CDC Growth Charts 2000疾病预防控制中心增长图2000.ppt

Training Objectives Science behind development of growth charts Rationale for including BMI-for-age Using BMI-for-age as a screening tool Disjunction: Smoothed in New Charts Reference Data Sets: Birth to 36 Months Reference Data Sets: 2 to 20 Years Exclusions from the Reference Data Very low birth weight (VLBW) infants (1500 g) were excluded because they have different growth patterns NHANES III weight data for 6+ year olds were excluded to avoid an upward shift in weight-for-age and BMI-for-age curves 195th percentile BMI-for-age 2 /nchs/products/pubs/pubd/hestats/overwght99.htm CDC Growth Charts Are for All Racial and Ethnic Groups Combined Age Adjusted Prevalence of Low Height-for-Age by Ethnic Groups, Children Aged 0 to 5 Years1 Breast-Fed vs. Formula-Fed Infants Mode of infant feeding can influence growth New charts represent the combined growth patterns of breast-fed and formula-fed infants Working group of the World Health Organization (WHO) is developing growth charts for infants and children through age 5 using data collected on infants following WHO feeding recommendations Indicators of Nutritional Status Indicators of Nutritional Status Prevalence of Nutritional Status Indicators New Reference Curves Compared with Old Curves* Prevalence of Nutritional Status Indicators New Reference Curves Compared with Old Curves* What Is BMI? Advantages of BMI-for-Age Provides a reference for adolescents that was not previously available Consistent with adult index so it can be used continuously from 2 years of age to adulthood Tracks childhood overweight into adulthood Tracking BMI-for-Age from Birth to 18 Years with Percent of Overweight Children who Are Obese at Age 251 Advantages of BMI-for-Age BMI-for-age relates to health risks Correlates with clinical risk factors for cardiovascular disease including hyperlipidemia, elevated insulin, and high blood pressure BMI-for-age dur