World Health Organization 2006 Child Growth Standards and 2007 Growth Reference Charts: A Discussion Paper by the Committee on Nutrition of the European Society for Pediatric Gastroenterology, Hepatology, and Nutrition
Turck, Dominique2; Michaelsen, Kim F.15; Shamir, Raanan3; Braegger, Christian4; Campoy, Christina5; Colomb, Virginie6; Decsi, Tomás16; Domellöf, Magnus8; Fewtrell, Mary9; Kolacek, Sanja10; Mihatsch, Walter11; Moreno, Luis A.12; van Goudoever, Johannes13; ESPGHAN Committee on Nutrition, *14
1 Paediatric and International Nutrition, Department of Nutrition, Exercise and Sports, Faculty of Science, Københavns Universitet2 Département de Pédiatrie, Unité de Gastro-entérologie, Hépatologie et Nutrition, Hôpital Jeanne de Flandre, Lille3 zSchneider Children’s Medical Centre of Israel, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv4 University Children’s Hospital, Zurich5 Department of Paediatrics, University of Granada School of Medicine6 Hôpital des Enfants Malades, Université Paris V René Descartes, Paris7 University of Pecs8 Department of Paediatrics, Umea University, Umeå9 Children’s Nutrition Research Centre, University College London Institute of Child Health10 University Children’s Hospital Zagreb11 Department of Paediatrics, Munich Municipal Hospitals Harlaching12 Escuela Universitaria de Ciencias de la Salud, Universidad de Zaragoza13 Academic Medical Center, University of Amsterdam14 unknown15 Paediatric and International Nutrition, Department of Nutrition, Exercise and Sports, Faculty of Science, Københavns Universitet16 University of Pecs
Growth charts are essential for evaluating children’s health including their nutrition; however, the evaluation of child growth trajectories and consequently the decision to intervene are highly dependent on the growth charts used. The aim of this discussion paper of the European Society for Paediatric Gastroenterology, Hepatology, and Nutrition Committee on Nutrition is to provide information on the background and rationale of the World Health Organization (WHO) 2006 child growth standards and WHO 2007 growth reference charts, describe their development, outline their main innovative aspects, discuss potential limitations, and make recommendations. WHO 2006 child growth standards (0–5 years) are based on prospectively collected data describing the growth of healthy infants who were breast-fed according to WHO recommendations, showing a pattern of linear growth, which is remarkably consistent between different countries and ethnic groups. WHO 2007 growth reference charts (5–19 years) are based mainly on a re-analysis of National Centre for Health Statistics data from 1977, without information on feeding. European Society for Paediatric Gastroenterology, Hepatology, and Nutrition Committee on Nutrition recommends that WHO child growth standards should be used to monitor growth in all children in the age range 0 to 2 years in Europe, whether breastor formula-fed, and that they should be considered to be used in the age range 2 to 5 years. Implementation of the WHO child growth standards should be preceded by evaluation of the implication of their use on national healthcare policies. Health professionals should be guided on their use and interpretation and an adequate communication strategy should be available locally to ensure that parents receive clear and consistent advice. The decision on whether to implement the WHO growth references (5–19 years) should be made by national bodies because the growth pattern during the 5- to 19-year period differs between populations.
Journal of Pediatric Gastroenterology and Nutrition, 2013, Vol 57, Issue 2, p. 258-264