Benjumea-Rincón María V, Parra-Sánchez José H, Ocampo-Téllez Paul R
Universidad de Caldas, Manizales, Colombia.
Universidad Nacional, Manizales, Colombia,
Rev Salud Publica (Bogota). 2016 Aug;18(4):503-515. doi: 10.15446/rsap.v18n4.44298.
Objective To evaluate the correlation of size, according to age, of the anthropometric growth references of Colombian indigenous children studied in Encuesta Nacional de la Situación Nutricional de Colombia 2010 -ENSIN 2010 (National Survey of Nutrition in Colombia - 2010). Method A secondary analysis of 2598 data of indigenous Colombian children under five years of age, evaluated by ENSIN in 2010, was performed. The considered variables were size according to age, gender, height, place of residence, department and socioeconomic position. The classification of the deficit in size, based on the references of the National Center for Health Statistics (NCHS) and the World Health Organization (WHO), was made by using the Z <-2 score and the Anthro software. The Kappa coefficient was estimated to assess the correlation between anthropometric categories and was classified taking into account the proposal of Altman DG. Results One in four children had a deficit in size in the light of both anthropometric references. The prevalence of the deficit was higher when using the WHO standard, increased with age and was higher in children who resided in low altitude (m). The correlation between the two references was good (kappa ≥0,688, p=0,000) for children of both genders and all ages; the exception corresponded to children of age two, since it was moderate (kappa=0,601, p=0,000). The greatest disagreement in the classification was observed in the category "tall". Conclusion According to the statistical correlation found between the two anthropometric references (WHO vs. NCHS), any reference could be used for assessment of size according to for age.
目的 评估在2010年哥伦比亚全国营养状况调查（ENSIN 2010）中所研究的哥伦比亚土著儿童的人体测量生长参考值随年龄的大小相关性。方法 对2010年ENSIN评估的2598名5岁以下哥伦比亚土著儿童的数据进行二次分析。所考虑的变量包括按年龄、性别、身高、居住地点、省份和社会经济地位划分的大小。根据美国国家卫生统计中心（NCHS）和世界卫生组织（WHO）的参考值，使用Z<-2分数和Anthro软件对大小不足进行分类。估计Kappa系数以评估人体测量类别之间的相关性，并根据阿尔特曼DG的提议进行分类。结果 根据两种人体测量参考值，四分之一的儿童存在大小不足。使用WHO标准时不足的患病率更高，随年龄增加，且在居住在低海拔地区（米）的儿童中更高。两种参考值之间的相关性对于所有年龄和性别的儿童都良好（kappa≥0.688，p=0.000）；2岁儿童除外，其相关性为中等（kappa=0.601，p=0.000）。在“高”类别中观察到分类上的最大分歧。结论 根据两种人体测量参考值（WHO与NCHS）之间发现的统计相关性，任何一种参考值均可用于按年龄评估大小。
