Comparison of the World Health Organization growth velocity standards with existing US reference data

Mercedes de Onis1, Amani Siyam, Elaine Borghi

  • 1Department of Nutrition, World Health Organization, 20 Avenue Appia, 1211 Geneva 27, Switzerland. deonism@who.int

Pediatrics
|June 29, 2011
PubMed

Insights

The World Health Organization (WHO) growth velocity standards differ from US child data, particularly for weight and length gains. WHO standards are recommended for assessing growth velocity and clinical decisions in US children.

Area of Science:

  • Pediatrics
  • Growth and Development
  • Biostatistics

Background:

  • Accurate growth assessment is crucial for child health.
  • Existing growth velocity standards may not fully represent diverse populations.
  • The World Health Organization (WHO) provides global growth standards.

Purpose of the Study:

  • To compare World Health Organization (WHO) growth velocity standards with reference data derived from US children.
  • To identify discrepancies in weight and length velocity between WHO standards and US-based data.

Main Methods:

  • Compared serial weight and length gain data from US children against WHO child growth standards.
  • Analyzed weight velocities for boys and girls across percentiles (5th-95th) at various intervals (1-3 months) up to 24 months.
  • Compared length velocities at 2- and 3-month intervals up to 24 months.

Main Results:

  • WHO and US weight increments showed similarity at the 5th percentile up to 3 months; other US percentiles were lower than WHO.
  • US weight values converged to a narrower range than WHO standards from 3 months onward.
  • Length medians were similar, but outer US percentiles for length also converged with age compared to WHO standards.

Conclusions:

  • Significant differences exist between WHO growth velocity standards and US-based reference data.
  • WHO growth velocity standards are suggested as a superior tool for growth assessment and clinical decision-making in US children.
Abstract

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