Evidence map›Paper›PMID 25716173›Full record

ArticleBMJ open2015

Comparison of the China growth charts with the WHO growth standards in assessing malnutrition of children.

Zhenyu Yang, Yifan Duan, Guansheng Ma, Xiaoguang Yang, Shian Yin

Abstract readComparative Study
In one paragraph

Article in BMJ open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Zhenyu YangKey Laboratory of Trace Element Nutrition, Ministry of Health of China, National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, Beijing, China.
Yifan DuanKey Laboratory of Trace Element Nutrition, Ministry of Health of China, National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, Beijing, China.
Guansheng MaKey Laboratory of Trace Element Nutrition, Ministry of Health of China, National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, Beijing, China.
Xiaoguang YangKey Laboratory of Trace Element Nutrition, Ministry of Health of China, National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, Beijing, China.
Shian YinKey Laboratory of Trace Element Nutrition, Ministry of Health of China, National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo compare the difference between the China growth reference and the WHO growth standards in assessing malnutrition of children under 5 years. SETTINGS: The households selected from 31 provinces, autonomous regions and municipalities in mainland China (except Taiwan, Hong Kong and Macao).

participantsHouseholds were selected by using a stratified, multistage probability cluster sampling. Children under 5 years of age in the selected households were recruited (n=15,886). PRIMARY AND SECONDARY OUTCOME MEASURES: Underweight, stunting, wasting, overweight and obesity.

resultsAccording to the China growth reference, the prevalence of underweight (8.7% vs 4.8%), stunting (17.2% vs 16.1%) and wasting (4.4% vs 3%) was significantly higher than that based on the WHO growth standards, respectively (p<0.001); the prevalence of overweight was lower than that based on the WHO growth standards (9.4% vs 10.2%, p<0.001). In most cases, the prevalence of undernutrition assessed by using the China growth reference was significantly higher. However, the prevalence of overweight was significantly lower by using China charts for boys aged 3-4, 6, 8, 10, 12-18 and 24 months.

conclusionsThe WHO growth standards could be more conservative in undernutrition estimation and more applicable for international comparison for Chinese children. Future researches are warranted for using the WHO growth standards within those countries with local growth charts when there are distinct differences between the two.

Indexed as

Growth ChartsWorld Health OrganizationChild, PreschoolChinaFemaleGrowth DisordersHumansInfantMaleMalnutritionNutritional StatusPrevalenceReference ValuesSex DistributionThinnesschildren under 5China growth referencemalnutritionWHO growth standards

Identifiers

PMID25716173
PMCPMC4342594

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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.