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Implication of New WHO Growth Standards on Identification of Risk Factors and Estimated Prevalence of Malnutrition in Rural Malawian Infants

Author

Listed:
  • Marc-André Prost
  • Andreas Jahn
  • Sian Floyd
  • Hazzie Mvula
  • Eleneus Mwaiyeghele
  • Venance Mwinuka
  • Thomas Mhango
  • Amelia C Crampin
  • Nuala McGrath
  • Paul E M Fine
  • Judith R Glynn

Abstract

Background: The World Health Organization (WHO) released new Child Growth Standards in 2006 to replace the current National Center for Health Statistics (NCHS) growth reference. We assessed how switching from the NCHS to the newly released WHO Growth Standards affects the estimated prevalence of wasting, underweight and stunting, and the pattern of risk factors identified. Methodology/Principal Findings: Data were drawn from a village-informant driven Demographic Surveillance System in Northern Malawi. Children (n = 1328) were visited twice at 0–4 months and 11–15 months. Data were collected on the demographic and socio-economic environment of the child, health history, maternal and child anthropometry and child feeding practices. Weight-for-length, weight-for-age and length-for-age were derived in z-scores using the two growth references. In early infancy, prevalence estimates were 2.9, 6.1, and 8.5 fold higher for stunting, underweight, and wasting respectively using the WHO standards compared to NCHS reference (p

Suggested Citation

  • Marc-André Prost & Andreas Jahn & Sian Floyd & Hazzie Mvula & Eleneus Mwaiyeghele & Venance Mwinuka & Thomas Mhango & Amelia C Crampin & Nuala McGrath & Paul E M Fine & Judith R Glynn, 2008. "Implication of New WHO Growth Standards on Identification of Risk Factors and Estimated Prevalence of Malnutrition in Rural Malawian Infants," PLOS ONE, Public Library of Science, vol. 3(7), pages 1-8, July.
    • Handle: RePEc:plo:pone00:0002684
    DOI: 10.1371/journal.pone.0002684
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    Cited by:

    1. Burchi, Francesco, 2010. "Child nutrition in Mozambique in 2003: The role of mother's schooling and nutrition knowledge," Economics & Human Biology, Elsevier, vol. 8(3), pages 331-345, December.
    2. Anna Odone & Amelia C Crampin & Venance Mwinuka & Simon Malema & J Nimrod Mwaungulu & Lumbani Munthali & Judith R Glynn, 2013. "Association between Socioeconomic Position and Tuberculosis in a Large Population-Based Study in Rural Malawi," PLOS ONE, Public Library of Science, vol. 8(10), pages 1-1, October.

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