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Weight for length/height percentiles in infants and young children in Kayseri/Turkey
M Mümtaz Mazıcıoğlu1, Türev Demirtaş, Betül Çcek
1Erciyes University, Faculty of Medicine, Department of Pediatric Endocrinology, Kayseri, Turkey. mumtaz33@hotmail.com.
Insights
This study created weight-for-length/height (WLH) percentiles for Turkish children aged 0-6 years. These new references are crucial for assessing growth and diagnosing failure to thrive in early childhood.
Area of Science:
- Pediatrics
- Anthropometry
- Public Health
Background:
- Accurate growth monitoring is essential for identifying developmental issues in infants and young children.
- Existing growth charts may not fully represent diverse populations, necessitating localized references.
- Failure to thrive (FTT) is a critical concern requiring reliable assessment tools.
Purpose of the Study:
- To establish weight-for-length/height (WLH) percentiles for Turkish children aged 0-6 years.
- To provide a standardized tool for screening growth and assessing FTT in this demographic.
- To compare these new references with international standards.
Main Methods:
- Utilized data from the Anthropometry of Turkish Children aged 0-6 years (ATCA-06) study (2009-2010).
- Employed a cross-sectional design to calculate WLH references.
- Determined reference weight values for 5-cm length/height intervals using LMS Chart Maker Pro software.
Main Results:
- Calculated the 3rd to 97th WLH percentiles for 3123 children (1573 female, 1550 male).
- Observed significant variations in WLH percentiles, particularly between 0-2 years.
- Found no significant differences between Turkish WLH references and World Health Organization standards.
Conclusions:
- This study presents the first WLH references for Turkish children aged 0-6 years.
- WLH references may be more effective than age-adjusted references for nutritional assessment in the first two years of life.
- These references will aid in the early detection and management of FTT in Turkish children.
Objective:
To produce weight for length/height (WLH) percentiles to be used for the screening of growth and assessment of failure to thrive in infancy and early childhood.
Methods:
The data (2009-2010) of the Anthropometry of Turkish Children aged 0-6 years (ATCA-06) study were used. A cross-sectional study was designed to calculate the WLH references. Reference weight values for each 5-cm LH intervals were determined using the LMS Chart Maker Pro version 2.3 software program (The Institute of Child Health, London).
Results:
A total of 3123 children (1573 female, 1550 male) aged 0-6 years were included in the calculation of the 3rd, 5th, 10th, 25th, 50th, 75th, 85th, 90th, 95th, and 97th WLH percentiles. The difference between the 3rd and the 97th percentiles for males was 2.02 cm to 12.64 cm in the 50-54.99 cm and 125-130 cm LH ranges. In the girls, the differences between the 3rd-97th percentiles ranged from 2.02 cm to 12.64 cm in the 50-54.99 cm and 125-130 cm LH groups. The maximum difference between the 3rd and 97th percentiles was about half the variation of mean WLH throughout the first six years of life. The most rapid change in WLH was observed in the 0-2-year period. Turkish references for WLH were not different from the World Health Organization standards.
Conclusions:
This is the first study in Turkey presenting WLH references in 0-6 year old children. We suggest that the use of WLH in the first two years of life may be more useful than age-adjusted references in assessment of nutritional status and diagnosis of failure to thrive.
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