Hosseini M, Carpenter R G, Mohammad K
Department of Epidemiology and Biostatisties, Tehran University of Medical Sciences, Iran.
Ann Hum Biol. 1998 May-Jun;25(3):249-61. doi: 10.1080/03014469800005612.
Weights and Heights of 22,349 children and adolescents aged 2 to 18 in Iran are reported. Data are from the 1990-1992 National Health Survey, a random cluster sample survey of 1 in 1000 families in all provinces of Iran. Multilevel models (Goldstein 1995) which take account of the survey design, reveal significant differences between provinces and between urban and rural children. Differences between urban and rural children, like differences between girls and boys, persist across all provinces and are certainly real. Differences between provinces may be partly due to differences in calibration. Charts based on the homogeneous subset of children living in urban Tehran may be used for all urban children, and in modified form, for all rural children. All the centiles of these charts are substantially below those of the NCHS charts, but the spread is similar so that there is no suggestion that the difference is due to the prevalence of gross malnutrition. The difference shows that the use of locally based growth charts are essential for assessing the growth of children in Iran.
报告了伊朗22349名2至18岁儿童及青少年的体重和身高情况。数据来自1990 - 1992年全国健康调查，这是一项对伊朗所有省份千分之一家庭进行的随机整群抽样调查。考虑到调查设计的多水平模型（戈尔茨坦，1995年）显示，各省份之间以及城乡儿童之间存在显著差异。城乡儿童之间的差异，如同男女之间的差异一样，在所有省份都存在，且肯定是真实存在的。省份之间的差异可能部分归因于校准方面的差异。基于居住在德黑兰市区儿童的同质子集绘制的图表可用于所有城市儿童，并经修改后用于所有农村儿童。这些图表的所有百分位数均显著低于美国国家卫生统计中心（NCHS）的图表，但分布范围相似，因此没有迹象表明这种差异是由于严重营养不良的患病率所致。这种差异表明，使用基于当地的生长图表对于评估伊朗儿童的生长情况至关重要。
