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[Nutritional status in children younger than 24 months in Alagoas, Brazil]
Iasmin de A Cavalcanti Duarte1, Maria de Fátima Machado de Albuquerque, Jairo Calado Cavalcante
1Faculdade de Medicina, Universidade Federal de Alagoas, AL, Brasil. iasminduarte@yahoo.com.br
Insights
Comparing growth standards for children under 24 months in Brazil revealed the World Health Organization (WHO) 2006 standard is more sensitive in detecting early growth limitations in exclusively breastfed infants.
Area of Science:
- Pediatric Nutrition
- Growth Monitoring
- Public Health
Context:
- Assessing child nutritional status is crucial for early intervention.
- Growth charts are essential tools for monitoring child development.
- Comparing different growth standards helps refine assessment accuracy.
Purpose:
- To compare the 1977 National Center for Health Statistics (NCHS) and 2006 World Health Organization (WHO) growth standards.
- To evaluate the nutritional status of children under 24 months in Alagoas, Brazil.
- To determine which standard is more effective for detecting growth limitations in the early months of life.
Summary:
- A retrospective cross-sectional study analyzed 252 hospital charts of children under 24 months from a low socioeconomic background in Brazil.
- Height-for-age, weight-for-age, and weight-for-height Z-scores were calculated using both NCHS and WHO standards.
- Both standards indicated healthy nutritional status, but the WHO standard demonstrated higher sensitivity in identifying growth faltering within the first six months.
Impact:
- The findings suggest the WHO 2006 growth standard is a more sensitive tool for early detection of growth issues in infants.
- This improved sensitivity can lead to more timely interventions for at-risk children.
- The study highlights the importance of using appropriate growth monitoring tools for diverse pediatric populations.
Abstract:
The aim of this retrospective, cross-sectional study was to compare the 1977 National Center for Health Statistics (NCHS) and the 2006 World Health Organization (WHO) growth standards to determine the nutritional status of children attending the pediatric outpatient clinic at a university hospital in Alagoas, Brazil. We reviewed 252 hospital charts of children younger than 24 months and determined the height-for-age, weight-for-age, and weight-for-height using the two standards. The sample was of low socioeconomic level and exclusively or predominantly breastfed children. TheZ-scores for both standards indicated that the children in this sample were healthy, but the WHO standard was more sensitive for the detection of growth limitations in the first 6 months of life.
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