Simsek F, Ulukol B, Gulnar S Baskan
Ankara University, School of Medicine, Department of Social Paediatrics, Ankara, Turkey.
Child Care Health Dev. 2005 Jul;31(4):441-7. doi: 10.1111/j.1365-2214.2005.00531.x.
Secular changes in growth and development can be considered as the changing pattern of somatic development of children in a particular population from one generation to another. Developing countries, which have many changes in socio-economical conditions, reveal various trends in growth. The aims of this study were to analyse growth trends in weight and height of Turkish children from a school in Ankara over the period 1993-2003 with 10-year time interval, and to determine the relation between secular trends.
Anthropometric measurements of 1214 children and adolescents (611 boys and 603 girls) aged between 7 and 15 years from Ankara, Turkey, obtained cross sectionally in 2003 were compared with measurements of 867 school children (451 boys and 416 girls) from a previous study which had been obtained in the same primary school in 1993. For 7-15 years of age the increments of weight and height were determined, and analysed statistically.
In 2003 survey boys and girls were taller and heavier than their peers from previous study in all age groups. For all cohorts in boys from 7 to 15 years, weight increments between 2.7 and 6.3 kg/decade and height increments between 1.7 and 5.5 cm/decade were demonstrated. For girls in the same cohorts, weight increments between 2.8 and 6.5 kg/decade and height increments between 1.8 and 5.7 cm/decade were indicated. Both weight and height increments suggest an upward displacement of growth curves in this interval of 10 years.
A significant secular increase in weight and height measurements were found in 7-15-year-old boys and girls in Ankara. These secular increases can be explained with improvements in social and health indicators that reflect the overall health status of the population. The secular increases in growth of Turkish school children may reveal updates of growth standards.
生长发育的长期变化可被视为特定人群中儿童体细胞发育从一代到另一代的变化模式。社会经济条件发生诸多变化的发展中国家呈现出各种生长趋势。本研究的目的是分析1993年至2003年期间安卡拉一所学校的土耳其儿童体重和身高的生长趋势,时间间隔为10年,并确定长期趋势之间的关系。
将2003年横断面获取的1214名7至15岁土耳其安卡拉儿童和青少年(611名男孩和603名女孩)的人体测量数据与1993年在同一所小学进行的一项先前研究中867名学童(451名男孩和416名女孩)的测量数据进行比较。确定了7至15岁儿童的体重和身高增量,并进行了统计分析。
在2003年的调查中,所有年龄组的男孩和女孩都比先前研究中的同龄人更高、更重。对于7至15岁的所有男孩队列,体重增量为每十年2.7至6.3千克,身高增量为每十年1.7至5.5厘米。对于同一年龄组的女孩,体重增量为每十年2.8至6.5千克,身高增量为每十年1.8至5.7厘米。体重和身高增量均表明在这10年期间生长曲线向上移动。
在安卡拉7至15岁的男孩和女孩中发现体重和身高测量值有显著的长期增加。这些长期增加可以用反映人群总体健康状况的社会和健康指标的改善来解释。土耳其学童生长的长期增加可能揭示了生长标准的更新。