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Differences in standards
Differences of interpretation
WCGS x NCHS
Growth curve
Subjects from six countries (Brazil, Ghana, India, Norway, Oman, and US)
8500 children
0 (median)
Below -1
Stunted
Below -2 (see note 4) Underweight Wasted Wasted
Severely stunted
Severely Severely Severely
Below -3 (see note 4)
Underweight Wasted Wasted
Comparison of WHO Child Growth Standards and CDC
2000 for length/age
WCGS the estimates of stunted children will be more than by using the CDC 2000
compared with the CDC 2000, children with WHO curves have a higher standard stunted >>>
Comparison of WHO Child Growth Standard and CDC
2000 for weight/age
The average of baby weight at the WHO curve is higher than CDC 2000 in the period 0-6
months
increasing number of underweight children during the first 6 months
Comparison of WHO Child Growth Standard and NCHS
reference for weight/length
Comparison of WHO Child Growth Standard and CDC
2000 for weight/height
Comparison of WHO Child Growth
Standards and NCHS
WHO standard growth curve ideal picture of how
children should grow at their potential height and
weight.
7514 Baby and children < 5 years from three public health
service in Bandung on August 2009
NCHS interpretation
W/A: Poor, less, better or more
H/A : Stunted,normal
WHO
W/A severly underweight, underweight and median
obese.
Research Methods
The results of the two curves compared on the
basis of equality interpretation
Statistical analysis using the SPSS 17.1.1
Prevalence of each age group
Prevalence rates
Differences in interpretation of each group
according to age
Results
Sex n (%)
male 3765 49,9
women 3749 50,1
Total 7514 100
Group age
40.0%
35.0%
30.0%
25.0%
NCHS
20.0% WHO
15.0%
10.0%
5.0%
0.0%
0-5 bulan 6-11 bulan 12-23 bulan 24-35 bulan 36-47 bulan 48-60 bulan 0-60 bulan
0-5 mo 6-11 mo 12-23 mo 24-35 mo 36-47 mo 48-60 mo 0-60 mo
Comparison of wasted between WHO child growth
standard and NCHS
20.0%
18.0%
16.0%
14.0%
12.0%
10.0% NCHS
WHO
8.0%
6.0%
4.0%
2.0%
0.0%
0-5 bulan 6-11 bulan 12-23 bulan 24-35 bulan 36-47 bulan 48-60 bulan 0-60 bulan
0-5 mo 6-11 mo 12-23 mo 24-35 mo 36-47 mo 48-60 mo 0-60 mo
Comparison of overweight between WHO child growth
standard and NCHS
45.0%
40.0%
35.0%
30.0%
25.0%
NCHS
20.0% WHO
15.0%
10.0%
5.0%
0.0%
0-5 bulan 6-11 bulan 12-23 bulan 24-35 bulan 36-47 bulan 48-60 bulan 0-60 bulan
Comparison of stunted between WHO child growth
standard and NCHS
35.0%
30.0%
25.0%
20.0%
NCHS
15.0% WHO
10.0%
5.0%
0.0%
1
0-5 mo 2 mo
6-11 12-233 mo 12-2324-35
4 5 6
0-5 bulan 6-11 bulan bulanmo24-3536-47
bulanmo36-4748-60
bulanmo 48-60 bulan
Discussion
WHO curve
more sensitif
dyslipidemia
hypertension
Very important
35.0%
30.0%
25.0%
WHO Male
10.0%
5.0%
0.0%
00-05 06-11 12-23 24-35 36-47 48-60
20.0%
15.0%
WHO Male
WHO Female
NCHS Male
10.0% NCHS Female
5.0%
0.0%
00-05 06-11 12-23 24-35 36-47 48-60
14.0%
12.0%
10.0%
WHO Male
4.0%
2.0%
0.0%
00-05 06-11 12-23 24-35 36-47 48-60
25.0%
20.0%
WHO Male
5.0%
0.0%
00-05 06-11 12-23 24-35 36-47 48-60