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Growth pattern of schoolchildren in Sagamu, Nigeria using the CDC standards and 2007 WHO standards

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Abstract

Objective

To compare the median weight, height and body mass index of school children with the 2000 CDC and 2007 WHO reference values.

Settings

Schoolchildren in Sagamu, Nigeria.

Design

Cross-sectional survey.

Methods

Between November and December, 2008, 1690 school children aged 6 to 16 years from 8 primary schools were surveyed using multi-stage sampling methods. The weight, height and body mass index (BMI) were recorded for each child. The Z-scores of the median anthropometric parameters for each age and sex were determined with the LMS statistical method using the values of L, M and S provided on the CDC and WHO charts.

Results

The weight, height and BMI Z-scores were less than the reference values provided on the CDC and WHO charts but were generally closer to the WHO standards compared to the CDC standards. The median weight, height and BMI for females generally plotted higher on CDC and WHO chart compared to the males. The prevalence of underweight and stunting were relatively lower while the prevalence of overweight and obesity was relatively higher among children aged 6 to 10 years using the WHO references compared to the CDC reference values.

Conclusions

The WHO references would under-diagnose under-nutrition and over-diagnose overweight/obesity in the population studied.

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References

  1. de Onis M, Yip R. The WHO growth chart. Historical considerations and current scientific issues. Bibliotheca Nutritio et Dieta 1996;53:74–89.

    PubMed  Google Scholar 

  2. National Health Statistics Centre. CDC Growth Chart: US. 2000. Available at http://www.cdc.who.int. Accessed on the 11th August, 2008.

  3. World Health Organization. WHO Child Growth Standards. 2007. Available at http://www.who.int/growthref. Accessed on 11 August, 2008.

  4. Oninla SO, Owa JA, Onayade AA, Taiwo O. Comparative study of nutritional status of urban and rural Nigerian school children. J Trop Paediatr 2007;53:39–43.

    Article  CAS  Google Scholar 

  5. Wickramasinghe VP, Lamabadusuriva SP, Atapattu N, Sathvadas G, Kuruparanantha S, Karunarathe P. Nutritional status of school children in an urban area of Sri Lanka. Ceylon Med J. 2004; 49:114–118.

    PubMed  CAS  Google Scholar 

  6. Cole TJ. The LMS method for constructing normalized growth standards. Eur J Clin Nutr. 1990;44:45–60.

    PubMed  CAS  Google Scholar 

  7. de Onis M, Onyango AW, Borghi E, Siyam A, Nishida C, Siekmann J. Development of a WHO growth reference for school-aged children and adolescents. Bull World Health Org. 2007;85:660–667.

    Article  PubMed  Google Scholar 

  8. World Health Organization. Management of Severe Malnutrition. Geneva: WHO; 1999.

    Google Scholar 

  9. Ukoli FA, Adams-Campbell LL, Ononu J, Nwankwo MU, Chanesta F. Nutritional status of urban Nigerian school children relative to the NCHS reference population. East Afr Med J. 1993;70:409–413.

    PubMed  CAS  Google Scholar 

  10. Aziz S, Puri DA, Hosssain KZ, Hussain F, Naqri SA, Rizri SA. Anthropometric indices of middle socioeconomic class school children in Karachi compared with NCHS Standards — a pilot study. J Pakistan Med Ass. 2006;56:264–267.

    Google Scholar 

  11. Zverev Y, Gondwe A. Growth of urban school children in Malawi. Ann Human Biol. 2001;28:384–394.

    Article  CAS  Google Scholar 

  12. de Onis M, Garza C, Onyango AW, Borghi E. Comparison of the WHO child growth standards and the CDC 2000 growth charts. J Nutr. 2007;137:144–148.

    PubMed  Google Scholar 

  13. Wamani H, Astrom AN, Peterson S, Tumwine JK, Tylleskar T. Boys are more stunted than girls in Sub-Saharan Africa: a meta-analysis of 16 demo-graphic and health surveys. BMC Pediatrics. 2007. 7:17. doi:10.1186/1471-2431-7-17.

    Article  PubMed  Google Scholar 

  14. Moestue H, de Pee S, Hall A, Hye A, Sultana N, Ishtiaque MZ, et al. Conclusions about differences in linear growth between Bangladeshi boys and girls depend on the growth reference used. Eur J Clin Nutr. 2004;58:725–731.

    Article  PubMed  CAS  Google Scholar 

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Correspondence to T. A. Ogunlesi.

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Fetuga, M.B., Ogunlesi, T.A., Adekanmbi, A.F. et al. Growth pattern of schoolchildren in Sagamu, Nigeria using the CDC standards and 2007 WHO standards. Indian Pediatr 48, 523–528 (2011). https://doi.org/10.1007/s13312-011-0094-x

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  • DOI: https://doi.org/10.1007/s13312-011-0094-x

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