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Growth of Hmong children
D K Gjerdingen1, M Ireland, K M Chaloner
1Department of Family Practice and Community Health, University of Minnesota, Minneapolis, USA.
Insights
This study tracked Hmong child growth, finding they were heavier initially but shorter than National Center for Health Statistics (NCHS) standards by 24 months. Hmong children were proportionately heavier for their height.
Area of Science:
- Pediatric Growth and Development
- Anthropometry
- Public Health
Background:
- Childhood growth patterns are crucial for assessing health and development.
- Reference populations, such as the National Center for Health Statistics (NCHS) standards, are vital for comparative growth analysis.
- Understanding ethnic-specific growth trajectories is important for targeted health interventions.
Purpose of the Study:
- To investigate the growth patterns of young Hmong children.
- To compare the length and weight of Hmong children to established NCHS growth percentiles.
Main Methods:
- A descriptive, comparative study analyzing medical chart data.
- Included 579 Hmong children aged 0-5 years (1988-1994).
- Compared length and weight measures against NCHS standards.
Main Results:
- Hmong children's lengths were similar to NCHS standards for the first 6-12 months.
- By 24 months, median length fell below the 25th NCHS percentile.
- Average weight was slightly above NCHS median until 8 months, then similar.
Conclusions:
- Hmong children were heavier in early infancy but shorter than NCHS reference children after the first year.
- The findings suggest Hmong children are proportionately heavier for their height compared to the NCHS population.
- These growth differences highlight the need for culturally-sensitive growth monitoring.
Objective:
To investigate the growth of a group of young Hmong children.
Design:
In this descriptive, comparative study, length and weight measures of Hmong children were abstracted from medical charts for each previous clinic visit (newborn to most recent visit) where both measures had been recorded, and measures were compared with National Center for Health Statistics (NCHS) standard percentiles. Visits occurred from 1988 to 1994.
Participants And Setting:
Participants were 579 Hmong children, ages 0 to 5 years, who were active patients at a family practice residency clinic.
Main Outcome Measures:
Length and weight.
Results:
This group of Hmong children showed lengths similar to those of the NCHS reference population for the first 6 to 12 months of life, after which they lagged behind reference lengths. By the 24th month, median length for Hmong girls and boys was less than the NCHS 25th percentile. The Hmong children's average weight was slightly higher than the NCHS median until about 8 months of age, after which the distributions were similar.
Conclusions:
Compared with children who comprise the NCHS reference population, the Hmong children in this study were slightly heavier in the first several months of life, and shorter thereafter. Therefore, in general, the Hmong children were proportionately heavier than other children of similar height.
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