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Development of LMS and Z Score Growth References for Egyptian Children From Birth Up to 5 Years

Ali M El Shafie1, Fady M El-Gendy1, Dalia M Allahony1

  • 1Department of Pediatrics, Faculty of Medicine, Menoufia University, Shebin El-Kom, Egypt.

Frontiers in Pediatrics
|February 4, 2021
PubMed

Insights

Egyptian children now have growth references using Lambda-Mu-Sigma (LMS) and Z score methods for assessing nutritional status. These new references align with WHO standards, aiding clinical care and research.

Area of Science:

  • Pediatric Nutrition
  • Growth Monitoring
  • Biostatistics

Background:

  • Lambda-Mu-Sigma (LMS) and Z score methods are crucial for evaluating child growth and nutritional status.
  • Egypt currently lacks specific growth assessment tools for preschool children.
  • Establishing localized references is vital for accurate health monitoring.

Purpose of the Study:

  • To develop Lambda-Mu-Sigma (LMS) and Z score growth references for Egyptian children aged 0-5 years.
  • To provide tools for assessing growth and nutritional status in this population.
  • To facilitate accurate health assessments and comparisons.

Main Methods:

  • A cross-sectional study included 27,537 Egyptian children (birth to 5 years).
  • Data collected on weight, height, and BMI to create LMS and Z score references.
  • Exclusion criteria ensured a healthy study population, free from chronic diseases or developmental issues.

Main Results:

  • LMS and Z score references for weight-for-age, height-for-age, weight-for-height, and BMI-for-age were generated for both sexes.
  • No statistically significant differences were found between the Egyptian and WHO reference charts.
  • The study provides comprehensive data for growth assessment.

Conclusions:

  • This study introduces the first Z score-based growth references for Egyptian children (0-5 years).
  • These references are valuable for clinical practice, nutritional status assessment, and research.
  • The findings enable comparisons with international growth standards.

Keywords:
Egyptiangrowth parametersnutritional statuspreschool childrenz score

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