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Updated: Jul 24, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Ghanaian infant growth study
1Darwin College, Cambridge, United Kingdom. rogergwhitehead@aol.com
Insights
Future World Health Organization (WHO) growth references will be international, using data from breastfed infants with unrestricted growth. Even in developing nations, family income and paternal education impact infant growth outcomes.
Area of Science:
- Pediatrics
- Anthropometry
- Global Health
Background:
- The current National Center for Health Statistics (NCHS)/WHO growth references are primarily US-based.
- Revised WHO growth references aim for an international basis for infancy and early childhood.
- Data collection will focus on infants breastfed per WHO guidelines, ensuring growth is not environmentally restricted.
Discussion:
- A study from Ghana explored methods to identify infants with growth unrestricted by environmental factors in a developing country.
- This research addresses the challenge of collecting representative data in diverse socioeconomic settings.
- It highlights the feasibility of meeting stringent data collection criteria in resource-limited environments.
Key Insights:
- Family income remains a significant factor in achieving optimal infant growth, even in affluent households within developing contexts.
- Higher paternal education, up to university level, is strongly correlated with better infant growth outcomes.
- These socioeconomic variables are crucial considerations for establishing accurate international growth references.
Outlook:
- The findings will inform the development of more inclusive and globally representative WHO growth references.
- Future references will better reflect diverse populations and socioeconomic influences on child development.
- This research contributes to improving pediatric health monitoring worldwide.
Abstract:
The future revised WHO growth references for infancy and early childhood will have an international basis rather than just an American one, as is the case with the current NCHS/WHO ones. The anthropometric data for analysis will be collected from babies breastfed in accordance with WHO guidelines. An important stipulation, however, is that their growth must have been unrestricted by environmental factors. A paper from Ghana describes a quantitative provisional study that has revealed how such a condition can be satisfied within a developing country. Family income and especially the higher education of the father up to university level can still be important variables in the achievement of optimal growth of babies, even those brought up in situations of relative affluence.
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