Alfaro E L, Vázquez M E, Bejarano I F, Dipierri J E
Instituto de Biología de la Altura, Universidad Nacional de Jujuy, San Salvador de Jujuy, Argentina.
Homo. 2008;59(3):223-34. doi: 10.1016/j.jchb.2007.12.005. Epub 2008 May 27.
Human growth and its resulting patterns display a great inter- and intra-population heterogeneity that reflects the quality of life, health and nutritional condition of populations. The aim of this work was to expand the knowledge about the growth of Jujenean children by statistical procedures that graphically express the relation of anthropometric variables to age and allow their comparison with specific references. Anthropometric data came from 9092 children (0-5 years) from various localities of Jujuy province (northwest Argentina) located at 1200 m above sea level (ma.s.l.). The centiles of weight for age (W/A) and height for age (H/A) were obtained by the LMS method using maximum penalized likelihood. A statistical and graphic comparison was made with the corresponding Centers for Disease Control and Prevention (CDC) and World Health Organization (WHO) centile references. In general, estimated centiles were lower than those in both references. Discrepancies for H/A in comparison with the CDC reference ranged between 1.09+/-0.59% and 1.66+/-0.34%, and for W/A between 1.82+/-1.56% and 3.36+/-1.4%. In comparison with the WHO reference, discrepancies ranged from 1.38+/-0.65% to 1.87+/-0.41% for H/A, and from 1.12+/-1.28% to 2.74+/-1.49% for W/A. Centile discrepancies were attributed to the characteristics of early childhood feeding and the interaction of a set of biological and mesological factors that the Jujenean population is exposed to. Growth and nutritional conditions of this population should be evaluated with the WHO reference, for it reflects the recent growth pattern of biologically and culturally healthy children raised in favourable conditions, a pattern that also reflects that of Jujenean children.
人类生长及其产生的模式表现出极大的群体间和群体内异质性,这反映了人群的生活质量、健康状况和营养状况。本研究的目的是通过统计程序扩展对胡胡伊省儿童生长情况的了解,这些程序以图形方式表达人体测量变量与年龄的关系,并允许将其与特定参考标准进行比较。人体测量数据来自阿根廷西北部海拔1200米(mas.l.)的胡胡伊省不同地区的9092名儿童(0至5岁)。采用最大惩罚似然法的LMS方法获得年龄别体重(W/A)和年龄别身高(H/A)的百分位数。与相应的疾病控制和预防中心(CDC)及世界卫生组织(WHO)的百分位数参考标准进行了统计和图形比较。总体而言,估计的百分位数低于两个参考标准中的百分位数。与CDC参考标准相比,H/A的差异在1.09±0.59%至1.66±0.34%之间,W/A的差异在1.82±1.56%至3.36±1.4%之间。与WHO参考标准相比,H/A的差异在1.38±0.65%至1.87±0.41%之间,W/A的差异在1.12±1.28%至2.74±1.49%之间。百分位数差异归因于幼儿喂养的特点以及胡胡伊人群所接触的一系列生物和环境因素的相互作用。该人群的生长和营养状况应以WHO参考标准进行评估,因为它反映了在有利条件下成长的具有生物学和文化健康的儿童的近期生长模式,这种模式也反映了胡胡伊儿童的生长模式。