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Head circumference growth reference charts of children younger than 7 years in Chinese rural areas

Shengnan Xie1, Junxin Shi2, Jianmin Wang1

  • 1Department of Woman and Child's Care and Adolescence Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.

Pediatric Neurology
|December 3, 2014
PubMed

Insights

New head circumference growth charts for rural Chinese children under 7 are essential. Rural children’s head circumference percentiles are smaller than urban and international references after age two.

Area of Science:

  • Pediatrics
  • Anthropometry
  • Public Health

Background:

  • Current Chinese head circumference growth charts are based on urban children.
  • Urban and rural populations differ in socioeconomic factors and diet, potentially impacting growth.
  • Existing references may not accurately reflect head circumference growth in rural Chinese children.

Purpose of the Study:

  • To develop reliable head circumference growth reference charts for male and female children under 7 years in rural China.
  • To address the limitations of existing urban-based references for rural populations.

Main Methods:

  • Multistage stratified cluster sampling across 10 Chinese provinces.
  • Data collection via questionnaires and anthropometric measurements, including head circumference.
  • Comparison of cross-sectional data with urban Chinese, WHO, and US references.

Main Results:

  • A study of 95,904 children (48,722 boys, 47,182 girls) was conducted.
  • Age- and sex-specific head circumference growth charts for rural Chinese children under 7 are presented.
  • Rural Chinese children exhibit smaller head circumference percentiles than urban Chinese, WHO, and US children after age two.

Conclusions:

  • Current head circumference growth references from urban China may not be suitable for rural areas.
  • Head circumference percentiles are vital for growth monitoring.
  • Establishing specific reference charts for rural Chinese children is crucial for accurate health assessments.
Abstract

Keywords:
Chinachildrengrowth reference charthead circumferencerural area

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