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.
Abstract

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