增长迟缓或减速到目标高度:使用世卫组织2006年印度尼西亚儿童增长标准进行线性增长解释
Annang Giri Moelyo1, Mei Neni Sitaresmi2, Madarina Julia2
1Department of Child Health, Faculty of Medicine, Universitas Sebelas Maret/Dr. Moewardi Hospital, Surakarta, Indonesia.
PloS one
|April 4, 2025
概括
印尼儿童在他们的头两年表现出对目标身高的减速,而不是生长的,在他们的头两年. 这一发现在使用世卫组织2006年增长标准时重新解释了增长模式.
科学领域:
- 儿科 儿科 儿科
- 人类成长和发展 人类成长和发展
- 公共卫生 公共卫生
背景情况:
- 发展中国家的儿童在与2006年世界卫生组织增长标准相比评估时,经常表现出增长不稳定.
- 之前的研究表明,这种动摇影响着整个人口,而不仅仅是弱势群体.
研究的目的:
- 调查印度尼西亚儿童长度/身高对年龄z-score (HAZ) 观察到的普遍下降的替代解释.
- 要区分真正的增长失速和向遗传决定的目标高度减速之间的区别.
主要方法:
- 利用了从1993年至2014年间的印度尼西亚家庭生活调查 (IFLS) 的数据,其中包括11,241对父母和子女.
- 根据世卫组织2006年标准计算的身高对年龄的z-score (HAZ) 和从父母身高的目标身高z-score (THz).
- 分析了HAZ和THz之间的差异,以评估儿童的成长相对于他们的遗传潜力.
主要成果:
- 婴儿出生时的z-score大约比他们的目标身高高高1.50.
- 到了两岁,测量身高与目标身高之间的差异接近于零.
- 这种向目标高度减速的模式从2岁到5岁持续下去,不管目标高度在分布中的位置如何.
结论:
- 在使用世卫组织2006年生长标准的印尼儿童中观察到的模式代表了在生命的前两年内,目标身高的减速,而不是生长的,在生命的前两年.
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