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Estimating children’s weights: a developing country perspective
  1. Louisa Pollock,
  2. Elizabeth Molyneux,
  3. Oliver Jefferis,
  4. James Bunn
  1. College of Medicine, University of Malawi, Blantyre, Malawi
  1. Louisa Pollock, College of Medicine, University of Malawi, Private Bag 360, Chichiri, Blantyre 3, Malawi; louisapollock{at}hotmail.com

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We read with interest the study by Luscombe and Owens1 in which a new age-based formula is proposed for estimating weight in paediatric resuscitation. However, as the authors admit, the study findings are limited to a specific UK population and may not apply elsewhere.

In contrast to the UK, where children’s weights are increasing, in Malawi undernutrition is a significant problem with 48% of children under 5 years of age stunted, 22% underweight for age and 5% wasted (below −2 SD weight for height/length).2 Here and in other developing countries, it seems likely that an age-based formula developed in a well nourished population will overestimate the weight …

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