Down Syndrome Clinic, Instituto Nacional de Pediatría, Mexico City, Mexico.
Department of Research Methodology, Instituto Nacional de Pediatría, Mexico City, Mexico.
Am J Med Genet A. 2022 Apr;188(4):1170-1183. doi: 10.1002/ajmg.a.62637. Epub 2022 Jan 9.
We present the results of a prospective, observational, descriptive, cross-sectional study performed on a Mexican population of 1867 children, aged 0-18 years, with Down syndrome (DS), observed between 2013 and 2019. A total of 9968 measurements of height, weight, and head circumference, as well as calculation of body mass index (BMI) were used to create growth charts and tables of percentiles. Growth curves were elaborated using Cole's LMS method. The mean weight and length at birth did not differ by sex: the weight was 2750 g for boys and 2710 g for girls (p > 0.05), and the length was 48.2 cm for boys and 47.9 cm for girls (p > 0.05). The mean final height at 18 years was different by sex: 149.6 cm for boys and 141.2 cm for girls. The average BMI at 18 years was 24.2 kg/m for boys and 21.9 kg/m for girls. In a comparison with U.S. growth charts, we find that the Mexican population has lower height and weight. These are the first growth curves for the Mexican population with DS. They can be used by health care providers to optimize preventive care by monitoring children with DS for the early identification of factors that affect individual growth.
我们呈现了一项前瞻性、观察性、描述性、横断面研究的结果,该研究在 2013 年至 2019 年间观察了 1867 名年龄在 0-18 岁的墨西哥唐氏综合征(DS)儿童,共进行了 9968 次身高、体重和头围的测量,以及体质量指数(BMI)的计算,用于创建生长图表和百分位表。生长曲线是使用 Cole 的 LMS 方法绘制的。出生时的体重和身长均值不因性别而异:男孩体重为 2750g,女孩体重为 2710g(p>0.05),男孩身长为 48.2cm,女孩身长为 47.9cm(p>0.05)。18 岁时的最终身高均值因性别而异:男孩为 149.6cm,女孩为 141.2cm。18 岁时的平均 BMI 为男孩 24.2kg/m,女孩 21.9kg/m。与美国生长图表相比,我们发现墨西哥人群的身高和体重较低。这些是墨西哥 DS 人群的第一批生长曲线。它们可以供医疗保健提供者使用,通过监测患有 DS 的儿童,早期识别影响个体生长的因素,从而优化预防保健。