ArticleArchives of disease in childhood2008
Implications of adopting the WHO 2006 Child Growth Standard in the UK: two prospective cohort studies.
Article in Archives of disease in childhood, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.
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37 citing papers in PubMed, 1 synthesis or guideline pooled it, 124 citations in OpenAlex.
- Worldwide variation in human growth and the World Health Organization growth standards: a systematic review.BMJ open · 2014Pooled it
- Comparison of the effects of different growth standards on infants in Urban Shanghai: a cluster-randomized controlled trial.Chinese medical journal · 2019Trial
- Trial
- Comparison of WHO and Centers for Disease Control and Prevention Growth References for Classifying Height and Weight Status in Young Children in the United States-Affiliated Pacific.Current developments in nutrition · 2026Article
- New growth charts for children and adolescents in Catalonia, Spain: developed from routinely collected data (2013-2019).BMC public health · 2026Article
- Do Anthropometric Health Risk Indicators of South African Primary School Children Require National Growth Charts? Insights from the NW-CHILD Study.Children (Basel, Switzerland) · 2026Article
- High but decreasing prevalence of overweight in preschool children: encouragement for further action.BMJ (Clinical research ed.) · 2023Article
- Paternal BMI in the preconception period, and the association with child zBMI.International journal of obesity (2005) · 2023Article
- Underweight in the First 2 Years of Life and Growth in Later Childhood.JAMA network open · 2022Article
- Comparison of National Growth Standards for Turkish Infants and Children with World Health Organization Growth StandardsJournal of clinical research in pediatric endocrinology · 2022Article
- Differences in Postnatal Growth of Preterm Infants in Northern China Compared to the INTERGROWTH-21st Preterm Postnatal Growth Standards: A Retrospective Cohort Study.Frontiers in pediatrics · 2022Article
- Growth standard charts for monitoring bodyweight in intact domestic shorthair kittens from the USA.PloS one · 2022Article
- Comparison of Postnatal Growth Charts of Singleton Preterm and Term Infants Using World Health Organization Standards at 40-160 Weeks Postmenstrual Age: A Chinese Single-Center Retrospective Cohort Study.Frontiers in pediatrics · 2021Article
- Growth Charts for Tribal, School-Going Children in Jharkhand Using Anthropometry and Lambda-Mu-Sigma Methods to Create Growth Charts.The Malaysian journal of medical sciences : MJMS · 2020Article
- Comparison of growth patterns in healthy dogs and dogs in abnormal body condition using growth standards.PloS one · 2020Article
- Preschool growth and nutrition service - addressing common nutritional problems: a community based, primary care led intervention.London journal of primary care · 2017Article
- Prevalence of microcephaly in Europe: population based study.BMJ (Clinical research ed.) · 2016Observational
- Fit to WHO weight standard of European infants over time.Archives of disease in childhood · 2016Article
- The height-, weight- and BMI-for-age of preschool children from Nizhny Novgorod city, Russia, relative to the international growth references.BMC public health · 2016Article
- Development of a New Growth Standard for Breastfed Chinese Infants: What Is the Difference from the WHO Growth Standards?PloS one · 2016Article
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4 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundThe WHO 2006 Child Growth Standard is based on data from international optimally nourished breastfed infants from birth to age 5 years.
objectiveTo assess the potential effect of its use on weight and growth monitoring of UK children.
participantsFull-term members of two population-based UK birth cohorts: the Children in Focus sub-cohort of the Avon Longitudinal Study of Parents and Children (ALSPAC) (n = 1335) and the Gateshead Millennium Baby Study (GMS; n = 923).
designGrowth data from birth to 5 years were converted into z-scores relative to the WHO 2006 standard.
resultsCompared with the WHO standard, both UK cohorts had higher birth weights (mean z-scores: GMS, 0.17; ALSPAC, 0.34) and ALSPAC had higher birth lengths. After birth, length showed a good fit at all ages. By 2-4 months, both cohorts were similar in weight to the WHO median (mean WHO weight z-score at 4 months: GMS, 0.01; ALSPAC, -0.07), but thereafter the UK cohorts were heavier (mean WHO weight z-score at 12 months: GMS, 0.57; ALSPAC, 0.65). At age 12 months, the risk of being classified as underweight (weight <2nd centile) was considerably lower according to the WHO standard than by the UK 1990 Growth Reference (RR = 0.15, 95% CI = 0.07 to 0.32), and the risk of being classified as obese at 4-5 years (body mass index >98th centile) was slightly increased (RR = 1.35, 95% CI = 1.02 to 1.78).
conclusionsAdoption of the WHO 2006 Growth Charts would set a markedly lower standard of weight gain beyond the age of 4 months for UK infants and could support efforts to avoid future childhood obesity. However, the WHO standard is not representative of size at birth in the UK.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.