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卡塔尔6至18岁学童及青少年的生长模式。

Growth patterns of Qatari school children and adolescents aged 6-18 years.

作者信息

Bener Abdulbari, Kamal Abdulaziz A

机构信息

Department of Medical Statistics and Epidemiology, Hamad General Hospital, Hamad Medical Corporation, University of Qatar, Doha.

出版信息

J Health Popul Nutr. 2005 Sep;23(3):250-8.

Abstract

The study was conducted to analyze the patterns of growth in height and weight and the prevalence of over-weight among Qatari school children aged 6-18 years. Weights and heights of a cross-sectional sample of Qatari school children were measured. These children were selected randomly, in equal proportions of age and gender, from different schools from urban and semi-urban districts. Appropriate statistical procedures were performed to produce smooth percentile curves for boys and girls using a two-stage approach. Initial curve smoothing for selected major percentiles was accomplished by various paramet-ric and non-parametric procedures. In the second stage, a normalization procedure was used for creating z-scores that closely matched the smooth percentile curves. The height and weight results were compared with the international reference values of National Center for Health Statistics/Centers for Disease Control and Prevention (NCHS/CDC). The prevalence of over-weight was calculated using the new International Obesity Task Force (IOTF) reference. Of 7442 Qatari children studied, 50.3% were male and 49.7%' female. The mean values for height, weight, and body mass index (BMI) increased with the age for both boys and girls until the age of 18 years, except BMI, which stabilized at the age of 16-18 years at around 22.6 for boys and at 21.6 for girls. The growth patterns of the Qatari children, aged 6-18 years, appeared to be comparable with those of the NCHS/CDC reference. The weight-for-age centile curves of the Qatari boys tended to be superior to those of the NCHS/CDC reference until the age of 15 years, less so those of the Qatari girls. In contrast, the height-for-age centile curves of the Qatari children tended to deviate in a negative sense from the NCHS/CDC reference curves, for boys and girls from age around 11 years and 13 years respectively. The deviation of the smoothed median height-for-age curves from the reference in adolescence could most likely be attributed to a later maturation among the Qatari children. The prevalence of under-weight, over-weight, and obesity for the Qatari children was quite below the CDC and IOTF rates, except for girls aged 6-9 years. More males than females were over-weight or obese according to either the local, the CDC, or the IOTF reference, and the prevalence increased with age. A good percentage of the Qatari children was at risk of being over-weight, which needs more attention because the development of obesity results in different types of diseases associated with changes in body composition.

摘要

本研究旨在分析6至18岁卡塔尔学童的身高和体重增长模式以及超重患病率。对卡塔尔学童的一个横断面样本进行了体重和身高测量。这些儿童是从城市和半城市地区的不同学校中按年龄和性别均等比例随机选取的。采用两阶段方法进行了适当的统计程序,以生成男孩和女孩的平滑百分位数曲线。通过各种参数和非参数程序对选定的主要百分位数进行初始曲线平滑。在第二阶段,使用归一化程序创建与平滑百分位数曲线紧密匹配的z分数。将身高和体重结果与美国国家卫生统计中心/疾病控制与预防中心(NCHS/CDC)的国际参考值进行比较。超重患病率使用新的国际肥胖特别工作组(IOTF)参考标准进行计算。在研究的7442名卡塔尔儿童中,50.3%为男性,49.7%为女性。男孩和女孩的身高、体重和体重指数(BMI)平均值随年龄增长,直至18岁,不过BMI在16至18岁时趋于稳定,男孩约为22.6,女孩约为21.6。6至18岁卡塔尔儿童的生长模式似乎与NCHS/CDC参考标准相当。卡塔尔男孩的年龄别体重百分位数曲线在15岁之前往往优于NCHS/CDC参考标准,卡塔尔女孩则稍逊一筹。相比之下,卡塔尔儿童的年龄别身高百分位数曲线分别从男孩约11岁、女孩约13岁起倾向于在负面上偏离NCHS/CDC参考曲线。青春期平滑后的年龄别中位身高曲线与参考标准的偏差很可能归因于卡塔尔儿童成熟较晚。卡塔尔儿童的体重不足、超重和肥胖患病率远低于CDC和IOTF的比率,6至9岁女孩除外。根据当地、CDC或IOTF参考标准,超重或肥胖的男性多于女性,且患病率随年龄增加。相当比例的卡塔尔儿童有超重风险,这需要更多关注,因为肥胖的发展会导致与身体成分变化相关的不同类型疾病。

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