Neyestani Tirang Reza, Dad-Khah Monireh, Haidari Homa, Zowghi Telma, Maddah Mohsen, Nematy Mohsen, Aliabadi Maliheh
National Research Institute and Faculty of Nutritional Sciences and Food Technology, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Acta Med Iran. 2011;49(3):173-8.
Height measurement is an important part of nutritional assessment especially in children. However, in such cases as hospitalized or certain kinds of malformations or disabilities, height cannot be measured accurately. We aimed to determine appropriate height predictors in Iranian healthy children for further use in disabled and/or hospitalized children. A total of 730 apparently healthy children aged 7-11 years old from both sexes from Tehran, Meshed and Rasht were enrolled in a cross sectional study. Height, demispan (DS), halfspan (HS), arm length (AL) and tibia length (TL) were all measured using a measuring tape. Linear regression models were established between height, DS, HS, AL and TL. For boys AL (R2=0.783) and TL (R2=0.837) and for girls AL (R2=0.720), TL (R2=0.765), HS (R2=0.771) and age (R2=0.775), respectively, entered the linear regression model. When height predictors were evaluated individually for each city, only in Tehran DS also entered the regression model. Concordance of different percentiles of height estimates based on AL with those of actual height proposed this measure as a reliable height proxy for this age group in clinical as well as field practice.
身高测量是营养评估的重要组成部分，尤其是在儿童中。然而，在住院或某些类型的畸形或残疾等情况下，身高无法准确测量。我们旨在确定伊朗健康儿童中合适的身高预测指标，以便在残疾和/或住院儿童中进一步应用。来自德黑兰、马什哈德和拉什特的730名7至11岁的明显健康的儿童（男女均有）被纳入一项横断面研究。使用卷尺测量身高、半臂展（DS）、半跨距（HS）、臂长（AL）和胫骨长度（TL）。在身高、DS、HS、AL和TL之间建立线性回归模型。对于男孩，AL（R2 = 0.783）和TL（R2 = 0.837），对于女孩，AL（R2 = 0.720）、TL（R2 = 0.765）、HS（R2 = 0.771）和年龄（R2 = 0.775）分别进入线性回归模型。当针对每个城市单独评估身高预测指标时，只有在德黑兰DS也进入回归模型。基于AL的不同百分位数的身高估计值与实际身高的一致性表明，在临床以及现场实践中，该测量方法可作为该年龄组可靠的身高替代指标。
