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首页> 外文期刊>Ecology of Food and Nutrition >Parents' estimation of their children's body size compared to classification of children's nutritional status using the international growth reference
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Parents' estimation of their children's body size compared to classification of children's nutritional status using the international growth reference

机译：父母使用国际增长参考资料对孩子的身体大小与孩子的营养状况分类进行比较

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摘要

While debates abound about the appropriateness of using an international growth reference in low-income countries and the use of cut-off points as diagnostics for malnutrition, there is little discussion about the relevance of anthropometric assessment of children for the population of concern. While the issue of cultural appropriateness may appear to be an arcane anthropological question, it does have wider applied significance in the field in terms of involving parents in growth monitoring programs and community nutrition surveillance. In a sample of 283 parents (mostly mothers) participating in a child health and nutrition study in peri-urban Kathmandu, Nepal, a majority of parents (68.4%) whose children were classified by NCHS standards as moderately-to-severely malnourished (i.e. below the -2SD cut-off for ht/age and wt/age) deemed them to be small in size. When children were divided into age groups, it was found that parents were very accurate at labelling their children as "small" when their children were under 36 months of age and much less accurate when they were between 36 and 60 months of age. Parents' perception of smallness of their children based on 'ranking' is sensitive and reasonably correlated with objective growth measures. Parents' opinions regarding the nutritional and health status of their children should be taken seriously and be incorporated into growth monitoring and community surveillance programs.
机译：尽管在低收入国家中使用国际增长参考的适当性以及使用临界点作为营养不良的诊断方法的辩论不胜枚举，但很少有人讨论人体测量儿童对相关人群的相关性。尽管文化适宜性问题似乎是一个神秘的人类学问题，但在让父母参与生长监测计划和社区营养监测方面，它在该领域确实具有更广泛的应用意义。在尼泊尔加德满都周边地区参与儿童健康和营养研究的283名父母（主要是母亲）的样本中，根据NCHS标准，其子女被分类为中度至严重营养不良（即，即儿童）的大多数父母（68.4％）低于ht / age和wt / age的-2SD临界值，则认为它们尺寸较小。将孩子分为年龄组时，发现父母在将孩子标记为“小”时，年龄在36个月以下时非常准确，而在36到60个月之间时，其准确度要低得多。父母基于“等级”对孩子的渺小的认识是敏感的，并且与客观的成长指标合理地相关。应该认真对待父母对孩子营养和健康状况的意见，并将其纳入成长监测和社区监测计划。

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