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Updated: Jul 3, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
The World Health Organization child growth standards: expected implications for clinical and epidemiological research
Insights
The World Health Organization (WHO) child growth standards, released in 2006 and 2007, will significantly impact future anthropometric research and nutritional assessments. These new standards are expected to influence research questions, methods, and the validity of findings in child growth studies.
Area of Science:
- Pediatric nutrition
- Anthropometry
- Public health
Background:
- The World Health Organization (WHO) introduced new child growth standards in 2006 and 2007, replacing previous National Center for Health Statistics references.
- These standards serve as an international tool for assessing child growth and nutritional status.
Discussion:
- The adoption of WHO child growth standards necessitates a re-evaluation of past research methodologies and results.
- Implications extend to the selection of research questions, nutritional indices, and the training of personnel conducting measurements.
- Ensuring the internal and external validity of research findings is crucial during this transition.
Key Insights:
- The new WHO standards are poised to reshape the landscape of anthropometric research.
- A shift in focus towards new nutritional indices and updated measurement techniques is anticipated.
- The long-term impact on growth and nutrition research will become evident as the scientific community adopts and validates these standards.
Outlook:
- Continued research is needed to fully understand the functional validity of the WHO child growth standards, especially for previously unavailable indices.
- Healthcare professionals and researchers must adapt to these new standards, fostering a more consistent global approach to child growth assessment.
- The transition period will gradually clarify the full scope of the standards' influence on pediatric research and practice.
Abstract:
In 2006 and 2007, the World Health Organization (WHO) released two sets of child growth standards (World Health Organization, WHO Child Growth Standards. Methods and development. Length/height-for-age, weight-for-age, weight-for-length, weight-for-height and body mass index-for-age. WHO, Geneva, 2006; World Health Organization, WHO Child Growth Standards: Methods and Development. Head circumference-for-age, arm circumference-for-age, triceps skinfold-for-age and subscapular skinfold-for-age. WHO, Geneva, 2007) to replace the National Center for Health Statistics references (Hamill et al., National Center for Health Statistics, Vital and Health Statistics Series 11, No 165, 1977) as an international tool for growth and nutritional assessment. This paper explores the scope of implications for future anthropometric research, highlighting foreseeable effects on the choice of research questions, choice of nutritional indices, training of measurers, and issues of internal and external validity of research results. The conclusion drawn is that the introduction of the WHO child growth standards is expected to have wide implications for growth and nutrition research. The full scope of this effect will gradually become clear while researchers, similar to health care workers, make the transition to using the new standards, re-evaluate results of past approaches, and explore the uses and functional validity of the standards, including those for indices that were not previously available.
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