Disparities with global standards about growth references of mid-upper arm circumference-for-age for Pakistani children aged 6-60 months
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Disparities with global standards about growth references of mid-upper arm circumference-for-age for Pakistani children aged 6-60 months. / Akbar, Natasha; Aslam, Muhammad; Petersen, Jørgen Holm; Altaf, Saima; Ahmed, Khawaja Masuood.
I: Acta paediatrica (Oslo, Norway : 1992), 2024.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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T1 - Disparities with global standards about growth references of mid-upper arm circumference-for-age for Pakistani children aged 6-60 months
AU - Akbar, Natasha
AU - Aslam, Muhammad
AU - Petersen, Jørgen Holm
AU - Altaf, Saima
AU - Ahmed, Khawaja Masuood
N1 - © 2024 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.
PY - 2024
Y1 - 2024
N2 - AIM: Growth reference values about mid-upper arm circumference (MUAC) are vital for assessing children's nutritional status. However, Pakistan lacks these reference values and growth charts. This study aims to develop these for children aged 6-60 months and compare them with global standards.METHODS: The data were acquired from the 2018 National Nutrition Survey of Pakistan, which was conducted by the United Nations Children's Fund (UNICEF) during 2018-2019. The final study cohort comprised 57 285 children, with 51% being boys. Percentile values and charts for MUAC-for-age were developed using generalised additive models for location, scale and shape with the Box-Cox power exponential distribution.RESULTS: The mean MUAC was 14.21 cm (±2.07 cm) and 14.13 cm (±2.12 cm) for the boys and girls, respectively. At 60 months of age, the P3 and P97 percentiles for girls were slightly higher than those for boys. The median percentiles of Pakistani children were smaller than the World Health Organisation 2007 standards and with international references.CONCLUSION: We observed disparities in MUAC-for-age growth references among Pakistani children compared to global standards, highlighting regional, age and gender variations. This underscores the need for developing countries like Pakistan to establish their growth references.
AB - AIM: Growth reference values about mid-upper arm circumference (MUAC) are vital for assessing children's nutritional status. However, Pakistan lacks these reference values and growth charts. This study aims to develop these for children aged 6-60 months and compare them with global standards.METHODS: The data were acquired from the 2018 National Nutrition Survey of Pakistan, which was conducted by the United Nations Children's Fund (UNICEF) during 2018-2019. The final study cohort comprised 57 285 children, with 51% being boys. Percentile values and charts for MUAC-for-age were developed using generalised additive models for location, scale and shape with the Box-Cox power exponential distribution.RESULTS: The mean MUAC was 14.21 cm (±2.07 cm) and 14.13 cm (±2.12 cm) for the boys and girls, respectively. At 60 months of age, the P3 and P97 percentiles for girls were slightly higher than those for boys. The median percentiles of Pakistani children were smaller than the World Health Organisation 2007 standards and with international references.CONCLUSION: We observed disparities in MUAC-for-age growth references among Pakistani children compared to global standards, highlighting regional, age and gender variations. This underscores the need for developing countries like Pakistan to establish their growth references.
U2 - 10.1111/apa.17238
DO - 10.1111/apa.17238
M3 - Journal article
C2 - 38598643
JO - Acta Paediatrica
JF - Acta Paediatrica
SN - 0803-5253
ER -
ID: 388630767