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Standards for human growth--their construction and use.

N Cameron

    South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde
    |September 27, 1986
    PubMed
    Summary

    Human growth charts in South Africa (RSA) require careful construction and application to accurately monitor child development. Understanding different study methods and avoiding the misuse of

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    Area of Science:

    • Pediatrics
    • Biostatistics
    • Public Health

    Background:

    • Human growth charts are essential tools in South Africa (RSA) for monitoring child growth.
    • Misunderstandings of chart construction lead to incorrect application and interpretation.
    • Accurate growth monitoring is crucial for assessing child health and development.

    Purpose of the Study:

    • To review the construction and application of human growth charts used in the RSA.
    • To clarify the methodologies for growth data collection and analysis.
    • To address the conceptual issues surrounding the use of growth charts as 'standards'.

    Main Methods:

    • Review of cross-sectional, longitudinal, and mixed-longitudinal study designs for growth assessment.
    • Analysis of data collection challenges and interpretation issues.
    • Discussion of the definition and selection of appropriate growth charts for the South African context.

    Main Results:

    • Growth chart construction and application are often misunderstood, leading to misuse.
    • Different study designs (cross-sectional, longitudinal) present unique data challenges.
    • The term 'standard' for growth charts can cause intellectual confusion; defining appropriate charts is complex.

    Conclusions:

    • A clear understanding of growth chart construction is vital for correct application in the RSA.
    • Methodological rigor in data collection and analysis is necessary for reliable growth monitoring.
    • Further research priorities are outlined to improve the use and definition of growth charts.

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