Good morning,
Please, can weight-for-age be used in assessment of nutritional status of children above 10 years of age?
Secondly, can one use height-for-age in assessing nutrition in children older than 5 years.
I would appreciate any publications on these.
Thanks
Iyke
Dear Iyke,
Please see the WHO growth charts for reference data for these groups: https://www.who.int/tools/growth-reference-data-for-5to19-years
I hope this is of help.
Best wishes,
Tamsin
Answered:
2 years ago
You are limited to the range of ages (or heights / lengths) for which references / standards are available These are:
• Weight-for-length z-scores for children with lengths between 45 and 110 cm
• Weight-for-height z-scores for children with heights between 65 and 120 cm
• Length-for-age z-scores for children aged less than 24 months
• Height-for-age z-scores for children aged between 24 and 228 months
• Weight-for-age z-scores for children aged between zero and 120 months
• Body mass index-for-age z-scores for children aged between zero and 228 months
• MUAC-for-age z-scores for children aged between 3 and 228 months
• Triceps skinfold-for-age z-scores for children aged between 3 and 60 months
• Sub-scapular skinfold-for-age z-scores for children aged between 3 and 60 months
• Head circumference-for-age z-scores for children aged between zero and 60 months
The MUAC/A reference in the above is from Mramba et al. (2017) using data from the USA and Africa. This reference has been validated with African school-age children and adolescents. The rest are from the WHO Child Growth Standards (2006) for children aged between zero and 60 months or the WHO Growth References (2007) for school-aged children and adolescents.
To answer your question directly ... We can use W/A above ten years (< 120 months = < 12 years) using the WHO reference / standard. We can use H/A above 5 years (< 228 months < 19 years) using the WHO reference / standard. Note that other references / standards are available and these may have different age ranges. The 2000 CDC references (e.g) have W/A, H/A, and BMI/A to 20 years.
I hope this is some use.
Answered:
2 years ago