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全球范围内,5 岁以下儿童的营养状况是否应采用单一生长标准来判断:是。

Should a single growth standard be used to judge the nutritional status of children under age 5 years globally: Yes.

机构信息

Department of Nutrition and Food Safety, World Health Organization, Geneva, Switzerland.

Department of Pediatrics and Clinical Epidemiology, Sitaram Bhartia Institute of Science and Research, New Delhi, India.

出版信息

Am J Clin Nutr. 2024 Oct;120(4):764-768. doi: 10.1016/j.ajcnut.2024.04.019. Epub 2024 Sep 10.

Abstract

Childhood nutritional status serves as a lens through which nations and communities identify missed opportunities to improve health and wellbeing across the life cycle, as well as economic development and other related sectors. Countries have committed to the global nutrition targets endorsed by the World Health Assembly in 2012, which were included in the Sustainable Development Goals framework under the target to end all forms of malnutrition by 2030. The child malnutrition indicators for tracking countries' progress toward the agreed-upon targets are based on standard definitions of nutritional status against the widely adopted and used World Health Organization (WHO) Child Growth Standards. The standards were based on a sample of healthy breastfed infants and young children from diverse ethnic backgrounds and cultural settings as part of the WHO Multicentre Growth Reference Study. The WHO Child Growth Standards developed represent the best description of physiological growth for children aged <5 y. The standards depict normal early childhood growth under optimal environmental conditions and can be used to assess children everywhere, regardless of ethnicity, socioeconomic status, and type of feeding.

摘要

儿童营养状况是一个重要的指标,可以反映国家和社区在整个生命周期中改善健康和福利、促进经济发展以及其他相关领域的机会。各国已经承诺实现世界卫生大会在 2012 年批准的全球营养目标,这些目标被纳入可持续发展目标框架,旨在 2030 年消除各种形式的营养不良。为了跟踪各国在实现商定目标方面的进展,儿童营养状况指标是基于营养状况的标准定义,这些定义是根据广泛采用和使用的世界卫生组织(WHO)儿童生长标准制定的。该标准是基于来自不同种族背景和文化环境的健康母乳喂养婴儿和幼儿的样本,作为世界卫生组织多中心生长参考研究的一部分。制定的 WHO 儿童生长标准代表了对<5 岁儿童生理生长的最佳描述。该标准描绘了在最佳环境条件下的正常幼儿期生长,可以用于评估世界各地的儿童,无论其种族、社会经济地位和喂养类型如何。

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Validation of growth standards and growth references: A review of literature.生长标准和生长参考的验证:文献综述。
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