Development of LMS and Z Score Growth References for Egyptian Children From Birth Up to 5 Years
| Autor: | Fady M El-Gendy, Zein A Omar, Amany G. Salah, Amal A. Salama, Ahmed N El-Bazzar, Hythem M Raafet, Amir M Kairallah, Hossam H. Hegran, Ghada M. Baza, Walaa S Galab, Dalia M Allahony, Mohamed A Samir, Wael A Bahbah, Amir A. Abdel Monsef, Nagwa A. Farag, Mohamed A. Abd El-Fattah, Safa H Alkalash, Zeinab A Kasemy, Ali M El Shafie |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Pediatrics
medicine.medical_specialty preschool children 030209 endocrinology & metabolism growth parameters Standard score law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Intensive care Weight for Age Medicine 030212 general & internal medicine Child growth Egyptian Original Research business.industry lcsh:RJ1-570 lcsh:Pediatrics Nutritional status z score nutritional status Pediatrics Perinatology and Child Health business Body mass index Breast feeding |
| Zdroj: | Frontiers in Pediatrics Frontiers in Pediatrics, Vol 8 (2021) |
| ISSN: | 2296-2360 |
| Popis: | Background: The Lambda-Mu-Sigma (LMS) and Z score methods are important for assessment of growth and nutritional status. In Egypt, there is a lack of this tool for monitoring growth in preschool children.Objective: To develop LMS and Z score growth references for assessment of growth and nutritional status for Egyptian children from birth up to 5 years.Methods: A total of 27,537 children [13,888 boys (50.4%) and 13,649 girls (49.6%)] from birth up to 5 years were included in a multistage cross sectional randomized study from different Egyptian geographic districts to create LMS and Z score references for weight, length/height, and body mass index corresponding to age in addition to weight for length/height. Healthy term infants and children, exclusive breast feeding for at least 4 months and not suffering from any chronic diseases were included in this study. Children with dysmorphic features, preterm infants, admitted in neonatal or pediatric intensive care units and having any chronic diseases (hematological, cardiac, hepatic, and renal) were excluded. In addition any health condition that affects child growth including nutritional disorders was also excluded. Un-paired t-test was calculated to compare the means of weight for age, length/height for age, weight for length/height, and BMI for-age z scores of the Egyptian and WHO reference values.Results: Through detailed tables and graphs, LMS and Z scores for weight for age, length/height for age, weight for length/height, and BMI for age of both sexes were represented. Our findings showed no statistically significant difference between reference charts of WHO and Egyptian Z score charts (P > 0.05).Conclusion: This study provides the first reference for Egyptian children from birth up to 5 years based on Z score tool for assessment the growth and nutritional status in various clinical conditions and research, also allows comparison with references of other countries. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|