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Title: Implications of adopting the WHO 2006 Child Growth Standards: case study from urban South Africa, the Birth to Twenty cohort
Authors: Norris, Shane A.
Griffiths, Paula L.
Pettifor, John M.
Dunger, David B.
Cameron, Noel
Keywords: Growth standards
Growth references
South Africa
Issue Date: 2009
Publisher: © Informa UK Ltd. (Taylor & Francis Group)
Citation: NORRIS, S.A. ... et al, 2009. Implications of adopting the WHO 2006 Child Growth Standards: case study from urban South Africa, the Birth to Twenty cohort. Annals of Human Biology, 36 (1), pp. 21-27.
Abstract: Background: The World Health Organization (WHO) recently developed growth standards to overcome the limitations of previous references. Aim: The aim of this study was to compare the growth patterns of a cohort of children using the National Centre for Health Statistics (NCHS), the Centre for Disease Control (CDC), and WHO 2006 references/standards, and to evaluate the implications of adopting WHO standards. Subjects and methods: Using growth data (0 5 years) from the 1990 South African Birth to Twenty cohort in Johannesburg-Soweto, Z-scores were derived for weight-for-age, length/height-for age, and weight-for-length/height from the NCHS and CDC references, and WHO 2006 standards. Results: The pattern of mean Z-score change observed when applying the NCHS and CDC references was similar to one another, but different to that obtained when using the WHO 2006 standard. WHO 2006 identified children as being generally more stunted and more overweight. Conclusion: Discourse on the implementation of WHO 2006 and the impact on the primary health care system and public health monitoring in South Africa is needed, and sufficient planning is critical around not only the implementation of WHO 2006 but also maintaining comparability with historical malnutrition data.
Description: This is an electronic version of an article accepted for publication in the journal, Annals of Human Biology [© Informa UK Ltd.] and the definitive version is available at: http://dx.doi.org/10.1080/03014460802620694
Version: Accepted for publication
DOI: 10.1080/03014460802620694
URI: https://dspace.lboro.ac.uk/2134/6464
ISSN: 1464-5033
Appears in Collections:Socio-economic status and child/adolescent health in Johannesburg-Soweto Study

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