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Updated: Jun 30, 2025

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Assessment of Child Anthropometry in a Large Epidemiologic Study
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印度儿童和青少年的人类成长参考标准
Rajesh Majumder1, Anura V Kurpad2, Harshpal Singh Sachdev3
1Division of Epidemiology, Biostatistics and Population Health, St John's Research Institute, Bangalore, Karnataka, India.
Indian pediatrics
|March 22, 2024
概括
基于国家数据的印度新增长参考数据显示,增长指标低于全球标准. 这表明印度儿童和青少年的增长率下降了50%以上,影响了公共卫生政策.
科学领域:
- 儿童营养学 儿童营养学
- 人类测量学 人类测量学.
- 公共卫生 公共卫生
背景情况:
- 全球增长参考数据可能不准确地反映印度等多样化的人口.
- 制定国家特定的人类测量标准对于精确的健康评估至关重要.
研究的目的:
- 为印度儿童和青少年建立新的人体成长参考.
- 将这些引用与现有的全球标准 (WHO) 进行比较.
主要方法:
- 在20年内利用了印度四项国家调查 (NFHS-3,4,5;CNNS) 的数据.
- 应用的位置,尺度和形状 (GAMLSS) 的通用化添加模型与盒子-Cox功率指数 (BCPE) 家族.
- 估计的身高与年龄,体重与年龄,体重与身高,BMI与年龄的分布.
主要成果:
- 建议的印度生长参考值在六个月后始终低于世卫组织标准.
- 使用这些新的参考标准,与世卫组织标准相比,印度儿童和青少年的生长迟缓患病率下降了50%以上.
- 使用NFHS-5和CNNS数据估计了增长迟缓的全国患病率.
结论:
- 世卫组织的"一个标准适合所有"的方法可能高估了印度的营养不良.
- 膨胀的营养不良估计可能导致误导公共卫生政策和支出.
- 建议进行进一步的前性研究,以验证这些发现并加强证据基础.
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