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[世界卫生组织5岁以下儿童生长标准]

[The WHO Child Growth Standards for children under 5 years].

作者信息

Baerug Anne B, Tufte Elisabeth, Norum Kaare R, Bjørneboe Gunn-Elin Aa

机构信息

Nasjonalt kompetansesenter for amming, Kvinneklinikken, Rikshospitalet-Radiumhospitalet, 0027 Oslo.

出版信息

Tidsskr Nor Laegeforen. 2007 Sep 20;127(18):2390-4.

Abstract

BACKGROUND

In 2006, the World Health Organization (WHO) launched the new global WHO Child Growth Standards for children under five years. The rationale for developing this new growth standard was that a review of the NCHS/WHO-reference, which had been recommended for international use since 1978, showed that the growth of breast-fed infants deviated negatively from this reference. Most children included in the NCHS/WHO-reference from 1978 were fed mainly with infant formula.

MATERIAL AND METHOD

A growth reference describes

HOW

children without a diagnosed disease grow. The WHO Child Growth Standards document how children SHOULD: grow when they are raised in healthy environments, are breastfed and not exposed to tobacco through their mother. The standard was developed on the basis of a multi-ethnic sample with participants from Norway, USA, Brazil, Oman, Ghana and India.

RESULTS AND INTERPRETATION

The WHO Child Growth Standards describe how healthy children grow when key health and environmental needs are met. The new growth standards documents that children with different ethnic backgrounds grow very similarly under equal conditions. The WHO Child Growth Standards are an important tool for prevention and early recognition of overweight, as well as growth faltering and wasting.

摘要

背景

2006年,世界卫生组织(WHO)发布了新的全球五岁以下儿童生长标准。制定这一新生长标准的依据是,对自1978年以来一直推荐用于国际的美国国家卫生统计中心/世界卫生组织参考标准进行的审查表明,母乳喂养婴儿的生长情况与该参考标准存在负偏差。1978年美国国家卫生统计中心/世界卫生组织参考标准所涵盖的大多数儿童主要喂养的是婴儿配方奶粉。

材料与方法

生长参考标准描述的是:无确诊疾病的儿童如何生长。世界卫生组织儿童生长标准记录的是:儿童在健康环境中成长、母乳喂养且未通过母亲接触烟草时应该如何生长。该标准是基于一个多民族样本制定的,参与者来自挪威、美国、巴西、阿曼、加纳和印度。

结果与解读

世界卫生组织儿童生长标准描述了在关键的健康和环境需求得到满足时健康儿童的生长情况。新的生长标准表明,不同种族背景的儿童在同等条件下生长情况非常相似。世界卫生组织儿童生长标准是预防和早期识别超重以及生长发育迟缓与消瘦的重要工具。

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