Kumar Dewesh, Rishabh Kumar Rana, Kujur Anit, Kumar Chandramani, Sunderam Shalini, Kashyap Vivek, Kumar Singh Haribansh
Department of Preventive and Social Medicine, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India.
Department of Preventive and Social Medicine, Patliputra Medical College and Hospital, Dhanbad, Jharkhand, India.
Malays J Med Sci. 2020 Jul;27(4):108-118. doi: 10.21315/mjms2020.27.4.10. Epub 2020 Aug 19.
This study intends to find the growth patterns of selected school children. Globally accepted statistical methods were used to evaluate the data and prepare a growth chart.
This cross-sectional study was conducted with school-going children from 16 selected schools of a tribal district in Jharkhand using multistage cluster random sampling. In each selected school, 60 students, 30 boys and 30 girls, were chosen randomly, totaling 960 children (full data was for 935 children only). Growth charts were created using Lambda-Mu-Sigma (LMS) chart maker version 2.5 for height, weight and body mass index (BMI). In the charts, the LMS values with Z scores for each age and respective height and weight for boys and girls were recorded.
The 468 boys and 467 girls were in the range of 6-14 years of age. Percentile values obtained for the measured heights in centimetres were evaluated and compared with Indian Academy of Pediatrics reference charts for boys and girls for the same age group, and our values were found to be on the lower side. We were able to plot a growth chart of the data set; as the tribal children's ethnicity is different, this growth chart might be used to assess nutritional status.
We concluded that growth curves for height, weight, and BMI may be used for evaluating children of age 6-14 years in the tribal population. The measures can be a good indicator of their nourishment status and overall growth patterns, which might be indigenous to their ethnicity. A larger sample size of similar tribal populations may give a clearer picture.
本研究旨在找出特定学龄儿童的生长模式。使用全球通用的统计方法对数据进行评估并绘制生长图表。
本横断面研究采用多阶段整群随机抽样，对贾坎德邦一个部落地区16所选定学校的在校儿童进行研究。在每所选定学校中，随机挑选60名学生，其中30名男生和30名女生，共计960名儿童（完整数据仅涉及935名儿童）。使用Lambda-Mu-Sigma（LMS）图表制作软件2.5版绘制身高、体重和体重指数（BMI）的生长图表。在图表中，记录了每个年龄的LMS值以及相应的Z分数，还有男孩和女孩各自的身高和体重。
468名男孩和467名女孩年龄在6至14岁之间。对以厘米为单位测量的身高所得百分位数进行评估，并与印度儿科学会针对同一年龄组男孩和女孩的参考图表进行比较，发现我们的数据偏低。我们能够绘制该数据集的生长图表；由于部落儿童的种族不同，此生长图表可用于评估营养状况。
我们得出结论，身高、体重和BMI的生长曲线可用于评估部落人群中6至14岁儿童的情况。这些测量指标可以很好地反映他们的营养状况和整体生长模式，这些模式可能是其种族所特有的。对更多类似部落人群的样本进行研究可能会得出更清晰的结果。
