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Related Experiment Videos

Is the 2000 CDC growth reference appropriate for developing countries?

Dominique Roberfroid1, Marie-Paule Lerude, Armando Pérez-Cueto

  • 1Department of Public Health, Nutrition Unit, Institute of Tropical Medicine, 155 Nationalestraat, B-2000 Antwerp, Belgium. droberfroid@itg.be

Public Health Nutrition
|March 31, 2006
PubMed
Summary

The 2000 Centers for Disease Control and Prevention (CDC) growth reference significantly alters nutritional diagnoses, increasing wasting prevalence in Madagascar. Researchers recommend using the 1978 National Center for Health Statistics (NCHS)/World Health Organization (WHO) reference for now.

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Area of Science:

  • Pediatrics
  • Public Health
  • Nutrition Science

Background:

  • The Centers for Disease Control and Prevention (CDC) released a revised growth reference in 2000.
  • This 2000 CDC growth reference has been implemented globally.
  • Previous nutritional assessments utilized the 1978 National Center for Health Statistics (NCHS)/World Health Organization (WHO) growth references.

Purpose of the Study:

  • To compare the impact of the 2000 CDC growth reference versus the 1978 NCHS/WHO growth reference on nutritional diagnoses in Madagascar.
  • To evaluate changes in the prevalence of wasting and other nutritional indicators when using different growth references.

Main Methods:

  • Nutritional survey data from Madagascar was analyzed.
  • Results were compared using both the 2000 CDC and the 1978 NCHS/WHO growth references.

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  • Prevalence of key nutritional indicators, particularly wasting, was assessed.

    • Main Results:

    • A significant impact on nutritional diagnosis was observed when switching growth references.
    • The prevalence of wasting was substantially increased when using the 2000 CDC growth reference.
    • The change in reference criteria could lead to operational and clinical challenges.

    Conclusions:

    • The choice of growth reference critically affects nutritional status assessment.
    • Continued use of the 1978 NCHS/WHO reference is advised in Madagascar pending new WHO multi-country growth charts.
    • Further research is needed to understand the long-term implications of the 2000 CDC growth reference implementation.