Evidence on nutritional assessment techniques and parameters used to determine the nutritional status of children and adolescents: systematic review

Sampaio, Aline dos Santos; Epifanio, Matias; Costa, Caroline Abud Drumond; Bosa, Vera Lúcia; Benedetti, Franceliane Jobim; Sarria, Edgar Enrique; Oliveira, Suelen Goecks; Mundstock, Eduardo; Mattiello, Rita

doi:10.1590/1413-812320182312.31502016

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ARTICLE • Ciênc. saúde colet. 23 (12) • Dec 2018 • https://doi.org/10.1590/1413-812320182312.31502016 copy

Evidence on nutritional assessment techniques and parameters used to determine the nutritional status of children and adolescents: systematic review

Evidência sobre técnicas e parâmetros de avaliação nutricional para crianças e adolescentes: revisão sistemática

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

This article aims to review systematically the evidence on nutritional assessment techniques and parameters used to determine the nutritional status of children and adolescents. The literature review and the selection of publications were performed using the Medline, Lilacs, SciELO, Embase, personal files. 17 studies were identified, 7 addressed the anthropometric indices as the main outcome, 7 analyzed the growth and development of children and adolescents through growth curves, and the remainder surveyed body composition. In general, all met the quality criteria, unless 6 of the articles who did not discuss the limitations. The literature review suggests several techniques and parameters that can be applied to determine the nutritional status of children and adolescents from different countries. Growth graphs are essential to assess the health of children, but depend greatly of the growth tables used. Although BMI can be practical, it does not distinguish body fat from lean mass. The best interpretation of anthropometry will depend of valid reference values for age range of the study population. BIA is a quick feasible method, but the measurement has some various nationalities.

Nutritional status; Children; Body composition

Questions	Options for answers
1. Is the nutritional assessment method used clear?	Yes	No	Not applicable
2. Were values of reference or nutritional assessment methods created and/or validated?	Yes	No	Not applicable
3. Are the participants appropriate for the research question?	Yes	No	Not applicable
4. Were the nutritional assessment methods used described adequately?	Yes	No	Not applicable
5. Are the variables collected in accordance with the nutritional assessment methods chosen?	Yes	No	Not applicable
6. Were the results presented in an organized, logical manner, appropriate to the type of study?	Yes	No	Not applicable
7. Is the survey internally and externally valid?	Yes	No	Not applicable
8. Are the study limitations discussed?	Yes	No	Not applicable
9. Are the study conclusions correct?	Yes	No	Not applicable

Author, year	Assesment measure	Population	Age	Sample Size	Sex	Year	Indicatorns/Indices	S	Spec
NCHS, 1977¹⁷	Anthropometry	American	Birth – 18 years		M,F	1929 - 75 1960 - 75	Curves; WA; WH; HA; CCA	No	No
CDC, 2000¹⁹	Anthropometry	American	Birth – 20 years		M,F	1963 – 65 1966 – 70 1971 – 74 1976 – 80 1988 - 94	Curves; BMIA; CCA; LA; WS; WA	No	No
WHO, 2006²⁰	Anthropometry	USA; Ghana; India; Norway; Oman; Brazil.	Longitudinal: birth - 24 months. Cross-sectional: 18 - 71 months	8,440	M,F	1997 - 2003	Curves; WA; WH; WS; BMIA	No	No
WHO, 2007²¹	Anthropometry	American	5 – 19 years	22, 917	M,F	New analysis of the NCHS data for 1977	Curves (5-10 years): WA, LA, BMIA. Curves (10-19 years): LA, BMIA.	No	No

Author and year	Assessment measure	Population	Age	Sample size	Sex	Year	Indicators and Índices	S	Spec
Abrantes et al, 2003.⁽²⁵⁾	BMI for age	Brazilian	2-10 years	2,920	M, F	Cole et al, 2000. Must et al, 1991.	-	90%	100%
Wolney Conde et al 2006.⁽²³⁾	BMI for age	Brazilian	2-19 years	26,102	M, F	PNSN of 1989	Critical values of BMI for low weight, excess weight and obesity.	No	No
Brock RS et al, 2008.⁽²⁴⁾	BMI for age, newborns	Brazilian	GA 29 to 42 weeks	2,406	M, F	1993-04	Percentile BMI for GA	No	No
Duncan Scott et al, 2009.⁽⁵³⁾	BMI for age	European, Pacific Islands, Maori, Eastern Asia, South Asia	5-16 years	1,676	F	-	-	90-92,3%	66,7- 80,3%
Rached-Paoliet al, 2010.⁽³⁰⁾	BMI for age, pregnant women	Venezuelan	12-18 years	367	F	1999-08	-	87,3%	94,8%
Foo LH et al., 2013.⁽²⁹⁾	BMI, WC, WHR, WHR1, TBF, % BF, AF, TF.	Asian	12-19 years	454	M, F	2013	-	No	No
Griffiths C et al., 2013.⁽³³⁾	BMI, WC	British	11-16 years	746	M, F	2005-10	-	No	No

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[1] Collaborations

R Mattiello and AS Sampaio: introduction, methodology, discussion and final writing. M Epifanio, CAD Costa, VL Bosa, FJ Benedetti, EE Sarria, SG Oliveira: methodology and final writing. E Mundstock: discussion, final writing and formatting text, tables and figures.