Youlton R, Valenzuela C
Facultad de Medicina, Universidad de Chile, Clínica Las Condes.
Rev Chil Pediatr. 1990;Spec No:1-22.
The results of a semi-longitudinal growth study of children from an upper socioeconomic stratum (SES), 0 to 17 years of age, are reported. Medical records of 6,000 boys and girls who were seen in the pediatric outpatient department of Clínica Las Condes, Santiago, during the period January 1983-December 1987 were reviewed. Data of height (H), weight (W) and head circumference (HC) of 4,800 normal children were obtained; the totals of recorded measurements were 13,000 for H, 13,000 for W and 5,800 for HC. The information is presented in 13 Tables and 32 Figures and it was compared to that from a longitudinal study in children of lower SES in Northern Metropolitan Santiago. Females of the upper stratum are taller at all ages, but W for H ratio is higher in girls of the low stratum. H and W for age values are higher in boys of the upper stratum, but W for H ratio is similar in both socioeconomic groups. The age of peak height velocity is the same in both groups for both sexes. We conclude that the stated differences in growth and weight gain between these two socioeconomic groups are better explained by genetic than by nutritional factors.
报告了一项针对0至17岁来自社会经济上层阶层(SES)儿童的半纵向生长研究结果。回顾了1983年1月至1987年12月期间在圣地亚哥拉斯孔德斯诊所儿科门诊就诊的6000名男孩和女孩的病历。获得了4800名正常儿童的身高(H)、体重(W)和头围(HC)数据;记录的测量总数为身高13000次、体重13000次和头围5800次。这些信息列于13个表格和32个图表中,并与圣地亚哥北部大都会地区社会经济地位较低儿童的纵向研究结果进行了比较。上层阶层的女性在所有年龄段都更高,但低阶层女孩的体重与身高之比更高。上层阶层男孩的身高和体重随年龄增长的值更高,但两个社会经济群体的体重与身高之比相似。两组男女的身高增长峰值年龄相同。我们得出结论,这两个社会经济群体在生长和体重增加方面的上述差异,用遗传因素比营养因素能更好地解释。