评估监测早期成长的国家指导方针,使用常规收集的数据在挪威伯根,挪威
Melissa R Balthasar1,2, Mathieu Roelants3, Bente Brannsether-Ellingsen1
1Department of Paediatric and Adolescent Medicine, Stavanger University Hospital, Norway.
Scandinavian journal of public health
|July 27, 2023
概括
挪威的生长监测指南指出,太多的健康儿童生长异常. 这项研究表明,目前的指导方针需要修订,以更好地反映儿童的正常发育,并减少不必要的后续检查.
科学领域:
- 儿科 儿科 儿科
- 公共卫生 公共卫生
- 增长监测 增长监测 增长监测
背景情况:
- 准确的生长监测对于识别儿童的发育问题至关重要.
- 挪威现有的儿童成长监测指南需要对其有效性和准确性进行评估.
研究的目的:
- 用现实数据评估挪威儿童成长监测指南.
- 分析5岁以下儿童的生长状态 (适合年龄的尺寸) 和生长变化 (半径交叉).
主要方法:
- 利用了贝根生长研究1中2130名儿童的纵向电子健康记录数据.
- 计算了长度,体重,体重与长度,BMI和头周长的z-score.
- 与世界卫生组织 (WHO) 的增长标准和国家参考数据进行比较.
主要成果:
- 儿童的比例高于预期超过+2SD,特别是长度和头周长.
- 在前两年,半径交叉很频繁,特别是长度/高度.
- 到5岁时,显著的百分比需要随访:37.9%的长度/身高,33%的头周,和13.6%的高体重/长度/BMI.
结论:
- 目前挪威的生长监测指南指出,出乎意料的高数量的健康儿童可能有异常生长.
- 调查结果表明,需要修订指南,以提高准确性和减少不必要的干预.
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