Objective To analyze the height growth of children aged 6 - 15 years in Nanning, Guangxi Zhuang Autonomous Region, so as to provide evidence for the assessment of local children's height development. Methods A total of 25 225 children aged 6 - 15 years were selected to get their physical examination data from 41 primary schools in Nanning by stratified cluster sampling method in December 2021.Then the height data were compared with the current domestic standards. Results The average height of boys in Nanning was lower than the national standard before the age of 10 years and 7 months, and the gap with the national standard gradually narrowed after the age of 10 years and 7 months. The average height of boys in Nanning City exceeded the national standard between the age of 11 years and 1 month and 13 years and 6 months, and then lagged behind the national standard again after the age of 13 years and 7 months. The mean height of girls in Nanning City was lower than the national standard height in several age groups, and it was more obvious before the age of 9 years and 7 months. The proportion of height ≤-2s,≤-s,≥ +sand ≥+2s in boys aged 6 to 15 years in Nanning City fluctuated from 2.59% to 6.04%, 12.09% to 23.43%, 7.18% to 18.79% and 0.93% to 3.14%, respectively; the total proportions were 4.56%, 17.46%, 11.35% and 1.74%, respectively; the minimum/maximum proportion values of each height group were at 11 years old /8 years old, 14 years old/8 years old, 8 years old/12 years old, and 6 years old/11 years old, respectively. The proportions of girls aged 6 - 15 years in Nanning City with height ≤-2s, ≤-s, ≥+s, and ≥+2s fluctuated from 2.06% to 5.19%, 9.35% to 25.15%, 8.21% to 15.80% and 1.23% to 3.49%, respectively; the total proportions were 3.38%, 16.91%, 11.97% and 2.29%, respectively; and the minimum/maximum proportion values of each height group were at 13 years old/6 years old, 12 years old/6 years old, 7 years old/12 years old, and 6 years old/11 years old, respectively. Conclusions The overall height level of children in Nanning is still lower than the national level, with short prepubertal basal heights, an earlier age of onset of accelerated pubertal height, and a shorter duration of accelerated pubertal height in boys. Strengthening pre-pubertal height management and emphasizing the onset and duration of children's pubertal development, especially the height development of boys during puberty, can help improve the adult lifelong height of children in this region.
Key words
height /
national standards /
growth and height development /
children
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
References
[1] 滕敏,聂四平.中国1985—2010年城市18岁汉族男生身高体重秩次变化[J]. 中国学校卫生,2016,37(10):1571-1573.
Teng M, Nie SP. Rank change of height and weight in urban Han male students aged 18 from 1985 to 2010 in China[J]. Chin J Sch Health, 2016, 37(10):1571-1573.(in Chinese)
[2] 李忠友,唐振柱,方志峰,等. 1991—2011年广西18~65岁居民身高、体重变化趋势分析[J].热带医学杂志,2014,14(2):229-232.
Li ZY, Tang ZZ, Fang ZF, et al. Trend analysis of height and weight of residents aged 18-65 in Guangxi from 1991 to 2011[J]. Journal of Tropical Medicine, 2014, 14(2): 229-232.(in Chinese)
[3] 任轶文.广西汉、壮、瑶族7、10、13岁学生IGFs水平及生长发育影响因素的研究[D].南宁:广西医科大学,2014.
Ren YW. Study on IGFS level and development influence factors of Han, Zhuang, Yao students aged 7、10、13 in Nanning[D]. Nanning:Guangxi Medical University, 2014.(in Chinese)
[4] 中华人民共和国卫生部妇幼保健与社区卫生司.中国儿童生长标准与生长曲线[M].上海:第二军医大学出版社,2009.
Department of Maternal and Child Health and Community Health, Ministry of Health, PRC. China child growth standards and curves[M]. Shanghai: Second Military Medical University Press, 2009. (in Chinese)
[5] 中华医学会儿科学分会内分泌遗传代谢学组,中华医学会儿科学分会儿童保健学组,中华儿科杂志编辑委员会.儿童体格发育评估与管理临床实践专家共识[J].中华儿科杂志,2021,59(3):169-174.
Endocrinology, Genetics and Metabolism Group, Pediatrics Society of Chinese Medical Association.Child Health Group, Pediatrics Branch of Chinese Medical Association, Editorial Board of Chinese Journal of Pediatrics. Expert consensus on clinical practice of assessment and management of childhood physical development[J]. Chin J Pediatrics, 2021, 59(3):169-174.(in Chinese)
[6] 中华人民共和国卫生健康委.中国7岁以下儿童生长标准WS/ T423—2022[S]. 2022.11.
Health Commission of the People's Republic of China. China growth standard for children under 7 years old (WS/ T423-2022) [S].2022.11.(in Chinese)
[7] 中华医学会儿科学分会内分泌遗传代谢学组.矮身材儿童诊治指南[J].中华医学信息导报,2008,23(24):2-4.
Endocrinology, Genetics and Metabolism Group, Pediatrics Society of Chinese Medical Association. Guidelines for the diagnosis and treatment of children with short stature[J]. Chin Med News, 2008, 23(24):2-4.(in Chinese)
[8] 熊小波,张玉,郭毅,等.广西融安县6~12岁小学生身高发育及矮小症患病情况[J].广西医学,2020,42(13):1695-1697.
Xiong XB, Zhang Y, Guo YI, et al. Height development and short stature among 6-12 year old primary school students in Rong'an County, Guangxi Province[J]. Guangxi Medical Science, 2020, 42(13):1695-1697.(in Chinese)
[9] 覃耀明,蒙健堂,黄玲.广西隆安县2 455名壮族留守儿童发育情况分析[J].广西医学,2010,32(9):1131-1132.
Qin YM, Meng JT, Huang L. Analysis on the development of 2 455 left-behind children of Zhuang nationality in Long'an County, Guangxi Province[J]. Guangxi Medical Science, 2010, 32(9):1131-1132.(in Chinese)
[10] 中华医学会儿科学分会内分泌遗传代谢学组,中华儿科杂志编辑委员会.中枢性性早熟诊断与治疗专家共识(2022)[J].中华儿科杂志,2023,61(1):16-22.
Endocrinology,Genetics and Metabolism Group,Pediatrics Branch of Chinese Medical Association, Editorial Board of Chinese Journal of Pediatrics. Expert consensus on diagnosis and treatment of central precocious puberty(2022)[J]. Chin J Pediatrics,2023,61(1):16-21.(in Chinese)
[11] Eckert-Lind C, Busch AS, Petersen JH, et al. Worldwide secular trends in age at pubertal onset assessed by breast development among girls: A systematic review and Meta-analysis[J]. JAMA Pediatr, 2020, 174(4): e195881.
[12] 吴薇,罗小平.科学评估儿童和青少年体格生长发育[J].中华医学信息导报,2022,37(10):14-15.
Wu W,Luo XP. Scientific assessment of physical growth and development in children and adolescents[J]. Chin Med News, 2022, 37(10): 14-15.(in Chinese)
[13] Wood CL, Lane LC, Cheetham T. Puberty: Normal physiology (brief overview)[J]. Best Pract Res Clin Endocrinol Metab, 2019, 33(3):101265.(in Chinese)
[14] 黄轲.准确评估、规范诊治提高我国儿童体格发育管理水平[J].中华医学信息导报,2021,36(6):12-13.
Huang K. Accurate assessment, standardized diagnosis and treatment to improve the level of physical development management of Chinesechildren[J]. Chin Med News, 2021, 36(6):12-13.(in Chinese)
[15] 杨洁丽.身高促进方案干预对儿童身高增长的影响分析[J].中国保健营养, 2020,30(2):335-336.
Yang JL.Analysis on the influence of intervention of Height Promotion Program on the Height growth of children[J]. Health and Nutrition in China, 2020, 30(2): 335-336.(in Chinese)
[16] 蔡德培.儿童性早熟与青春期延迟[M].2版.上海:复旦大学出版社, 2020:1-13.
Cai DP. Precocious puberty and delayed puberty in children[M]. 2nd ed. Shanghai: Fudan University Press,2020:1-13.(in Chinese)
[17] 陈少科,郭先鸣,马张杰,等.南宁市3-16岁儿童体格与青春期发育相关分析[J].中国儿童保健杂志,2005,13(2):163-164.
Chen SK,Guo XM, Ma ZJ, et al. Correlation analysis of physical size and adolescent development in children aged 3 to 16 years in Nanning City[J]. Chin J Child Health, 2005, 13(2):163-164.(in Chinese)