De Onis 2019 Public Health Nutrition: Difference between revisions
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Revision as of 20:43, 2 February 2020
de Onis M, Borghi E, Arimond M, Webb P, Croft T, Saha K, De-Regil LM, Thuita F, Heidkamp R, Krasevec J, Hayashi C, Flores-Ayala R (2019) Prevalence thresholds for wasting, overweight and stunting in children under 5 years. Public Health Nutrition 22:175-9. |
Β» Open Access
de Onis M, Borghi E, Arimond M, Webb P, Croft T, Saha K, De-Regil LM, Thuita F, Heidkamp R, Krasevec J, Hayashi C, Flores-Ayala R (2019) Public Health Nutrition
Abstract: Objective: Prevalence ranges to classify levels of wasting and stunting have been used since the 1990s for global monitoring of malnutrition. Recent developments prompted a re-examination of existing ranges and development of new ones for childhood overweight. The present paper reports from the WHOβUNICEF Technical Expert Advisory Group on Nutrition Monitoring.
Design: Thresholds were developed in relation to sd of the normative WHO Child Growth Standards. The international definition of βnormalβ (2 sd below/above the WHO standards median) defines the first threshold, which includes 2Β·3 % of the area under the normalized distribution. Multipliers of this βvery lowβ level (rounded to 2Β·5 %) set the basis to establish subsequent thresholds. Country groupings using the thresholds were produced using the most recent set of national surveys.
Setting: One hundred and thirty-four countries.
Subjects: Children under 5 years.
Results: For wasting and overweight, thresholds are: βvery lowβ (<2Β·5 %), βlowβ (β1β2 times 2Β·5 %), βmediumβ (β2β4 times 2Β·5 %), βhighβ (β4β6 times 2Β·5 %) and βvery highβ (>β6 times 2Β·5 %). For stunting, thresholds are: βvery lowβ (<2Β·5 %), βlowβ (β1β4 times 2Β·5 %), βmediumβ (β4β8 times 2Β·5 %), βhighβ (β8β12 times 2Β·5 %) and βvery highβ (>β12 times 2Β·5 %).
Conclusions: The proposed thresholds minimize changes and keep coherence across anthropometric indicators. They can be used for descriptive purposes to map countries according to severity levels; by donors and global actors to identify priority countries for action; and by governments to trigger action and target programmes aimed at achieving βlowβ or βvery lowβ levels. Harmonized terminology will help avoid confusion and promote appropriate interventions.
β’ Bioblast editor: Gnaiger E
Labels: MiParea: Developmental biology
Pathology: Obesity
Organism: Human
Preparation: Intact organism
BMI, BMI-cutoff