Kieffer ELF, Sánchez MeM

Language: Spanish
References: 27
Page: 189-201
PDF size: 103.71 Kb.

ABSTRACT

Background: Growth charts are used in pediatric nutritional and growth assessment. The U.S. National Center for Health Statistics (NCHS) published in 1977 the world’s most frequently utilized percentile growth charts to evaluate pediatric growth. The U.S. Centers for Disease Control and Prevention (CDC) published in the year 2000 an improved version of the growth charts. Purpose: To use the CDC 200 growth charts in a sample of mexican children, and compare it with the NCHS 1977 charts. Research design: Prospective, observational, descriptive, cross-sectional study. Methods: Anthropometric measurements (weight, height, head circumference) were performed in a sample of 400 healthy children of 1 month to 14 years of age, at the daycare center and the pediatric outpatient clinic of the Central Military Hospital, and were classified by age and gender. Each patient was plotted in the NCHS and CDC charts. Statistical analysis was done with the McNemar test. Results: There was an important agreement in both charts; only a few differences were found at the extremes of the percentiles. The CDC growth charts are easy to use, and have the advantage of including the 3^rd and 97^th percentiles, as well as the Body Mass Index (BMI). Conclusions: CDC growth charts can be used to evaluate mexican children, keeping in mind the limitations of these tools. It is important to follow-up each child longitudinally, and to use the BMI charts to assess overweight in children.

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