Hasibuan Susi Natalia, Djer Mulyadi M, Andarie Attika Adrianti, Pulungan Aman B
Department of Child Health, Nabire Regional General Hospital, Papua, Indonesia.
Department of Child Health, Faculty of Medicine Universitas Indonesia - Cipto Mangunkusumo General Hospital, Jakarta, Indonesia.
Clin Pediatr Endocrinol. 2023;32(2):82-89. doi: 10.1297/cpe.2022-0047. Epub 2023 Jan 31.
Children's height in Indonesia is increasing slowly and unevenly across the country, with urban areas growing faster than rural areas. Thus, international growth charts may be ineffective for monitoring the development of Indonesian children. We conducted an analytical cross-sectional study on 1,829 children aged 6 to 12 in Nabire and 1,283 children in Jakarta. Anthropometric measurements were obtained and plotted on the Centers for Disease Control and Prevention (CDC) growth charts and Indonesian National Growth Charts to determine which chart is more suitable for monitoring children's growth in Indonesia. Nabire children were shorter and had lower body mass index (BMI) than Jakarta children, with a mean height difference of 7.03 cm in boys and 6.89 cm in girls (p = 0.001) and a mean BMI difference of 1.66 in boys and 1.39 in girls (p = 0.001). Despite their short stature, more Nabire children had a normal BMI, indicating a healthy nutritional status. Using the Indonesian National Growth Charts, fewer children were classified as stunted or wasted. Most of the short stature observed in Nabire children was not due to stunting; the children showed no signs of malnutrition. The Indonesian National Growth Charts represent the growth of Indonesian children more accurately than the CDC growth charts.
印度尼西亚儿童的身高增长缓慢且在全国范围内不均衡，城市地区的增长速度快于农村地区。因此，国际生长标准曲线可能无法有效地监测印度尼西亚儿童的发育情况。我们对纳比雷的1829名6至12岁儿童和雅加达的1283名儿童进行了一项分析性横断面研究。获取了人体测量数据，并绘制在美国疾病控制与预防中心（CDC）生长标准曲线和印度尼西亚国家生长标准曲线上，以确定哪条标准曲线更适合监测印度尼西亚儿童的生长情况。纳比雷儿童比雅加达儿童更矮，体重指数（BMI）更低，男孩的平均身高差为7.03厘米，女孩为6.89厘米（p = 0.001），男孩的平均BMI差为1.66，女孩为1.39（p = 0.001）。尽管身材矮小，但更多纳比雷儿童的BMI正常，表明营养状况良好。使用印度尼西亚国家生长标准曲线时，被归类为发育迟缓或消瘦的儿童较少。在纳比雷儿童中观察到的大多数身材矮小并非由于发育迟缓；这些儿童没有营养不良的迹象。与CDC生长标准曲线相比，印度尼西亚国家生长标准曲线能更准确地反映印度尼西亚儿童的生长情况。
