Instituto Leônidas e Maria Deane, Fundação Oswaldo Cruz (FIOCRUZ), Manaus, AM, Brazil.
J Pediatr (Rio J). 2009 Mar-Apr;85(2):117-21. doi: 10.2223/JPED.1872. Epub 2009 Feb 18.
To perform a comparative analysis of anthropometric data from Suruí, Xavánte and Wari' indigenous children under 60 months of age using the NCHS/1977 and the WHO/2005 growth curves.
Anthropometric measurements followed standard procedures and the data obtained were converted into z scores using the Epi-Info (Version 3.4) and WHO-Anthro (Version Beta) softwares. The indices height/age (H/A), weight/age (W/A) and weight/height (W/H) were descriptors of nutritional status for all children under 60 months of age, as well as the body mass index (BMI) for children 24-59 months old.
The frequencies of Suruí children < -2 z scores for H/A were 31.4 (NCHS/1977) and 38.6% (WHO/2005); Xavánte 30.9 and 42.3%; Wari' 61.7 and 68.3%. The frequencies of Suruí children < -2 z scores for W/A were 12.4 (NCHS/1977) and 8.5% (WHO/2005); Xavánte 16.5 and 11.6%; Wari' 51.7 and 45.0%. None of the Suruí children were < -2 z scores for W/H (NCHS/1977 and WHO/2005); the frequencies of Xavánte children were 1.7 and 3.3% and Wari' 1.7 and 0.0%. The frequencies of Suruí children > 2 z scores for W/H were 3.9 (NCHS/1977) and 3.9% (WHO/2005); Xavánte 0.0 and 0.8%; Wari' 0.0 and 0.0%. The frequency of Suruí children aged 24-59 months > 2 z scores for BMI was 5.4% (WHO/2005); Xavánte 9.5%; and Wari' 0.0%.
Our findings revealed important differences in the results from nutritional assessment, according to the set of growth curves used; however, the use of both growth curves revealed a high prevalence of malnutrition. Therefore, future studies with indigenous populations should present their results using two sets of growth curves to allow consistent comparison.
使用 NCHS/1977 和 WHO/2005 生长曲线对 60 个月以下的苏里、哈瓦泰和瓦里土著儿童的人体测量数据进行比较分析。
采用标准程序进行人体测量，使用 Epi-Info（版本 3.4）和 WHO-Anthro（版本 Beta）软件将获得的数据转换为 z 分数。身高/年龄（H/A）、体重/年龄（W/A）和体重/身高（W/H）是所有 60 个月以下儿童营养状况的指标，24-59 个月儿童的身体质量指数（BMI）也是指标。
H/A 评分<-2 z 分数的苏里儿童频率为 31.4%（NCHS/1977）和 38.6%（WHO/2005）；哈瓦泰为 30.9%和 42.3%；瓦里为 61.7%和 68.3%。W/A 评分<-2 z 分数的苏里儿童频率为 12.4%（NCHS/1977）和 8.5%（WHO/2005）；哈瓦泰为 16.5%和 11.6%；瓦里为 51.7%和 45.0%。没有苏里儿童的 W/H 评分<-2 z 分数（NCHS/1977 和 WHO/2005）；哈瓦泰的频率为 1.7%和 3.3%，瓦里为 1.7%和 0.0%。W/H 评分>2 z 分数的苏里儿童频率为 3.9%（NCHS/1977）和 3.9%（WHO/2005）；哈瓦泰为 0.0%和 0.8%；瓦里为 0.0%和 0.0%。24-59 个月的苏里儿童 BMI 评分>2 z 分数的频率为 5.4%（WHO/2005）；哈瓦泰为 9.5%；瓦里为 0.0%。
根据使用的生长曲线集，我们的研究结果显示营养评估结果存在重要差异；然而，使用两种生长曲线都显示出高度的营养不良。因此，未来对土著人群的研究应使用两套生长曲线来呈现结果，以便进行一致的比较。
