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Colombian reference growth curves for height, weight, body mass index and head circumference
Paola Durán1, Andrea Merker2, Germán Briceño3
1Pediatric Endocrinology Unit, FundaciónCardioinfantil, Instituto de cardiología, Bogotá, Colombia.
Insights
Colombian children now have reference growth curves for height, weight, BMI, and head circumference. These curves aid in tracking individual growth and public health initiatives in Colombia.
Area of Science:
- Pediatrics
- Anthropometry
- Public Health
Background:
- Limited growth references exist for Latin American children, with few studies from Colombia.
- Existing data often lacks comprehensive growth parameters for diverse populations.
Purpose of the Study:
- To establish reference growth curves for Colombian children.
- To provide tools for individual growth monitoring and public health surveillance.
- To address the scarcity of region-specific pediatric growth data.
Main Methods:
- Utilized prospective measurements from 27,209 Colombian children.
- Employed Generalized Additive Models for Location, Scale and Shape (GAMLSS) for data analysis.
- Focused on children from middle and upper socio-economic backgrounds.
Main Results:
- Developed reference curves for height, weight, Body Mass Index (BMI), and head circumference.
- Presented growth data in a ± 3 Standard Deviation (SD) format with logarithmic axes.
- Reported final height and weight at 18 years for boys and girls.
Conclusions:
- The new growth curves serve as a foundation for monitoring secular trends in Colombia.
- The presented format offers an effective clinical tool for healthcare providers.
- These references are crucial for assessing child growth and development within the Colombian context.
Aim:
Published Growth studies from Latin America are limited to growth references from Argentina and Venezuela. The aim of this study was to construct reference growth curves for height, weight, body mass index (BMI) and head circumference of Colombian children in a format that is useful for following the growth of the individual child and as a tool for public health.
Methods:
Prospective measurements from 27 209 Colombian children from middle and upper socio-economic level families were processed using the generalised additive models for location, scale and shape (GAMLSS).
Results:
Descriptive statistics for length and height, weight, BMI and head circumference for age are given as raw and smoothed values. Final height was 172.3 cm for boys and 159.4 cm for girls. Weight at 18 years of age was 64.0 kg for boys and 54 kg for girls. Growth curves are presented in a ± 3 SD format using logarithmic axes.
Conclusion:
The constructed reference growth curves are a start for following secular trends in Colombia and are also in the presented layout an optimal clinical tool for health care.
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