A new international growth reference for young children.
Garza C and de Onis M.
American Journal of Clinical Nutrition 1999;70(1 Part 2):169S-172S [en anglais].
Télécharger l'article [30 kb]
Résumé [en anglais]
Growth references for children are among the most
widely used instruments in public health and clinical medicine. A
comprehensive review by the World Health Organization (WHO)
of the use and interpretation of anthropometric data concluded
that the present international growth reference for infants does
not describe physiologic growth adequately; thus, a new
anthropometric reference was recommended for young children
from birth to 5 y.
The approach taken by the WHO for development
of a new reference is guided by the principle that anthropometric
reference data must always reflect the functional context of their
intended uses and an awareness of the consequences of their
application. The new reference will be constructed from data to
be collected in a longitudinal study of infants who will be
exclusively or predominantly breast-fed for ³4 mo with continued
breast-feeding throughout the first year, and a cross-sectional
study of infants and young children aged 18–71 mo. The sample
will be drawn from ³7 diverse geographic sites around the world.
The adopted protocol is expected to provide a single international
reference that represents the best standard possible of optimal
growth for all children < 5 y of age. Furthermore, documentation
will be sufficient to allow for possible future revision of the
reference as substantial new biological information on the
growth of infants and young children becomes available.