ARTICLE Comparison of the New World Health Organization Growth Standards and the National Center for Health Statistics Growth Reference Regarding Mortality of Malnourished Children Treated in a 2006 Nutrition Program in Niger Nancy M. Dale, BScN, MPH; Rebecca F. Grais, PhD, MPP; Andrea Minetti, MD; Juhani Miettola, MD, DTM&H; Noel C. Barengo, MD, PhD, MPH Objective: To compare the National Centre for Health Outcome Measures: The main outcome measures are Statistics (NCHS) international growth reference with the the difference in classification of children as either mod- new World Health Organization (WHO) growth stan- erate or severely malnourished according to the NCHS dards for identification of the malnourished (wasted) chil- growth reference and the new WHO growth standards, dren most at risk of death. specifically focusing on children who died during the program. Design: Retrospective data analysis. Results: Of the children classified as moderately wasted Setting: AMe ´ decins Sans Frontières (Doctors Without using the NCHS reference, 37% would have been clas- Borders) nutrition program in Maradi, Niger, in 2006 that sified as severely wasted according to the new WHO treated moderately and severely malnourished children. growth standards. These children were almost 3 times more likely to die than those
JAMA Pediatrics – American Medical Association
Published: Feb 1, 2009
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