Spurr G B, Reina J C, Barac-Nieto M
Am J Clin Nutr. 1983 Jan;37(1):119-32. doi: 10.1093/ajcn/37.1.119.
Colombian reference data for weight and height were used to classify 1108 boys 6 to 16 yr old as nutritionally normal, low weight for age, and low weight for height. The normal group in upper socioeconomic urban and normal, low weight for age, low weight for height groups in lower socioeconomic urban and rural populations were studied. The achieved growth, growth velocities, skinfolds, mid-arm and head circumferences, and sexual maturation were all depressed in the nutritionally deprived groups indicating marginal malnutrition. Since normal boys exist in low socioeconomic and rural populations, normative data for economically advantaged children (national standards), on the average, may serve as desirable goals for low socioeconomic and rural populations. Different cutoff points for achieved growth might be established for marginal malnutrition using national or international reference populations. These ought to be age-related because of accumulated effect of slowed growth with age. Head circumference of school-aged children may proved a useful anthropometric tool in deciding early nutritional history.
哥伦比亚的体重和身高参考数据被用于将1108名6至16岁的男孩分类为营养正常、年龄别体重低和身高别体重低。对社会经济地位较高的城市正常组以及社会经济地位较低的城市和农村人口中的年龄别体重低、身高别体重低组进行了研究。在营养缺乏组中，所达到的生长、生长速度、皮褶厚度、上臂和头围以及性成熟均受到抑制，表明存在边缘性营养不良。由于社会经济地位较低的城市和农村人口中存在正常男孩，经济条件优越儿童的标准数据（国家标准）平均而言可作为社会经济地位较低的城市和农村人口的理想目标。使用国家或国际参考人群可为边缘性营养不良确定不同的生长达标临界点。由于生长减缓随年龄的累积效应，这些临界点应该与年龄相关。学龄儿童的头围可能是确定早期营养史的一种有用的人体测量工具。
