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.

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