Mazıcıoğlu M Mümtaz, Demirtaş Türev, Çcek Betül, Oztürk Ahmet, Kurtoğlu Selim, Üstünbaş Hasan Basri
Erciyes University, Faculty of Medicine, Department of Pediatric Endocrinology, Kayseri, Turkey.
J Clin Res Pediatr Endocrinol. 2013;5(4):224-8. doi: 10.4274/Jcrpe.1139.
To produce weight for length/height (WLH) percentiles to be used for the screening of growth and assessment of failure to thrive in infancy and early childhood.
The data (2009-2010) of the Anthropometry of Turkish Children aged 0-6 years (ATCA-06) study were used. A cross-sectional study was designed to calculate the WLH references. Reference weight values for each 5-cm LH intervals were determined using the LMS Chart Maker Pro version 2.3 software program (The Institute of Child Health, London).
A total of 3123 children (1573 female, 1550 male) aged 0-6 years were included in the calculation of the 3rd, 5th, 10th, 25th, 50th, 75th, 85th, 90th, 95th, and 97th WLH percentiles. The difference between the 3rd and the 97th percentiles for males was 2.02 cm to 12.64 cm in the 50-54.99 cm and 125-130 cm LH ranges. In the girls, the differences between the 3rd-97th percentiles ranged from 2.02 cm to 12.64 cm in the 50-54.99 cm and 125-130 cm LH groups. The maximum difference between the 3rd and 97th percentiles was about half the variation of mean WLH throughout the first six years of life. The most rapid change in WLH was observed in the 0-2-year period. Turkish references for WLH were not different from the World Health Organization standards.
This is the first study in Turkey presenting WLH references in 0-6 year old children. We suggest that the use of WLH in the first two years of life may be more useful than age-adjusted references in assessment of nutritional status and diagnosis of failure to thrive.
制定身长/身高别体重（WLH）百分位数，用于婴儿期和幼儿期生长发育筛查及发育迟缓评估。
使用土耳其0至6岁儿童人体测量学研究（ATCA - 06）（2009 - 2010年）的数据。设计一项横断面研究以计算WLH参考值。使用LMS Chart Maker Pro 2.3版软件程序（伦敦儿童健康研究所）确定每5厘米身长/身高区间的参考体重值。
共有3123名0至6岁儿童（1573名女性，1550名男性）纳入第3、5、10、25、50、75、85、90、95和97百分位WLH的计算。在身长/身高范围为50 - 54.99厘米和125 - 130厘米时，男性第3和第97百分位数之间的差异为2.02厘米至12.64厘米。在身长/身高范围为50 - 54.99厘米和125 - 130厘米的女性组中，第3至第97百分位数之间的差异为2.02厘米至12.64厘米。第3和第97百分位数之间的最大差异约为生命最初六年中WLH均值变化的一半。WLH变化最迅速的时期是0至2岁。土耳其的WLH参考值与世界卫生组织标准无差异。
这是土耳其第一项给出0至6岁儿童WLH参考值的研究。我们建议，在生命的前两年使用WLH可能比年龄校正参考值在评估营养状况和诊断发育迟缓方面更有用。
