Dear Friends:


How can they talk about growth charts and not even mention feeding
method??????? What planet are they living on?


warmly,


Nestle Nutr Workshop Ser Pediatr
Program.<http://www.ncbi.nlm.nih.gov/pubmed/20139683> 2010;65:197-210;
discussion 210-2. Epub 2010 Feb 1.
Growth charts compared.

Ziegler EE<http://www.ncbi.nlm.nih.gov/pubmed?term=%22Ziegler%20EE%22%5BAuthor%5D>
, Nelson SE<http://www.ncbi.nlm.nih.gov/pubmed?term=%22Nelson%20SE%22%5BAuthor%5D>
.

Fomon Infant Nutrition Unit, Department of Pediatrics, University of Iowa,
Iowa City, IA, USA.
 Abstract

Growth assessment of children requires comparison of growth measurements
with normative references, usually in the form of growth charts.
Traditionally growth charts (growth references) have described the growth of
children who were considered normal and were living in a defined geographic
area. The new WHO growth charts, on the other hand, are growth standards
that aim to represent growth as it occurs worldwide. Moreover, they
represent growth as it occurs under optimal circumstances and is thought to
be conducive to optimal long-term health. Most growth references are
single-country references, exemplified here by charts from the UK, the
Netherlands and the USA. By contrast, the Euro-Growth reference and the WHO
standard are based on multinational samples. Comparison of these five charts
reveals surprisingly large differences that are for the most part
unexplained. Differences between the WHO charts and other charts are only
partially explained by the use of a prescriptive approach and by the data
truncation employed. The large differences between charts probably are of
merely trivial consequence when charts are used in monitoring individual
children. When charts are used in health assessment of groups of children,
the impact of the differences, however, is substantial. Copyright (c) 2010
S. Karger AG, Basel.

--
Nikki Lee RN, BSN, Mother of 2, MS, IBCLC, CCE, CIMI
craniosacral therapy practitioner
www.breastfeedingalwaysbest.com

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