• Login
    View Item 
    •   Home
    • 1 Published Research and Commentary
    • Nutrition
    • View Item
    •   Home
    • 1 Published Research and Commentary
    • Nutrition
    • View Item
    Mar 04, 2021
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Browse

    All of MSFTitleAuthorsSubjectsPublisherJournalThis CollectionTitleAuthorsSubjectsPublisherJournal

    Assessing the impact of the introduction of the World Health Organization growth standards and weight-for-height z-score criterion on the response to treatment of severe acute malnutrition in children: Secondary data analysis

    • CSV
    • RefMan
    • EndNote
    • BibTex
    • RefWorks
    Thumbnail
    Name:
    Isanaka_growthstds_Peds2009.pdf
    Size:
    108.7Kb
    Format:
    PDF
    Description:
    Main article
    Download
    Authors
    Isanaka, S
    Villamor, E
    Shepherd, S
    Grais, RF
    Affiliation
    Departments of Epidemiology and Nutrition, Harvard School of Public Health, Boston, MA; Harvard Humanitarian Initiative, Harvard University, Cambridge, MA; Médecins Sans Frontières, Paris, France; Epicentre, Paris, France
    Issue Date
    2009-01-01
    Submitted date
    2009-01-05
    
    Metadata
    Show full item record
    Journal
    Pediatrics
    Abstract
    OBJECTIVE: The objective of our study was to assess the impact of adopting the World Health Organization growth standards and weight-for-height z-score criterion on the response to treatment of severe acute malnutrition in children compared with the use of the National Center for Health Statistics growth reference. METHODS: We used data from children aged 6 to 59 months with acute malnutrition who were admitted to the Médecins sans Frontières nutrition program in Maradi, Niger, during 2006 (N = 56214). Differences in weight gain, duration of treatment, recovery from malnutrition, mortality, loss to follow-up, and need for inpatient care were compared for severely malnourished children identified according to the National Center for Health Statistics reference and weight-for-height <70% of the median criterion versus the World Health Organization standards and the weight-for-height less than -3 z-score criterion. RESULTS: A total of 8 times more children (n = 25754) were classified as severely malnourished according to the World Health Organization standards compared with the National Center for Health Statistics reference (n = 2989). Children included according to the World Health Organization standards had shorter durations of treatment, greater rates of recovery, fewer deaths, and less loss to follow-up or need for inpatient care. CONCLUSIONS: The introduction of the World Health Organization standards with the z-score criterion to identify children for admission into severe acute malnutrition treatment programs would imply the inclusion of children who are younger but have relatively higher weight for height on admission compared with the National Center for Health Statistics reference. These children have fewer medical complications requiring inpatient care and are more likely to experience shorter durations of treatment and lower mortality rates. The World Health Organization standards with the z-score criterion might become a useful tool for the early detection of acute malnutrition in children, although additional research on the resource implications of this transition is required.
    Publisher
    Published by the American Academy of Pediatrics
    URI
    http://hdl.handle.net/10144/47873
    DOI
    10.1542/peds.2008-1375
    PubMed ID
    19117847
    Additional Links
    http://pediatrics.aappublications.org/cgi/content/abstract/123/1/e54
    Type
    Article
    Language
    en
    ISSN
    1098-4275
    Sponsors
    Research support was provided by Medecins sans Frontieres and the United Nations System Standing Committee on Nutrition. Ms Isanaka was supported in part by National Cancer Institute grant R25-CA098566. The funding sources had no role in the authors’ work.
    ae974a485f413a2113503eed53cd6c53
    10.1542/peds.2008-1375
    Scopus Count
    Collections
    Nutrition

    entitlement

    Related articles

    • Prognostic accuracy of WHO growth standards to predict mortality in a large-scale nutritional program in Niger.
    • Authors: Lapidus N, Luquero FJ, Gaboulaud V, Shepherd S, Grais RF
    • Issue date: 2009 Mar 3
    • Comparison of the new World Health Organization growth standards and the National Center for Health Statistics growth reference regarding mortality of malnourished children treated in a 2006 nutrition program in Niger.
    • Authors: Dale NM, Grais RF, Minetti A, Miettola J, Barengo NC
    • Issue date: 2009 Feb
    • Mortality risk among children admitted in a large-scale nutritional program in Niger, 2006.
    • Authors: Lapidus N, Minetti A, Djibo A, Guerin PJ, Hustache S, Gaboulaud V, Grais RF
    • Issue date: 2009
    • Impact of new WHO growth standards on the prevalence of acute malnutrition and operations of feeding programs - Darfur, Sudan, 2005-2007.
    • Authors: Centers for Disease Control and Prevention (CDC).
    • Issue date: 2009 Jun 5
    • Operational implications of using 2006 World Health Organization growth standards in nutrition programmes: secondary data analysis.
    • Authors: Seal A, Kerac M
    • Issue date: 2007 Apr 7
    DSpace software (copyright © 2002 - 2021)  DuraSpace
    Quick Guide | Contact Us
    Open Repository is a service operated by 
    Atmire NV
     

    Export search results

    The export option will allow you to export the current search results of the entered query to a file. Different formats are available for download. To export the items, click on the button corresponding with the preferred download format.

    By default, clicking on the export buttons will result in a download of the allowed maximum amount of items.

    To select a subset of the search results, click "Selective Export" button and make a selection of the items you want to export. The amount of items that can be exported at once is similarly restricted as the full export.

    After making a selection, click one of the export format buttons. The amount of items that will be exported is indicated in the bubble next to export format.