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WHO Child Growth Standards

A growth chart for the
1 year 2 years 3 years 4 years 5 years

st 21

century

Mean length from birth to 24 months for the six MGRS sites

Brazil Ghana IndiaNorway Oman USA

Mean of Length (cm)

50 0

60

70

80

200

400 Age (days)

600

WHO Multicentre Growth Reference Study Group. Assessment of linear growth differences amongpopulations in the WHO Multicentre Growth Reference Study. Acta Paediatr Suppl 2006;450:56-65.

WHO Child Growth Standards
Attained growth
• Weight-for-age • Length/height-for-age •Weight-for-length/height • Body mass index-for-age • Mid-upper arm circumference-for-age • Triceps skinfold-for-age • Subscapular skinfold-for-age • Head circumference-for-age • Weight • Length/height • Head circumference• Arm circumference • Body mass index

Growth velocity

WHO Child Growth Standards Innovative aspects
Prescriptive approach recognizing need for standards Breastfed infant as normative modelInternational sample Reference data for assessing childhood obesity Velocity reference data Link between physical growth and motor development

No gift is more precious

Breastfeeding
•provides perfect nutrition

• provides initial immunization • prevents diarrhoea • maximizes a child’s physical and intellectual potential • supports food security • bonds mother and child • helps birthspacing • benefits maternal health • saves money • is environment-friendly

WHO Child Growth Standards

The new standards will play a key role in the prevention and early recognition of childhoodobesity

Implementation phase
About 100 countries use NCHS reference Regional consultations to inform Member States Training of trainers workshops Application tools:
• • • • • • Training materialsPC and PPC software for clinical and population uses Child Growth Record Growth chart catalogue Field tables Website: www.who.int/childgrowth

WHO Child Growth Standards
Child survival Physical...
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