评估在瑞士使用的成长参考:在苏黎世学生的比较分析
Lorenz M Leuenberger1,2, Fabiën N Belle1, Rebeca Mozun1,3
1Institute of Social and Preventive Medicine, University of Bern, Bern, Switzerland.
Swiss medical weekly
|June 1, 2025
概括
瑞士的学生在瑞士的学校.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 公共卫生 公共卫生
- 人类测量学 人类测量学.
背景情况:
- 瑞士目前的儿科生长参考标准包括世界卫生组织 (WHO) 和苏黎世儿科内分泌中心 (PEZZ) 的标准.
- 国际肥胖问题工作组 (IOTF) 的参考文献也用于定义超重和肥胖.
研究的目的:
- 调查来自苏黎世学校的学生的人类测量与世卫组织,PEZZ和IOTF生长参考标准的匹配性.
- 用这些不同的参考来评估超重,肥胖和矮身的流行情况.
主要方法:
- 分析了来自3755名6至17岁儿童的横截面数据 (LuftiBus在学校研究,2013-2016).
- 基于WHO,PEZZ和IOTF参考数据计算身高,体重和BMI的z分数.
- 使用安德森-达林测试和对超重,肥胖和矮身的分类进行z-score分布的比较.
主要成果:
- 儿童的人类测量数据显示,与PEZZ参考数据相比,与WHO和IOTF参考数据相匹配较差.
- 超重的患病率各不相同:世界卫生组织 (8%),PEZZ (15%),IOTF (13%).
- 肥胖/严重肥胖的发生率:世卫组织 (6%),PEZZ (4%),IOTF (3%). 世卫组织发现身高矮的儿童比PEZZ (3%) 少 (1%).
结论:
- 来自苏黎世学童的人类测量数据与世卫组织和IOTF的参考数据有很大差异.
- 这种差异可能导致对超重,肥胖和矮身的错误分类.
- 建议为瑞士制定新的,具有全国代表性的增长参考值.
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