Department of Statistics, Bahauddin Zakariya University, Multan, 60800, Pakistan.
Section of Biostatistics, University of Copenhagen, Copenhagen, Denmark.
Acta Paediatr. 2023 Jun;112(6):1249-1258. doi: 10.1111/apa.16770. Epub 2023 Apr 3.
The present study aimed to develop age- and sex-specific anthropometric reference growth curves for the Pakistani children, aged 1-60 months.
The weight and height of 60 595 children including 30 885 (50.96%) boys and 29 710 (49.04%) girls from Pakistan were collected through a cross-sectional study. Growth reference charts about weight-for-age, length/height-for-age, and body BMI-for-age were constructed for boys and girls using the generalised additive model for location, scale and shape (GAMLSS) with the Box-Cox power exponential distribution.
The 3rd, 5th, 15th, 25th, 50th, 75th, 85th, 95th and 97th smoothed percentile values with L, M and S for weight, length/height, and BMI for boys and girls from aged 1 to 60 months are presented. The median percentile for all indicators increases as the age increases in both sexes. The median percentiles of the Pakistani children are lower than the WHO 2006 standards for both sexes.
This study provides the first references for the Pakistani children from 1 to 60 months. The reference values could be taken as a starting point for examining the secular change in the Pakistani population.
本研究旨在为 1-60 月龄的巴基斯坦儿童制定年龄和性别特异性的人体测量参考生长曲线。
通过横断面研究收集了来自巴基斯坦的 60595 名儿童(30885 名男孩[50.96%]和 29710 名女孩[49.04%])的体重和身高数据。使用广义加性模型定位、比例和形状(GAMLSS)和 Box-Cox 幂指数分布为男孩和女孩构建了体重-年龄、长度/身高-年龄和体重指数-年龄的生长参考图表。
呈现了男孩和女孩从 1 月龄到 60 月龄的体重、长度/身高和 BMI 的第 3、5、15、25、50、75、85、95 和 97 个百分位平滑值以及 L、M 和 S。所有指标的中位数百分位随着年龄的增长在两性中均增加。巴基斯坦儿童的中位数百分位均低于世卫组织 2006 年标准。
本研究为 1-60 月龄的巴基斯坦儿童提供了首次参考值。这些参考值可作为检查巴基斯坦人口中时间变化的起点。