WHO Child Growth Flashcards
Growth reference for birth to 2 years:
use WHO
Growth reference for 2-19 years:
use CDC if children in USA
WHO MGRS =
multicentre growth reference study
MGRS years:
1997-2003
MGRS had ___ countries.
6
MGRS found that:
- formula fed infants grow faster
- problem if breastfeeding
What type of study is MGRS?
- longitudinal
- cross sectional
MGRS inclusion criteria:
- non-smoking
- breast fed
- absence of illness
- absence of SES constraints
- no twins
MGRS: How often did they take measurements?
- sample lots to catch all changes
- esp. when velocity is fast
- 2-3 months apart
MGRS: How quickly did they take measurements after birth?
12-24 hours after birth
What measures were taken MGRS?
- weight
- length
- head circumference
- arm circumference
- subscapular skinfold
- triceps skinfold
MGRS: What 6 milestones did they keep track of?
- sitting without support
- crawling on hands and knees
- standing with assistance
- walking with assistance
- standing alone
- walking alone
MGRS: minimum of ___ months breastfeeding required.
3
3 international reference curves:
- weight for age
- height for age
- weight for height
Sitting without support:
- head erect (not leaning forward)
- no arm or hand use for balance (give toy to handle with both hands)
- at least 10 seconds
Hands and knees crawling:
- alternating movement forward or back
- stomach elevated
- 3 consecutive movements in a row
Standing with assistance:
- upright on both feet
- hold stable object with 2 hands (no leaning), body not touching
- legs support body weight
- at least 10 seconds
Walking with assistance:
- upright, back straight
- sideways or forward steps
- single leg support during swing
- at least 5 steps
Standing alone:
- upright, both feet (not toes), back straight
- legs support 100% body weight
- at least 10 seconds
Walking alone:
- upright, both feet (not toes), back straight
- one leg support 100% body weight, while other swings
- at least 5 steps
Objective of walking with assistance:
stepping plus postural adjustments
Objective of standing alone:
equilibrium and strength
Objective of walking alone:
equilibrium and strength
Most common sequence of attaining milestones:
- sitting without support
- hands and knees crawling
- standing with assistance
- walking with assistance
- standing alone
- walking alone
Which milestone had the most variety in sequence?
hands and knees crawling
