International standard growth charts overestimate stunting prevalence in Nabire and Jakarta, Indonesia, compared to the Indonesian national growth chart.

IF 1 Q4 ENDOCRINOLOGY & METABOLISM Clinical Pediatric Endocrinology Pub Date : 2023-01-01 DOI:10.1297/cpe.2022-0047
Susi Natalia Hasibuan, Mulyadi M Djer, Attika Adrianti Andarie, Aman B Pulungan
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引用次数: 1

Abstract

Children's height in Indonesia is increasing slowly and unevenly across the country, with urban areas growing faster than rural areas. Thus, international growth charts may be ineffective for monitoring the development of Indonesian children. We conducted an analytical cross-sectional study on 1,829 children aged 6 to 12 in Nabire and 1,283 children in Jakarta. Anthropometric measurements were obtained and plotted on the Centers for Disease Control and Prevention (CDC) growth charts and Indonesian National Growth Charts to determine which chart is more suitable for monitoring children's growth in Indonesia. Nabire children were shorter and had lower body mass index (BMI) than Jakarta children, with a mean height difference of 7.03 cm in boys and 6.89 cm in girls (p = 0.001) and a mean BMI difference of 1.66 in boys and 1.39 in girls (p = 0.001). Despite their short stature, more Nabire children had a normal BMI, indicating a healthy nutritional status. Using the Indonesian National Growth Charts, fewer children were classified as stunted or wasted. Most of the short stature observed in Nabire children was not due to stunting; the children showed no signs of malnutrition. The Indonesian National Growth Charts represent the growth of Indonesian children more accurately than the CDC growth charts.

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与印度尼西亚国家增长图表相比,国际标准增长图表高估了印度尼西亚纳比雷和雅加达的发育迟缓患病率。
印尼全国儿童身高增长缓慢且不均衡,城市地区增长速度快于农村地区。因此,国际生长图表对于监测印度尼西亚儿童的发展可能是无效的。我们对纳比雷的1829名6至12岁儿童和雅加达的1283名儿童进行了分析性横断面研究。获得了人体测量测量值,并将其绘制在疾病控制和预防中心(CDC)生长图和印度尼西亚国家生长图上,以确定哪种图表更适合监测印度尼西亚儿童的生长情况。纳比雷儿童较雅加达儿童矮小,体重指数(BMI)较低,男孩平均身高差7.03 cm,女孩平均身高差6.89 cm (p = 0.001),男孩平均BMI差1.66,女孩平均BMI差1.39 (p = 0.001)。尽管他们身材矮小,但大多数纳比雷儿童的身体质量指数正常,这表明他们的营养状况健康。根据印尼国家增长图表,被归类为发育迟缓或消瘦的儿童减少了。在纳比雷儿童中观察到的大多数身材矮小不是由于发育迟缓;孩子们没有表现出营养不良的迹象。印度尼西亚国家增长图表比疾病预防控制中心的增长图表更准确地代表了印度尼西亚儿童的增长。
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来源期刊
Clinical Pediatric Endocrinology
Clinical Pediatric Endocrinology ENDOCRINOLOGY & METABOLISM-
CiteScore
2.40
自引率
7.10%
发文量
34
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