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[将阿根廷儿童人体测量评估参考标准与世界卫生组织针对5岁以下儿童的标准进行比较]

[Comparing Argentinian reference with WHO standards for the anthropometric evaluation of children less than 5 year-old].

作者信息

Anigstein Carlos, Kerai Viviana, Acosta Amelia, Moranelli de Zárate Angela, Martinolich Andrés, Cabrera Diana, Portela Jorge, Lerner Mario, Corfield Liliana, Frutos Mario, Delmagro Julia, Roa Santiago, Esparapan Inés, Odriozola Norma, Schneider Viviana

机构信息

Dirección de Salud, Municipalidad de la Ciudad de Gualeguaychú, Entre Ríos.

出版信息

Arch Argent Pediatr. 2008 Dec;106(6):505-9. doi: 10.1590/S0325-00752008000600006.

DOI:10.1590/S0325-00752008000600006
PMID:19107302
Abstract

INTRODUCTION

The new WHO growth standards, were the result of a multicenter growth reference study, performed on a sample of children with rigorous criteria of health, with families that had complied with the health recommendations that are made in the field of breastfeeding and not smoking.

OBJECTIVE

To compare the argentine references with the WHO standard for the anthropometric evaluation of a population of children under 5 years.

POPULATION

474 children younger than 5 years old who attended the Municipal Health Centers during October 2004.

MATERIAL AND METHODS

Children were weighed and measured with instruments and techniques standardized by SAP. The study design was observational, cross-sectional, descriptive. We used EPI6/ ANTCONV for Argentine reference and ANTRHRO 2005 for WHO standard T test for two samples, P (T < t) two tails, and Chi 2.

RESULTS

Total 474, 231 boys and 243 girls. Height/ age minor - 2 DS: Argentine reference= 39 (8.2%) and WHO= 58 (12.2%), not significant. Weight/age minor -2DS: Argentine reference= 24 (5.1%) and WHO= 10 (Chi 2 p = 0.014).

CONCLUSIONS

WHO standards, from 12 months on, selected the largest number of children with short stature, and, regarding weight, it happened the opposite, they selected less children with low weight/age.

摘要

引言

世界卫生组织新的生长标准是一项多中心生长参考研究的成果,该研究针对的是符合严格健康标准的儿童样本,其家庭遵守了母乳喂养和不吸烟领域的健康建议。

目的

比较阿根廷的参考标准与世界卫生组织标准,用于对5岁以下儿童群体进行人体测量评估。

研究对象

2004年10月在市卫生中心就诊的474名5岁以下儿童。

材料与方法

使用经卫生和公共服务部标准化的仪器和技术对儿童进行称重和测量。研究设计为观察性、横断面、描述性研究。我们使用EPI6/ANTCONV作为阿根廷的参考标准,使用ANTRHRO 2005作为世界卫生组织标准,进行两样本t检验、双侧P(T < t)检验和卡方检验。

结果

总计474名儿童,其中231名男孩和243名女孩。身高/年龄低于-2标准差:阿根廷参考标准下为39名(8.2%),世界卫生组织标准下为58名(12.2%),差异不显著。体重/年龄低于-2标准差:阿根廷参考标准下为24名(5.1%),世界卫生组织标准下为10名(卡方检验p = 0.014)。

结论

世界卫生组织标准从12个月起,选出的身材矮小儿童数量最多,而在体重方面则相反,选出的体重/年龄偏低儿童较少。

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