Abstract
Objective
To compare estimates of undernutrition based on the World Health Organization (WHO) Child Growth Standards (‘WHO standards’) and the National Center for Health Statistics NCHS/WHO international growth reference (‘NCHS reference’), and discuss implications for child health programs and reporting of prevalence of underweight in demographic surveys.
Methods
A cross-sectional study was carried out in 20 Anganwadi centers under Primary Health Centre, Anji. Total of 1491 under-six year children attending the Anganwadi centers were studied for nutritional status. Nutritional status was analyzed by NCHS standards by using EPI_INFO 6.04 software package and also by newly introduced WHO Child Growth Standards by Anthro 2005 software package. Chi-square test was used to compare the results.
Results
According to WHO standards, the prevalence of underweight and severe underweight for children 0–6 year was 47.4% and 16.9% respectively. By NCHS reference, the overall prevalence of underweight and severe underweight for children 0–6 years was 53% and 15% respectively. The prevalence of underweight as assessed by WHO standards was significantly lower when compared with the assessment based on NCHS reference (p<0.01). But, WHO standards gave higher prevalence of severe underweight than NCHS reference though the difference was not statistically significant (p>0.05).
Conclusion
In the light of newly developed WHO Child growth standards, all the nutrition-related indicators in demographic surveys like NFHS should now be derived using the WHO standards. There is need to reanalyze NFHS-I and NFHS-II data using WHO standards and findings should be made available so that it becomes comparable and trends over the years can be studied.
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References
Lal S. Combating malnutrition in India through community efforts. IJCM 2003; 28: 99–106
WHO Multicentre Growth Reference Study Group. Enrolment and baseline characteristics in the WHO multicentre growth reference study. Acta Pediatrica 2006; Suppl 450:7–15
World Health Organization. WHO Child Growth Standards: length/height-for-age, weight-for-length, weight-for-height and body mass index-for-age: methods and development. 2006.
WHO Working Group on Infant Growth. An evaluation of infant growth: a summary of analyses performed in preparation for the WHO Expert Committee on Physical Status: the use and interpretation of anthropometry. World Health Organization, Geneva. 1994
National Family Health Survey (NFHS-2). Nutrition and the prevalence of anaemia. International Institute for Population Sciences, Mumbai — India and ORC Macro. 1998–99
de Onis M, Onyango AW, Borghi E, Garza C, Yang H. Comparison of the World Health Organization (WHO) Child Growth Standards and the National Center for Health Statistics/WHO international growth reference: implications for child health programs. Public Health Nutrition 2006; 9: 942–947
Blossner M, de Onis M. Malnutrition: quantifying the health impact at national and local levels. Geneva, World Health Organization 2005. (WHO Environmental Burden of Disease Series, No. 12)
World Health Organization. The world health report 2003: Shaping the future. Geneva, World Health Organization; 2003.
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Deshmukh, P.R., Dongre, A.R., Gupta, S.S. et al. Newly developed WHO growth standards: Implications for demographic surveys and child health programs. Indian J Pediatr 74, 987–990 (2007). https://doi.org/10.1007/s12098-007-0181-0
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DOI: https://doi.org/10.1007/s12098-007-0181-0