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Updated: Jul 10, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Comparison of the childrens stature in West Papua, Indonesia
Elda Irma Jeanne Joice Kawulur1, Febriza Dwiranti1, Wendy Yudija Limbong Allo2
1Department of Biology Faculty of Mathematics and Natural Sciences University of Papua Indonesia.
Insights
Child height development varies by population. In West Papua, children
Area of Science:
- Pediatric Nutrition
- Human Growth and Development
- Public Health
Background:
- Body height development is dynamic and influenced by sex, ethnicity, and population.
- Stunting in children signifies a deviation from normal growth patterns and secular trends.
- Understanding regional variations in child growth is crucial for public health interventions.
Purpose of the Study:
- To compare the body height of children in West Papua against World Health Organization (WHO) growth standards.
- To assess the prevalence of malnutrition, specifically stunting, in West Papuan children aged 5-19 years.
- To analyze the relationship between height-for-age and body mass index-for-age z-scores.
Main Methods:
- Cross-sectional study of 546 children (242 boys, 304 girls).
- Calculation of standard deviation scores (SDS) for body height.
- Assessment of nutritional status using height-for-age z-scores (HAZ) and body mass index-for-age z-scores (BAZ).
- Statistical analysis including Shapiro-Wilk test and Wilcoxon test (p < 0.05 significance).
Main Results:
- Mean body height SDS for girls was significantly higher than for boys.
- Significant differences in body height were observed between West Papuan children and the WHO reference population (p < 0.05).
- Severe stunting was more prevalent in girls (2.96%) than boys (0.82%), but overall stunting prevalence was higher in boys (15.16%) than girls (5.92%).
- Some stunted children presented with normal weight, overweight, or obesity.
Conclusions:
- Short stature in West Papuan children may result from combined biological, environmental, and nutritional factors.
- Relying solely on body height for malnutrition assessment requires caution.
- Alternative approaches and consideration of local biocultural characteristics are recommended for accurate malnutrition assessment.
Abstract:
The pattern of body height development is dynamic across all phases of the life cycle and varies by sex, ethnicity, and population. Stunting in children deviates from the concept of normal height development and the secular trend. This study aimed to compare the body height of children in West Papua with World Health Organization growth standards and to assess malnutrition, particularly stunting, among children aged 519 years. This cross-sectional study included 546 children, comprising 242 boys and 304 girls. We calculated the standard deviation score (SDS) for body height. Nutritional status was assessed using height-for-age z-scores (HAZ) and body mass index-for-age z-scores (BAZ). The density distribution of body height SDS was examined. Normality was tested using the Shapiro-Wilk test, and differences in body height were analyzed using the Wilcoxon test, with p < 0.05 considered statistically significant. The mean SDS for girls was higher than that for boys. There were significant differences in body height between children in West Papua and the WHO reference population (p < 0.05). The percentage of severely stunted children was higher in girls (2.96%) than in boys (0.82%). In contrast, the prevalence of stunting was higher in boys (15.16%) than in girls (5.92%). Some stunted children were also classified as normal weight, overweight, or obese. Our findings indicate that short stature may reflect a combination of biological, environmental, and nutritional influences. Therefore, the use of body height alone as a reference for determining malnutrition should be approached cautiously, with consideration of alternative approaches and the biocultural characteristics of the local community.
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