Are international anthropometric standards appropriate for developing countries?

To test the validity of using international standards as references for the assessment of nutritional status, investigations have been carried out on pre-school aged children selected from three distinct ecological environments in Papua New Guinea. Field work included anthropometric measurements (weight, height, triceps skin-fold, mid-upper-arm circumference, mid-upper-arm muscle circumference), together with pathological and clinical assessments (intestinal helminths, diarrhoea, splenomegaly, PEM signs). The findings indicate that any deviation below standard weight, height, and arm circumference is associated with greater prevalence of disease. International standards are therefore appropriate for preschool aged children in Papua New Guinea and by inference in other developing countries.