considere:
��WUDoDGR�DVFHQGHQWH��JDQKR�GH�SHVR�DGHTXDGR�
��WUDoDGR�KRUL]RQWDO�RX�GHVFHQGHQWH��JDQKR�GH�SHVR�LQDGHTXDGR��JHVWDQWH�GH�ULVFR��
30
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6HFUHWDULD�GH�$WHQomR�j�6D~GH�
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PARTE III – O MÉTODO ANTROPOMÉTRICO
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de adultos.
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$QWURSRPHWULVWD�p�D�GHQRPLQDomR�SDUD�R�SURILVVLRQDO�FDSDFLWDGR�SDUD�D�FROHWD�GH�PHGLGDV�DQWURSRPpWULFDV��3DUD�TXH�WDLV�PHGLGDV�VHMDP�FRQILiYHLV�H�SUHFLVDV��p�QHFHVViULR�TXH�RV�DQWURSRPHWULVWDV�HQYROYLGRV�QHVWD�WDUHID�
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SUREOHPDV�RX�GHIHLWRV�GRV�PHVPRV��'HQWUH�RV�HTXLSDPHQWRV�FLWDGRV��D�EDODQoD�p�R�TXH�JHUD�PDLV�HUURV�SRU�
IDOWD�GH�PDQXWHQomR��3DUD�HYLWDU�SRVVtYHLV�SUREOHPDV�DR�DGTXLULU�HVWH�HTXLSDPHQWR��R�($6�GHYH�VROLFLWDU�
XP�H[DPH�SHORV�yUJmRV�UHVSRQViYHLV�SRU�HVWH�VHUYLoR��6mR�HOHV��R�,QVWLWXWR�GH�3HVRV�H�0HGLGDV��,3(0��H�R�
,QVWLWXWR�1DFLRQDO�GH�0HWURORJLD��,10(752���3RUpP��R�SURFHGLPHQWR�GH�DIHULomR�H�UHJXODJHP�GH�EDODQoDV�H�
RX�VHX�FRQVHUWR�WDPEpP�SRGH�VHU�UHDOL]DGR�SRU�XPD�ILUPD�LG{QHD��ILFDQGR�D�HVFROKD�D�FULWpULR�GD�LQVWLWXLomR�
1D�PDQXWHQomR�GR�DQWURS{PHWUR�GH�PDGHLUD��p�LPSRUWDQWH�REVHUYDU�VH�HVWi�ORFDOL]DGR�HP�OXJDU�VHFR��SRLV�
H[LVWH�R�ULVFR�GH�HPSHQDU�FRP�D�XPLGDGH�ORFDO��JHUDQGR�HUURV�QD�PHGLomR��5HFRPHQGD�VH�TXH�R�LQIDQW{PHWUR�
�DQWURS{PHWUR�KRUL]RQWDO�SDUD�PHGLU�R�FRPSULPHQWR�GH�FULDQoDV�PHQRUHV�GH���DQRV��H�D�EDODQoD�SHGLiWULFD�
HVWHMDP�DSRLDGRV�HP�PHVD�RX�EDQFDGD��FRQIHFFLRQDGDV�HP�PDWHULDO�ILUPH�H�UHVLVWHQWH��SRU�H[HPSOR��PHWDO��
PiUPRUH�RX�PDGHLUD���2�HVWDGL{PHWUR��DQWURS{PHWUR�YHUWLFDO��GHYH�VHU�FRORFDGR�HP�SDUHGH�OLVD�H�VHP�URGDSp�
H�D�EDODQoD�SODWDIRUPD�HP�VXSHUItFLH�OLVD�H�QLYHODGD�
8P�ERP�DQWURSRPHWULVWD�GHYH� FRQIHULU�RV� HTXLSDPHQWRV�TXH�XWLOL]D�� URWLQHLUDPHQWH�� DQWHV�GH� FDGD�
SHVDJHP�RX�PHGLomR��$OpP�GLVVR��R�ORFDO�GH�LQVWDODomR�GRV�HTXLSDPHQWRV�GHYH�VHU�HVFROKLGR�GH�PRGR�D�
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F��SURSRUFLRQDU�FRQIRUWR� WpUPLFR��HYLWDQGR�VH�FRUUHQWHV�GH�DU�TXH�SRGHP�DIHWDU��HVSHFLDOPHQWH��RV�
EHErV�H�DV�SHVVRDV�LGRVDV�
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(VVH� FRQMXQWR� GH� FXLGDGRV� H� SURFHGLPHQWRV� p� IXQGDPHQWDO� SDUD� D� FRQILDELOLGDGH� GD� FODVVLILFDomR� H�
GR� GLDJQyVWLFR� QXWULFLRQDO� HP� WRGDV� DV� IDL[DV� HWiULDV� DYDOLDGDV� HP� XPD� XQLGDGH� GH� VD~GH��'HVFXLGRV� RX�
SURFHGLPHQWRV�PDO�UHDOL]DGRV�SRGHUmR��SRU�H[HPSOR��ID]HU�FRP�TXH�QmR�VH�QRWH�R�GpILFLW�QXWULFLRQDO�GH�XPD�
FULDQoD�RX�R�H[FHVVR�GH�SHVR�GH�XP�DGXOWR�RX��DLQGD��R�JDQKR�LQDGHTXDGR�GH�SHVR�SRU�XPD�JHVWDQWH��8PD�
PHGLGD�PDO�UHDOL]DGD�KRMH�SRGHUi�FRPSURPHWHU�D� LQWHUSUHWDomR�GD�HYROXomR�GR�HVWDGR�QXWULFLRQDO�GH�XPD�
FULDQoD�RX�JHVWDQWH��DLQGD�TXH�DV�PHGLGDV�DQWHULRUHV�RX�VXEVHT�HQWHV�VHMDP�EHP�UHDOL]DGDV��3RU�HVWDV�UD]}HV��
R�DQWURSRPHWULVWD�GHYH�VHJXLU�ULJRURVDPHQWH�DV�WpFQLFDV�H�UHFRPHQGDo}HV�SUHVHQWHV�QHVWD�SXEOLFDomR�
31
orIEntAçÕES PArA A CoLEtA E AnáLISE
dE dAdoS AntroPoMÉtrICoS
EM SErVIçoS dE SAúdE
EQUIPAMENTOS ANTROPOMÉTRICOS
Balança:
e�R�LQVWUXPHQWR�XWLOL]DGR�SDUD�PHGLU�D�PDVVD�FRUSRUDO�WRWDO��2�HTXLSDPHQWR�GHYHUi�WHU�SUHFLVmR�QHFHVViULD�
SDUD�LQIRUPDU�R�SHVR�GH�XP�LQGLYtGXR�GD�IRUPD�PDLV�H[DWD�SRVVtYHO��$�SUHFLVmR�GD�HVFDOD�QXPpULFD�GDV�EDODQoDV�
YDULD�GH�DFRUGR�FRP�R�WLSR��PHFkQLFD�RX�HOHWU{QLFD��RX�IDEULFDQWH��e�UHFRPHQGiYHO�TXH�DV�EDODQoDV�SHGLiWULFDV�
WHQKDP�SUHFLVmR�PtQLPD�GH�GH]�JUDPDV�H��DV�EDODQoDV�WLSR�SODWDIRUPD��GH�FHP�JUDPDV��,VVR�SRUTXH�SHTXHQDV�
DOWHUDo}HV�QR�SHVR�VmR�LQGLFDGRUHV�QXWULFLRQDLV�LPSRUWDQWHV��HP�SDUWLFXODU��SDUD�DV�FULDQoDV�PHQRUHV�GH�GRLV�
DQRV��$�EDODQoD�GHYH�HVWDU�LQVWDODGD�HP�ORFDO�QLYHODGR��SRLV�R�HTXLSDPHQWR�GHYH�SHUPDQHFHU�HVWiYHO�GXUDQWH�
o procedimento.
([LVWHP�YiULRV�WLSRV�GH�EDODQoD��VHQGR�DV�PDLV�UHFRPHQGDGDV�SDUD�XVR�HP�($6�DV�VHJXLQWHV�
Figura 1 -�%DODQoD�SHGLiWULFD�PHFkQLFD
a���EDODQoD�SHGLiWULFD�RX�´WLSR�EHErµ��XWLOL]DGD�SDUD�FULDQoDV�PHQRUHV�GH���DQRV�RX�FRP�DWp����NJ��SRGH�VHU��
PHFkQLFD�RX�HOHWU{QLFD��GLJLWDO��
Figura 2 -�%DODQoD�SODWDIRUPD�PHFkQLFD
b ��EDODQoD�SODWDIRUPD��SHVD�FULDQoDV�PDLRUHV�GH���DQRV��DGROHVFHQWHV��DGXOWRV��LGRVRV��JHVWDQWHV�H�QXWUL]HV��
SRGH�VHU�PHFkQLFD�RX�HOHWU{QLFD�GLJLWDO��
c���EDODQoD�GH�FDPSR�RX�WLSR�SrQGXOR��HVWD�EDODQoD�p�DVVLP�GHQRPLQDGD�SRUTXH�p�SRUWiWLO�H�IRL�LGHDOL]DGD�
SDUD�XWLOL]DomR�HP�DWLYLGDGHV�H[WHUQDV�DR�VHUYLoR�GH�VD~GH�
d���EDODQoD�GH�FDPSR�WLSR�HOHWU{QLFD��GLJLWDO���HVWD�EDODQoD�p�WDPEpP�SRUWiWLO��DSURSULDGD�SDUD�R�WUDEDOKR�GH�
FDPSR�FRPR�SHVTXLVDV�SRSXODFLRQDLV�RX�&KDPDGDV�1XWULFLRQDLV�
32
MINISTÉRIO DA SAÚDE
6HFUHWDULD�GH�$WHQomR�j�6D~GH�
'HSDUWDPHQWR�GH�$WHQomR�%iVLFD
$QWURS{PHWUR�KRUL]RQWDO��LQIDQW{PHWUR��H�YHUWLFDO�
$�PHGLGD� GD� HVWDWXUD� SRGH� VHU� REWLGD� QD� SRVLomR� GHLWDGD�� HP� VHQWLGR� KRUL]RQWDO�� TXDQGR� VH� WUDWD� GR�
FRPSULPHQWR�H��QD�SRVLomR�HP�Sp��QR�VHQWLGR�YHUWLFDO��SDUD�R�TXH�VH�GHQRPLQD�DOWXUD��
2�LQIDQW{PHWUR�p�R�HTXLSDPHQWR�XWLOL]DGR�SDUD�PHGLU�R�FRPSULPHQWR�GH�FULDQoDV�PHQRUHV�GH�GRLV�DQRV��
3RGH�VHU�GHQRPLQDGR�GH�DQWURS{PHWUR�LQIDQWLO��KRUL]RQWDO��UpJXD�DQWURSRPpWULFD��RX�SHGL{PHWUR�
3DUD�FULDQoDV�PDLRUHV�GH�GRLV�DQRV��DGROHVFHQWHV��DGXOWRV��LGRVRV�H�JHVWDQWHV��D�DOWXUD�p�DIHULGD�XWLOL]DQGR�VH�
R�DQWURS{PHWUR�YHUWLFDO�RX�HVWDGL{PHWUR�
Estatura versus Altura
2�WHUPR�́ HVWDWXUDµ�SRGH�VHU�XWLOL]DGR�SDUD�H[SUHVVDU�WDQWR�R�FRPSULPHQWR��PHGLGD�DIHULGD�FRP�R�LQGLYtGXR�
GHLWDGR��TXDQWR�D�DOWXUD��PHGLGD�DIHULGD�FRP�R�LQGLYtGXR�HP�Sp���$GRWD�VH�R�WHUPR�́ FRPSULPHQWRµ�SDUD�D�HVWDWXUD�
GH�FULDQoDV�PHQRUHV�GH���DQRV�H�R�WHUPR�´DOWXUDµ�SDUD�D�HVWDWXUD�GH�FULDQoDV�PDLRUHV�GH���DQRV��DGROHVFHQWHV��
DGXOWRV��LGRVRV�H�JHVWDQWHV�
([LVWHP�YiULRV�PRGHORV�GH�DQWURS{PHWURV�YHUWLFDLV�H�KRUL]RQWDLV��VHQGR�QRUPDOPHQWH�FRQIHFFLRQDGRV�GH�
DOXPtQLR��PDWHULDO�UHFRPHQGDGR��SRU�VHU�PDLV�UHVLVWHQWH�H�SHUPLWLU�PHOKRU�KLJLHQL]DomR��RX�GH�PDGHLUD�
Figura 3 -�$QWURS{PHWUR�LQIDQWLO
Fita métrica:
$� ILWD�PpWULFD�GHYH� VHU�XWLOL]DGD� VRPHQWH�SDUD�PHGLU� D� FLUFXQIHUrQFLD�GD� FLQWXUD�HP�DGXOWRV��8WLOL]H��GH�
SUHIHUrQFLD��XPD�ILWD�PpWULFD�GH�PDWHULDO�UHVLVWHQWH��LQHOiVWLFD�H�IOH[tYHO��FRP�SUHFLVmR�GH�����FP��$�ILWD�FRPXP��GH�
FRVWXUD��QmR�GHYH�VHU�XWLOL]DGD��SRLV�WHQGH�D�HVJDUoDU�FRP�R�WHPSR��DOWHUDQGR�DVVLP�D�PHGLGD�
Pesando e medindo crianças
2�DWR�GH�SHVDU�H�PHGLU�UHTXHU�FRQWDWR�ItVLFR�H�LVWR�SRGH�JHUDU�XPD�VLWXDomR�QRUPDO�GH�LQVHJXUDQoD�H�HVWUHVVH�
QDV�FULDQoDV��$�VLWXDomR�SHGH�FRQFHQWUDomR��SDFLrQFLD�H�PXLWD�FRUGLDOLGDGH��1XQFD�VH�GHYH�SHVDU�RX�PHGLU�XPD�
FULDQoD�VHP�DQWHV�FRQYHUVDU�FRP�HOD�H�RX�FRP�D�IDPtOLD�H[SOLFDQGR�R�TXH�YDL�VHU�IHLWR��1mR�VXEHVWLPH�D�IRUoD�RX�
D�DJLOLGDGH�GDV�FULDQoDV��PHVPR�DV�PXLWR�SHTXHQDV��8P�DQWURSRPHWULVWD��GHSRLV�GH�UHFHEHU�WUHLQDPHQWR��OHYD�
FHUFD�GH���XP��PLQXWR�SDUD�UHDOL]DU�D�WRPDGD�GH�XPD�PHGLGD�DQWURSRPpWULFD��3RUpP��PXLWDV�FULDQoDV�FRVWXPDP�
FKRUDU�GXUDQWH�D�WRPDGD�GR�SHVR�RX�GD�HVWDWXUD��&DVR�R�FKRUR�QmR�FHVVH�H�R�QtYHO�GH�HVWUHVVH�ILTXH�DOWR��VROLFLWH�
j�PmH�TXH�SHJXH�D�FULDQoD�QR�FROR�H�DJXDUGH�XP�LQVWDQWH��6HMD�ILUPH��SRUpP�JHQWLO�FRP�DV�FULDQoDV��$�VHJXUDQoD�
WUDQVPLWLGD�SHOR�SURILVVLRQDO�VHUi�SHUFHELGD�SHOD�FULDQoD�H�SHOD�PmH�
AFERIÇÃO DO PESO DE CRIANÇAS MENORES DE 2 ANOS
$V�FULDQoDV�PHQRUHV�GH���DQRV�GHYHP�VHU�SHVDGDV�H�PHGLGDV�VHPSUH�FRPSOHWDPHQWH�GHVSLGDV�H�QD�
SUHVHQoD�GD�PmH�RX�GR�UHVSRQViYHO��SRLV�HVWHV�GHYHP�DX[LOLDU�QD�UHWLUDGD�GD�URXSD�GD�FULDQoD�H�QD�WRPDGD�GD�
PHGLGD��/HPEUH�VH�TXH�XPD�IUDOGD�PROKDGD�SRGH�UHSUHVHQWDU�DWp�����GR�SHVR�GH�XPD�FULDQoD�
Se for utilizar balança pediátrica ou “tipo bebê”:
$�EDODQoD�SHGLiWULFD�RX�´WLSR�EHErµ�p�R�HTXLSDPHQWR�DSURSULDGR�SDUD�FULDQoDV�PHQRUHV�GH���DQRV�TXH�
DLQGD�QmR�ILFDP�GH�Sp�FRP�VHJXUDQoD��e�SUHFLVR�WHU�PXLWR�FXLGDGR�SDUD�SHVDU�FULDQoDV�SHTXHQDV��D�ILP�GH�VH�
HYLWDU�DFLGHQWHV��&HUWLILTXH�VH�GH�TXH�D�EDODQoD�HVWi�DSRLDGD�VREUH�XPD�VXSHUItFLH�SODQD��OLVD�H�ILUPH��)RUUH�R�
SUDWR�FRP�XPD�SURWHomR��SDSHO�GHVWDFiYHO�RX�IUDOGD��DQWHV�GH�FDOLEUDU�D�EDODQoD�SDUD�HYLWDU�HUURV�QD�SHVDJHP�
33
orIEntAçÕES PArA A CoLEtA E AnáLISE
dE dAdoSAntroPoMÉtrICoS
EM SErVIçoS dE SAúdE
1º Passo:�'HVWUDYDU�D�EDODQoD�
2º Passo:�9HULILFDU�VH�D�EDODQoD�HVWi�FDOLEUDGD��D�DJXOKD�GR�EUDoR�H�R�ILHO�GHYHP�HVWDU�QD�PHVPD�OLQKD�
KRUL]RQWDO���&DVR�FRQWUiULR��FDOLEUi�OD��JLUDQGR�OHQWDPHQWH�R�FDOLEUDGRU�
3º Passo:�(VSHUDU�DWp�TXH�D�DJXOKD�GR�EUDoR�H�R�ILHO�HVWHMDP�QLYHODGRV�
4º Passo:�$SyV�FRQVWDWDU�TXH�D�EDODQoD�HVWi�FDOLEUDGD��HOD�GHYH�VHU�WUDYDGD�
5º Passo:�'HVSLU�D�FULDQoD�FRP�R�DX[tOLR�GD�PmH�RX�UHVSRQViYHO�
6º Passo:� &RORFDU� D� FULDQoD� VHQWDGD� RX� GHLWDGD� QR� FHQWUR� GR� SUDWR�� GH�PRGR� D� GLVWULEXLU� R� SHVR�
LJXDOPHQWH��'HVWUDYDU�D�EDODQoD��PDQWHQGR�D�FULDQoD�SDUDGD�R�Pi[LPR�SRVVtYHO�QHVVD�SRVLomR��2ULHQWDU�D�PmH�
RX�UHVSRQViYHO�D�PDQWHU�VH�SUy[LPR��VHP�WRFDU�QD�FULDQoD��QHP�QR�HTXLSDPHQWR�
7º Passo:�0RYHU�R�FXUVRU�PDLRU�VREUH�D�HVFDOD�QXPpULFD�SDUD�PDUFDU�RV�TXLORV�
8º Passo:�'HSRLV�PRYHU�R�FXUVRU�PHQRU�SDUD�PDUFDU�RV�JUDPDV�
9º Passo:�(VSHUDU�DWp�TXH�D�DJXOKD�GR�EUDoR�H�R�ILHO�HVWHMDP�QLYHODGRV�
10º Passo:�7UDYDU�D�EDODQoD��HYLWDQGR��DVVLP��TXH�VXD�PROD�GHVJDVWH��DVVHJXUDQGR�R�ERP�IXQFLRQDPHQWR�
GR�HTXLSDPHQWR�
11º Passo:�5HDOL]DU�D�OHLWXUD�GH�IUHQWH�SDUD�R�HTXLSDPHQWR�FRP�RV�ROKRV�QR�PHVPR�QtYHO�GD�HVFDOD�SDUD�
YLVXDOL]DU�PHOKRU�RV�YDORUHV�DSRQWDGRV�SHORV�FXUVRUHV�
12º Passo:�$QRWDU�R�SHVR�QR�IRUPXOiULR�GD�9LJLOkQFLD�$OLPHQWDU�H�1XWULFLRQDO��SURQWXiULR�
13º Passo:�5HWLUDU�D�FULDQoD�H�UHWRUQDU�RV�FXUVRUHV�DR�]HUR�QD�HVFDOD�QXPpULFD�
14º Passo:�0DUFDU�R�SHVR�QD�&DGHUQHWD�GH�6D~GH�GD�&ULDQoD�
Figura 4 -�$IHULomR�GH�SHVR�GH�FULDQoDV�PHQRUHV�GH���DQRV�HP�EDODQoD�SHGLiWULFD�PHFkQLFD
34
MINISTÉRIO DA SAÚDE
6HFUHWDULD�GH�$WHQomR�j�6D~GH�
'HSDUWDPHQWR�GH�$WHQomR�%iVLFD
Se for utilizar balança pediátrica eletrônica (digital)
1º Passo:�$�EDODQoD�GHYH�HVWDU�OLJDGD�DQWHV�GH�D�FULDQoD�VHU�FRORFDGD�VREUH�R�HTXLSDPHQWR��(VSHUDU�TXH�D�
EDODQoD�FKHJXH�DR�]HUR�
2º Passo:�'HVSLU�WRWDOPHQWH�D�FULDQoD�FRP�R�DX[tOLR�GD�PmH�UHVSRQViYHO�
3º Passo:�&RORFDU�D�FULDQoD�GHVSLGD�QR�FHQWUR�GR�SUDWR�GD�EDODQoD��VHQWDGD�RX�GHLWDGD��GH�PRGR�TXH�R�SHVR�
ILTXH�GLVWULEXtGR��0DQWHU�D�FULDQoD�SDUDGD��R�Pi[LPR�SRVVtYHO��QHVVD�SRVLomR��2ULHQWDU�D�PmH�UHVSRQViYHO�D�PDQWHU�
VH�SUy[LPR��VHP�WRFDU�QD�FULDQoD��QHP�QR�HTXLSDPHQWR�
4º Passo:�$JXDUGDU�TXH�R�YDORU�GR�SHVR�HVWHMD�IL[DGR�QR�YLVRU�H�UHDOL]DU�D�OHLWXUD�
5º Passo:�$QRWDU�R�SHVR�QR�IRUPXOiULR�GD�9LJLOkQFLD�$OLPHQWDU�H�1XWULFLRQDO���6,69$1�SURQWXiULR��5HWLUDU�
D�FULDQoD�
6º Passo:�0DUFDU�R�SHVR�QD�&DGHUQHWD�GH�6D~GH�GD�&ULDQoD�
Figura 5 -�$IHULomR�GH�SHVR�GH�FULDQoDV�PHQRUHV�GH���DQRV�HP�EDODQoD�SHGLiWULFD�HOHWU{QLFD
Se for utilizar balança suspensa tipo pêndulo
3DUD�R�XVR�GH�EDODQoDV�VXVSHQVDV��WLSR�SrQGXOR���REVHUYH�TXH�HVWDV�GHYHP�VHU�SHQGXUDGDV�HP�ORFDO�VHJXUR�
H�HP�DOWXUD�TXH�SHUPLWD�XPD�ERD�YLVXDOL]DomR�GD�HVFDOD��QRUPDOPHQWH�QD�DOWXUD�GRV�ROKRV�GR�SURILVVLRQDO�GH�VD~GH��
$V�RULHQWDo}HV�GHVFULWDV�SDUD�R�XVR�GD�EDODQoD�PHFkQLFD�SHGLiWULFD�SRGHP�VHU�DGDSWDGDV�SDUD�D�WpFQLFD�GH�SHVDJHP�
FRP�EDODQoDV�VXVSHQVDV�
AFERIÇÃO DO PESO DE CRIANÇAS MAIORES DE 2 ANOS,
ADOLESCENTES E ADULTOS
$V�FULDQoDV�PDLRUHV�GH���DQRV�GHYHP�VHU�SHVDGDV�GHVFDOoDV�H�FRP�URXSDV�EHP�OHYHV��,GHDOPHQWH��GHYHP�
XVDU�DSHQDV�FDOFLQKD��VKRUW�RX�FXHFD��QD�SUHVHQoD�GD�PmH�RX�GR�UHVSRQViYHO�
2V�DGXOWRV�H�DGROHVFHQWHV�GHYHP�VHU�SHVDGRV�GHVFDOoRV�H�XVDQGR�URXSDV� OHYHV��'HYHP�VHU�RULHQWDGRV�D�
UHWLUDUHP�REMHWRV�SHVDGRV� WDLV�FRPR�FKDYHV��FLQWRV��yFXORV�� WHOHIRQHV�FHOXODUHV�H�TXDLVTXHU�RXWURV�REMHWRV�TXH�
SRVVDP�LQWHUIHULU�QR�SHVR�WRWDO�
Se for utilizar balança mecânica de plataforma:
,QLFLDOPHQWH�FHUWLILTXH�VH�GH�TXH�D�EDODQoD�SODWDIRUPD�HVWi�DIDVWDGD�GD�SDUHGH��
35
orIEntAçÕES PArA A CoLEtA E AnáLISE
dE dAdoS AntroPoMÉtrICoS
EM SErVIçoS dE SAúdE
1º Passo: 'HVWUDYDU�D�EDODQoD�
2º Passo: 9HULILFDU�VH�D�EDODQoD�HVWi�FDOLEUDGD��D�DJXOKD�GR�EUDoR�H�R�ILHO�GHYHP�HVWDU�QD�PHVPD�OLQKD�KRUL]RQWDO���
&DVR�FRQWUiULR��FDOLEUi�OD��JLUDQGR�OHQWDPHQWH�R�FDOLEUDGRU�
3º Passo: (VSHUDU�DWp�TXH�D�DJXOKD�GR�EUDoR�H�R�ILHO�HVWHMDP�QLYHODGRV�
4º Passo: $SyV�D�FDOLEUDomR�GD�EDODQoD��HOD�GHYH�VHU�WUDYDGD�H�Vy�HQWmR�D�FULDQoD��DGROHVFHQWH�H�DGXOWR�GHYH�
VXELU�QD�SODWDIRUPD�SDUD�VHU�SHVDGR�
5º Passo: 3RVLFLRQDU�R�LQGLYtGXR�GH�FRVWDV�SDUD�D�EDODQoD��GHVFDOoR��FRP�R�PtQLPR�GH�URXSD�SRVVtYHO��QR�FHQWUR�
GR�HTXLSDPHQWR��HUHWR��FRP�RV�SpV�MXQWRV�H�RV�EUDoRV�HVWHQGLGRV�DR�ORQJR�GR�FRUSR��0DQWr�OR�SDUDGR�QHVVD�SRVLomR�
6º Passo:�'HVWUDYDU�D�EDODQoD�
7º Passo: 0RYHU�R�FXUVRU�PDLRU�VREUH�D�HVFDOD�QXPpULFD��SDUD�PDUFDU�RV�TXLORV�
8º Passo: 'HSRLV�PRYHU�R�FXUVRU�PHQRU�SDUD�PDUFDU�RV�JUDPDV�
9º Passo: (VSHUDU�DWp�TXH�D�DJXOKD�GR�EUDoR�H�R�ILHO�HVWHMDP�QLYHODGRV�
10º Passo: 7UDYDU�D�EDODQoD��HYLWDQGR��DVVLP�TXH�VXD�PROD�GHVJDVWH��DVVHJXUDQGR�R�ERP�IXQFLRQDPHQWR�GR�
HTXLSDPHQWR�
11º Passo: 5HDOL]DU�D� OHLWXUD�GH�IUHQWH�SDUD�R�HTXLSDPHQWR��SDUD�YLVXDOL]DU�PHOKRU�RV�YDORUHV�DSRQWDGRV�
pelos cursores.
12º Passo:�$QRWDU�R�SHVR�QR�IRUPXOiULR�GD�9LJLOkQFLD�$OLPHQWDU�H�1XWULFLRQDO�²�6,69$1�H�QR�SURQWXiULR�
13º Passo: 5HWLUDU�D�FULDQoD��DGROHVFHQWH�RX�DGXOWR�
14º Passo: 5HWRUQDU�RV�FXUVRUHV�DR�]HUR�QD�HVFDOD�QXPpULFD�
15º Passo: 0DUFDU�R�SHVR�GDV�FULDQoDV�QD�&DGHUQHWD�GH�6D~GH�GD�&ULDQoD�
Figura 6 -�$IHULomR�GH�SHVR�GH�DGXOWRV�HP�EDODQoD�PHFkQLFD�GH�SODWDIRUPD
36
MINISTÉRIO DA SAÚDE
6HFUHWDULD�GH�$WHQomR�j�6D~GH�
'HSDUWDPHQWR�GH�$WHQomR�%iVLFD
Se for utilizar balança eletrônica (digital):
1º Passo:�$�EDODQoD�GHYH�HVWDU�OLJDGD�DQWHV�GR�LQGLYtGXR�SRVLFLRQDU�VH�VREUH�R�HTXLSDPHQWR��(VSHUDU�TXH�D�
EDODQoD�FKHJXH�DR�]HUR�
2º Passo:�&RORFDU�D�FULDQoD��DGROHVFHQWH�RX�DGXOWR��QR�FHQWUR�GR�HTXLSDPHQWR��FRP�R�PtQLPR�GH�URXSD�
SRVVtYHO��GHVFDOoR��HUHWR��FRP�RV�SpV�MXQWRV�H�RV�EUDoRV�HVWHQGLGRV�DR�ORQJR�GR�FRUSR��0DQWr�OR�SDUDGR�QHVVD�SRVLomR�
3º Passo:�5HDOL]DU�D�OHLWXUD�DSyV�R�YDORU�GH�R�SHVR�HVWDU�IL[DGR�QR�YLVRU�
4º Passo:�$QRWDU�R�SHVR�QR�IRUPXOiULR�GD�9LJLOkQFLD�$OLPHQWDU�H�1XWULFLRQDO�²�6,69$1�H�QR�SURQWXiULR��
5HWLUDU�D�FULDQoD��DGROHVFHQWH�RX�DGXOWR�GD�EDODQoD�
5º Passo:�3DUD�FULDQoDV��DQRWDU�R�SHVR�QD�&DGHUQHWD�GH�6D~GH�GD�&ULDQoD.
Figura 7 -�$IHULomR�GH�SHVR�GH�DGXOWRV�HP�EDODQoD�PHFkQLFD�GH�SODWDIRUPD
AFERIÇÃO DO COMPRIMENTO DE CRIANÇAS MENORES DE 2 ANOS
2�FRPSULPHQWR�p�D�GLVWkQFLD�TXH�YDL�GD�VROD��SODQWD��GRV�SpV�GHVFDOoRV��DR�WRSR�GD�FDEHoD��FRPSULPLQGR�RV�
FDEHORV��FRP�D�FULDQoD�GHLWDGD�HP�VXSHUItFLH�KRUL]RQWDO��ILUPH�H�OLVD��'HYH�VH�UHWLUDU�RV�VDSDWRV�GD�FULDQoD��'HYH�VH��
WDPEpP��UHWLUDU�WRXFDV��ILYHODV�RX�HQIHLWHV�GH�FDEHOR�TXH�SRVVDP�LQWHUIHULU�QD�WRPDGD�GD�PHGLGD�
1º Passo:�'HLWDU�D�FULDQoD�QR�FHQWUR�GR�LQIDQW{PHWUR��GHVFDOoD�H�FRP�D�FDEHoD�OLYUH�GH�DGHUHoRV�
2º Passo:�0DQWHU��FRP�D�DMXGD�GD�PmH��UHVSRQViYHO�
��D�FDEHoD�DSRLDGD�ILUPHPHQWH�FRQWUD�D�SDUWH�IL[D�GR�HTXLSDPHQWR��FRP�R�SHVFRoR�UHWR�H�R�TXHL[R�DIDVWDGR�
GR�SHLWR��QR�SODQR�GH�)UDQNIXUW��PDUJHP�LQIHULRU�GD�DEHUWXUD�GR�RUELWDO�H�D�PDUJHP�VXSHULRU�GR�PHDWXV�DXGLWLYR�
H[WHUQR�GHYHUmR�ILFDU�HP�XPD�PHVPD�OLQKD�KRUL]RQWDO���
��RV�RPEURV�WRWDOPHQWH�HP�FRQWDWR�FRP�D�VXSHUItFLH�GH�DSRLR�GR�LQIDQW{PHWUR�
��RV�EUDoRV�HVWHQGLGRV�DR�ORQJR�GR�FRUSR�
3º Passo:�$V�QiGHJDV�H�RV�FDOFDQKDUHV�GD�FULDQoD�HP�SOHQR�FRQWDWR�FRP�D�VXSHUItFLH�TXH�DSyLD�R�LQIDQW{PHWUR�
4º Passo:�3UHVVLRQDU��FXLGDGRVDPHQWH��RV�MRHOKRV�GD�FULDQoD�SDUD�EDL[R��FRP�XPD�GDV�PmRV��GH�PRGR�TXH�
HOHV�ILTXHP�HVWHQGLGRV��-XQWDU�RV�SpV��ID]HQGR�XP�kQJXOR�UHWR�FRP�DV�SHUQDV��/HYDU�D�SDUWH�PyYHO�GR�HTXLSDPHQWR�
DWp�DV�SODQWDV�GRV�SpV��FRP�FXLGDGR�SDUD�TXH�QmR�VH�PH[DP�
Figura 8 -�7pFQLFD�GH�DIHULomR�GR�FRPSULPHQWR�VHJXQGR�3ODQR�GH�)UDQNIXUW�
37
orIEntAçÕES PArA A CoLEtA E AnáLISE
dE dAdoS AntroPoMÉtrICoS
EM SErVIçoS dE SAúdE
5º Passo:�5HDOL]DU�D� OHLWXUD�GR�FRPSULPHQWR�TXDQGR�HVWLYHU�VHJXUR�GH�TXH�D�FULDQoD�QmR�VH�PRYHX�GD�
SRVLomR�LQGLFDGD�
6º Passo:�$QRWDU�R�UHVXOWDGR�QR�IRUPXOiULR�GD�9LJLOkQFLD�$OLPHQWDU�H�1XWULFLRQDO���6,69$1�H�QR�SURQWXiULR�
H�UHWLUDU�D�FULDQoD��0DUFDU�D�PHGLGD�GD�HVWDWXUD�QD�&DGHUQHWD�GH�6D~GH�GD�&ULDQoD�
Figura 9 -�$IHULomR�GR�FRPSULPHQWR�GH�FULDQoDV�PHQRUHV�GH���DQRV
AFERIÇÃO DA ALTURA DE CRIANÇAS MAIORES DE 2 ANOS, ADOLESCENTES
E ADULTOS
$�HVWDWXUD�p�D�PHGLGD�GR�LQGLYtGXR�QD�SRVLomR�GH�Sp��HQFRVWDGR�QXPD�SDUHGH�RX�DQWURS{PHWUR�YHUWLFDO�

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