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Indonesian National Growth Reference Charts Better Reflect Height and Weight of Children in West Java, Indonesia, than WHO Child Growth Standards

OBJECTIVE: The Indonesia Basic Health Research 2018 indicates that Indonesian children are still among the shortest in the world. When referred to World Health Organization Child Growth Standards (WHOCGS), the prevalence of stunting reaches up to 43% in several Indonesian districts. Indonesian Natio...

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Autores principales: Novina, Novina, Hermanussen, Michael, Scheffler, Christiane, Pulungan, Aman B., Ismiarto, Yoyos Dias, Andriyana, Yudhie, Biben, Vitriana, Setiabudiawan, Budi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Galenos Publishing 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7711636/
https://www.ncbi.nlm.nih.gov/pubmed/32772522
http://dx.doi.org/10.4274/jcrpe.galenos.2020.2020.0044
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author Novina, Novina
Hermanussen, Michael
Scheffler, Christiane
Pulungan, Aman B.
Ismiarto, Yoyos Dias
Andriyana, Yudhie
Biben, Vitriana
Setiabudiawan, Budi
author_facet Novina, Novina
Hermanussen, Michael
Scheffler, Christiane
Pulungan, Aman B.
Ismiarto, Yoyos Dias
Andriyana, Yudhie
Biben, Vitriana
Setiabudiawan, Budi
author_sort Novina, Novina
collection PubMed
description OBJECTIVE: The Indonesia Basic Health Research 2018 indicates that Indonesian children are still among the shortest in the world. When referred to World Health Organization Child Growth Standards (WHOCGS), the prevalence of stunting reaches up to 43% in several Indonesian districts. Indonesian National Growth Reference Charts (INGRC) were established in order to better distinguish between healthy short children and children with growth disorders. We analyzed height and weight measurements of healthy Indonesian children using INGRC and WHOCGS. METHODS: 6972 boys and 5800 girls (n=12,772), aged 0-59 months old, from Bandung District were measured. Z-scores of length/height and body mass index were calculated based on INGRC and WHOCGS. RESULTS: Under 5-year-old Indonesian children raised in Bandung are short and slim. Mean height z-scores of boys is -2.03 [standard deviation (SD) 1.31], mean height z-scores of girls is -2.03 (SD 1.31) when referred to WHOCGS indicating that over 50% of these children are stunted. Bandung children are heterogeneous, with substantial subpopulations of tall children. Depending on the growth reference used, between 9% and 15% of them are wasted. Wasted children are on average half a SD taller than their peers. CONCLUSION: WHOCGS seriously overestimates the true prevalence of undernutrition in Indonesian children. The present investigation fails to support evidence of undernutrition at a prevalence similar to the over 50% prevalence of stunting (WHOCGS) versus 13.3% (INGRC). We suggest refraining from using WHOCGS, and instead applying INGRC that closely mirror height and weight increments in Bandung children. INGRC appear superior for practical and clinical purposes, such as detecting growth and developmental disorders.
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spelling pubmed-77116362020-12-08 Indonesian National Growth Reference Charts Better Reflect Height and Weight of Children in West Java, Indonesia, than WHO Child Growth Standards Novina, Novina Hermanussen, Michael Scheffler, Christiane Pulungan, Aman B. Ismiarto, Yoyos Dias Andriyana, Yudhie Biben, Vitriana Setiabudiawan, Budi J Clin Res Pediatr Endocrinol Original Article OBJECTIVE: The Indonesia Basic Health Research 2018 indicates that Indonesian children are still among the shortest in the world. When referred to World Health Organization Child Growth Standards (WHOCGS), the prevalence of stunting reaches up to 43% in several Indonesian districts. Indonesian National Growth Reference Charts (INGRC) were established in order to better distinguish between healthy short children and children with growth disorders. We analyzed height and weight measurements of healthy Indonesian children using INGRC and WHOCGS. METHODS: 6972 boys and 5800 girls (n=12,772), aged 0-59 months old, from Bandung District were measured. Z-scores of length/height and body mass index were calculated based on INGRC and WHOCGS. RESULTS: Under 5-year-old Indonesian children raised in Bandung are short and slim. Mean height z-scores of boys is -2.03 [standard deviation (SD) 1.31], mean height z-scores of girls is -2.03 (SD 1.31) when referred to WHOCGS indicating that over 50% of these children are stunted. Bandung children are heterogeneous, with substantial subpopulations of tall children. Depending on the growth reference used, between 9% and 15% of them are wasted. Wasted children are on average half a SD taller than their peers. CONCLUSION: WHOCGS seriously overestimates the true prevalence of undernutrition in Indonesian children. The present investigation fails to support evidence of undernutrition at a prevalence similar to the over 50% prevalence of stunting (WHOCGS) versus 13.3% (INGRC). We suggest refraining from using WHOCGS, and instead applying INGRC that closely mirror height and weight increments in Bandung children. INGRC appear superior for practical and clinical purposes, such as detecting growth and developmental disorders. Galenos Publishing 2020-12 2020-11-25 /pmc/articles/PMC7711636/ /pubmed/32772522 http://dx.doi.org/10.4274/jcrpe.galenos.2020.2020.0044 Text en ©Copyright 2020 by Turkish Pediatric Endocrinology and Diabetes Society | The Journal of Clinical Research in Pediatric Endocrinology published by Galenos Publishing House. http://creativecommons.org/licenses/by/2.5/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Novina, Novina
Hermanussen, Michael
Scheffler, Christiane
Pulungan, Aman B.
Ismiarto, Yoyos Dias
Andriyana, Yudhie
Biben, Vitriana
Setiabudiawan, Budi
Indonesian National Growth Reference Charts Better Reflect Height and Weight of Children in West Java, Indonesia, than WHO Child Growth Standards
title Indonesian National Growth Reference Charts Better Reflect Height and Weight of Children in West Java, Indonesia, than WHO Child Growth Standards
title_full Indonesian National Growth Reference Charts Better Reflect Height and Weight of Children in West Java, Indonesia, than WHO Child Growth Standards
title_fullStr Indonesian National Growth Reference Charts Better Reflect Height and Weight of Children in West Java, Indonesia, than WHO Child Growth Standards
title_full_unstemmed Indonesian National Growth Reference Charts Better Reflect Height and Weight of Children in West Java, Indonesia, than WHO Child Growth Standards
title_short Indonesian National Growth Reference Charts Better Reflect Height and Weight of Children in West Java, Indonesia, than WHO Child Growth Standards
title_sort indonesian national growth reference charts better reflect height and weight of children in west java, indonesia, than who child growth standards
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7711636/
https://www.ncbi.nlm.nih.gov/pubmed/32772522
http://dx.doi.org/10.4274/jcrpe.galenos.2020.2020.0044
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