从出生到19岁的头周长的阿根廷参考图表
Mariana Del Pino1, Sofía Chiaramonte1, Alicia B Orden2
1Department of Growth and Development, Hospital de Pediatría S.A.M.I.C. Prof. Dr. Juan P. Garrahan, City of Buenos Aires, Argentina.
Archivos argentinos de pediatria
|May 24, 2024
概括
这项研究引入了阿根廷首个儿童和青少年头周长 (HC) 增长图表,比以前的图表提供了更准确的参考. 这些新的图表反映了更新的生长模式,对于识别正常或异常的大脑发育至关重要.
科学领域:
- 儿科 儿科 儿科
- 人类测量学 人类测量学.
- 公共卫生 公共卫生
背景情况:
- 头周长 (HC) 是大脑生长的一个关键指标.
- 准确的参考图表对于评估HC的正常与病理变异至关重要.
- 阿根廷已经使用了现有的Nellhaus图表,但可能不反映当前的人口增长模式.
研究的目的:
- 建立第一个阿根廷头部周长 (HC) 的参考图表,从出生到19岁.
- 为了比较新开发的阿根廷HC图表与广泛使用的Nellhaus图表.
- 分析影响阿根廷人口中HC增长模式的潜在世俗变化.
主要方法:
- 利用了2018年国家营养和健康调查和2004-2007年横截面研究的综合数据.
- 包括8326名健康的阿根廷儿童和青少年.
- 应用LMS方法来调整生长曲线,并绘制第2,第50和第98个百分点进行比较.
主要成果:
- 开发的阿根廷HC参考图表显示了可变的增长,早期的显著增长和轻微的青春期突发.
- 阿根廷的98百分位数HC值在所有年龄段都始终高于Nellhaus图表中的值.
- 阿根廷的第二百分点HC值在前两年低于内尔豪斯,在3-7岁时相似,随后更高.
结论:
- 新的阿根廷HC曲线准确地代表了研究人口的增长轨迹.
- 阿根廷和内尔豪斯图表之间观察到的差异表明,世俗变化对头周长增长的影响.
- 这些发现强调了为准确的儿科健康评估而更新的人口特定生长图的重要性.
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