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Over the past three decades, the WHO or NCHS\/WHO growth references have played an important role internationally in the assessment of child and adolescent growth and nutritional status. However, the references have a number of weaknesses. The limitations of the infant portion of the references were thoroughly assessed in WHO's effort to develop a new international growth reference for infants and preschool children. The present report discusses the limitations of the NCHS\/WHO references for school-aged children and adolescents, including a number of conceptual, methodological, and practical problems. The global obesity epidemic poses another challenge that the NCHS\/WHO reference cannot appropriately meet. There is a need for a single international reference to assess the nutritional status and growth of school-aged children and adolescents across different countries.<\/jats:p>","DOI":"10.1177\/15648265060274s502","type":"journal-article","created":{"date-parts":[[2015,11,25]],"date-time":"2015-11-25T15:46:29Z","timestamp":1448466389000},"page":"S175-S188","source":"Crossref","is-referenced-by-count":59,"title":["Limitations of the Current World Health Organization Growth References for Children and Adolescents"],"prefix":"10.1177","volume":"27","author":[{"given":"Youfa","family":"Wang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luis A.","family":"Moreno","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benjamin","family":"Caballero","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tim 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