当代儿童身体发育的流行病学方面

T.V. KOVALENKO, M.A. LARIONOVA, L.M. MULLAKHMETOVA
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摘要

目的:研究当前儿童PD相关流行病学趋势。方法:2015-2016年对儿童PD进行横断面一阶段研究。在检查程序中使用标准化设备和公认的方法确定身高和体重。体重指数(BMI, Quetelet指数)以kg/m2表示,身高和BMI的SD值(标准差)也一并表示。我们使用bmi年龄百分位数增长图表。结果:9662名1 ~ 17岁儿童接受了评估,其中男孩49.7%,女孩50.3%。样本在城市和农村地区平均分配,各占50.0%。参与者的年龄分布分为5个年龄组:1-2岁(14.5%)、3-6岁(19.6%)、7-11岁(30.7%)、12-14岁(19.1%)和15-17岁(16.1%)。在接受调查的人中,65.8%的人身高平均,19.0%的人身高低于平均水平或较矮,15.2%的人身高高于平均水平。分别有3.7%和2.7%的儿童身高低于和高于年龄和性别的平均身高2SD。大多数低于平均水平和低身高值出现在早期和学龄前。在男孩中,性别特征与身高向低值和高值的显著变化有关。研究表明,生活在城市地区的儿童往往比农村地区的儿童身体发育得更好。结论:收集了目前儿童PD的数据,重点关注年龄、性别和地理因素。
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EPIDEMIOLOGICAL ASPECTS OF CONTEMPORARY PHYSICAL DEVELOPMENT IN CHILDREN
Objective: To study the current epidemiological trends related to PD in children Methods: In 2015-2016, a cross-sectional one-stage study was conducted to examine the PD of children. The body height and weight were determined during the examination program using standardized equipment and accepted methodology. The Body Mass Index (BMI, Quetelet's index) was expressed in kg/m2 , along with SD values (standard deviation) for both height and BMI. We utilized BMI-for-age percentile growth charts. Results: : 9,662 children between the ages of 1 and 17 were assessed, with 49.7% boys and 50.3% girls. The sample was split equally between urban and rural areas, with 50.0% residing in each. The age distribution of the participants was divided into five age groups: 1-2 y/o (14.5%), 3-6 y/o (19.6%), 7-11 y/o (30.7%), 12-14 y/o (19.1%), and 15-17 y/o (16.1%). Of those surveyed, 65.8% had an average height, 19.0% were below average or short, and 15.2% were above average and tall. The height 2SD below and above the mean height for age and gender was found in 3.7% and 2.7% of children, respectively. Most below-average and low height values were found in early and preschool ages. In boys, gender characteristics were associated with more significant variations in heights towards low and high values. Research shows that children residing in urban areas tend to have better physical development than those in rural areas. Conclusion: Data have been gathered on the current PD of children, focusing on age, gender, and geographical factors.
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