Low height-for-age is not synonymous with undernutrition

Authors

DOI:

https://doi.org/10.32776/revbiomed.v37.i2.1383

Keywords:

nutrition, low height, malnutrition, community nutrition

Abstract

Low height-for-age and undernutrition are terms often used in nutritional and growth assessment. While these conditions describe different situations, in the academia are commonly used as synonymous. Low height-for-age or growth retardation referers to the presence of a stature below to what is expected for age and sex based on a growth reference or standard. Undernutrition describe a patological condition characterized by a decrease in the energetic and nutritional reserves in the body with relevant implications for health status. Genetic variability in populations and plasticity produce variability in growth measures. Therefore, short staure during the growth process not necesarily mirrors undernutrition. The use of these terms as synonymous have relevant implications in the description of health status of populations and also for feedback purposes with children's parents. Strategies to improve health status in vulnerable populations  requiere the appropiate use of available terms.  

References

1. World Health Organization. Child malnutrition: stunting among children under 5 years of age. https://www.who.int/data/gho/indicator-metadata-registry/imr-details/72

2. Thompson AL. What is normal, healthy growth? Global health, human biology, and parental perspectives. Am J Hum Biol. 2021 Sep;33(5):e23597. http://doi:10.1002/ajhb.23597

3. Perumal N, Bassani DG, Roth DE. Use and misuse of stunting as a measure of child health. J Nutr. 2018 Mar 1;148(3):311-315. http://doi:10.1093/jn/nxx064

4. Zemel BS. From growth charts to growth status: how concepts of optimal growth and tempo influence the interpretation of growth measurements. Ann Hum Biol. 2023 Feb;50(1):236-246. http://doi:10.1080/03014460.2023.2189751

5. Scheffler C, Hermanussen M, Bogin B, Liana DS, Taolin F, Cempaka PMVP, et al. Stunting is not a synonym of malnutrition. Eur J Clin Nutr. 2020 Mar;74(3):377-386. http://doi:10.1038/s41430-019-0439-

Published

2026-05-01

Issue

Section

Editorial

How to Cite

“Low Height-for-Age Is Not Synonymous With Undernutrition”. Biomedical Journal, vol. 37, no. 2, May 2026, https://doi.org/10.32776/revbiomed.v37.i2.1383.