中国9地区3～12岁儿童生长发育Z评分分析  

Analysis of 3～12 years old children growing development Z-score from 9 areas of China

作　　者：赵文芝[1] 赵艾[1] 马德福[1] 郑迎东[1] 薛勇[1] 李俊萍[2] 张玉梅[1] 王培玉[1] 

机构地区：[1]北京大学公共卫生学院,北京100191 [2]邢台医学高等专科学校,河北邢台054000

出　　处：《中国儿童保健杂志》2015年第9期920-923,共4页Chinese Journal of Child Health Care

摘　　要：目的 了解并分析中国9地区3∽12岁儿童生长发育和营养状况,为促进儿童保健和营养管理提供依据。方法 对9地区（7城市,2农村）1 722名儿童进行身高、体重等体格测量和问卷调查,计算相应Z评分,综合评价被调查儿童的生长发育和营养状况。结果 9地区被调查儿童的身高和体重均值及超重率较高,而低体重率、生长发育迟缓率、消瘦率较低,年龄别体重（weight for age Z-score,WAZ）、年龄别身高（height for age Z-score,HAZ）和年龄别BMI（BMI for age Z-score,BAZ）达中等以上发育水平者分别为89.04%、89.19%和83.22%,城市儿童和农村儿童消瘦率、超重率以及WAZ、BAZ发育较差者所占比例的差异有统计学意义（P〈0.05）。结论 9地区被调查儿童生长发育总体状况较好,但仍然存在低体重和超重、肥胖的情况,应重视儿童的健康教育和营养管理工作。Objective To investigate and analyze the growing development and nutritional status of children aged 3- 12 years from 9 areas of China,and to provide evidences for health care and nutrition management of children. Methods Physique growth investigation （ ie. body height and weight） and questionnaire were carried out in 1 722 children from 9 areas （ 7 cities and 2 countrysides） ,and related Z scores were computed to assess growing development and nutritional status of investigated children. Results The mean height,mean weight and obesity rate of investigated children from 9 areas were higher （or larger） ,and the low weight rate,growth stunt rate and waste rate were lower. The proportions of children whose weight for age Z-score （WAZ） ,height （or age Z score （HAZ） and BMI for age Z-score （BAZ） reached medium level or bet- ter were 89.04% ,89. 19% and 83.22%, respectively. There were significant differences in the waste rate and overweight rate between children in city and in countryside. Conclusions The nutrition status of children from 9 areas is good,while low body weight,overweight and obesity are continuing. More attention should be paled to health care and nutrition manage- ment of children.

关 键 词：生长发育 Z评分 营养状况 儿童 

分 类 号：R179[医药卫生—妇幼卫生保健]