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Effects of selective dropout on infant growth standards.

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Author: Buuren, S. van
Institution: TNO Kwaliteit van Leven
Source:Nestlé Nutrition workshop series. Paediatric programme, 65
Identifier: 360810
Keywords: Health · Leefomgeving en gezondheid · age · article · body weight · breast feeding · growth · health care survey · human · infant · longitudinal study · Netherlands · patient · reference value · weight gain · world health organization · Age Factors · Body Weight · Breast Feeding · Growth · Health Care Surveys · Humans · Infant · Longitudinal Studies · Netherlands · Patient Dropouts · Reference Values · Weight Gain · World Health Organization


Exclusively breastfed (EBF) infants have higher weight gain during the first 2 months, and lower thereafter. The explanation for this phenomenon is not clear. Longitudinal data from the Social Medical Survey of Children Attending Child Health Clinics study with a cohort of 2,151 Dutch children were analyzed according to a pattern mixture model. It appears that higher than average growth of EBF infants during the first 2 months is primarily attributable to selective dropout. Furthermore, between months 2 and 6, light nonEBF infants gain more weight than light EBF infants. Both factors aid in explaining differences in growth between EBF and nonEBF infants. The WHO Child Growth Standards for weight-for-age have been calculated from a subgroup of 903 infants (out of 1,743) that complied with strict feeding criteria. If similar dropout mechanisms operate in the Multicentre Growth Reference Study, then the WHO weight-for-age standards are expected to be systematically different from those for the entire group of 1,743 infants. Copyright (c) 2010 S. Karger AG, Basel.