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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.
Abstract:
Growth charts are curves or tables that facilitate the visualization of anthropometric parameters, and are widely used as an important indicator when evaluating the growth status of children and adolescents. The latest version of the Korean National Growth Charts released in 2007 has raised concerns regarding the inclusion of data from both breastfed and formula-fed infants, higher body mass index (BMI) values in boys, and smaller 3rd percentile values in height-for-age charts. Thus, new growth charts have been developed to improve the previous version. The 2006 World Health Organization Child Growth Standards, regarded as the standard for breastfed infants and children, were introduced for children aged 0-35 months. For children and adolescents aged 3-18 years, these new growth charts include height-for-age, weight-for-age, BMI-for-age, weight-for-height, and head circumference-for-age charts, and were developed using data obtained in 1997 and 2005. Data sets and exclusion criteria were applied differently for the development of the different growth charts. BMI-for-age charts were adjusted to decrease the 95th percentile values of BMI. Criteria for obesity were simplified and defined as a BMI of ≥95th percentile for age and sex. The 3rd percentile values for height-for-age charts were also increased. Additional percentile lines (1st and 99th) and growth charts with standard deviation lines were introduced. 2017 Korean National Growth Charts are recommended for the evaluation of body size and growth of Korean children and adolescents for use in clinics and the public health sector in Korea.
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