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WHO growth chart awareness among clinicians in Kentucky

Krishna S Vyas1, Candace Brancato, Neelkamal S Soares

  • 1From the College of Medicine and the Applied Statistics Laboratory, University of Kentucky, Lexington, USA.

Southern Medical Journal
|September 5, 2013
PubMed

Insights

Few clinicians use World Health Organization (WHO) growth charts despite Centers for Disease Control and Prevention (CDC) recommendations. Increased awareness and training are needed for accurate infant growth assessment and to prevent underdiagnosis of overweight and obesity risks.

Area of Science:

  • Pediatrics
  • Public Health
  • Growth Monitoring

Background:

  • The Centers for Disease Control and Prevention (CDC) recommended World Health Organization (WHO) growth charts for children under 2 years old.
  • Understanding clinician adoption and awareness of these updated growth chart recommendations is crucial for accurate pediatric growth assessment.

Purpose of the Study:

  • To assess the utilization of WHO growth charts among pediatricians and family practitioners.
  • To evaluate clinician awareness of CDC guidelines regarding WHO growth chart implementation.
  • To identify factors influencing the adoption of WHO growth charts.

Main Methods:

  • A cross-sectional survey was conducted among pediatricians and family practitioners in Kentucky.
  • The survey assessed current growth chart usage, awareness of CDC/WHO recommendations, and practices related to discussing growth parameters with parents.

Main Results:

  • Only 29% of surveyed clinicians reported using WHO growth charts.
  • Board-certified, urban pediatricians with over 10 years of experience were more likely to be aware of WHO charts and recognize potential overdiagnosis with older CDC charts.
  • A significant portion of clinicians were unaware of their practice's growth chart source, and few provided chart copies to parents.

Conclusions:

  • Adoption of WHO growth charts remains low among clinicians more than six months post-CDC recommendation.
  • Enhanced training, increased chart availability, and adherence to guidelines are necessary for accurate infant growth assessment.
  • Improved chart utilization can help prevent the underidentification of infants at risk for overweight and obesity.
Abstract

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