中国汉族7-18岁儿童青少年分区域身高标准的制定及与全国标准的比较

蔡赐河; 董彬; 马军

Abstract

蔡赐河,董彬,马军.中国汉族7-18岁儿童青少年分区域身高标准的制定及与全国标准的比较[J].Chinese journal of Epidemiology,2012,33(6):576-579

中国汉族7-18岁儿童青少年分区域身高标准的制定及与全国标准的比较

Study on the references regarding height and prevalence of stunting among children and adolescents aged 7 to 18 years of Chinese Han ethnicity

Received:January 06, 2012

DOI：

KeyWord: 身高地域差异区域标准中国汉族儿童青少年

English Key Word: Height Districts difference Local reference Chinese Han Children and adolescents

FundProject:

Author Name	Affiliation	E-mail
CAI Ci-he	Institute of Child and Adolescent Health, Peking University Health Science Center, Beijing 10019l, China
DONG Bin	Institute of Child and Adolescent Health, Peking University Health Science Center, Beijing 10019l, China
MA Jun	Institute of Child and Adolescent Health, Peking University Health Science Center, Beijing 10019l, China	majunt@bjmu.edu.cn

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Abstract:

目的制定全国汉族7～18岁儿童青少年分区域身高标准, 并采用此标准与全国标准及WHO标准筛查的结果进行比较.方法使用2005年全国学生体质与健康调研中汉族儿童青少年的身高数据, 采用LMS法进行身高标准曲线的拟合, 并以此对2005年全国学生体质与健康调研对象进行生长迟缓筛查.结果全国各分区域(Ⅰ～Ⅳ)身高水平差异明显, 第Ⅱ分区18岁年龄组身高水平最高, 第Ⅰ分区身高水平最低, 男生相差3.18cm, 女生相差2.92cm;全国男生身高标准与WHO标准差值为0.31～5.07cm, 女生差值为0.98～4.22cm;在分区域标准、全国标准及WHO标准下, 中国7～18岁儿童青少年生长迟缓平均发生率分别为2.22％、2.29％、5.25％, 分区域标准下生长迟缓发生率与社会经济指标均呈显著负相关, 相关性最强.结论全国统一的身高标准不适于区分地理、遗传等不可变因素与社会经济水平等可变因素造成的身高差异, 因此应制定分区域身高标准来客观评价中国儿童身高发育水平.

English Abstract:

Objective To develop the reference on height among children and adolescents aged 7 to 18 years of Chinese Han ethnicity in different administrative districts of China and to use this height reference for screening stunting.Results from the national screening program were compared with the WHO references.Methods Data from the Chinese National Survey on Students Constitution and Health in 2005 was used to develop the height references through LMS method.Results Differences among the references on height for children and adolescents in different districts ( Ⅰ - Ⅳ ) were remarkable.The highest was seen in the Second Districts while the lowest was seen in the First Districts among those at the age of 18, with differences as 3.18 cm for boys and 2.92 cm for girls.The heights from the inland were shorter than that of the WHO references, with the differences ranging from 0.31 cm to 5.07 cm for boys, and from 0.98 cm to 4.22 cm for girls.The prevalence rates of stunting were 2.22％, 2.29％, 5.25％, respectively according to local references, national references and the WHO references.Conclusion Universal height references from the whole nation could not discriminate the variations caused by geographic conditions and hereditory factors related to socio-economie situations.Height references should be developed locally, to evaluate height levels of the areas.

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