Use of the new World Health Organization child growth standards to describe longitudinal growth of breastfed rural Bangladeshi infants and young children.

Use of the new World Health Organization child growth standards to describe longitudinal growth of breastfed rural Bangladeshi infants and young children.
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DOI:
10.1177/156482650903000205
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发表时间:
2009-06
影响因子:
1.9
通讯作者:
Rasmussen KM
Rasmussen KM
中科院分区:
农林科学3区
文献类型:
--
作者:
Saha KK;Frongillo EA;Alam DS;Arifeen SE;Persson LA;Rasmussen KM

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虽然国家卫生统计中心(NCHS)的参考资料已被广泛使用,但2006年世界卫生组织(世卫组织)发布了评估全球婴儿和儿童生长的新标准。根据新的世卫组织儿童生长标准和国家卫生统计中心参考资料,评估和比较母乳喂养的孟加拉国农村婴幼儿的生长情况。在Matlab (MINIMat)中对1343名儿童进行了从出生到24个月的母婴营养干预研究。婴儿时期每月测量孩子的体重和身高,出生后第二年每季度测量一次。人体测量指数采用世界卫生组织标准和国家人口统计中心参考资料计算。根据世界卫生组织的标准和国家人口统计中心的参考资料,对营养不良的增长模式和估计进行了比较。平均出生体重2697±401 g, 30%体重< 2500 g。MINIMat儿童的生长模式更接近世界卫生组织的标准,而不是NCHS的参考标准。在头24个月中,根据世卫组织标准计算的发育迟缓率高于根据国家卫生信息中心参考数据计算的发育迟缓率。根据世界卫生组织标准得出的体重不足率和消瘦率与根据国家人口统计中心参考资料得出的结果存在显著差异。这一比较证实,使用国家人口统计中心的参考资料错误地识别了婴幼儿营养不良和生长迟缓的时间,这是制定世卫组织新标准的一个关键理由。世卫组织新的儿童生长标准为评估母乳喂养婴儿和儿童的生长提供了基准。
Although the National Center for Health Statistics (NCHS) reference has been widely used, in 2006 the World Health Organization (WHO) released new standards for assessing growth of infants and children worldwide. To assess and compare the growth of breastfed rural Bangladeshi infants and young children based on the new WHO child growth standards and the NCHS reference. We followed 1,343 children in the Maternal and Infant Nutrition Intervention in Matlab (MINIMat) study from birth to 24 months of age. Weights and lengths of the children were measured monthly during infancy and quarterly in the second year of life. Anthropometric indices were calculated using both WHO standards and the NCHS reference. The growth pattern and estimates of undernutrition based on the WHO standards and the NCHS reference were compared. The mean birthweight was 2,697 ± 401 g, with 30% weighing < 2,500 g. The growth pattern of the MINIMat children more closely tracked the WHO standards than it did the NCHS reference. The rates of stunting based on the WHO standards were higher than the rates based on the NCHS reference throughout the first 24 months. The rates of underweight and wasting based on the WHO standards were significantly different from those based on the NCHS reference. This comparison confirms that use of the NCHS reference misidentifies undernutrition and the timing of growth faltering in infants and young children, which was a key rationale for constructing the new WHO standards. The new WHO child growth standards provide a benchmark for assessing the growth of breastfed infants and children.
DOI: 10.1203/00006450-198503000-00011
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期刊: PEDIATRIC RESEARCH
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影响因子: 7.1
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