Ramnath T, Mathur M L
Desert Medicine Research Centre, Indian Council of Medical Research, Jodhpur, India.
J Trop Pediatr. 1996 Dec;42(6):376-8. doi: 10.1093/tropej/42.6.376.
The results of different Nutrition surveys carried out in India during 1976-1980 by the National Nutrition Monitoring Bureau (NNMB), Hyderabad, clearly indicated that, among preschool age children, girls often fared better compared to boys with regard to body weight. In these surveys, Hyderabad well-to-do standards have been in use, but it is well documented that, generally, in India girls often have higher morbidity and mortality compared to boys. In view of the above, it is hypothesized that the values quoted for girls in Hyderabad standard weight values are possibly on the low side. A novel approach was developed and the above hypothesis was tested with the help of lower percentiles. Analysis suggests that there exists a bias and the values quoted for girls in Hyderabad well-to-do standard are certainly on the lower side. Hence, as recommended by WHO, there is a need to adopt NCHS standard values in assessment of the nutritional status of preschool children instead of local standards.
海得拉巴国家营养监测局（NNMB）于1976 - 1980年期间在印度开展的不同营养调查结果清楚地表明，在学龄前儿童中，就体重而言，女孩的情况通常比男孩更好。在这些调查中，采用的是海得拉巴富裕标准，但有充分文献记载，一般来说，在印度女孩的发病率和死亡率通常高于男孩。鉴于上述情况，据推测，海得拉巴标准体重值中所引用的女孩数值可能偏低。开发了一种新方法，并借助较低百分位数对上述推测进行了检验。分析表明存在偏差，海得拉巴富裕标准中所引用的女孩数值肯定偏低。因此，按照世界卫生组织的建议，在评估学龄前儿童营养状况时需要采用美国国家卫生统计中心（NCHS）的标准值而非当地标准。
