Comparison of the WHO Child Growth Standards with the NCHS for Estimation of Malnutrition in Birjand-Iran

Overview

Journal Int J Prev Med

Date 2014 Jun 17

PMID 24932399

Citations 3

Authors

Kokab Namakin

Gholam Reza Sharifzadeh

Mahmoud Zardast

Zeynab Khoshmohabbat

Mahsa Saboori

Affiliations

Soon will be listed here.

Abstract

Background: Anthropometric indices are widely used to assess the health and nutritional status of children The aim of the present study was determination of malnutrition and compare estimates of under nutrition among young children under 2 years of age from Birjand city of Iran using WHO growth standard and the National Center for Health Statistics (NCHS) references.

Methods: The cross-sectional descriptive study conducted on 822 children under 2 years of age mean z scores for weight-for-age and height-for-age and prevalence underweight, stunting and wasting were calculated using the new WHO growth standards and compared with NCHS references.

Results: Compared with NCHS reference, the mean height for age were lower and mean weight for age scores were almost similar using the WHO standards. Prevalence underweight, stunting, and wasting using WHO standards were 5.2-8.2% and 1.9%, respectively, compared to 6.5-37.3% and 1% based on the NCHS references.

Conclusions: Using WHO standards resulted differences in mean z score for height for age and changes in prevalence of stunting compared with NCHS references in Birjand city children.

Citing Articles

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Azizi-Soleiman F, Sharifi H, Zamanian M Int J Prev Med. 2021; 11:182.

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References

Fenn B, Penny M . Using the new World Health Organisation growth standards: differences from 3 countries. J Pediatr Gastroenterol Nutr. 2008; 46(3):316-21. DOI: 10.1097/MPG.0b013e31815d6968. View

Garza C, de Onis M . A new international growth reference for young children. Am J Clin Nutr. 1999; 70(1):169S-72S. DOI: 10.1093/ajcn/70.1.169s. View

Alasfoor D, Mohammed A . Implications of the use of the new WHO growth charts on the interpretation of malnutrition and obesity in infants and young children in Oman. East Mediterr Health J. 2010; 15(4):890-8. View

Prinja S, Thakur J, Bhatia S . Pilot testing of WHO child growth standards in Chandigarh: implications for India's child health programmes. Bull World Health Organ. 2009; 87(2):116-22. PMC: 2636195. DOI: 10.2471/blt.08.051789. View

Nichols E, Nichols J, Selwyn B, Coello-Gomez C, Parkerson G, Brown E . Implications of the WHO Child Growth Standards in rural Honduras. Public Health Nutr. 2012; 15(6):1015-22. DOI: 10.1017/S1368980011003570. View

de Onis M, Blossner M, Borghi E, Frongillo E, Morris R . Estimates of global prevalence of childhood underweight in 1990 and 2015. JAMA. 2004; 291(21):2600-6. DOI: 10.1001/jama.291.21.2600. View

Bosman L, Herselman M, Kruger H, Labadarios D . Secondary analysis of anthropometric data from a South African national food consumption survey, using different growth reference standards. Matern Child Health J. 2010; 15(8):1372-80. DOI: 10.1007/s10995-010-0685-5. View

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

de Onis M, Frongillo E, Blossner M . Is malnutrition declining? An analysis of changes in levels of child malnutrition since 1980. Bull World Health Organ. 2000; 78(10):1222-33. PMC: 2560621. View

10.

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

11.

El Mouzan M, Foster P, Al Herbish A, Al Salloum A, Al Omar A, Qurachi M . Prevalence of malnutrition in Saudi children: a community-based study. Ann Saudi Med. 2010; 30(5):381-5. PMC: 2941251. DOI: 10.4103/0256-4947.67076. View

12.

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

13.

de Onis M, Onyango A, Borghi E, Garza C, Yang H . Comparison of the World Health Organization (WHO) Child Growth Standards and the National Center for Health Statistics/WHO international growth reference: implications for child health programmes. Public Health Nutr. 2006; 9(7):942-7. DOI: 10.1017/phn20062005. View

14.

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

15.

de Onis M, Garza C, Victora C, Onyango A, Frongillo E, Martines J . The WHO Multicentre Growth Reference Study: planning, study design, and methodology. Food Nutr Bull. 2004; 25(1 Suppl):S15-26. DOI: 10.1177/15648265040251S103. View

16.

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

17.

Saha K, Frongillo E, Alam D, Arifeen S, Persson L, Rasmussen K . Use of the new World Health Organization child growth standards to describe longitudinal growth of breastfed rural Bangladeshi infants and young children. Food Nutr Bull. 2009; 30(2):137-44. PMC: 4425403. DOI: 10.1177/156482650903000205. View

18.

Yang H, Fang Z, Zhao L, Qin Q, Wei Y, Xu J . [Analysis on the prevalence of malnutrition and affected factors of rural poor infants under 2 years old in Guangxi Province in 2008]. Wei Sheng Yan Jiu. 2010; 39(4):469-71, 477. View

19.

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

20.

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