In 1993, the World Health Organization (WHO) undertook a comprehensive review of the uses and interpretation of anthropometric references. The review concluded that the National Center for Health Statistics (NCHS)/WHO growth reference, which had been recommended for international use since the late 1970s, did not adequately represent early childhood growth and that new growth curves were necessary. The World Health Assembly endorsed this recommendation in 1994. In response, the WHO Multicentre Growth Reference Study (MGRS) was implemented between 1997 and 2003 to develop international growth standards for children below 5 years of age
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