Bias correction of nutritional status estimates when reported age is used for calculating WHO indicators in children under five years of age.

Objective. To assess the performance of a simple correction method for nutritional status estimates in children under five years of age when exact age is not available from the data. Materials and methods. The proposed method was based on the assumption of symmetry of age distributions within a give...

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Published in:Salud Pública de México Vol. 58; no. 3; pp. 351 - 358
Main Authors: Quezada, Amado D., García-Guerra, Armando, Escobar, Leticia
Format: Article
Published: Instituto Nacional de Salud Publica May/Jun2016
Subjects:
Online Access:View this record in EBSCOhost
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      dt: May/Jun2016
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        atl: Bias correction of nutritional status estimates when reported age is used for calculating WHO indicators in children under five years of age.
      aug:
        au:
          Quezada, Amado D.
          García-Guerra, Armando
          Escobar, Leticia
        affil:
          Centro de Investigación en Nutrición y Salud, Instituto Nacional de Salud Pública. Cuernavaca, Morelos, México
          Hospital Regional de Alta Especialidad del Bajío. León, Guanajuto, México
      su:
        Nutritional status
        World Health Organization
        Health status indicators
        Child nutrition
        Bias correction (Topology)
      sug:
        subj:
          Nutritional status
          World Health Organization
          Health status indicators
          Child nutrition
          Bias correction (Topology)
      keyword:
        age distribution
        bias
        child, preschool
        data quality
        nutritional status
        calidad de los datos
        distribución de edad
        estado de nutrición
        preescolares
        sesgo
      ab:
        Objective. To assess the performance of a simple correction method for nutritional status estimates in children under five years of age when exact age is not available from the data. Materials and methods. The proposed method was based on the assumption of symmetry of age distributions within a given month of age and validated in a large population-based survey sample of Mexican preschool children. Results. The main distributional assumption was consistent with the data. All prevalence estimates derived from the correction method showed no statistically significant bias. In contrast, failing to correct attained age resulted in an underestimation of stunting in general and an overestimation of overweight or obesity among the youngest. Conclusions. The proposed method performed remarkably well in terms of bias correction of estimates and could be easily applied in situations in which either birth or interview dates are not available from the data.
        Objetivo. Estudiar el desempeño de un método simple de corrección para los estimadores del estado de nutrición en niños menores de cinco años cuando no se cuenta con la edad exacta en los datos. Material y métodos. El método se basó en el supuesto de simetría en las distribuciones de las edades dentro de un mes de edad dado y se validó utilizando una encuesta representativa de la población mexicana de preescolares. Resultados. El principal supuesto distribucional utilizado por el método fue consistente con los datos. Ninguna de las prevalencias obtenidas a partir del método propuesto presentó sesgos estadísticamente significativos. Cuando se utilizó la edad cumplida sin corregir, se subestimó la prevalencia de talla baja y se sobreestimó la prevalencia de sobrepeso u obesidad en el grupo de menor edad. Conclusiones. El método tuvo un desempeño sobresaliente para la corrección de sesgos y podría ser aplicado cuando no se tienen fechas de entrevista o de nacimiento en los datos.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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