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[Agreement between center of disease control and word health organization reference growth]

Cláudia Aparecida Arcari Silva1, Maria José Bistafa Pereira, Ana Márcia Spanó Nakano

  • 1Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brasil. claudiarcari@usp.br

Revista Da Escola De Enfermagem Da U S P
|June 10, 2011
PubMed

Insights

This study compared Centers for Disease Control and Prevention (CDC) and World Health Organization (WHO) child nutrition guidelines. Differences were found, particularly for infants aged 3-6 months, impacting nutritional assessments.

Area of Science:

  • Pediatrics
  • Nutritional Science
  • Public Health

Background:

  • Accurate nutritional assessment is crucial for child development.
  • International guidelines from the Centers for Disease Control and Prevention (CDC) and World Health Organization (WHO) are widely used.
  • Understanding agreement between these guidelines is essential for consistent pediatric care.

Purpose of the Study:

  • To evaluate the concordance between CDC and WHO guidelines for assessing child nutritional status.
  • To identify potential discrepancies in nutritional evaluations based on different guideline recommendations.

Main Methods:

  • A cross-sectional study involving 254 children aged 3 to 11 months and 29 days.
  • Anthropometric indices were calculated using CDC and WHO online software.
  • Statistical analysis included the Kappa Test for nominal variables (length/age) and weighted-Kappa for ordinal variables (weight/length).

Main Results:

  • Significant differences were observed between CDC and WHO guidelines in evaluating child nutrition.
  • The discrepancies were more pronounced in the nutritional assessment of infants between 3 and 6 months of age.
  • Kappa statistics indicated varying levels of agreement depending on the anthropometric index and age group.

Conclusions:

  • The CDC and WHO guidelines exhibit notable differences in assessing pediatric nutritional status.
  • These variations necessitate careful consideration, especially when evaluating infants aged 3-6 months.
  • Further research may be needed to refine guidelines for optimal global child nutrition monitoring.

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