.
Children’s height in Indonesia is increasing slowly and unevenly across the country, with
urban areas growing faster than rural areas. Thus, international growth charts may be
ineffective for monitoring the development of Indonesian children. We conducted an
analytical cross-sectional study on 1,829 children aged 6 to 12 in Nabire and 1,283
children in Jakarta. Anthropometric measurements were obtained and plotted on the Centers
for Disease Control and Prevention (CDC) growth charts and Indonesian National Growth
Charts to determine which chart is more suitable for monitoring children’s growth in
Indonesia. Nabire children were shorter and had lower body mass index (BMI) than Jakarta
children, with a mean height difference of 7.03 cm in boys and 6.89 cm in girls (p =
0.001) and a mean BMI difference of 1.66 in boys and 1.39 in girls (p = 0.001). Despite
their short stature, more Nabire children had a normal BMI, indicating a healthy
nutritional status. Using the Indonesian National Growth Charts, fewer children were
classified as stunted or wasted. Most of the short stature observed in Nabire children was
not due to stunting; the children showed no signs of malnutrition. The Indonesian National
Growth Charts represent the growth of Indonesian children more accurately than the CDC
growth charts.
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