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Updated: Aug 2, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Growth and nutrition of Hong Kong children aged 0-7 years
1Department of Paediatrics, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin. sophie-leung@cuhk.edu.hk
Insights
Early dietary practices in Hong Kong children show lower energy intake and fat consumption compared to Western counterparts. Despite differences in growth metrics, dietary factors do not fully explain the smaller body build observed in Chinese children.
Area of Science:
- Pediatric Nutrition
- Growth and Development
- Public Health
Background:
- Understanding early childhood nutrition is crucial for optimal growth and development.
- Previous studies suggest potential differences in growth patterns between Asian and Western children.
Purpose of the Study:
- To investigate the relationship between early dietary habits and growth in Hong Kong children from birth to seven years.
- To compare the growth and dietary intake of Hong Kong children with international references.
Main Methods:
- Longitudinal study of 173 Hong Kong Chinese infants from birth to seven years.
- Anthropometric measurements and dietary assessments (dietary history, 24-hour recall, food frequency) were employed.
Main Results:
- Hong Kong children were lighter and shorter than NCHS and Australian references, with differences most pronounced between ages 1-5 years.
- Energy intake decreased with age, and fat intake remained around 30%, with higher protein intake compared to Australian and Finnish children.
- Calcium, iron, and vitamin C intake met at least 60% of US recommended daily allowances.
Conclusions:
- Dietary differences do not fully account for the smaller body size of Chinese children compared to Caucasians.
- The diet of Hong Kong children is becoming more Westernized, with increased consumption of animal products.
Objective:
To study the early dietary practices in relation to growth of Hong Kong children from birth to 7 years.
Methodology:
One hundred and seventy-three full-term Hong Kong Chinese babies were recruited at birth and were followed up for anthropometric measurements using standardized methods and dietary assessment using a combination of dietary history, 24 h recall and food frequency. At 7 years, 125 children remained in the study.
Results:
Mean (SD) birthweight was 3.3 (0.38) kg for boys and 3.1 (0.38) kg for girls. Mean (SD) weight at 7 years was 22.4 (4.2) kg for boys and 21.1 (3.7) kg for girls, and mean (SD) height was 120.3 (4.8) cm for boys and 119.8 (5.1) cm for girls. Hong Kong children were lighter and shorter than Australian children and the National Centre for Health Statistics (NCHS) references, but the magnitude is less than one standard deviation score. Mean weight and height of Hong Kong children were lower compared to Caucasian and Beijing children, with more obvious differences between 1 and 5 years. At 1 year, mean (SD) daily energy intake was 98 (24) kcal/kg/day for boys and 100 (26) kcal/kg/day for girls. By 7 years, it decreased to 82 (18) kcal/kg/day for boys and 73 (22) kcal/kg/day for girls. Between 2 to 4 years of age the energy intake of studied children were slightly lower than the Australian and Finnish children, but the protein intake was higher. Percentage of fat contributing to total daily energy intake was lower throughout at a level of 30%. Such differences in diet reflect a lower consumption of milk fat, higher consumption of meat and lower level of physical activity in Hong Kong children. Intakes of calcium, iron and vitamin C all reached 60% or above of US recommended daily allowance.
Conclusions:
The smaller body build of Chinese compared to Caucasians cannot be explained by dietary differences. The diet of Hong Kong children is changing to one which is more Westernized with a higher consumption of animal products.
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