Evaluating preschool linear growth velocities: an interim reference illustrated in Nepal

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cg.authorship.typesCGIAR and advanced research instituteen
cg.contributor.affiliationInternational Food Policy Research Instituteen
cg.contributor.affiliationJohns Hopkins Universityen
cg.contributor.affiliationTribhuvan Universityen
cg.contributor.donorUnited States Agency for International Developmenten
cg.contributor.donorBill & Melinda Gates Foundationen
cg.contributor.donorElsa Orent Keiles Fellowshipen
cg.contributor.donorHarry D. Kruse Fellowshipen
cg.contributor.donorSight and Life/DSM Doctoral Scholarship Funden
cg.contributor.donorProcter & Gamble Funden
cg.contributor.donorGeorge G. Graham Professorship Endowmenten
cg.coverage.countryNepal
cg.coverage.iso3166-alpha2NP
cg.coverage.regionSouthern Asia
cg.creator.identifierSwetha Manohar: 0000-0003-4042-895
cg.howPublishedFormally Publisheden
cg.identifier.doihttps://doi.org/10.1017/s1368980023002409en
cg.identifier.projectIFPRI - Nutrition, Diets, and Health Unit
cg.identifier.projectIFPRI - Systems Transformation - Food and Nutrition Policy
cg.identifier.projectIFPRI - Feed the Future Initiative
cg.identifier.publicationRankB
cg.isijournalISI Journalen
cg.issn1368-9800en
cg.issue12en
cg.journalPublic Health Nutritionen
cg.number26(12)en
cg.reviewStatusPeer Reviewen
cg.volume26en
dc.contributor.authorManohar, Swethaen
dc.contributor.authorColantuoni, Elizabethen
dc.contributor.authorThorne-Lyman, Andrew Lucianen
dc.contributor.authorShrestha, Binoden
dc.contributor.authorAdhikari, Ramesh Kanten
dc.contributor.authorKC, Angelaen
dc.contributor.authorBhattarai, Abhigynaen
dc.contributor.authorWest Jr., Keith Parkeren
dc.date.accessioned2024-01-04T20:37:46Zen
dc.date.available2024-01-04T20:37:46Zen
dc.identifier.urihttps://hdl.handle.net/10568/137174
dc.titleEvaluating preschool linear growth velocities: an interim reference illustrated in Nepalen
dcterms.abstractObjective: An annualised linear growth velocity (LGV) reference can identify groups of children at risk of growing poorly. As a single velocity reference for all preschool ages does not exist, we present an interim tool, derived from published, normative growth studies, for detecting growth faltering, illustrating its use in Nepali preschoolers. Design: The WHO Child Growth Velocity Standard was adapted to derive 12-month increments and conjoined to the Tanner-Whitehouse Height Velocity Reference data yielding contiguous preschool linear growth annualised velocities. Linear restricted cubic spline regressions were fit to generate sex-specific median and standard normal deviate velocities for ages 0 through 59 months. LGV Z-scores (LGVZ) were constructed, and growth faltering was defined as LGVZ < –2. Setting: Use of the reference was illustrated with data from Nepal’s Tarai region. Participants: Children contributing the existing growth references and a cohort of 4276 Nepali children assessed from 2013 to 2016. Results: Fitted, smoothed LGV reference curves displayed monotonically decreasing 12-month LGV, exemplified by male/female annual medians of 26·4/25·3, 12·1/12·7, 9·1/9·4, 7·7/7·8 and 7/7 cm/years, starting at 0, 12, 24, 36 and 48 months, respectively. Applying the referent, 31·1 %, 28·6 % and 29·3 % of Nepali children <6, 6–11 and 12–23 months of age, and ∼6 % of children 24–59 months, exhibited growth faltering. Under 24 months, faltering velocities were more prevalent in girls (34·4 %) than boys (25·3 %) (P < 0·05) but comparable (∼6 %) in older preschoolers. Conclusions: A LGV reference, concatenated from extant data, can identify preschool groups at-risk of growth faltering. Application and limitations are discussed.en
dcterms.accessRightsOpen Access
dcterms.audienceAcademicsen
dcterms.audienceScientistsen
dcterms.available2023-12-01
dcterms.bibliographicCitationManohar, Swetha; Colantuoni, Elizabeth; Thorne-Lyman, Andrew Lucian; Shrestha, Binod; Adhikari, Ramesh Kant; KC, Angela; et al. 2023. Evaluating preschool linear growth velocities: an interim reference illustrated in Nepal. Public Health Nutrition 26(12): 2704–2716. https://doi.org/10.1017/S1368980023002409en
dcterms.extent2704–2716en
dcterms.isPartOfPublic Health Nutritionen
dcterms.issued2023
dcterms.languageen
dcterms.licenseCC-BY-4.0
dcterms.publisherCambridge University Pressen
dcterms.replaceshttps://ebrary.ifpri.org/digital/collection/p15738coll5/id/9019en
dcterms.subjectanthropometryen
dcterms.subjectbiological developmenten
dcterms.subjectchild growthen
dcterms.subjectpreschool childrenen
dcterms.typeJournal Article

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