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The development of national growth charts for Jordanian children aged 0-2 years

Walid Al-Qerem1, Lina Bataineh1, Anan Jarab2

  • 1Department of Pharmacy, Faculty of Pharmacy, Al-Zaytoonah University of Jordan, Amman, Jordan.

Frontiers in Pediatrics
|August 28, 2025
PubMed

Insights

This study developed Jordanian infant growth charts, revealing Jordanian children are shorter than WHO standards, especially girls. These specific references improve growth assessment accuracy for better child health monitoring.

Area of Science:

  • Pediatric Nutrition
  • Growth Monitoring
  • Public Health

Background:

  • Accurate growth assessment is crucial for child health.
  • International growth standards may not reflect local populations.
  • Jordan lacked specific growth references for infants.

Purpose of the Study:

  • Determine prevalence of underweight, overweight, and obesity in Jordanian infants (0-2 years).
  • Establish national growth reference charts for Jordanian children.
  • Compare Jordanian infant growth with World Health Organization (WHO) growth standards.

Main Methods:

  • Analyzed 260,027 anthropometric measurements from 82,874 healthy Jordanian children (0-24 months).
  • Utilized Generalized Additive Models for Location Scale and Shape (GAMLSS) for growth chart development.
  • Constructed separate height-for-age, weight-for-age, and weight-for-height models by gender.

Main Results:

  • Significant discrepancies exist between WHO growth references and newly established Jordanian references.
  • Jordanian children, particularly girls, were found to be shorter than WHO standards.
  • Infants showed slightly higher weight-for-age from 7 months onwards compared to WHO references.

Conclusions:

  • Jordanian-specific growth references are essential for accurate child growth assessment.
  • These references will enhance health and development monitoring for Jordanian children.
  • Utilizing local data improves the precision of pediatric health evaluations.
Abstract

Keywords:
Jordangrowth chartsheight-for-ageweight-for-ageweight-for-height

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