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Time for a new growth reference

M de Onis1, C Garza, J P Habicht

  • 1Nutrition Programme, World Health Organization, 1211 Geneva 27, Switzerland.

Pediatrics
|April 3, 1998
PubMed
Summary
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The World Health Organization

Area of Science:

  • Pediatric Nutrition
  • Growth Monitoring
  • Public Health

Background:

  • The National Center for Health Statistics (NCHS) growth reference has been internationally utilized since the 1970s.
  • It provides a standard for assessing child nutritional status and screening for disorders.
  • NCHS growth references are also used in educational materials for child care.

Purpose of the Study:

  • To evaluate the continued suitability of the NCHS growth reference for international use.
  • To address recent challenges regarding the NCHS growth reference's methodology and data origins.

Main Methods:

  • Review of the data sources used in the NCHS growth reference construction.
  • Analysis of the statistical methods applied in deriving the NCHS growth curves.

Related Experiment Videos

  • Assessment of critiques concerning the NCHS growth reference's international applicability.

    • Main Results:

    • Significant drawbacks identified in the origin and type of data used for NCHS growth reference.
    • Concerns raised about the analytical methods employed in deriving the NCHS curves.
    • The suitability of NCHS growth references for global application has been questioned.

    Conclusions:

    • The NCHS growth reference, despite its historical utility, faces challenges.
    • Drawbacks in data and methodology impact its appropriateness for international standards.
    • Re-evaluation of international growth references may be necessary.