Use of the New World Health Organization Child Growth Standards to Describe Longitudinal Growth of Breastfed Rural Bangladeshi Infants and Young Children

Overview

Journal Food Nutr Bull

Specialty Environmental Health

Date 2009 Aug 20

PMID 19689092

Citations 12

Authors

Kuntal K Saha

Edward A Frongillo

Dewan S Alam

Shams E Arifeen

Lars A Persson

Kathleen M Rasmussen

Affiliations

Soon will be listed here.

Abstract

Background: Although the National Center for Health Statistics (NCHS) reference has been widely used, in 2006 the World Health Organization (WHO) released new standards for assessing growth of infants and children worldwide.

Objective: To assess and compare the growth of breastfed rural Bangladeshi infants and young children based on the new WHO child growth standards and the NCHS reference.

Methods: We followed 1343 children in the Maternal and Infant Nutrition Intervention in Matlab (MINIMat) study from birth to 24 months of age. Weights and lengths of the children were measured monthly during infancy and quarterly in the second year of life. Anthropometric indices were calculated using both WHO standards and the NCHS reference. The growth pattern and estimates of undernutrition based on the WHO standards and the NCHS reference were compared.

Results: The mean birthweight was 2697 +/- 401 g, with 30% weighing <2500 g. The growth pattern of the MINIMat children more closely tracked the WHO standards than it did the NCHS reference. The rates of stunting based on the WHO standards were higher than the rates based on the NCHS reference throughout the first 24 months. The rates of underweight and wasting based on the WHO standards were significantly different from those based on the NCHS reference.

Conclusions: This comparison confirms that use of the NCHS reference misidentifies undernutrition and the timing of growth faltering in infants and young children, which was a key rationale for constructing the new WHO standards. The new WHO child growth standards provide a benchmark for assessing the growth of breastfed infants and children.

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References

Seal A, Kerac M . Operational implications of using 2006 World Health Organization growth standards in nutrition programmes: secondary data analysis. BMJ. 2007; 334(7596):733. PMC: 1847893. DOI: 10.1136/bmj.39101.664109.AE. View

Hamill P, Drizd T, Johnson C, Reed R, Roche A, MOORE W . Physical growth: National Center for Health Statistics percentiles. Am J Clin Nutr. 1979; 32(3):607-29. DOI: 10.1093/ajcn/32.3.607. View

Cole T . Weight/heightp compared to weight/height2 for assessing adiposity in childhood: influence of age and bone age on p during puberty. Ann Hum Biol. 1986; 13(5):433-51. DOI: 10.1080/03014468600008621. View

de Onis M, Garza C, Onyango A, Borghi E . Comparison of the WHO child growth standards and the CDC 2000 growth charts. J Nutr. 2006; 137(1):144-8. DOI: 10.1093/jn/137.1.144. View

Dewey K, Heinig M, Nommsen L, Peerson J, Lonnerdal B . Growth of breast-fed and formula-fed infants from 0 to 18 months: the DARLING Study. Pediatrics. 1992; 89(6 Pt 1):1035-41. View

Saha K, Frongillo E, Alam D, Arifeen S, Persson L, Rasmussen K . Appropriate infant feeding practices result in better growth of infants and young children in rural Bangladesh. Am J Clin Nutr. 2008; 87(6):1852-9. PMC: 2518656. DOI: 10.1093/ajcn/87.6.1852. View

Piwoz E, Peerson J, Brown K . Potential for misclassification of infants' growth increments by using existing reference data. Am J Clin Nutr. 1992; 56(1):58-64. DOI: 10.1093/ajcn/56.1.58. View

Persson L . Infant feeding and growth--a longitudinal study in three Swedish communities. Ann Hum Biol. 1985; 12(1):41-52. DOI: 10.1080/03014468500007551. View

WATERLOW J, BUZINA R, Keller W, Lane J, NICHAMAN M, Tanner J . The presentation and use of height and weight data for comparing the nutritional status of groups of children under the age of 10 years. Bull World Health Organ. 1977; 55(4):489-98. PMC: 2366685. View

10.

Saha K, Frongillo E, Alam D, Arifeen S, Persson L, Rasmussen K . Household food security is associated with infant feeding practices in rural Bangladesh. J Nutr. 2008; 138(7):1383-90. PMC: 2518644. DOI: 10.1093/jn/138.7.1383. View

11.

Yarbrough C, Habicht J, Martorell R, Klein R . Anthropometry as an index of nutritional status. Adv Exp Med Biol. 1974; 49(0):15-26. DOI: 10.1007/978-1-4684-3252-7_2. View

12.

Victora C, Morris S, Barros F, de Onis M, Yip R . The NCHS reference and the growth of breast- and bottle-fed infants. J Nutr. 1998; 128(7):1134-8. DOI: 10.1093/jn/128.7.1134. View

13.

Nelson S, Rogers R, Ziegler E, FOMON S . Gain in weight and length during early infancy. Early Hum Dev. 1989; 19(4):223-39. DOI: 10.1016/0378-3782(89)90057-1. View

14.

Dibley M, Staehling N, Nieburg P, Trowbridge F . Interpretation of Z-score anthropometric indicators derived from the international growth reference. Am J Clin Nutr. 1987; 46(5):749-62. DOI: 10.1093/ajcn/46.5.749. View

15.

. Growth patterns of breastfed infants in seven countries. Acta Paediatr. 2000; 89(2):215-22. DOI: 10.1080/080352500750028861. View

16.

Salmenpera L, Perheentupa J, Siimes M . Exclusively breast-fed healthy infants grow slower than reference infants. Pediatr Res. 1985; 19(3):307-12. DOI: 10.1203/00006450-198503000-00011. View

17.

Dibley M, Goldsby J, Staehling N, Trowbridge F . Development of normalized curves for the international growth reference: historical and technical considerations. Am J Clin Nutr. 1987; 46(5):736-48. DOI: 10.1093/ajcn/46.5.736. View

18.

Woodruff B, Duffield A . Anthropometric assessment of nutritional status in adolescent populations in humanitarian emergencies. Eur J Clin Nutr. 2002; 56(11):1108-18. DOI: 10.1038/sj.ejcn.1601456. View

19.

Mei Z, Grummer-Strawn L, Pietrobelli A, Goulding A, Goran M, Dietz W . Validity of body mass index compared with other body-composition screening indexes for the assessment of body fatness in children and adolescents. Am J Clin Nutr. 2002; 75(6):978-85. DOI: 10.1093/ajcn/75.6.978. View

20.

Garza , De Onis M . A new international growth reference for young children. Am J Clin Nutr. 1999; 70(1 Part 2):169S-172S. View