Scholl T O, Karp R J, Theophano J, Decker E
Public Health Rep. 1987 May-Jun;102(3):278-83.
The growth and nutritional status of 2,056 schoolchildren from a poor community in southern New Jersey were assessed. Age-adjusted differences in growth among black, white, and Hispanic children were examined. Black youths were 2.5 centimeters (cm) taller (P less than .001) and 0.9 kilograms (kg) heavier than white youths (P less than .05). Black girls were 4.1 cm taller (P less than .001) and 2.8 kg heavier than white girls (P less than .01). Hispanic girls were 1 kg heavier (P less than .05) and 0.9 cm taller (not significant) than white girls. There was little difference in growth between Hispanic and white youths. Children were assessed with the use of the Centers for Disease Control's nutritional surveillance cutpoints; less than 5 percent of each ethnic group fell below the fifth percentile, according to the National Center for Health Statistics' weight-for-height standards. White and Hispanic youths were twice as likely as blacks to fall below the 5th percentile for stature or to be overweight (above the 95th percentile for weight-for-height). Compared with black girls, white and Hispanic girls were three to four times more likely to fall below the fifth percentile for stature. The prevalence of short stature was also higher among white girls (15.9 percent) compared with Hispanics (10.3 percent). There was little difference in the prevalence of overweight by ethnic group for girls. These data show that white children from poor communities have decreased growth and suggest that they may be at increased risk of nutritional problems.
对新泽西州南部一个贫困社区的2056名学童的生长发育和营养状况进行了评估。研究了黑人、白人和西班牙裔儿童在生长发育方面经年龄调整后的差异。黑人青少年比白人青少年高2.5厘米(P<0.001),重0.9千克(P<0.05)。黑人女孩比白人女孩高4.1厘米(P<0.001),重2.8千克(P<0.01)。西班牙裔女孩比白人女孩重1千克(P<0.05),高0.9厘米(无显著性差异)。西班牙裔和白人青少年在生长发育方面差异不大。根据疾病控制中心的营养监测切点对儿童进行评估;根据国家卫生统计中心的身高体重标准,每个种族群体中不到5%的儿童低于第五百分位数。白人及西班牙裔青少年身材低于第5百分位数或超重(高于身高体重第95百分位数)的可能性是黑人的两倍。与黑人女孩相比,白人及西班牙裔女孩身材低于第五百分位数的可能性要高三到四倍。白人女孩(15.9%)的身材矮小患病率也高于西班牙裔(10.3%)。各种族女孩超重患病率差异不大。这些数据表明,来自贫困社区的白人儿童生长发育减缓,提示他们可能面临更高的营养问题风险。