Growth Patterns of First-Generation Southeast Asian Americans From Birth to 5 Years of Age

Growth Patterns of First-Generation Southeast Asian Americans From Birth to 5 Years of Age
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第一代东南亚裔美国人从出生到5岁的生长模式

DOI:
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发表时间:
1996
影响因子:
2.9
通讯作者:
J. Himes
J. Himes
中科院分区:
医学3区
文献类型:
--
作者:
A. Hyslop;A. Deinard;Elizabeth Dahlberg;J. Himes

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目的:本研究的目的是比较在美国怀孕和出生的苗族、老挝和白人儿童的生长模式(身高、体重、枕额周长)。方法:研究设计包括对来自临床记录的纵向队列的回顾。参与者包括146名白人、112名苗族和49名老挝儿童,他们收集了从出生到5岁的数据。所有人都是城市贫困社区一家社区诊所的病人。这项研究包括母亲在美国怀孕并接受所有产前护理,并在10年内在明尼苏达州分娩的儿童。测量了家系特征、身高、体重和枕额周长。结果:白人儿童总体上接近国家(国家卫生统计中心)参考数据的中位数。与参考数据相比,老挝儿童(特别是男孩)身材矮小,体重相对较轻。苗族儿童被发现相对于参考数据来说是矮小的,但不成比例地重,因此身高体重比参考数据要高得多。在苗族女孩中,平均身高体重z得分从出生时的-0.5z增加到5岁时的1.26z,平均每年增加0.31z。结论:在美国怀孕和出生的老挝和苗族儿童仍然身材矮小(10%到25%)。苗族儿童有早期超重的证据,与老挝和白人儿童相比,这是与众不同的。
Objective: The objective of this study was to compare patterns of growth (height, weight, occipitofrontal circumference) of Hmong, Lao, and white children conceived and born in the United States. Methods: The study design involved a retrospective review of longitudinal cohorts from clinic records. Participants included 146 white, 112 Hmong, and 49 Lao children on whom data were collected from birth to 5 years of age. All were patients of a community clinic in a poor urban neighborhood. The study included children whose mothers conceived and received all prenatal care in the United States and gave birth in Minnesota during a 10-year period. Measurements on family characteristics, height, weight, and occipitofrontal circumference were obtained. Results: The white children generally approximate the medians of national (National Center for Health Statistics [NCHS]) reference data. Lao children (especially boys) are found to be short and proportionately light relative to reference data. Hmong children are found to be short relative to reference data but are disproportionately heavier, so that weight-for-height is considerably higher than reference data. In Hmong girls, mean weight-for-height z scores increase from -0.5 z at birth to 1.26 z at 5 years, an average increase of 0.31 z per year. Conclusions: Lao and Hmong children conceived and born in the United States continue to have short stature (10th to 25th percentile). Hmong children have evidence of early overweight that is distinctive when compared with Lao and white counterparts.