The 2017 Korean National Growth Charts for children and adolescents: development, improvement, and prospects

Jae Hyun Kim1,2, Sungha Yun3, Seung-Sik Hwang2,4

  • 1Department of Pediatrics, Seoul National University Bundang Hospital, Seongnam, Korea.

Insights

New Korean National Growth Charts were developed to address concerns with the 2007 version. These updated charts improve the evaluation of child and adolescent growth status using refined data and criteria.

Area of Science:

  • Pediatrics
  • Anthropometry
  • Public Health

Background:

  • Growth charts are crucial for assessing child and adolescent development.
  • The 2007 Korean National Growth Charts had limitations, including data from mixed feeding methods and skewed BMI and height percentiles.

Purpose of the Study:

  • To develop improved Korean National Growth Charts for children and adolescents.
  • To address the shortcomings of the previous 2007 growth charts.

Main Methods:

  • Incorporated 2006 World Health Organization Child Growth Standards for ages 0-35 months.
  • Utilized 1997 and 2005 data for ages 3-18 years, including height-for-age, weight-for-age, BMI-for-age, weight-for-height, and head circumference-for-age.
  • Adjusted BMI percentiles and simplified obesity criteria to BMI ≥95th percentile.
  • Increased 3rd percentile values for height-for-age and added 1st and 99th percentile lines.

Main Results:

  • New growth charts developed for Korean children and adolescents aged 0-18 years.
  • Revised BMI-for-age charts with decreased 95th percentile values.
  • Simplified obesity definition and increased 3rd percentile height values.
  • Introduction of additional percentile lines and standard deviation charts.

Conclusions:

  • The 2017 Korean National Growth Charts offer a more accurate assessment of body size and growth.
  • Recommended for clinical and public health use in evaluating Korean children and adolescents.

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