Growth of Belgian and Norwegian children compared to the WHO growth standards: prevalence below-2 SD and above+2 SD and the effect of breastfeeding
Growth of Belgian and Norwegian children compared to the WHO growth standards: prevalence below-2 SD and above+2 SD and the effect of breastfeeding
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DOI：
10.1136/adc.2009.166157
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发表时间：
2011-10-01
影响因子：
5.2
通讯作者：
Bjerknes, R.
中科院分区：
文献类型：
--
作者：
Juliusson, P. B.;Roelants, M.;Bjerknes, R.
背景比利时和挪威出版了新的国家增长参考资料。目的比较比利时和挪威0-5岁儿童的身高、体重体重指数和头围。将非吸烟母亲纯母乳喂养的儿童的平均SD评分与国家参考数据和世界卫生组织标准进行比较。结果总体而言，比利时和挪威低于世界卫生组织标准-2SD线的儿童数量较低，高于+2SD的儿童数量高于预期。最大的差异是头围（0.97%的比利时儿童和0.18%的挪威儿童低于-2 SD，6.55%的比利时儿童和6.40%的挪威儿童高于+2 SD），最小的差异是身长/身高（1.25%的比利时儿童和1.43%的挪威儿童低于-2 SD，3.47%的比利时儿童和2.81%的挪威儿童高于+2 SD）。非吸烟母亲的母乳喂养的儿童的生长模式是在这两个国家更相似的地方国家的增长参考比WHO standards.Conclusions有显着的偏差在正常范围外的儿童的比例（+/- 2 SD）的WHO标准。这对所有儿童都是如此，包括纯母乳喂养的儿童。因此，采用世卫组织生长图表可能会对临床决策产生影响。这些研究结果提倡在比利时和挪威使用国家参考，也适用于母乳喂养的儿童。
Background New national growth references have been published in Belgium and Norway. The WHO recommends universal use of their 2006 Child Growth Standards based on data from breastfed children.Objective To compare the growth of Belgian and Norwegian children with the WHO standards.Participants 6985 children 0-5 years of age from Belgium and Norway.Design Proportion of children below -2 SD and above +2 SD of the WHO standards was calculated for length/height, weight, body mass index and head circumference. Average SD scores of exclusively breastfed children of non-smoking mothers were compared with national reference data and with the WHO standards.Results Generally, the number of Belgian and Norwegian children below -2 SD lines of the WHO standards was lower and above +2 SD higher than expected. The largest differences were for head circumference (0.97% Belgian and 0.18% Norwegian children below -2 SD, 6.55% Belgian and 6.40% Norwegian children above +2 SD) and the smallest for length/height (1.25% Belgian and 1.43% Norwegian children below -2 SD, 3.47% Belgian and 2.81% Norwegian children above +2 SD). The growth pattern of breastfed children of non-smoking mothers was in both countries more alike the local national growth references than the WHO standards.Conclusions There are significant deviations in the proportion of children outside normal limits (+/- 2 SD) of the WHO standards. This was true for all children, including those who were exclusively breastfed. Hence, adoption of the WHO growth charts could have consequences for clinical decision-making. These findings advocate the use of national references in Belgium and Norway, also for breastfed children.