Implications of using World Health Organization growth reference (2007) for identifying growth problems in Hong Kong children aged 6 to 18 years
Publication in refereed journal


摘要Objective To evaluate the implications of replacing Hong Kong's 1993 growth references (HK1993) with the World Health Organization's 2007 references (WHO2007) for children aged 6 to 18 years. Design Cross-sectional study. Setting Thirty-six randomly selected primary and secondary schools in Hong Kong. Participants A total of 14 842 children and adolescents aged 6 to 18 years in Hong Kong during 2005/06. Main outcome measures Creation of age-specific z-scores for height, weight, and body mass index relative to HK1993 and WHO2007 references. Results Use of WHO2007 instead of HK1993 could classify an additional 1.4% children aged 6 to 10 years and 2.8% children aged 11 to 18 years as having a short stature. Using WHO2007, respective proportions that could be classified as underweight and obese increased by 3.5% and 2.1% among children aged 6 to 10 years, and 5.5% and 1.6% among children aged 11 to 18 years. Conclusions Use of WHO2007 could increase clinical workload and patient and parent anxiety by 'over-diagnosing' short stature and underweight. Although WHO2007 may have a role in international comparative research, retention of HK1993 would seem appropriate from a clinical perspective.
著者So H.K., Nelson E.A.S., Sung R.Y.T., Ng P.C.
期刊名稱Hong Kong Medical Journal
出版社Hong Kong Academy of Medicine Press
出版地Hong Kong
頁次174 - 179
關鍵詞Child development, Growth, Puberty, Reference values, Sex factors

上次更新時間 2020-29-10 於 00:04