Abtahi Mitra, Doustmohammadian Aazam, Abbdollahi Morteza
Department of Nutrition Research, National Nutrition and Food Technology Research Institute, School of Nutrition Sciences and Food Technology, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Int J Prev Med. 2011 Jul;2(3):122-6.
Growth charts are the most important evaluation tools for the assessment of growth and development of children which could be further used to develop preventive interventions. This study was undertaken with the aim of reviewing different current growth curves, their advantages and disadvantages, and performing a review of the studies conducted in Iran and other countries on determination of weight and height standards.
In order to collect materials for this review, a detailed search of Scientific Information Database (SID), Iran Medex, MEDLINE, PubMed, and Web of Science was carried out for the time period 2005-2010.
The results of performed studies in European and Asian countries showed that the height and weight curves of these children were different from WHO and NCHS growth standards. The finding of growth trend study of Iranian children showed that the mean height and weight of girls and boys were increased. In spite of these increases, the median height and weight of Iranian girls and boys under 15 years was under 20(th) percentile of the United States National Center for the Health Statistics.
Considering the epidemiological changes and existing genetic differences and different children's weight and height growth patterns, it seems that the global standard for the children's growth, including the WHO standards, are not applicable to all the populations and each country should construct a separate national standard.
生长图表是评估儿童生长发育的最重要评估工具，可进一步用于制定预防干预措施。本研究旨在回顾当前不同的生长曲线、它们的优缺点，并对伊朗和其他国家进行的关于确定体重和身高标准的研究进行综述。
为了收集本次综述的资料，在2005 - 2010年期间对科学信息数据库（SID）、伊朗医学数据库、医学在线数据库（MEDLINE）、医学期刊数据库（PubMed）和科学引文索引数据库（Web of Science）进行了详细检索。
在欧洲和亚洲国家进行的研究结果表明，这些儿童的身高和体重曲线与世界卫生组织（WHO）和美国国家卫生统计中心（NCHS）的生长标准不同。伊朗儿童生长趋势研究的结果表明，女孩和男孩的平均身高和体重都有所增加。尽管有这些增长，但15岁以下伊朗女孩和男孩的身高和体重中位数仍低于美国国家卫生统计中心的第20百分位数。
考虑到流行病学变化、现有的遗传差异以及儿童不同的体重和身高增长模式，似乎包括WHO标准在内的全球儿童生长标准并不适用于所有人群，每个国家都应构建单独的国家标准。
