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National anthropometric reference values and growth curves for Japanese children: history and critical review
Mikako Inokuchi1,2, Nobutake Matsuo2,3,4, John I Takayama5
1Health Center, Keio University , Tokyo , Japan.
Insights
National growth data for Japanese children is crucial but underutilized. Current growth references have limitations, hindering accurate child health assessments and requiring culturally specific measures.
Area of Science:
- Pediatrics
- Public Health
- Anthropometry
Background:
- Child health statistics are vital for assessing well-being.
- Nationally representative growth data is essential for accurate child health assessments.
- The importance of such data for Japanese children is not fully recognized.
Observation:
- Five governmental organizations in Japan conduct child health and growth surveys.
- This review examines national anthropometric studies reported in English.
- Focus is on understanding Japanese child growth assessment policies and issues.
Findings:
- Japan has developed various growth reference curves since the early 1980s.
- Limitations include incomplete data for infants and young adults.
- Socio-economic factors are poorly described, and weight-for-height is used instead of BMI.
Implications:
- Current Japanese child health statistics rely on measures unique to the Japanese population.
- There is a need for improved, internationally comparable growth references.
- Clinical use of national growth reference values and curves requires critical evaluation.
Abstract:
Context: Child health statistics are a critical component of child health assessment. However, the importance of nationally representative data on growth is not well recognised for Japanese children. Objective: The aim of this paper is to review the national growth surveys for Japanese children and to discuss the clinical use of the national growth reference values and growth curves. Methods: There are five governmental organisations surveying health and growth in Japanese children. Based on these studies, several aspects of the current governmental policy on child growth assessment have been examined. This review focussed on national anthropometric studies reported by Japanese investigators in English for international readers to understand Japanese issues. Results: A variety of growth reference curves have been developed since the early 1980s in Japan. However, these references have several limitations: incomplete data for both infants and young adults, limited description of socio-economic factors and continued governmental use of weight-for-height rather than BMI. Conclusion: Japanese child health statistics use measures that are applicable only to Japanese children.
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