Are the World Health Organization growth standards universal? The Israeli children validity study

Aim The World Health Organization (WHO) 2006 growth standards were adopted in most countries, Israel included. We aimed to study the assumption that growth in early years is similar across populations by studying the validity of the WHO growth standards in a large population-based study of Israeli i...

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Veröffentlicht in:Journal of public health 2022-02, Vol.30 (2), p.281-291
Hauptverfasser: Hauzer, Michael, Rubin, Lisa, Grotto, Itamar, Calderon-Margalit, Ronit
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creator Hauzer, Michael
Rubin, Lisa
Grotto, Itamar
Calderon-Margalit, Ronit
description Aim The World Health Organization (WHO) 2006 growth standards were adopted in most countries, Israel included. We aimed to study the assumption that growth in early years is similar across populations by studying the validity of the WHO growth standards in a large population-based study of Israeli infants. Methods Computerized data on infants born in 2011–2015 who were followed in the well-baby clinics for the first 2 years of their lives were retrieved from the Ministry of Health. Data included sociodemographics, delivery information, and visit-specific measurements of weight, recumbent length, and head circumference. Sex- and age-specific z -scores, percentiles, and outliers of anthropometric measurements were calculated and compared with the Standards. These analyses were repeated for “ideally grown” infants. Results Israeli infants were consistently shorter, with z -scores ranging from −0.07 SD (standard deviation) to −0.5 SD. Also, Israeli infants weighed less than predicted by the standards in the first 9 months. The proportion over 2 SD in weight-for-length increased with age from 2.2–2.9% in the first 6 months of life to 3.4–5.1% in the second year of life, which is well above the expected value of 2.3%. Conclusion Israeli infants were shorter and more likely to be obese than predicted by the Standards. Having differences in length even more prominent among “ideally grown” children suggest that the WHO standards might not be optimal for monitoring the growth of Israeli infants.
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The Israeli children validity study</title><source>SpringerLink Journals - AutoHoldings</source><creator>Hauzer, Michael ; Rubin, Lisa ; Grotto, Itamar ; Calderon-Margalit, Ronit</creator><creatorcontrib>Hauzer, Michael ; Rubin, Lisa ; Grotto, Itamar ; Calderon-Margalit, Ronit</creatorcontrib><description>Aim The World Health Organization (WHO) 2006 growth standards were adopted in most countries, Israel included. We aimed to study the assumption that growth in early years is similar across populations by studying the validity of the WHO growth standards in a large population-based study of Israeli infants. Methods Computerized data on infants born in 2011–2015 who were followed in the well-baby clinics for the first 2 years of their lives were retrieved from the Ministry of Health. Data included sociodemographics, delivery information, and visit-specific measurements of weight, recumbent length, and head circumference. Sex- and age-specific z -scores, percentiles, and outliers of anthropometric measurements were calculated and compared with the Standards. These analyses were repeated for “ideally grown” infants. Results Israeli infants were consistently shorter, with z -scores ranging from −0.07 SD (standard deviation) to −0.5 SD. Also, Israeli infants weighed less than predicted by the standards in the first 9 months. The proportion over 2 SD in weight-for-length increased with age from 2.2–2.9% in the first 6 months of life to 3.4–5.1% in the second year of life, which is well above the expected value of 2.3%. Conclusion Israeli infants were shorter and more likely to be obese than predicted by the Standards. Having differences in length even more prominent among “ideally grown” children suggest that the WHO standards might not be optimal for monitoring the growth of Israeli infants.</description><identifier>ISSN: 2198-1833</identifier><identifier>EISSN: 1613-2238</identifier><identifier>DOI: 10.1007/s10389-020-01289-w</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Age ; Children ; Epidemiology ; Health Promotion and Disease Prevention ; Infants ; Medicine ; Medicine &amp; Public Health ; Original Article ; Outliers (statistics) ; Population studies ; Public Health</subject><ispartof>Journal of public health, 2022-02, Vol.30 (2), p.281-291</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2020</rights><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c200t-3806084695c1ffe5aad5b400ad679e32108a49ade99b7d16226b4b1471c2e60c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10389-020-01289-w$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10389-020-01289-w$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids></links><search><creatorcontrib>Hauzer, Michael</creatorcontrib><creatorcontrib>Rubin, Lisa</creatorcontrib><creatorcontrib>Grotto, Itamar</creatorcontrib><creatorcontrib>Calderon-Margalit, Ronit</creatorcontrib><title>Are the World Health Organization growth standards universal? The Israeli children validity study</title><title>Journal of public health</title><addtitle>J Public Health (Berl.)</addtitle><description>Aim The World Health Organization (WHO) 2006 growth standards were adopted in most countries, Israel included. We aimed to study the assumption that growth in early years is similar across populations by studying the validity of the WHO growth standards in a large population-based study of Israeli infants. Methods Computerized data on infants born in 2011–2015 who were followed in the well-baby clinics for the first 2 years of their lives were retrieved from the Ministry of Health. Data included sociodemographics, delivery information, and visit-specific measurements of weight, recumbent length, and head circumference. Sex- and age-specific z -scores, percentiles, and outliers of anthropometric measurements were calculated and compared with the Standards. These analyses were repeated for “ideally grown” infants. Results Israeli infants were consistently shorter, with z -scores ranging from −0.07 SD (standard deviation) to −0.5 SD. Also, Israeli infants weighed less than predicted by the standards in the first 9 months. The proportion over 2 SD in weight-for-length increased with age from 2.2–2.9% in the first 6 months of life to 3.4–5.1% in the second year of life, which is well above the expected value of 2.3%. Conclusion Israeli infants were shorter and more likely to be obese than predicted by the Standards. Having differences in length even more prominent among “ideally grown” children suggest that the WHO standards might not be optimal for monitoring the growth of Israeli infants.</description><subject>Age</subject><subject>Children</subject><subject>Epidemiology</subject><subject>Health Promotion and Disease Prevention</subject><subject>Infants</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Original Article</subject><subject>Outliers (statistics)</subject><subject>Population studies</subject><subject>Public Health</subject><issn>2198-1833</issn><issn>1613-2238</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kEFLwzAUx4MoOKdfwFPAc_UladP0JGOoGwx2mXgMr026ZdR2Ju3G_PRGJ3jz9B6P_-__4EfILYN7BpA_BAZCFQlwSIDxuB3OyIhJJhLOhTonI84KlTAlxCW5CmELIITgxYjgxFvabyx963xj6Mxi02_o0q-xdZ_Yu66la98d4i302Br0JtChdXvrAzaPdBXJefBoG0erjWuMty3dY-OM648RGczxmlzU2AR78zvH5PX5aTWdJYvly3w6WSQVB-gToUCCSmWRVayubYZosjIFQCPzwgrOQGFaoLFFUeaGSc5lmZYszVnFrYRKjMndqXfnu4_Bhl5vu8G38aXmkoMSEcliip9Sle9C8LbWO-_e0R81A_2tUp9U6qhS_6jUhwiJExRiuF1b_1f9D_UFfr13xw</recordid><startdate>20220201</startdate><enddate>20220201</enddate><creator>Hauzer, Michael</creator><creator>Rubin, Lisa</creator><creator>Grotto, Itamar</creator><creator>Calderon-Margalit, Ronit</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FE</scope><scope>8FG</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>L6V</scope><scope>M0S</scope><scope>M1P</scope><scope>M7S</scope><scope>PATMY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PTHSS</scope><scope>PYCSY</scope></search><sort><creationdate>20220201</creationdate><title>Are the World Health Organization growth standards universal? 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The Israeli children validity study</atitle><jtitle>Journal of public health</jtitle><stitle>J Public Health (Berl.)</stitle><date>2022-02-01</date><risdate>2022</risdate><volume>30</volume><issue>2</issue><spage>281</spage><epage>291</epage><pages>281-291</pages><issn>2198-1833</issn><eissn>1613-2238</eissn><abstract>Aim The World Health Organization (WHO) 2006 growth standards were adopted in most countries, Israel included. We aimed to study the assumption that growth in early years is similar across populations by studying the validity of the WHO growth standards in a large population-based study of Israeli infants. Methods Computerized data on infants born in 2011–2015 who were followed in the well-baby clinics for the first 2 years of their lives were retrieved from the Ministry of Health. Data included sociodemographics, delivery information, and visit-specific measurements of weight, recumbent length, and head circumference. Sex- and age-specific z -scores, percentiles, and outliers of anthropometric measurements were calculated and compared with the Standards. These analyses were repeated for “ideally grown” infants. Results Israeli infants were consistently shorter, with z -scores ranging from −0.07 SD (standard deviation) to −0.5 SD. Also, Israeli infants weighed less than predicted by the standards in the first 9 months. The proportion over 2 SD in weight-for-length increased with age from 2.2–2.9% in the first 6 months of life to 3.4–5.1% in the second year of life, which is well above the expected value of 2.3%. Conclusion Israeli infants were shorter and more likely to be obese than predicted by the Standards. Having differences in length even more prominent among “ideally grown” children suggest that the WHO standards might not be optimal for monitoring the growth of Israeli infants.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><doi>10.1007/s10389-020-01289-w</doi><tpages>11</tpages></addata></record>
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subjects Age
Children
Epidemiology
Health Promotion and Disease Prevention
Infants
Medicine
Medicine & Public Health
Original Article
Outliers (statistics)
Population studies
Public Health
title Are the World Health Organization growth standards universal? The Israeli children validity study
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