云南多民族中小学生体格发育指标参考范围  

Percentile reference values for anthropometric indices in multi-ethnic students aged 7-18 in Yunnan

作　　者：韦蝶心[1] 安维维[1] 黄达峰[1] 常利涛[1] 谭敏[1] 邓淑珍[1] 魏熙晶 吕慧[1] 

机构地区：[1]云南省疾病预防控制中心学校卫生所,昆明650022 [2]云南省教育厅体卫艺处

出　　处：《中国学校卫生》2016年第3期395-397,402,共4页Chinese Journal of School Health

摘　　要：目的制作云南多民族围青春期学生身高、体重、体质量指数的百分位标准曲线和百分位数界值点,为建立各指标参考值范围提供依据。方法分析2014年全国学生体质与健康调研云南7个民族7-18岁学生的调研数据,采用LMS法拟合百分位标准曲线,以百分位数界值点为标准,进行学生体格发育水平比较及营养健康状况评价。结果采用LMS法拟合百分位曲线效果良好,云南省7个民族学生体格发育水平存在明显差异,白族男、女生18岁年龄组身高水平最高（P50分别为172.14,159.17 cm）,佤族男、女生18岁年龄组身高水平最低（P50分别为163.21,151.82 cm）,2个民族男、女生18岁年龄组身高水平分别相差8.93 cm与7.35 cm。利用所建立的参考值标准筛查7个民族学生生长迟缓总检出率为2.01%,超重、肥胖总检出率分别为8.51%和4.32%,其中傣族学生生长迟缓检出率最高,为2.40%;汉族学生超重与肥胖检出率最高,分别为9.14%,4.99%。结论基于本地区学生体质调研数据所建立的评价标准,较客观地反映了云南省围青春期青少年体格发育水平,可为评价云南省青少年生长发育与营养健康状况提供区域性的参考标准。Objective The aim of our study is to provide percentiles for anthropometric indices in multi-ethnic children in Yunnan. Methods Data of the 2014 National Survey on Physical Fitness and Health in Chinese Students were used, which included students aged 7- 18 with 7 ethnicities in Yunnan. The reference curve and standardized reference percentiles were calculated using the LMS method. Growth, nutritional status was assessed by percentile reference cutoffs. Results Reference curve fitted well. There were significant differences in physical development status among seven nationality students. Height was highest in 18 years old students of Bai ethnic groups（ 50 th percentile was 172. 14 and 159. 17 cm in boys and girls, respectively）. Height level was lowest in 18 years old students of Wa ethnic groups（ 50 th percentile was 163. 21, 151. 82 cm in boys and girls, respectively）.The prevalence rate of stunting, overweight and obesity was 2. 01%, 8. 51% and 4. 32%, respectively. Growth retardation was highest in Dai students（ 2. 40%）, overweight and obesity was highest in Han students（ 9. 14% and 4. 99%, respectively）. Conclusion Establishment of standardized reference percentiles based on the locally data reflects physical development of adolescents around pubertal transition in Yunnan Province and also can be used as reference for local areas.

关 键 词：体型 生长和发育 学生 

分 类 号：R179[医药卫生—妇幼卫生保健] R195.2[医药卫生—公共卫生与预防医学]