Evidence map›Paper›PMID 37932904›Full record

ArticlePublic health nutrition2023

Evaluating preschool linear growth velocities: an interim reference illustrated in Nepal.

Swetha Manohar, Elizabeth Colantuoni, Andrew Lucian Thorne-Lyman, Binod Shrestha, Ramesh Kant Adhikari, Angela Kc, Abhigyna Bhattarai, Keith Parker West

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Article in Public health nutrition, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

8 authors.

Swetha ManoharCenter for Human Nutrition, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Elizabeth ColantuoniDepartment of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Andrew Lucian Thorne-LymanCenter for Human Nutrition, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.ORCID 0000-0001-5917-4126
Binod ShresthaPoSHAN Study Team, Johns Hopkins University, Patan Dhoka, Lalitpur, Nepal.
Ramesh Kant AdhikariGlobal Food Ethics & Policy Program, Johns Hopkins School of Advanced International Studies, Washington, DC20036, USA.
Angela KcCenter for Human Nutrition, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Abhigyna BhattaraiDepartment of Child Health, Institute of Medicine, Tribhuvan University, Nepal.
Keith Parker WestCenter for Human Nutrition, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveAn annualised linear growth velocity (LGV) reference can identify groups of children at risk of growing poorly. As a single velocity reference for all preschool ages does not exist, we present an interim tool, derived from published, normative growth studies, for detecting growth faltering, illustrating its use in Nepali preschoolers.

designThe WHO Child Growth Velocity Standard was adapted to derive 12-month increments and conjoined to the Tanner-Whitehouse Height Velocity Reference data yielding contiguous preschool linear growth annualised velocities. Linear restricted cubic spline regressions were fit to generate sex-specific median and standard normal deviate velocities for ages 0 through 59 months. LGV

settingUse of the reference was illustrated with data from Nepal’s

participantsChildren contributing the existing growth references and a cohort of 4276 Nepali children assessed from 2013 to 2016.

resultsFitted, smoothed LGV reference curves displayed monotonically decreasing 12-month LGV, exemplified by male/female annual medians of 26·4/25·3, 12·1/12·7, 9·1/9·4, 7·7/7·8 and 7/7 cm/years, starting at 0, 12, 24, 36 and 48 months, respectively. Applying the referent, 31·1 %, 28·6 % and 29·3 % of Nepali children <6, 6–11 and 12–23 months of age, and ∼6 % of children 24–59 months, exhibited growth faltering. Under 24 months, faltering velocities were more prevalent in girls (34·4 %) than boys (25·3 %) (

conclusionsA LGV reference, concatenated from extant data, can identify preschool groups at-risk of growth faltering. Application and limitations are discussed.

Indexed as

Growth DisordersSchoolsAgedBody HeightChildChild, PreschoolEducational StatusFemaleHumansInfantLinear ModelsMaleNepalAnthropometryGrowth falteringGrowth velocity referenceLinear growth velocityNepal

Identifiers

PMID37932904
PMCPMC10755438

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