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Abstract：
The World Health Organization (WHO) growth standards provide the most recognized and widely accepted way of assessing child growth. To ensure its applicability, accuracy, and reliability, studies have validated WHO growth standards against local populations and other internationally recognized growth references. We reviewed outcomes of evaluations done on WHO growth standards and assess the appropriateness of using these growth standards on a global level. We undertook a systematic quantitative review of studies published from 2011 to 2020 from multiple databases. Studies were included if they considered children aged 59 months and below and reported on validation of growth standards. There was an agreement in studies that validated WHO growth standards against international growth references of its superiority in identifying stunted, overweight, and obese children. However, they were less likely to identify underweight children. None of the studies reviewed reported similar growth trajectories to WHO standards in all indicators considered. Regional differences in child growth were observed in comparison to WHO growth standards. Adoption of regional-specific standards increases the sensitivity of identifying children with adverse nutrition outcomes.
摘要：
世界卫生组织（WHO）的成长标准提供了最公认和广泛接受的评估儿童成长的方法。为了确保其适用性，准确度,和可靠性,研究已针对当地人群和其他国际公认的增长参考验证了世卫组织的增长标准。我们回顾了对世卫组织生长标准进行评估的结果，并评估了在全球范围内使用这些生长标准的适当性。我们从多个数据库中对2011年至2020年发表的研究进行了系统的定量审查。如果他们考虑了59个月及以下的儿童并报告了生长标准的验证，则纳入研究。在研究中达成了一项协议，验证了世卫组织的生长标准与国际生长参考，表明其在识别发育不良方面的优越性，超重,和肥胖儿童。然而,他们不太可能识别体重不足的儿童。审查的研究都没有报告在所有考虑的指标中与世卫组织标准相似的生长轨迹。与WHO生长标准相比，观察到儿童生长的区域差异。采用区域特定标准可提高识别营养不良儿童的敏感性。
