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Is the 2000 CDC growth reference appropriate for developing countries?

Dominique Roberfroid·Marie-Paule Lerude·Armando Pérez-Cueto·Patrick Kolsteren
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Abstract

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.

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Age FactorsAnalysis of VarianceAnthropometryCenters for Disease Control and Prevention, U.S.Child Nutrition DisordersChild, PreschoolCluster AnalysisConfidence IntervalsDeveloping CountriesFemaleGrowthHumansInfantInfant, NewbornMadagascarMaleNutrition AssessmentOdds RatioSex FactorsUnited StatesJournal Article

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Dominique Roberfroid, Marie-Paule Lerude, Armando Pérez-Cueto, Patrick Kolsteren. 2006. Is the 2000 CDC growth reference appropriate for developing countries?. https://doi.org/10.1079/phn2005838

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