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Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Trends in Anthropometric Measurements of Internationally Adopted Children
Samantha L Hanna1, Meghan E Hofto2, Mary M Orr2
1From the Department of Pediatrics, Saint Louis University, St. Louis, Missouri.
Insights
Internationally adopted children show varied growth patterns. This study analyzed anthropometric measures (weight, height, BMI) to understand growth differences across regions, aiding health assessments.
Area of Science:
- Pediatric Growth and Development
- International Adoption Health
- Anthropometry
Background:
- Internationally adopted children face risks to growth and development.
- Existing growth charts may not accurately reflect this population due to diverse origins.
- Standardized growth evaluation is lacking for internationally adopted children.
Purpose of the Study:
- To describe anthropometric measurements in internationally adopted children.
- To identify growth patterns and variations based on geographic origin.
- To contribute data for improved health assessments of adopted children.
Main Methods:
- Retrospective chart review of 882 patients from an international adoption clinic (2010-2017).
- Collected anthropometric data including weight, height, head circumference, and body mass index.
- Converted measurements to Z-scores for standardized comparison.
Main Results:
- Data represented 41 countries and 16 subregions.
- Positive mean Z-scores for weight were observed in Central America, northern Africa, southern Africa, and southern Europe.
- Southeast Asia had the lowest mean weight Z-score (-1.76).
- No subregion showed a positive mean Z-score for height; Western Asia had the lowest (-2.44).
- Mean Body Mass Index (BMI) Z-scores were positive in several subregions.
Conclusions:
- Growth is a critical indicator of health and developmental outcomes.
- This study provides valuable insights into the growth trajectories of internationally adopted children.
- Findings can inform clinical practice and future research on this population.
Objective:
The objective of this study was to describe anthropometric measures from internationally adopted children. Internationally adopted children are at risk for poor growth and development and there is no standardized growth chart evaluation for internationally adopted children due to variations in growth, genetics, and environmental exposures.
Methods:
This is a retrospective chart review of 882 patients seen in an international adoption clinic between 2010 and 2017. Anthropometric measurements were converted to Z scores for weight, height, head circumference, and body mass index.
Results:
A total of 41 countries and 16 subregions were represented. Central America, northern Africa, southern Africa, and southern Europe were the only subregions that had positive mean Z scores for weight, and southeast Asia had the lowest mean Z score for weight (n = 40, -1.76). No subregion had a positive mean Z score for height, and western Asia had the lowest overall mean Z score for height (n = 2, -2.44). Mean Z score for body mass index was positive in several subregions.
Conclusions:
Growth is an important predictor of health and development, and this study adds to the literature on growth patterns of internationally adopted children.
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