BMI-for-Age and Weight-for-Length in Children 0 to 2 Years

Kayla R Furlong1, Laura N Anderson2, Huiying Kang3

  • 1Child Health and Evaluative Sciences, Research Institute, and.

Pediatrics
|June 26, 2016
PubMed

Insights

Body Mass Index-for-age (BIA) shows strong agreement with weight-for-length in infants and toddlers. This growth indicator is reliable from birth, even with routine data collection.

Area of Science:

  • Pediatrics
  • Growth Monitoring
  • Nutritional Assessment

Background:

  • Accurate growth assessment in children under two is crucial for early identification of potential health issues.
  • Weight-for-length has been a standard measure, but Body Mass Index-for-age (BMI-for-age) is increasingly considered for a broader age range.
  • Understanding the agreement between these measures is vital for consistent clinical practice.

Purpose of the Study:

  • To evaluate the concordance between weight-for-length and BMI-for-age in children aged 0 to <2 years.
  • To identify factors influencing the agreement between these growth metrics.
  • To compare the agreement using research-collected versus routinely collected data.

Main Methods:

  • A cross-sectional study analyzed data from 1632 healthy, term-born children aged 0 to <2 years.
  • Measurements of length and weight were collected during both research and routine clinical visits.
  • BMI-for-age z-scores were compared against weight-for-length z-scores using correlation and Bland-Altman analysis.

Main Results:

  • A strong correlation (r = 0.986) and good agreement were found between weight-for-length and BMI-for-age.
  • A low misclassification rate (6.3%) was observed, primarily near percentile cutoffs.
  • Agreement remained high and consistent between research-collected and routinely collected data.

Conclusions:

  • BMI-for-age demonstrates high agreement with weight-for-length and low misclassification in young children.
  • BMI-for-age is a potentially suitable growth indicator from birth through early childhood.
  • Further research is warranted to explore the association of BMI-for-age in this age group with long-term health outcomes.
Abstract

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