Hostname: page-component-78c5997874-mlc7c Total loading time: 0 Render date: 2024-11-14T15:15:17.107Z Has data issue: false hasContentIssue false
  • English
  • Français

Is the 2000 CDC growth reference appropriate for developing countries?

Published online by Cambridge University Press:  02 January 2007

Dominique Roberfroid ,
Marie-Paule Lerude ,
Armando Pérez-Cueto  and
Patrick Kolsteren
Dominique Roberfroid*
Affiliation:
Department of Public Health, Nutrition Unit, Institute of Tropical Medicine, 155 Nationalestraat, B-2000 , Antwerp, Belgium
Marie-Paule Lerude
Affiliation:
Médecins du Monde, Brussels, Belgium
Armando Pérez-Cueto
Affiliation:
Department of Public Health, Nutrition Unit, Institute of Tropical Medicine, 155 Nationalestraat, B-2000 , Antwerp, Belgium
Patrick Kolsteren
Affiliation:
Department of Public Health, Nutrition Unit, Institute of Tropical Medicine, 155 Nationalestraat, B-2000 , Antwerp, Belgium
*
*Corresponding author: Email [email protected]
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

In 2000, the Centers for Disease Control and Prevention (CDC) produced a revised growth reference. This has already been used in different settings outside the USA. Using data obtained during a nutritional survey in Madagascar, we compare results produced by using both the 2000 CDC and the 1978 National Center for Health Statistics (NCHS)/World Health Organization (WHO) growth references. We show that changing the reference has an important impact on nutritional diagnosis. In particular, the prevalence of wasting is greatly increased. This could generate substantial operational and clinical difficulties. We recommend continued use of the 1978 NCHS/WHO reference until release of the new WHO multi-country growth charts.

Keywords

Growth reference2000 CDC1978 NCHS/WHOWastingNutritional survey
Type
Short Communication
Information
Public Health Nutrition , Volume 9 , Issue 2 , April 2006 , pp. 266 - 268
Copyright
Copyright © The Authors 2006

References

1Ogden, CL, Kuczmarski, RJ, Flegal, KM, Mei, Z, Guo, S, Wei, R, et al. Centers for Disease Control and Prevention 2000 growth charts for the United States: improvements to the 1977 National Center for Health Statistics version. Pediatrics 2002; 109(1): 45–60.CrossRefGoogle Scholar
2Kuczmarski, RJ, Ogden, CL, Guo, SS, Grummer-Strawn, LM, Flegal, KM, Mei, Z, et al. 2000 CDC Growth Charts for the United States: methods and development. Vital and Health Statistics 2002; 11(246): 1–190.Google Scholar
3Goldstein, A, Haelyon, U, Krolik, E, Sack, J. Comparison of body weight and height of Israeli schoolchildren with the Tanner and Centers for Disease Control and Prevention growth charts. Pediatrics 2001; 108(6): E108.CrossRefGoogle ScholarPubMed
4Hasan, MA, Batieha, A, Jadou, H, Khawaldeh, AK, Ajlouni, K. Growth status of Jordanian schoolchildren in military-funded schools. European Journal of Clinical Nutrition 2001; 55(5): 380–6.CrossRefGoogle ScholarPubMed
5De Onis, M, Onyango, AW. The Centers for Disease Control and Prevention 2000 growth charts and the growth of breastfed infants. Acta Paediatrica 2003; 92(4): 413–9.CrossRefGoogle ScholarPubMed
6Eckhardt, CL, Adair, LS. Differences in stunting prevalences calculated from two similar growth references may be large and inconsistent in undernourished children. Annals of Human Biology 2002; 29(5): 566–78.CrossRefGoogle ScholarPubMed
7Rice, AL, Sacco, L, Hyder, A, Black, RE. Malnutrition as an underlying cause of childhood deaths associated with infectious diseases in developing countries. Bulletin of the World Health Organization 2000; 78(10): 1207–21.Google ScholarPubMed
8World Health Organization (WHO). Management of Severe Malnutrition: A Manual for Physicians and Other Senior Health Workers. Geneva: WHO, 1999; 72.Google Scholar
9De Onis, M, Garza, C, Habicht, JP. Time for a new growth reference. Pediatrics 1997; 100(5): E8.CrossRefGoogle ScholarPubMed