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Updated: Jul 28, 2025

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Comparison between the World Health Organization and Bahraini children growth standards
Shahzalan Almughlaq1, Abdel-Ameer Al-Laith1, Salwa Al-Thawadi1
1University of Bahrain, Al Sakhir, Kingdom of Bahrain.
Insights
Bahraini infants and young children (0-24 months) are taller and heavier than WHO growth standards. This study provides Bahrain-specific growth charts, highlighting a need for further research into growth determinants.
Area of Science:
- Pediatric growth studies
- Anthropometry
- Public health surveillance
Background:
- Establishing accurate growth references is crucial for monitoring child health.
- Existing global growth charts may not fully represent diverse populations.
- Bahraini children's growth patterns require specific investigation.
Purpose of the Study:
- To investigate the growth patterns of Bahraini infants and young children aged 0-24 months.
- To develop Bahrain-specific growth charts and tables.
- To compare Bahraini growth data with international standards.
Main Methods:
- Cross-sectional study of 403 healthy Bahraini infants/children (0-24 months).
- Collection of anthropometric data (weight, length) and feeding practices.
- Application of Generalized Additive Models for Location Scale and Shape (GAMLSS) for percentile and Z-score chart construction.
Main Results:
- Bahraini males showed statistically significantly higher anthropometrics than females across all age groups.
- Bahraini infants/children exhibited slightly higher length and weight compared to WHO Multicentre Growth Reference Study (MGRS) data.
- Developed percentile and Z-score charts for weight-for-age, length-for-age, length-for-weight, and BMI-for-age.
Conclusions:
- Bahraini children (0-24 months) are taller and heavier than those represented in WHO-MGRS charts.
- Significant differences necessitate the use of Bahrain-specific growth references.
- Further longitudinal studies using advanced methods are recommended to explore growth deviations.
Objective:
The aim of this study was to investigate the growth patterns of Bahraini female and male infants/young children aged 0-24 months in the Kingdom of Bahrain.
Methods:
A cross-sectional approach was employed to track the growth parameters among healthy Bahraini female and male infants/children aged 0-24 months. A multistage probability sampling criteria was used to collect information from official records. Anthropometric measurements (weight and length) and demographic characteristics on feeding practices were gathered. Generalized Additive Models for Location Scale and Shape (GAMLSS)/Lambda-Mu-Sigma methodology was implemented to select distribution type, optimize smoothing parameters, perform regression of growth models, and construct percentiles and Z-score charts and tables for weight for age, length for age, length for weight, and body mass index (BMI) for age.
Results:
Findings were compared with WHO Multicentre Growth Reference Study (MGRS) data. A total of 403 healthy infants/children (210 males and 193 females) were recruited. At birth, the mean weight, length, and BMI were 3.2±0.4 kg, 3.1±0.4 kg, 49.7±2.3 cm, 48.8±2.1 cm, 13.2±1.6 kg/m2, and 12.8±1.5 kg/m2 for males and females, respectively. Anthropometrics of males were all statistically significantly higher than those of females at all age levels. The length and weight of the Bahraini infants/children were slightly higher than those of the WHO-MGRS.
Conclusion:
The outcomes of this study, presented as charts and tables, showed significant differences in comparison with the WHO-MGRS reference charts. Specifically, Bahraini children aged between 0 and 24 months of both sexes were taller and heavier than their cohorts in the MGRS reference charts. Further longitudinal studies are needed for monitoring the growth pattern of children using body composition methods, adiposity markers, and determinant factors of growth to investigate this deviation from the WHO-MGRS.
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