https://scholars.lib.ntu.edu.tw/handle/123456789/635214
標題: | Child Growth Curves in High-Altitude Ladakh: Results from a Cohort Study | 作者: | Yang, Wen-Chien Fu, Chun-Min Su, Bo-Wei Ouyang, Chung-Mei KUEN-CHEH YANG |
關鍵字: | body height; body weight; child growth; growth curve; high altitude | 公開日期: | 22-五月-2020 | 卷: | 17 | 期: | 10 | 來源出版物: | International journal of environmental research and public health | 摘要: | High prevalence of child underweight and stunting in high-altitude areas has often been reported. However, most previous studies on this topic were cross-sectional. Another critical concern is that using the World Health Organization (WHO) Child Growth Standards to evaluate child growth in high-altitude areas may lead to overestimations of underweight and stunting. Our study aimed to evaluate the long-term growth pattern of children (3 to 18 years) above the altitude of 3500 m in Ladakh, India. The participants' body weight (BW), body height (BH), and body mass index (BMI) were measured annually according to the WHO Child Growth Standards for children under 5 years old and the WHO reference data for children aged 5 to 19 years. The generalized estimating equation (GEE) was used to estimate the means and z-scores of BW, BH, and BMI at different ages. A total of 401 children were enrolled from 2012 to 2018. Their mean z-scores of BW, BH, and BMI were -1.47, -1.44, and -0.85 in 2012 and increased to -0.74, -0.92, and -0.63 in 2018. This population's specific growth curve was also depicted, which generally fell below the 85th percentile of the WHO standards. This is the first cohort study about long-term child growth patterns in a high-altitude area. The detailed underlying mechanisms of our findings need future research on more representative data of high-altitude populations. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/635214 | ISSN: | 16617827 | DOI: | 10.3390/ijerph17103652 |
顯示於: | 醫學院附設醫院 (臺大醫院) |
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