上海市1980～1996年0～6岁儿童体格生长的纵向监测

Secular Trend in Growth between 1980～1996 in Shanghai Children.

【目的】 评价 0～ 6岁儿童体格生长的动态变化。 【方法】 利用上海市枫林街道 1980～ 1996年 0～6儿童健康监测资料 ,分析 17年来儿童体格生长的现况及趋势。 【结果】 1980～ 1990年出生的枫林街道 0～ 6岁儿童体重相近或超过全国 1985年九市城区小儿的生长参考标准 ,但在 80年代早、中期出生的小儿其体重自 9个月起落后于WHO生长参考标准 ,至 3～ 4岁后又追上并超过WHO生长参考值。而 80年代末期出生的小儿各年龄的体重均符合WHO标准。身高 3岁以前与全国生长参考标准和WHO生长参考标准基本相似 ,3岁以后略高于这二标准。在1980～ 1996年间该地区 0～ 6岁各个年龄段儿童的体重、身高和身体质量指数 (BMI)均出现显著的增长趋势 ,至 6岁时体重、身高和BMI每十年的增长值分别为 1.2 4kg ,2 .6 5cm和 0 .2 1kg/m2 。 【结论】 上海市区 0～

Objective To describe secular changes in body size in Shanghai children. Methods The study series consisted of 6,018 longitudinal followed full term children, born between 1 st January 1980 and 31 st December 1990 in Fenglin community, Shanghai. Children were followed up monthly from 1 to 6 months, three monthly from 6 to 12 months, six monthly from 12 to 36 months, and yearly from 3 years to 6 years of age. Results Weight for children born between 1980 1990 was similar to or above national standard (1985), however, lower than NCHS/WHO standard from 9 months to 24 months of age for children born at early and middle of 80's and again close to and above NCHS/WHO standard from 3 years of age and onward. Weight for children born at later of 80's at all ages were all above NCHS/WHO standard. Height was similar to both national standard (1985) and NCHS/WHO standard before 3 years of age, and a little bit higher than those two standards after 3 years of age. The data clearly showed a positive secular trend in growth in Shanghai children over the period of 1980～1996. At 6 years of age, the mean increase in weight, height and body mass index (BMI) were 1.24kg, 2.65cm and 0.21kg/m 2 per decade. Conclusions Shanghai children have a positive secular change since 1980.