MGRS增长标准的全球相关性:印度的案例
Vandana Prasad1, Dipa Sinha2, Rohit James Joseph3
1Public Health Resource Society, New Delhi, India.
BMJ paediatrics open
|March 15, 2024
概括
本综述探讨了世界卫生组织 (WHO) 增长标准对评估印度儿童发育迟缓的相关性. 目前的世卫组织标准建议继续使用,直到制定新的全球标准.
科学领域:
- 儿科 儿科 儿科
- 公共卫生 公共卫生
- 人类测量学 人类测量学.
背景情况:
- 儿童营养不良,以衰老和消耗来衡量,具有复杂的决定因素,包括饮食,健康和卫生条件.
- 印度,像许多国家一样,利用世界卫生组织 (WHO) 多中心增长参考研究 (MGRS) 增长标准 (2006) 追踪营养不良.
- 人们对这些世卫组织标准在印度的普遍适用性存在担忧,因为由于遗传生长潜力的差异,可能会高估缩.
研究的目的:
- 在印度背景下,批判性地审查世卫组织关于年龄相应身高 (衰老) 的生长标准的相关性和适当性.
- 讨论MGRS的方法问题和影响印度缩的因素.
- 提供关于继续使用当前增长标准的建议.
主要方法:
- 一个对现有文献的全面审查.
- 分析与印度儿童营养相关的政策文件.
- 纳入关于生长标准和营养不良的专家意见.
主要成果:
- 讨论MGRS方法论,包括数据聚合,可变性和使用标准与参考.
- 探索发育迟缓的可塑性和母亲身高对成长评估的影响.
- 在不同的人口中评估世卫组织生长标准的外部有效性.
结论:
- 目前的世界卫生组织关于身高/发育迟缓的生长标准建议在印度继续使用.
- 这一建议在通过类似的综合性研究建立新的,全球验证的增长标准之前是有效的.
- 可能需要进一步的研究来完善增长评估工具,考虑到印度独特的人口和健康格局.
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