Relation between height and weight centiles may be more useful

Hulse, J A; Schilg, S

doi:10.1136/bmj.312.7023.122b

Cited by 8 publications

(3 citation statements)

References 2 publications

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“…Screening children's height seems to be cost-effective in detecting height-related disorders and for the detection of other undiagnosed conditions [ 13 ]. Growth charts should allow for a precise diagnosis of stunting and disturbances of weight-to-height proportion(s) (underweight and overweight) [ 14 , 15 ]. Currently, the function of growth charts with regard to disturbances of weight is of increasing importance for public health.…”

Section: Discussionmentioning

confidence: 99%

The height-, weight-, and BMI-for-age of Polish school-aged children and adolescents relative to international and local growth references

et al. 2010

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BackgroundThe growth of children is an indicator of health and society's wellbeing. Growth references are useful in monitoring a child's growth, which is a very important part of child care. Poland's growth references are not updated regularly. Although several growth reference ranges have been developed in Poland over recent years, sampling was restricted to urban populations of major cities. The aim of this study was to assess how well Polish children match with, or diverge from, regional charts and to compare them with international growth references.MethodsFour Polish and two international (WHO 2007 and USCDC2000) growth references were used to calculate the height, weight and BMI z-scores in a recent, large, population-representative sample of school-aged children and adolescents in Poland. The distributions of z-scores were analysed with descriptive and inferential statistical methods.ResultsMean height z-scores calculated with the use of the WHO 2007 and USCDC2000 references were positive and significantly different from zero over the entire age range. The mean height z-score was closest to zero in the Poznan reference for boys (0.05) and Warszawa reference for girls (0.01). Median weight z-scores were positive under all weight references over the entire age range with only the exception of 18-year-old girls' weight z-score calculated relative to USCDC2000. Median BMI z-scores were positive in males in early childhood, decreasing with age. In the case of girls, the median BMI z-score calculated using WHO 2007 and USCDC2000 was close to zero in early childhood, decreased in adolescents and reached minimum values at age 18 years. Median BMI z-scores calculated with the use of the Lodz reference fluctuated between 0.05 and 0.2 over the studied age range.ConclusionsIn this contemporary sample of Polish school-aged children, distributions of height, weight and BMI differed from those of children from the international growth references. These differences should be considered when using the references. There exist certain limitations to the analysis of height, weight, and BMI z-scores when Polish regional references are used.

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Section: Discussionmentioning

confidence: 99%

The height-, weight-, and BMI-for-age of Polish school-aged children and adolescents relative to international and local growth references

et al. 2010

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“…A weight two centiles (S.D.) or more above the height centile line suggests the need for careful clinical assessment for obesity (21) . BMI charts can be used to define overweight and obesity.…”

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confidence: 99%

Management of obesity in children differs from that of adults

Hoey

2014

Proc. Nutr. Soc.

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Obesity in childhood is a very common disorder with an increasing prevalence. It is one of the most serious public health challenges. The objectives of the present paper are to increase the awareness of the problem of obesity in childhood, its serious complications and the need for prevention. Overweight and obese children are likely to remain obese into adulthood and more likely to develop serious complications including health problems such as diabetes and CVD, as well as psychological and social challenges. Overweight and obesity are largely preventable. In adults it is difficult to reduce excessive weight gain once it has become established, thus children should be considered the priority population for intervention strategies and prevention. Nutrition, exercise, weight gain in infancy, genetic and environmental factors, all contribute to the aetiology. Prevention and treatment of obesity in childhood requires education and empowerment of families relating to diet and exercise, along with the regulation and control of food marketing and clear nutritional labelling. The eating and physical activity behaviour of a child is strongly influenced by environmental and social factors. Therefore treatment will have only limited success in an environment where adequate physical activity is inhibited and the consumption of high-energy food is stimulated. Government investment in a health promotion programme addressing the issue of obesity in the population as a whole, with particular emphasis on the prevention and management of obesity in childhood is vital. The family doctor and multidisciplinary team play an important role. Regular visits to the family doctor, including growth assessment, will help motivate the family to restrict energy intake and to increase exercise. Therefore the prevention of childhood obesity needs high priority.

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“…The relation between the height and weight centile has been proposed as ‘a more practical tool for community use’ than BMI (Hulse & Schilg, 1996). A UK study in which 42 dieticians were asked to calculate the ideal weight for height of children, by hand, found high rates of inter‐ and intraexaminer unreliability (Poustie et al ., 2000) indicating limitations of adopting such calculations for assessing the likely meaning of any weight or other growth measurements of concern.…”

Section: Discussionmentioning

confidence: 99%

Weight monitoring of breastfed babies in the United Kingdom – interpreting, explaining and intervening

Sachs¹,

Dykes²,

Carter³

2005

Maternal & Child Nutrition

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Weighing infants in their first 6 months is an important aspect of growth monitoring and a common activity of child health care services worldwide. During the same 6 months, support for establishing breastfeeding and the promotion of continued exclusive breastfeeding are important activities of health professionals. Parents and health professionals may perceive conflicts between achieving both robust growth and continuing breastfeeding. In this narrative review, the literature on weighing breastfed babies in the United Kingdom is examined. A companion paper examined issues of growth charts, scales and weighing frequency and accuracy. This paper considers issues of interpretation of the plotted weight values for individual breastfed babies, noting the complexities of growth patterns, which may lead to difficulties of accurate identification of those individuals whose growth merits further investigation. Little attention has been given to issues of explaining the interpreted growth curves to parents and this issue is explored and noted as of importance for further study. Research evidence on choosing appropriate interventions to improve the growth of breastfed babies is reviewed. The paucity of such evidence leads to suggestions for future study. This review gathers together a wide range of literature from many different perspectives, with the hope of informing weight monitoring practice so that this can both identify infants whose weight may be of concern, and who may need appropriate intervention, and support continued breastfeeding.

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Relation between height and weight centiles may be more useful

Cited by 8 publications

References 2 publications

The height-, weight-, and BMI-for-age of Polish school-aged children and adolescents relative to international and local growth references

The height-, weight-, and BMI-for-age of Polish school-aged children and adolescents relative to international and local growth references

Management of obesity in children differs from that of adults

Weight monitoring of breastfed babies in the United Kingdom – interpreting, explaining and intervening

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