Comparison of the World Health Organization Growth Velocity Standards With Existing US Reference Data
Comparison of the World Health Organization Growth Velocity Standards With Existing US Reference Data
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DOI：
10.1542/peds.2010-2630
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发表时间：
2011-07-01
期刊：
影响因子：
8
通讯作者：
Garza, Cutberto
中科院分区：
文献类型：
--
作者：
de Onis, Mercedes;Siyam, Amani;Garza, Cutberto
目的：本研究的目的是比较世界卫生组织（WHO）的生长速度标准与参考数据的基础上美国children.METHODS：体重和长度的增长的参考值之间的比较，从美国儿童和WHO儿童生长标准的系列数据的基础上。我们比较了从出生到6个月、从2个月到12个月、从3个月到24个月的时间间隔内，男孩和女孩在选定的第5、第25、第50、第75和第95个月的体重增长速度。对于长度，我们比较了2个月的时间间隔从出生到6个月和3个月的时间间隔长达24 months.Results：WHO和美国每月的体重增量相似，在第5百分位数到3个月的年龄，其他美国的体重增量值低于WHO的体重增量相似，平均为150克。从3个月开始，US值收敛到估计的100 g之间的狭窄范围。两个月和三个月的体重增加表现出类似的变化。WHO和US值之间的差异在分布的低端更为明显。对于长度，中位数是在更接近的协议，但发生与重量，值在外部美国footles收敛到一个较窄的范围，随着年龄的增长相比，WHO standards.CONCLUSIONS：有重要的差异WHO的标准和参考值的增长速度的基础上，美国的数据。WHO值是评估生长速度和做出临床决策的更好工具。儿科2011;128：e18-e26
OBJECTIVE: The goal of this study was to compare World Health Organization (WHO) growth velocity standards with reference data based on US children.METHODS: Comparisons were made between reference values for weight and length gains based on serial data from US children and the WHO child growth standards. We compared weight velocities for boys and girls for selected percentiles (5th, 25th, 50th, 75th, and 95th) for 1-month intervals from birth to 6 months, 2-month intervals up to 12 months, and 3-month intervals up to 24 months. For length, we compared 2-month intervals from birth to 6 months and 3-month intervals up to 24 months.RESULTS: WHO and US monthly weight increments were similar at the 5th percentile up to 3 months of age; values for other US percentiles were below the WHO percentiles similar to 150 g on average. From 3 months onward, the US values converged to a narrow range of similar to 100 g between estimated percentiles. Two-and 3-month weight gains showed similar variations. Differences between the WHO and US values were more pronounced at the lower end of the distribution. For length, medians were in closer agreement, but as occurred with weight, values at the outer US percentiles converged to a narrower range with increasing age compared with those of the WHO standards.CONCLUSIONS: There are important differences between the WHO standards and the reference values for growth velocity based on US data. The WHO values are a better tool for assessing growth velocity and making clinical decisions. Pediatrics 2011;128:e18-e26