Ozer Başak Koca
Laboratory of Physical Anthropology, Department of Zoology, Graduate School of Science, Kyoto University, Kyoto 606-8502, Japan.
Econ Hum Biol. 2007 Jul;5(2):280-301. doi: 10.1016/j.ehb.2007.03.007. Epub 2007 Apr 1.
The purpose of the study is to develop current reference growth centiles for Turkish children and adolescents. A cross-sectional growth survey was conducted on 1.427 (709 boys and 718 girls) healthy schoolchildren aged 6-17 years in Ankara, the capital city of Turkey. As an indicator of socio-economic status, the occupation of the parents was recorded. Growth references of height, weight, body mass index (BMI), sitting height, iliospinal height, relative iliospinal height and relative sitting height were constructed by the LMS method. Sex differences, association of parental occupation with height and BMI standard deviation scores were assessed by analyses of variance. Results showed significant sexual dimorphism for height, weight, sitting height and iliospinal height (p<0.001). Significant effect of socio-economic background was found on height and BMI. The prevalence of overweight and obesity was found using the International Obesity Task Force (IOTF) reference criteria 22.4% and 5.6% in boys and 21.2% and 3% in girls. Present results demonstrated an increment during the last three decades in height, leg length and weight curves which is more prominent in boys, but not in the sitting height. This positive secular change appears to be a logical outcome of the gradual changes in nutrition, health care and education, and environmental and economic conditions.
本研究的目的是为土耳其儿童和青少年制定当前的参考生长百分位数。对土耳其首都安卡拉1427名（709名男孩和718名女孩）6至17岁的健康学童进行了横断面生长调查。记录父母的职业作为社会经济地位的指标。采用LMS法构建身高、体重、体重指数（BMI）、坐高、髂棘高、相对髂棘高和相对坐高的生长参考值。通过方差分析评估性别差异、父母职业与身高和BMI标准差分数的关联。结果显示，身高、体重、坐高和髂棘高存在显著的性别差异（p<0.001）。发现社会经济背景对身高和BMI有显著影响。使用国际肥胖特别工作组（IOTF）参考标准，男孩超重和肥胖的患病率分别为22.4%和5.6%，女孩分别为21.2%和3%。目前的结果表明，在过去三十年中，身高、腿长和体重曲线有所增加，这在男孩中更为明显，但坐高没有增加。这种积极的长期变化似乎是营养、医疗保健和教育以及环境和经济条件逐渐变化的合理结果。
