Construction of a new complete growth reference for urban Chinese children

作者全名："Wu, Wei; Chen, JingNan; Mo, MinJia; Si, Shuting; Huang, Ke; Chen, RuiMin; Maimaiti, Mireguli; Chen, ShaoKe; Gong, Chunxiu; Zhu, Min; Wang, ChunLin; Su, Zhe; Liang, Yan; Yao, Hui; Wei, HaiYan; Zheng, RongXiu; Du, HongWei; Yang, Yu; Luo, FeiHong; Li, Pin; Cui, LanWei; Dong, GuanPing; Yu, YunXian; Fu, Junfen"

作者地址："[Wu, Wei; Chen, JingNan; Huang, Ke; Dong, GuanPing; Fu, Junfen] Zhejiang Univ, Childrens Hosp, Natl Clin Res Ctr Child Hlth, Dept Endocrinol,Sch Med, 3333 Binsheng Rd, Hangzhou 310052, Zhejiang, Peoples R China; [Mo, MinJia; Si, Shuting; Yu, YunXian] Zhejiang Univ, Sch Publ Hlth, 866 Yuhangtang Rd, Hangzhou 310058, Zhejiang, Peoples R China; [Chen, RuiMin] Fujian Med Univ, Dept Endocrinol Genet & Metab, Fuzhou Childrens Hosp, Fuzhou, Peoples R China; [Maimaiti, Mireguli] Xinjiang Med Univ, Dept Endocrinol Genet & Metab, Affiliated Hosp 1, Urumqi, Peoples R China; [Chen, ShaoKe] Nanning Women & Childrens Hosp, Dept Pediat, Nanning, Peoples R China; [Gong, Chunxiu] Capital Med Univ, Beijing Childrens Hosp, Dept Endocrinol, Beijing, Peoples R China; [Zhu, Min] Chongqing Med Univ, Dept Endocrinol, Childrens Hosp, Chongqing, Peoples R China; [Wang, ChunLin] Zhejiang Univ, Affiliated Hosp 1, Dept Pediat, Sch Med, Hangzhou, Peoples R China; [Su, Zhe] Shenzhen Childrens Hosp, Dept Endocrinol, Shenzhen, Peoples R China; [Liang, Yan] Huazhong Univ Sci & Technol, Dept Pediat, Tongji Med Coll, Wuhan, Peoples R China; [Yao, Hui] Wuhan Women & Childrens Hlth Care Ctr, Dept Endocrinol, Wuhan, Peoples R China; [Wei, HaiYan] Zhengzhou Childrens Hosp, Dept Endocrinol Genet & Metab, Zhengzhou, Peoples R China; [Zheng, RongXiu] Tianjin Med Univ Gen Hosp, Dept Pediat, Tianjin, Peoples R China; [Du, HongWei] First Bethune Hosp Jilin Univ, Dept Pediat, Jilin, Peoples R China; [Yang, Yu] Jiangxi Prov Childrens Hosp, Dept Endocrinol, Nanchang, Peoples R China; [Luo, FeiHong] Fudan Univ, Dept Endocrinol Genet & Metab, Childrens Hosp, Shanghai, Peoples R China; [Li, Pin] Childrens Hosp Shanghai, Dept Endocrinol, Shanghai, Peoples R China; [Cui, LanWei] Harbin Med Univ, Dept Pediat, Affiliated Hosp 1, Harbin, Peoples R China"

通信作者："Fu, JF (通讯作者)，Zhejiang Univ, Childrens Hosp, Natl Clin Res Ctr Child Hlth, Dept Endocrinol,Sch Med, 3333 Binsheng Rd, Hangzhou 310052, Zhejiang, Peoples R China.; Yu, YX (通讯作者)，Zhejiang Univ, Sch Publ Hlth, 866 Yuhangtang Rd, Hangzhou 310058, Zhejiang, Peoples R China."

来源：BMC PUBLIC HEALTH

ESI学科分类：SOCIAL SCIENCES, GENERAL

WOS号：WOS:000899202400005

JCR分区：Q2

影响因子：4.5

年份：2022

卷号：22

期号：1

开始页：　

结束页：　

文献类型：Article

关键词：Growth reference; Urban Chinese children; Height-for-age; Weight-for-age

摘要："Background: Growth chart is a valuable clinical tool to monitor the growth and nutritional status of children. A growth chart widely used in China is based on the merged data sets of national surveys in 2005. We aimed to establish an up-to-date, complete growth curve for urban Chinese children and adolescents with a full range of ages. Methods: Using data collected in a large-scale, cross-sectional study (Prevalence and Risk factors for Obesity and Diabetes in Youth (PRODY), 2017-2019), we analyzed 201,098 urban children aged 3 to 18 years from 11 provinces, autonomous regions, and municipalities that are geographically representative of China. All participants underwent physical examinations. Sex-specific percentiles of height-for-age and weight-for-age were constructed by Generalized Additive Models for Location Scale and Shape (GAMLSS) model. We also compared the median values of height-for-age or weight-for-age between our growth chart and the established growth reference using Welch-Satterthwaite T-Test. Results: Consistent with the established growth reference, we observed that the P-50 percentile of height-for-age reached plateaus at the age of 15 years (172 cm) and 14 years (160 cm) for boys and girls, respectively. In addition, boys aged 10 similar to 14 years and girls aged 10 similar to 12 years exhibited the most dramatic weight difference compared to those of other age groups (19.5 kg and 10.3 kg, respectively). However, our growth chart had higher median values of weight-for-age and height-for-age than the established growth reference with mean increases in weight-for-age of 1.36 kg and 1.17 kg for boys and girls, respectively, and in height-for-age of 2.9 cm and 2.6 cm for boys and girls, respectively. Conclusions: Our updated growth chart can serve as a reliable reference to assess the growth and nutritional status in urban Chinese children throughout the entire childhood."

基金机构："National Key R&D Program of China, Ministry of Science and Technology of China; National Natural Science Foundation of China [2021YFC2701901, 2016YFC1305300]; Zhejiang Province Natural Sciences Foundation Zhejiang Society for Mathematical Medicine [81570759, 81270938]; Zhejiang Provincial Key Disciplines of Medicine [LSZ19H070001]; Fundamental Research Funds for the Central Universities [11-CX24]; [2017XZZX001-01]"

基金资助正文："This work was supported by the National Key R & D Program of China, Ministry of Science and Technology of China [grant numbers 2021YFC2701901 and 2016YFC1305300] and grants from National Natural Science Foundation of China [grant numbers 81570759 and 81270938], Zhejiang Province Natural Sciences Foundation Zhejiang Society for Mathematical Medicine [grant num-ber LSZ19H070001], Zhejiang Provincial Key Disciplines of Medicine [Innova-tion Discipline grant number 11-CX24], and the Fundamental Research Funds for the Central Universities [grant number 2017XZZX001-01]. The funders had no roles in the study design, data collection and analysis, or the preparation of the manuscript"