Use of World Health Organization and CDC growth charts for children aged 0-59 months in the United States
By: [prepared by Laurence M. Grummer-Strawn, Chris Reinold, Nancy F. Krebs]
Contributors: Reinold, Christopher M.; Krebs, Nancy Funnemark; National Center for Chronic Disease Prevention and Health Promotion (U.S.); Centers for Disease Control and Prevention (U.S.)
Series: MMWR. Morbidity and mortality weekly report. Recommendations and reports -- v. 59, no. RR-9; Morbidity and mortality weekly report
Publisher: Dept. of Health and Human Services, Centers for Disease Control and Prevention
Published: 2010
Place of publication: Atlanta, GA
Language: eng
Number of pages: 15
Subjects: Child development; Infant; Methods; Adolescent; Body Height; Growth Charts; Child Development; Growth; Body Size; Body Weight; Anthropometry; Children; Reference Values
Description: "In April 2006, the World Health Organization (WHO) released new international growth charts for children aged 0--59 months. Similar to the 2000 CDC growth charts, these charts describe weight for age, length (or stature) for age, weight for length (or stature), and body mass index for age. Whereas the WHO charts are growth standards, describing the growth of healthy children in optimal conditions, the CDC charts are a growth reference, describing how certain children grew in a particular place and time. However, in practice, clinicians use growth charts as standards rather than references. In 2006, CDC, the National Institutes of Health, and the American Academy of Pediatrics convened an expert panel to review scientific evidence and discuss the potential use of the new WHO growth charts in clinical settings in the United States. On the basis of input from this expert panel, CDC recommends that clinicians in the United States use the 2006 WHO international growth charts, rather than the CDC growth charts, for children aged <24 months (available at https://www.cdc.gov/growthcharts). The CDC growth charts should continue to be used for the assessment of growth in persons aged 2--19 years. The recommendation to use the 2006 WHO international growth charts for children aged <24 months is based on several considerations, including the recognition that breastfeeding is the recommended standard for infant feeding. In the WHO charts, the healthy breastfed infant is intended to be the standard against which all other infants are compared; 100% of the reference population of infants were breastfed for 12 months and were predominantly breastfed for at least 4 months. When using the WHO growth charts to screen for possible abnormal or unhealthy growth, use of the 2.3rd and 97.7th percentiles (or ±2 standard deviations) are recommended, rather than the 5th and 95th percentiles. Clinicians should be aware that fewer U.S. children will be identified as underweight using the WHO charts, slower growth among breastfed infants during ages 3--18 months is normal, and gaining weight more rapidly than is indicated on the WHO charts might signal early signs of overweight"--P. 1.
Notes: Cover title.

"September 10, 2010."

"The material in this report originated in the National Center for Chronic Disease Prevention and Health Promotion"--P. 1.

"U.S. Government Printing Office: 2010-623-026/41275, Region IV"--P. [4] of cover.

Includes bibliographical references (p. 13-14).

Also available via the World Wide Web.
Table of contents: title: Introduction; title: Methods; title: Creation of the WHO and CDC growth curves; title: Rationale for recommendations; title: Recommendations; title: Use of recommended growth charts in clinical settings; title: Recent WHO growth chart policies and publications; title: Conclusion.