Assessing the impact of the introduction of the World Health Organization growth standards and weight-for-height z-score criterion on the response to treatment of severe acute malnutrition in children: secondary data analysis.

Pediatrics
Sheila IsanakaRebecca F Grais

Abstract

The objective of our study was to assess the impact of adopting the World Health Organization growth standards and weight-for-height z-score criterion on the response to treatment of severe acute malnutrition in children compared with the use of the National Center for Health Statistics growth reference. We used data from children aged 6 to 59 months with acute malnutrition who were admitted to the Médecins sans Frontières nutrition program in Maradi, Niger, during 2006 (N = 56214). Differences in weight gain, duration of treatment, recovery from malnutrition, mortality, loss to follow-up, and need for inpatient care were compared for severely malnourished children identified according to the National Center for Health Statistics reference and weight-for-height <70% of the median criterion versus the World Health Organization standards and the weight-for-height less than -3 z-score criterion. A total of 8 times more children (n = 25754) were classified as severely malnourished according to the World Health Organization standards compared with the National Center for Health Statistics reference (n = 2989). Children included according to the World Health Organization standards had shorter durations of treatment, greater rates of ...Continue Reading

References

Apr 8, 2004·The Journal of Pediatrics·Mercedes de OnisAdelheid W Onyango
Jul 1, 2005·American Journal of Epidemiology·Donna Spiegelman, Ellen Hertzmark
Jan 22, 2008·Lancet·Robert E BlackUNKNOWN Maternal and Child Undernutrition Study Group

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Citations

Jun 20, 2013·Indian Pediatrics·A K Patwari
Nov 10, 2012·Public Health Nutrition·Víctor M AguayoKaranveer Singh
Sep 22, 2010·Journal of Paediatrics and Child Health·Sant-Rayn Pasricha, Beverley-Ann Biggs
Feb 4, 2016·The New England Journal of Medicine·Sheila IsanakaRebecca F Grais
Sep 24, 2009·Tropical Medicine & International Health : TM & IH·A MinettiG Harczi
Jun 24, 2011·Maternal & Child Nutrition·Bolajoko O Olusanya, James K Renner
Jul 9, 2011·European Journal of Cancer : Official Journal for European Organization for Research and Treatment of Cancer (EORTC) [and] European Association for Cancer Research (EACR)·Alessandra SalaRonald Barr
May 18, 2016·Maternal & Child Nutrition·Mercedes de Onis, Francesco Branca
Mar 27, 2013·JPEN. Journal of Parenteral and Enteral Nutrition·Nilesh M MehtaUNKNOWN American Society for Parenteral and Enteral Nutrition Board of Directors
May 24, 2018·Paediatrics and International Child Health·Phoebe C M Williams, James A Berkley
Jun 22, 2012·Public Health Nutrition·Mercedes de OnisUNKNOWN WHO Multicentre Growth Reference Study Group

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