[Effect of changing reference growth charts on the prevalence of short stature]

Pilar Aizpurua Galdeano1, Maider Mateo Abad2, Ángeles Alonso Alonso1

  • 1Centro de Salud Ondarreta, San Sebastián, Guipúzcoa, España.

Anales De Pediatria
|May 21, 2019
PubMed

Insights

Changing growth charts significantly increased short stature diagnoses by sixfold. This highlights the impact of updated diagnostic tools on identifying children needing further evaluation for growth concerns.

Area of Science:

  • Pediatrics
  • Growth and Development
  • Public Health

Background:

  • Short stature is a common pediatric concern, necessitating accurate diagnostic tools like growth charts.
  • Evaluating the impact of updated reference charts is crucial for consistent diagnosis in pediatric care.

Purpose of the Study:

  • To assess how the transition from 2004 to 2011 reference growth charts affected the diagnosis of short stature in a specific health region.
  • To quantify the change in short stature prevalence following the adoption of new growth charts.

Main Methods:

  • A population-based, cross-sectional study compared height data from 12,256 children (aged 4, 6, 10, 13) against 2004 and 2011 growth charts.
  • Prevalence of short stature and the 3rd percentile were calculated for both chart versions.

Main Results:

  • The prevalence of short stature increased across all age groups with the 2011 charts compared to the 2004 charts.
  • Diagnoses rose from 58 (2004 charts) to 352 (2011 charts), a sixfold increase.
  • Prevalence differences ranged from 1.4% to 3.6% across the studied ages.

Conclusions:

  • The updated 2011 growth charts led to a substantial sixfold increase in short stature diagnoses.
  • This shift necessitates evaluating the clinical significance and suitability of the new charts for identifying potential growth disorders.
Abstract

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