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ISSN 2007-5294 (Print)
Confederación Nacional de Pediatría de México, A. C. (CONAPEME)

2012, Number 3

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Pediatr Mex 2012; 14 (3)

Percentile benchmark for assessing the physical growth of children living in moderate altitude

Cossio BMA, Arruda M

Language: Spanish
References: 32
Page: 117-123
PDF size: 59.43 Kb.


ABSTRACT

Objective: The objective of this study was to propose reference percentiles for assessing the physical growth of children with moderate elevation of both sexes, based on body circumferences.
Methods: A total of 6,639 students between 6 to 12 years were selected in a probabilistic (stratified) 473 boys and 482 girls. The students were from urban public schools in the province of Arequipa, Peru. The variables were body mass (kg), height (m), relaxed arm circumference, chest and half calf (cm). Body circumferences were used to develop percentile distribution of p5, p10, p15, p25, p50, p75, p85, p90 and p95, depending on age and sex.
Results: We verified high levels of correlation between weight and height with the body circumferences of arm, chest and abdomen: In children (from 0.64 to 0.91) and girls (0.72-0.91). Percentiles established from body circumferences for the assessment of normal growth by age and gender. The values are summarized in five operational categories that could very well be utilized for the assessment of nutritional status.
Conclusion: The school of moderate altitude could use the reference curves developed from body circumferences in order to monitor and oversee the physical growth and nutritional status, serving as support to international standards using height and weight variables.


REFERENCES

  1. Malina RM, Bouchard C, Bar-Or C. Growth maturation and physical activity. 2ª ed. Champaign, IL: Human Kinetics; 2004.

  2. Zemel BS, Riley EM, Stallings VA. Evaluation of methodology for nutritional assessment in children: anthropometry, body composition, and energy expenditure. Ann Rev Nutr Palo Alto 1997; 17: 211-235.

  3. Overby KJ. Pediatric health supervision. Physical Growth. In: Rudolph AM, Hoffman JIE, Rudolph CD (eds). Rudolph’s pediatrics. 20th ed. Stanford, Connecticut: Appleton & Lange, 1996: 1-9.

  4. Flores-Huerta S. Antropometría, estado nutricio y salud de los niños. Importancia de las mediciones comparadas. Bol Med Hosp Infant Mex 2005; 63: 73-75.

  5. Onis M, Habicht JD. Anthropometric reference data for international use; recomendations from a World Health Organization expert Committee. Am J Clin Nutr 1996; 64: 650-658.

  6. OMS. El estado físico: uso e interpretación de la antropometría. Informe de un Comité de Expertos de la OMS. Serie de Informes Técnicos, Nº 854. Ginebra: Organización Mundial de la Salud; 1995.

  7. Conde W, Monteiro CA. Body mass index cutoff points for evaluation of nutritional status in Brazilian children and adolescents. J Pediatr (Rio J) 2006; 82(4): 266-272.

  8. SAP. La Sociedad Argentina de Pediatría actualiza las curvas de crecimiento de niñas y niños menores de cinco años. Arch Argent Pediatr 2008; 106(5): 462-467.

  9. Frisancho AR, Tracer DP. Standards of Arm Muscle by Stature for the Assessment of Nutritional Status of Children. American Journal of Physical Anthropology 1987; 73: 459-465.

  10. WHO. A growth chart for international use in maternal and child health care. Guidelines for Primary Health Care Personnel. Geneva: WHO; 1978.

  11. Tanner JM, Whitehouse RH, Takaishi M. Standards from birth to maturity for height, weight, height velocity, and weight velocity: British children. Arch Dis Child 1965; 41: 454-464.

  12. Waterlow JC, Buzina R, Keller W, Lane JM, Nichamon MZ. The presentation and use of height and weight data for comuarine the nutritional status of growth of children under the age of 10 years. Bull WHO 1977; 55: 489-498.

  13. Hamill PV, Drizd TA, Johnson CL, Reed RB, Roche AF. NCHS growth curves for children, birth-18 years, United States. Vital and Health Statistics, Series 11, No. 165, Hyattsville, MD: National Center for Health Statistics. DHEW Publ, 1977. No. PHS 78-1650.

  14. NCHS. Growth curves for children. Birth-18 years. United States DHEW Pub. No. (PHS) 78-1650: US Dept of Health, Education and Welfare. Public Health Service. National Center for Health Statistics. USA: Hyattsville, MD, 1977.

  15. Kuczmarski RJ, Ogden CL, Grummer-Strawn LM, Flegal KM, Guo SS, Wei R, Mei Z, Curtin LR, Roche AF, Johnson CL. CDC Growth Charts: United States. Advance data from vital and health statistics; No. 314. Hyattsville, Maryland: National Center for Health Statistics, 2000: 1-28.

  16. Onis M, Onyango AW, Van den Broeck J, Chumlea WC, Martorell R. Measurement and standardization protocols for anthropometry used in the construction of a new international growth reference. Food Nutr Bull 2004; 25(1): S27-S36.

  17. Ponce de León S. The WHO Multicentre growth reference study and altitude above sea level. An example of hyposometric bias. High Altitude Medicine & Biology 2008; 9: 3.

  18. González F. Metabolismo en las grandes alturas. Acta Andina 2001; 9(1-2): 31-42.

  19. Cossio-Bolanos MA. Crescimento físico e desempenho motor em crianças de 6-12 anos de condição socioeconômica média, da área urbana de Arequipa (Perú). Dissertação de mestrado. Unicamp/FEF. Campinas, 2004.

  20. Ross WD, Marfell-Jones MJ, Kinanthropometry. In: MacDougall JD, Wenger HÁ, Geen HJ (Eds). Physiological testing of elite athlete. 223-308, London, Human Kinetics, 1991.

  21. Zeferino AMB, Barros Filho A, Bettiol H, Barbieri M. Acnpanhamento do crescimento. J Pedriatr (Rio J) 2003; 79: s23-232.

  22. WHO Multicentre Growth Reference Study Group. Assessment of differences in linear growth among populations in the WHO Multicentre Growth Reference Study. Acta Paediatr Suppl 2006; 450: 56-65.

  23. Prentice AM, Jebb AS. Beyond body mass index. Obes Rev 2001; 2: 141–147.

  24. Cole TJ. The secular trend in human physical growth: a biological view. Econ Hum Biol 2003; 1: 161–168.

  25. Zellner K, Jaeger U, Kromeyer-Hauschild K. Height, weight and BMI of schoolchildren in Jena, Germany-Are the secular changes levelling off? Econ Hum Biol 2004; 2: 281–94.

  26. Cossio-Bolaños MA, Arruda M, De Marco A. Correlación entre el índice de masa corporal y las circunferencias corporales de niños de 4 a 10 años. An Fac Med 2010; 71(2): 79-82.

  27. Ross WD, Wilson NC. A stratagem for proportional growth assessment. Acta Paediatr Belg 1974; 28: 169-182.

  28. Stinson S. The physical growth of high altitude Bolivian Aymara children. Am J Phys Anthropol 1980; 52: 377–385.

  29. Center for disease control and preventive, national center for health statistics. CDC, growth charts: United States, 2002. http://www.ede.gov./growthcharts

  30. Butte NF, Garza C, Onis M. Evaluation of the feasibility of international growth standards for school-aged children and adolescents. Food and Nutrition Bulletin. 2006; 27(4).

  31. Keller W, Filmore CM. Prevalence of proteinenergy malnutrition. World Health Statist. Quart 1983; 36: 129-167.

  32. Lobstein T, Baur L, Uauy R. IASO International Obesity TaskForce. Obesity in children and young people: a crisis in public health. Obes Rev 2004; 5(Suppl 1): 4–104.




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