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.


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.
Amado D
AD
Quezada
Armando
A
García-Guerra
Leticia
L
Escobar
D017677:Age Distribution; D000465:Algorithms; D000886:Anthropometry; D015982:Bias; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D005260:Female; D006130:Growth Disorders / Q000453:epidemiology; D006305:Health Status Indicators; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D009752:Nutritional Status; D050177:Overweight / Q000453:epidemiology; D014944:World Health Organization