Buhendwa Rudahaba Augustin, Roelants Mathieu, Thomis Martine, Nkiama Constant E
a Faculty of Medicine, Department of Physical Medicine and Rehabilitation, Laboratory of Kinanthropometry and Exercise Physiology , University of Kinshasa , Kinshasa , Democratic Republic of the Congo.
b Environment and Health, Department of Public Health Care , KU Leuven-University of Leuven , Leuven , Belgium.
Ann Hum Biol. 2017 Sep;44(6):554-561. doi: 10.1080/03014460.2017.1333149. Epub 2017 Jun 14.
The last study to establish centiles of main anthropometric measurements in Kinshasa was conducted over 60 years ago, which questions its current adequacy to describe or monitor growth in this population.
To assess the nutritional status of school-aged children and adolescents and to estimate centile curves of height, weight and body mass index (BMI).
A representative sample of 7541 school-aged children and adolescents (48% boys) aged 6-18 years was measured between 2010-2013. Smooth centiles of height, weight and BMI-for-age were estimated with the LMS method and compared with the WHO 2007 reference. Nutritional status was assessed by comparing measurements of height and BMI against the appropriate WHO cut-offs.
Compared to the WHO reference, percentiles of height and BMI were generally lower. This difference was larger in boys than in girls and increased as they approached adolescence. The prevalence of short stature (< -2 SD) and thinness (< -2 SD) was higher in boys (9.8% and 12%) than in girls (3.4% and 6.1%), but the prevalence of overweight (> 1 SD) was higher in girls (8.6%) than in boys (4.5%).
Children from Kinshasa fall below WHO centile references. This study established up-to-date centile curves for height, weight and BMI by age in children and adolescents. These reference curves describe the current status of these anthropometric markers and can be used as a basis for comparison in future studies.
上次在金沙萨确定主要人体测量指标百分位数的研究是在60多年前进行的，这让人质疑其目前是否足以描述或监测该人群的生长情况。
评估学龄儿童和青少年的营养状况，并估计身高、体重和体重指数（BMI）的百分位数曲线。
2010年至2013年期间，对7541名6至18岁的学龄儿童和青少年（48%为男孩）进行了代表性抽样测量。采用LMS方法估计身高、体重和年龄别BMI的平滑百分位数，并与世界卫生组织2007年的参考标准进行比较。通过将身高和BMI测量值与世界卫生组织的适当临界值进行比较来评估营养状况。
与世界卫生组织的参考标准相比，身高和BMI的百分位数普遍较低。这种差异在男孩中比在女孩中更大，并且随着他们接近青春期而增加。男孩中身材矮小（<-2标准差）和消瘦（<-2标准差）的患病率高于女孩（分别为9.8%和12%对3.4%和6.1%），但超重（>1标准差）的患病率女孩（8.6%）高于男孩（4.5%）。
金沙萨的儿童低于世界卫生组织的百分位数参考标准。本研究建立了儿童和青少年按年龄划分的身高、体重和BMI的最新百分位数曲线。这些参考曲线描述了这些人体测量指标的当前状况，可作为未来研究中进行比较的基础。
