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 |
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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. |
doi_str_mv | 10.1007/s10389-020-01289-w |
format | Article |
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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 & 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 & 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? The Israeli children validity study</title><author>Hauzer, Michael ; Rubin, Lisa ; Grotto, Itamar ; Calderon-Margalit, Ronit</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c200t-3806084695c1ffe5aad5b400ad679e32108a49ade99b7d16226b4b1471c2e60c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Age</topic><topic>Children</topic><topic>Epidemiology</topic><topic>Health Promotion and Disease Prevention</topic><topic>Infants</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Article</topic><topic>Outliers (statistics)</topic><topic>Population studies</topic><topic>Public Health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hauzer, Michael</creatorcontrib><creatorcontrib>Rubin, Lisa</creatorcontrib><creatorcontrib>Grotto, Itamar</creatorcontrib><creatorcontrib>Calderon-Margalit, Ronit</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Engineering Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Engineering Database</collection><collection>Environmental Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>Engineering Collection</collection><collection>Environmental Science Collection</collection><jtitle>Journal of public health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hauzer, Michael</au><au>Rubin, Lisa</au><au>Grotto, Itamar</au><au>Calderon-Margalit, Ronit</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Are the World Health Organization growth standards universal? 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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