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. 2020 Jul 21;4(9):nzaa127. doi: 10.1093/cdn/nzaa127

TABLE 4.

Common anthropometric indicators of underweight, stunting, thinness, and wasting, and sources of reference values from 239 articles assessing the double burden of malnutrition in adults and children1

Anthropometric category Source Number of articles
and indicator (refs 4850) n (%)
Underweight 181 (76)
 BMI 93
WHO 65
IOTF 9
Other2 or unspecified 19
 BMI-for-age z-score 65
WHO 54
NCHS/CDC 3
Other or unspecified 8
 BMI-for-age percentile 16
WHO 6
NCHS/CDC 4
Other or unspecified 6
 Other or unspecified3 7
Stunting 111 (46)
 Length/height-for-age z-score 102
WHO 85
NCHS/CDC 4
Other or unspecified 13
 Length/height-for-age percentiles 4
NCHS/CDC 2
Other or unspecified 2
 Short stature (cm) 4
Other or unspecified 3
 Multiple (z-score and percentile) 1
WHO and NCHS/CDC 1
Wasting 37 (15)
 Weight-for-height z-score 33
WHO 26
NCHS/CDC 2
Other or unspecified 5
 Other or unspecified4 4
Thinness 30 (13)
 BMI 11
WHO 2
IOTF 7
Other or unspecified 2
 BMI-for-age z-score 15
WHO 12
IOTF 1
Other or unspecified 2
 BMI-for-age percentile 2
WHO 1
Other or unspecified 1
 Multiple (z-score and percentile) 2
1

Some articles presented multiple “undernutrition” indicators so percentage total is greater than 100. IOTF, International Obesity Task Force; NCHS/CDC, National Center for Health Statistics/CDC.

2

Sources were classified as “other” if they were sourced from uncommon literature sources, such as citing an individual article for country-specific cutoff values for underweight.

3Underweight indicators classified as “other” included measurements of low birthweight or combinations of multiple indicators.

4

Wasting indicators classified as “other” included measurements of body fat or muscle mass, or combinations of multiple indicators.