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Updated: May 31, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Development of an evidence-based clinical practice guideline on linear growth measurement of children
Jan M Foote1, Linda H Brady, Amber L Burke
1Blank Children's Hospital, Des Moines, IA, USA. footejm@ihs.org
Insights
Accurate child growth measurement is vital for health monitoring. This study developed a guideline to improve the reliability of measuring infant, child, and adolescent length and stature.
Area of Science:
- Pediatrics
- Clinical Practice Guidelines
- Health Measurement
Background:
- Child growth monitoring is crucial for assessing health.
- Inaccurate measurements of linear growth (recumbent length and stature) are common.
- Reliable growth data is essential for early detection of health issues.
Purpose of the Study:
- To review the literature on linear growth measurement errors.
- To develop and evaluate an evidence-based clinical practice guideline for accurate growth measurement in children.
- To enhance the accuracy and reliability of pediatric growth data.
Main Methods:
- Systematic literature review to identify evidence on growth measurement.
- Critical appraisal and synthesis of evidence by a multidisciplinary team.
- Development of clinical practice recommendations using an evidence-based rating scheme.
- Prospective evaluation of the guideline through reviews and a pilot study.
Main Results:
- A comprehensive review of linear growth measurement errors was conducted.
- An evidence-based clinical practice guideline for measuring recumbent length and stature was developed.
- The guideline demonstrated validity and reliability through rigorous evaluation.
Conclusions:
- Adoption of the clinical practice guideline can significantly improve the accuracy and reliability of growth measurements.
- Standardized measurement techniques are essential for effective child health surveillance.
- The guideline provides a framework for consistent and dependable pediatric growth assessment.
Abstract:
Growth is an important indicator of child health; however, measurements are frequently inaccurate and unreliable. This article reviews the literature on linear growth measurement error and describes methods used to develop and evaluate an evidence-based clinical practice guideline on the measurement of recumbent length and stature of infants, children, and adolescents. Systematic methods were used to identify evidence to answer clinical questions about growth measurement. A multidisciplinary team critically appraised and synthesized the evidence to develop clinical practice recommendations using an evidence-based practice rating scheme. The guideline was prospectively evaluated through internal and external reviews and a pilot study to ensure its validity and reliability. Adoption of the clinical practice guideline can improve the accuracy and reliability of growth measurement data.
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