Cance-Rouzaud A, Arnaud C, Oliver I, Barbeau C, Tauber M T, Grandjean H
Inserm CJF 94-06, CHU La Grave, Toulouse, France.
Arch Pediatr. 1999 Feb;6(2):145-50. doi: 10.1016/s0929-693x(99)80201-2.
The growth charts usually used in France were established by Sempé et al from the study of children born in 1953-1955. The aim of our study was to construct longitudinal growth charts from 0 to 3-year-old children born in 1993-1994, and to compare those with the charts made 40 years ago.
One hundred forty-five term neonates (75 boys and 70 girls) born in Toulouse in 1993-1994 were included in our study. Their heights were noted every 3 months during the first year of life, then every 6 months until the age of 3. A two-stage model to modelize growth curves was used for the available data (66 boys and 61 girls).
Mean heights were higher in our study than in Sempé's. In each sex, the mean curve was 0.6 to 0.8 SD far from Sempé's mean curve. Standard deviations rose from 2.0 to 4.0 cm between the ages of 2 months and 3 years. At the age of 3, boys and girls were respectively 2.7 cm and 2.3 cm taller than in the Sempé's study. Differences could not be explained by sample bias.
Constructions and publication of recent French growth charts seem necessary in order to be able to compare one child's growth to the growth of same age and sex children.
法国常用的生长图表是由桑佩等人通过对1953 - 1955年出生的儿童进行研究而建立的。我们研究的目的是构建1993 - 1994年出生的0至3岁儿童的纵向生长图表,并将其与40年前制作的图表进行比较。
我们的研究纳入了1993 - 1994年在图卢兹出生的145名足月儿(75名男孩和70名女孩)。在生命的第一年,每3个月记录一次他们的身高,然后每6个月记录一次,直至3岁。对可用数据(66名男孩和61名女孩)采用两阶段模型来模拟生长曲线。
我们研究中的平均身高高于桑佩研究中的平均身高。在每个性别中,平均曲线与桑佩的平均曲线相差0.6至0.8个标准差。标准差在2个月至3岁之间从2.0厘米上升到4.0厘米。在3岁时,男孩和女孩分别比桑佩的研究中高2.7厘米和2.3厘米。差异无法用样本偏差来解释。
为了能够将一个孩子的生长情况与同年龄、同性别的孩子的生长情况进行比较,似乎有必要构建并发布最新的法国生长图表。