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Growth Curves of Aboriginal Children in Taiwan

台灣原住民學童之生長曲線圖

摘要


本研究主要在建立台閩地區原住民學童身高、體重及身體質量指數的生長曲線圖,結果並與2002年全國同年齡層學童資料做比較,以瞭解原住民的生長狀况。總共有13,134位7-18歲原住民學童為研究樣本。結果發現各年齡層原住民男童的身高及體重之中位數普遍較女童矮,直到13歲後才超過。原住民學童的身高方面,女童生長速度於11歲以後開始趨緩,男童則爲14歲。體重方面,原住民男童急速增加尤其是位於97百分位者,而相對的女童於16歲以後呈現負成長。在與2002年全國同齡學童資料的比較結果發現,位於15,50,及85百分位者的身高、體重及身體質量指數的生長曲線圖均類似,唯有原住民男童的身體質量指數於青春期後期逐漸高於全國學童的資料。建議針對原住民男童應及早預防體重過重。

並列摘要


The aims of the study were to establish individual percentile charts of the body height, weight and body mass index (BMI) for Taiwanese aboriginal children, aged from 7-18 years old, and to compare the growth data of aboriginal children to the data of children in Taiwan and Fukien areas collected in 2002. In total 6,720 aboriginal boys and 6,414 aboriginal girls were included in this study. Cole's LMS method was used to draw the smoothed growth charts. The results revealed that the aboriginal girls were slightly taller and heavier than the aboriginal boys during most of childhood but the aboriginal boys surpassed the aboriginal girls beginning at age 13. Growth velocity slowed down in the aboriginal girls at age 11 and in the aboriginal boys at age 14. The aboriginal boys rapidly gained weight during 7-18 years of age. The weight curves of aboriginal boys and girls had similar patterns before the age of 16. This increase in weight continued in the aboriginal boys', but it plateaued for aboriginal girls around 16 to 17 years of age and even declined at the age 18 in the 97(superscript th) percentile. When comparing this data to the data from 2002, the aboriginal children demonstrated similar growth patterns as the nationwide children in the 15(superscript th), 50(superscript th) and 85(superscript th) percentiles of body height, weight, and BMI respectively. The one exception was the BMI of the aboriginal boys. It was increasingly higher than the nationwide correspondents during the late teenage years. The aboriginal girls had slightly higher BMI than the nationwide girls at every age. Based on these results, developing programs aimed at preventing aboriginal boys from becoming overweight before they reach their late teenage years is suggested to administrators of health and education services.

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