Mexican anthropometric percentiles for ages 10-18

Mexican anthropometric percentiles for ages 10-18
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DOI:
10.1038/sj.ejcn.1602612
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发表时间:
2007-08-01
影响因子:
4.7
通讯作者:
Tapia-Conyer, R.
Tapia-Conyer, R.
中科院分区:
医学3区
文献类型:
--
作者:
Del-Rio-Navarro, B. E.;Velazquez-Monroy, O.;Tapia-Conyer, R.

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目的:根据国际方法编制墨西哥经济增长图表。设计:数据来自墨西哥国家健康调查。调查是分层的,在概率上代表了全国。设置:全国开放人口居住在城市和农村地区。调查对象:10 - 18岁的男生8545人,女生9983人。方法:记录年龄、体重、身高。计算并平滑经验百分位数。光滑曲线用最小均方估计近似。结果:给出了年龄的体重、身高、身体质量指数(BMI)的百分位数,以及男女身高的体重、BMI的百分位数的表格和图表。关于年龄百分位数的第50个BMI,在疾病控制和预防中心的增长图表中,墨西哥人的水平高于美国人;墨西哥人的体重较低,但与美国人相似。由于高BMI, 18岁时男孩和女孩的超重水平(25 kg/m(2))对应的百分位数分别为74.5和72.5,而18岁时男孩和女孩的肥胖水平(30 kg/m(2))分别为97.3和97.4。结论:目前的增长图表是墨西哥人口的快照。由于与美国和世界卫生组织的标准相比,BMI中位数较高,我们必须谨慎地建立临床正常的上限,而不仅仅是选择第85和第95百分位数分别作为超重和肥胖的等量物。因此,我们建议男孩74.5和女孩72.5作为超重的行动点,因为它们是18岁时BMI 25kg /m(2)对应的百分位数。
Objective: To elaborate Mexican growth charts based on international methodology.Design: Data were obtained from the Mexican National Health Survey. The survey was stratified and probabilistic representative of all the country.Setting: Nationwide open population living in urban and rural areas.Subjects: Boys ( 8545) and girls ( 9983) from 10 to 18 years participating in the survey.Methods: Age, weight and height were recorded. Empirical percentiles were calculated and smoothed. Smoothed curves were approximated using least-mean square estimation.Results: Tables and figures for percentile values of weight, height and body mass index (BMI) for age, as well as percentile values of weight and BMI for height for both genders are presented. Regarding 50th BMI for age percentiles, Mexicans had higher levels than the Americans in the Centers for Disease Control and Prevention growth charts; Mexicans were lower but had similar weights than the Americans. Owing to the high BMI, the percentile corresponding to an overweight level ( 25 kg/m(2)) at 18 years was 74.5 in boys and 72.5 in girls, whereas obesity level ( 30 kg/m(2)) at 18 years was 97.3 and 97.4 in boys and girls, respectively.Conclusions: The present growth charts are snapshots of a Mexican population. Because the high median BMI compared to US and World Health Organization standards, we must be cautious in establishing an upper normal cutoff for clinical normality, not merely selecting the 85th and 95th percentiles as equivalents of overweight and obesity, respectively. Therefore, we proposed percentiles 74.5 in boys and 72.5 in girls as the action points of overweight as they are the percentiles corresponding to BMI 25 kg/m(2) at 18 years.