Italian cross-sectional growth charts for height, weight and BMI (6-20y)
Italian cross-sectional growth charts for height, weight and BMI (6-20y)
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DOI：
10.1038/sj.ejcn.1601314
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发表时间：
2002-02-01
影响因子：
4.7
通讯作者：
Vanelli, M
中科院分区：
文献类型：
--
作者：
Cacciari, E;Milani, S;Vanelli, M
目的追踪适用于整个意大利人群的身高、体重和体重指数（BMI）的生长图表。不同的图表绘制了中北部和南部意大利，因为儿童在中北部地区是众所周知的高，leaner.Design：横断面研究设置：一个样本的学童覆盖16的20个意大利地区，与数据收集于1994年和2000年之间。主题：共27 421名女孩和27 374名男孩，年龄6-20岁。方法：分别使用便携式哈彭登测距仪和适当校准的天平测量身高和体重。SIEDP参考文献以百分位数和LMS曲线的形式提供，用于计算标准差评分。根据国际肥胖工作组，SIEDP图表BMI包括超重和肥胖的限制，即百分位数，在18岁，值分别为25和30 kg/m2。结果：SIEDP和坦纳等人的身高图表之间的比较，仍然在大多数意大利儿科医生中使用，研究表明，在青春期之前，意大利儿童比英国同龄人高2-4厘米。由于这些差异，坦纳的图表未能检测到，当应用于意大利儿童，50-90%的短的儿童6-11岁，即身高低于第三百分位数的参考人口。Rolland-Cachera等人的BMI百分位数低于SIEDP标准，主要是在青春期（第97百分位数高达6.6 kg/m2），并且不适用于意大利儿童。超重的患病率是27（男孩）和19%（女孩）在意大利南部与17（男孩）和10%（女孩）在中北部意大利.Conclusions：这些参考文献旨在提供意大利儿科医生的工具，避免使用过时或不足的图表，因此应该适合于监测他们的病人的成长。
Objective To trace growth charts for height, weight and body mass index (BMI) that apply to the whole Italian population. Different charts were drawn for central-north and south Italy since children in central-north regions are known to be taller and leaner.Design: Cross-sectional study.Setting: A sample of schoolchildren covering 16 of the 20 Italian regions, with data collected between 1994 and 2000.Subjects: A total of 27 421 girls and 27 374 boys, aged 6-20 y.Methods: Height and weight were measured using portable Harpenden stadiometers and properly calibrated scales, respectively. SIEDP references are presented both as centiles and as LMS curves for the calculation of standard deviation scores. According to International Obesity Task Force, SIEDP charts for BMI include the limits for overweight and obesity, ie the centiles having, at 18 y of age, the value of 25 and 30 kg/m(2), respectively.Results: The comparison between SIEDP and Tanner et al's charts for height, still in use among most Italian paediatricians, shows that before puberty Italian children are 2-4 cm taller than their English peers. Because of these differences, Tanner's charts fail to detect, when applied to Italian children, 50-90% of short children aged 6-11 y, ie with stature below the 3rd centile of their reference population. Rolland-Cachera et al's centiles for BMI are lower than those of SIEDP standards, mainly during adolescence (up to 6.6 kg/m(2) for the 97th centile), and apply poorly to Italian children. The prevalence of overweight is 27 (boys) and 19% (girls) in south Italy vs 17 (boys) and 10% (girls) in central-north Italy.Conclusions: These references intend to supply Italian paediatricians with a tool that avoids the use of outdated or inadequate charts, and thus should be suitable for monitoring their patients' growth.