■这项研究的首要目的是使用从5岁以下健康儿童中常规收集的数据来评估挪威的生长监测指南。我们分析了生长状态(年龄大小)和变化(百分位数交叉)的标准。
■纵向数据来自Bergen生长研究1(BGS1)中2130名儿童的健康婴儿诊所的电子健康记录(EHR)。长度测量,体重,长度的重量,将体重指数(BMI)和头围转换为z评分,并与世界卫生组织(WHO)的生长标准和国家生长参考进行比较.
■使用世界卫生组织的增长标准,在出生时的所有特征和所有年龄段的长度方面,超过2SD的儿童比例通常高于预期的2.3%。跨越百分位数通道在生命的头两年很常见,特别是长度/高度。到了五岁,37.9%的儿童被确定为关于长度/身高的随访,头围为33%,身长/BMI高的为13.6%。
■超出图表正常限制的儿童比例高于预期,并且发现了惊人的大量儿童有关头围长度或生长的规则。这表明有必要修订挪威目前的增长监测准则。
UNASSIGNED: The overarching aim of this study was to evaluate the Norwegian guidelines for growth monitoring using routinely collected data from healthy children up to five years of age. We analysed criteria for both status (size for age) and change (centile crossing) in growth.
UNASSIGNED: Longitudinal data were obtained from the electronic health record (EHR) at the well-baby clinic for 2130 children included in the Bergen growth study 1 (BGS1). Measurements of length, weight, weight-for-length, body mass index (BMI) and head circumference were converted to z-scores and compared with the World Health Organization (WHO) growth standards and the national growth reference.
UNASSIGNED: Using the WHO growth standard, the proportion of children above +2SD was generally higher than the expected 2.3% for all traits at birth and for length at all ages. Crossing percentile channels was common during the first two years of life, particularly for length/height. By the age of five years, 37.9% of the children had been identified for follow-up regarding length/height, 33% for head circumference and 13.6% for high weight-for-length/BMI.
UNASSIGNED:
The proportion of children beyond the normal limits of the charts is higher than expected, and a surprisingly large number of children were identified for rules concerning length or growth in head circumference. This suggests the need for a revision of the current guidelines for growth monitoring in Norway.