World variation in head circumference for children from birth to 5 years and a comparison with the WHO standards.
Lai Ling HuiFrederick Ka Wing HoCharlotte Margaret WrightTim James ColeHugh S Hung San LamHan-Bing DengHung-Kwan SoPatrick IpEdmund Anthony S NelsonPublished in: Archives of disease in childhood (2023)
Except for Indians and some Asian neonates, adopting the WHO head circumference standards would overdiagnose macrocephaly and underdiagnose microcephaly. Local population-specific cut-offs or references are more appropriate for many populations. There is a need to educate healthcare professionals about the limitations of the WHO head circumference standards.