Janes M D, Macfarlane S B, Moody J B
Ann Trop Paediatr. 1981 Mar;1(1):27-37. doi: 10.1080/02724936.1981.11748055.
A mixed longitudinal growth study of two groups of Nigerian Yoruba children was begun in 1962 at the Institute of Child Health, University of Ibadan, in order to establish height and weight growth standards in Nigeria. One group was drawn from "elite" families, the other from "poor" families living in a traditional environment. Four hundred and twenty-one "elites" and 475 "poor" "normal" children of one month to 3 1/2 years of age, with known dates of birth were recruited from 1962 to 1971. They were measured every three or six months from four weeks to ten years. Results for males only are presented in this paper. Third, 50th and 97th centiles of height and weight over the age range one month to ten years were calculated and the curves, smoothed using the cubic spline technique, are illustrated. Charts for clinical use in Nigeria are also presented. Comparison of the "elite" Nigerian data with U.S.A. figures showed them to be very similar. The Nigerian "poor" heights and weights compared well with the "elite" up to three months, after which time they lagged behind progressively until ten years. "Elite" Nigerians are taller and heavier than many other indigenous African groups, being very similar to American Blacks. The "poor" Nigerians are among the shortest and lightest of the African groups. It is concluded that the U.S.A. data may be used as an international reference population for Africans, but the "elite" Nigerian data would be more appropriate for Nigerian target standards. These may have to be modified for clinical use in some areas and in the light of studies of other African groups.
1962年,伊巴丹大学儿童健康研究所开展了一项针对两组尼日利亚约鲁巴儿童的混合纵向生长研究,目的是确立尼日利亚儿童的身高和体重生长标准。一组儿童来自“精英”家庭,另一组来自生活在传统环境中的“贫困”家庭。1962年至1971年期间,招募了421名“精英”家庭和475名“贫困”家庭的“正常”儿童,年龄从1个月至3岁半,出生日期已知。从4周大到10岁,他们每三个月或六个月接受一次测量。本文仅展示了男性的研究结果。计算了1个月至10岁年龄范围内身高和体重的第3百分位、第50百分位和第97百分位,并绘制了使用三次样条技术平滑处理后的曲线。还给出了供尼日利亚临床使用的图表。将尼日利亚“精英”群体的数据与美国的数据进行比较,发现二者非常相似。尼日利亚“贫困”儿童在3个月前的身高和体重与“精英”儿童相当,但此后逐渐落后,直至10岁。尼日利亚“精英”群体比许多其他非洲本土群体更高更重,与美国黑人非常相似。尼日利亚“贫困”群体是非洲群体中最矮最轻的之一。研究得出结论,美国的数据可作为非洲人的国际参考人群数据,但尼日利亚“精英”群体的数据更适合作为尼日利亚的目标标准。在某些地区,可能需要根据对其他非洲群体的研究对这些标准进行调整,以用于临床。