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Differences between WHO Growth Standards and China Growth Standards in Assessing the Nutritional Status of Children Aged 0–36 Months Old

机译:世卫组织生长标准和中国生长标准在0至36个月大儿童营养状况评估中的差异

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摘要

: At present, whether to use the World Health Organization’s (WHO) growth standards or native growth standards to assess the nutritional status in a given population is unclear. This study aimed to compare the differences between the WHO’s growth standards and China’s growth standards in assessing the nutritional status of children aged 0~36 months. : We used z-scores to evaluate the nutritional status of children. The weight-for-age z-scores (WAZs), length/height-for-age z-scores (LAZ/HAZs), and weight-for-length/height z-scores (WLZ/WHZs) were calculated using the WHO’s growth standards and China’s growth standards. MeNemar’s test was used to compare the nutritional status of children. : The results in this study showed that there were differences between the WHO’s standards and China’s standards in assessing children’s nutritional status except for stunting and obesity. The prevalence of underweight assessed using China’s standards was higher than when using the WHO’s standards (except when 3 and 36 months old). The prevalence of wasting was significantly higher when assessed using China’s standards than when using the WHO’s standards from 12 to 36 months. The prevalence of overweight was higher when assessed using the WHO’s standards from 3 to 8 months. : Both the WHO’s and China’s growth standards are useful measures in assessing children’s nutritional status but with key significant differences. Therefore, caution should be taken in selecting appropriate measures in a given population.
机译::目前,尚不清楚是使用世界卫生组织(WHO)的生长标准还是本地生长标准来评估特定人群的营养状况。这项研究旨在比较世界卫生组织(WHO)的生长标准与中国的生长标准之间的差异,以评估0至36个月大的儿童的营养状况。 :我们使用z评分来评估儿童的营养状况。年龄加权Z分数(WAZ),长度/身高Z分数(LAZ / HAZs)和体重/身高Z分数(WLZ / WHZ)是根据WHO的增长标准和中国的增长标准。 MeNemar的测试用于比较儿童的营养状况。 :这项研究的结果表明,除了发育迟缓和肥胖以外,世界卫生组织(WHO)和中国的标准在评估儿童的营养状况方面存在差异。根据中国的标准评估的体重不足患病率高于采用世界卫生组织的标准(3个月和36个月大时除外)。使用中国的标准进行评估时,浪费的发生率比使用WHO的标准在12到36个月内明显更高。使用WHO标准评估3到8个月后,超重的患病率更高。 :世卫组织和中国的生长标准都是评估儿童营养状况的有用措施,但有重要的显着差异。因此,在给定人群中选择适当的措施时应谨慎。

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