Coovadia H M, Adhikari M, Mthethwa D
Trop Geogr Med. 1978 Sep;30(3):373-81.
Physical growth measurements from birth to 145 months in 5,743 urban Negro children in the Durban area have shown that the median weight of the youngest members is similar to or heavier than an international reference standard (Harvard), whereas older children are generally lighter. Length measurements up to 24 months are similar to the standard whereas older children are shorter. Head circumference is greater than international values at all ages measured. The prevalence of malnutrition, assessed by values less than the third Harvard centile for age, reached a peak incidence for height in the pre-school children and for weight in the older male school children. Decreases in height and weight in the Negro child probably reflect the damaging effects of an impoverished socio-economic environment on growth. The development of the young Negro child along reference centiles implies that such standards established in the 'developed world' are appropriate for assessment of adequate growth in South African Negro children of all ages.
对德班地区5743名城市黑人儿童从出生到145个月的身体生长指标测量显示,最年幼儿童的体重中位数与国际参考标准(哈佛标准)相当或更重,而年龄较大的儿童一般较轻。24个月及以内的身长测量值与标准相似,而年龄较大的儿童则较短。在所有测量年龄中,头围均大于国际数值。根据低于哈佛年龄标准第三百分位数的值评估,营养不良患病率在学龄前儿童中身高方面以及年龄较大的男学生体重方面达到峰值发病率。黑人儿童身高和体重下降可能反映了贫困社会经济环境对生长的不利影响。年幼黑人儿童沿参考百分位数的发育情况表明,在“发达国家”制定的此类标准适用于评估南非各年龄段黑人儿童的充分生长情况。