Establishment of Z Score Reference of Growth Parameters for Egyptian School Children and Adolescents Aged From 5 to 19 Years: A Cross Sectional Study

Background: Growth charts are an important method for evaluating a child's health, growth, and nutritional status.Objective: To establish Lambda—Mu- Sigma (LMS) and Z score references for assessment of growth and nutritional status in Egyptian school children and adolescents.Methods: A total of...

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Main Authors: Ali M. El Shafie, Fady M. El-Gendy, Dalia M. Allahony, Zein A. Omar, Mohamed A. Samir, Ahmed N. El-Bazzar, Mohamed A. Abd El-Fattah, Amir A. Abdel Monsef, Amir M. Kairallah, Hythem M. Raafet, Ghada M. Baza, Amany G. Salah, Walaa S. Galab, Zeinab A. Kasemy, Wael A. Bahbah
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-07-01
Series:Frontiers in Pediatrics
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fped.2020.00368/full
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author Ali M. El Shafie
Fady M. El-Gendy
Dalia M. Allahony
Zein A. Omar
Mohamed A. Samir
Ahmed N. El-Bazzar
Mohamed A. Abd El-Fattah
Amir A. Abdel Monsef
Amir M. Kairallah
Hythem M. Raafet
Ghada M. Baza
Amany G. Salah
Walaa S. Galab
Zeinab A. Kasemy
Wael A. Bahbah
author_facet Ali M. El Shafie
Fady M. El-Gendy
Dalia M. Allahony
Zein A. Omar
Mohamed A. Samir
Ahmed N. El-Bazzar
Mohamed A. Abd El-Fattah
Amir A. Abdel Monsef
Amir M. Kairallah
Hythem M. Raafet
Ghada M. Baza
Amany G. Salah
Walaa S. Galab
Zeinab A. Kasemy
Wael A. Bahbah
author_sort Ali M. El Shafie
collection DOAJ
description Background: Growth charts are an important method for evaluating a child's health, growth, and nutritional status.Objective: To establish Lambda—Mu- Sigma (LMS) and Z score references for assessment of growth and nutritional status in Egyptian school children and adolescents.Methods: A total of 34,822 Egyptian school children and adolescents from 5 to 19 years were enrolled in a cross sectional randomized study from December 2017 to November 2019 to create LMS and Z score references for weight, height and body mass index (BMI) corresponding to ages. They were selected from different districts in Egypt. Apparent Healthy children with good nutritional history and not suffering from any chronic diseases were included in the study.Results: Egyptian children of both sexes (54.3% boys and 45.7 % girls) from 5 to 19 years old were studied. Then LMS and Z scores for weight for age, height for age, BMI for age of both sexes were represented in detailed tables and graphs. There was no statistically significant difference between the Egyptian Z score charts and the reference values of WHO for weight, height and BMI corresponding to age (P > 0.05).Conclusion: This is the first national reference for growth and nutritional assessment using LMS and Z score charts in Egyptian school children and adolescents, this tool is essential for healthcare and research.
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spelling doaj.art-a825b5aca9ad47ccb548ef212383dc9a2022-12-21T18:10:12ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602020-07-01810.3389/fped.2020.00368548535Establishment of Z Score Reference of Growth Parameters for Egyptian School Children and Adolescents Aged From 5 to 19 Years: A Cross Sectional StudyAli M. El Shafie0Fady M. El-Gendy1Dalia M. Allahony2Zein A. Omar3Mohamed A. Samir4Ahmed N. El-Bazzar5Mohamed A. Abd El-Fattah6Amir A. Abdel Monsef7Amir M. Kairallah8Hythem M. Raafet9Ghada M. Baza10Amany G. Salah11Walaa S. Galab12Zeinab A. Kasemy13Wael A. Bahbah14Department of Pediatrics, Faculty of Medicine, Menoufia University, Shebeen El-Kom, EgyptDepartment of Pediatrics, Faculty of Medicine, Menoufia University, Shebeen El-Kom, EgyptDepartment of Pediatrics, Faculty of Medicine, Menoufia University, Shebeen El-Kom, EgyptDepartment of Pediatrics, Faculty of Medicine, Menoufia University, Shebeen El-Kom, EgyptDepartment of Pediatrics, Faculty of Medicine, Menoufia University, Shebeen El-Kom, EgyptMinistry of Health Hospitals, Cairo, EgyptMinistry of Health Hospitals, Cairo, EgyptMinistry of Health Hospitals, Cairo, EgyptMinistry of Health Hospitals, Cairo, EgyptMinistry of Health Hospitals, Cairo, EgyptMinistry of Health Hospitals, Cairo, EgyptMinistry of Health Hospitals, Cairo, EgyptMinistry of Health Hospitals, Cairo, EgyptDepartment of Public Health and Community Medicine, Faculty of Medicine, Menoufia University, Shebeen El-Kom, EgyptDepartment of Pediatrics, Faculty of Medicine, Menoufia University, Shebeen El-Kom, EgyptBackground: Growth charts are an important method for evaluating a child's health, growth, and nutritional status.Objective: To establish Lambda—Mu- Sigma (LMS) and Z score references for assessment of growth and nutritional status in Egyptian school children and adolescents.Methods: A total of 34,822 Egyptian school children and adolescents from 5 to 19 years were enrolled in a cross sectional randomized study from December 2017 to November 2019 to create LMS and Z score references for weight, height and body mass index (BMI) corresponding to ages. They were selected from different districts in Egypt. Apparent Healthy children with good nutritional history and not suffering from any chronic diseases were included in the study.Results: Egyptian children of both sexes (54.3% boys and 45.7 % girls) from 5 to 19 years old were studied. Then LMS and Z scores for weight for age, height for age, BMI for age of both sexes were represented in detailed tables and graphs. There was no statistically significant difference between the Egyptian Z score charts and the reference values of WHO for weight, height and BMI corresponding to age (P > 0.05).Conclusion: This is the first national reference for growth and nutritional assessment using LMS and Z score charts in Egyptian school children and adolescents, this tool is essential for healthcare and research.https://www.frontiersin.org/article/10.3389/fped.2020.00368/fulladolescentEgyptian Z scoregrowth parametersnutritional statusschool children
spellingShingle Ali M. El Shafie
Fady M. El-Gendy
Dalia M. Allahony
Zein A. Omar
Mohamed A. Samir
Ahmed N. El-Bazzar
Mohamed A. Abd El-Fattah
Amir A. Abdel Monsef
Amir M. Kairallah
Hythem M. Raafet
Ghada M. Baza
Amany G. Salah
Walaa S. Galab
Zeinab A. Kasemy
Wael A. Bahbah
Establishment of Z Score Reference of Growth Parameters for Egyptian School Children and Adolescents Aged From 5 to 19 Years: A Cross Sectional Study
Frontiers in Pediatrics
adolescent
Egyptian Z score
growth parameters
nutritional status
school children
title Establishment of Z Score Reference of Growth Parameters for Egyptian School Children and Adolescents Aged From 5 to 19 Years: A Cross Sectional Study
title_full Establishment of Z Score Reference of Growth Parameters for Egyptian School Children and Adolescents Aged From 5 to 19 Years: A Cross Sectional Study
title_fullStr Establishment of Z Score Reference of Growth Parameters for Egyptian School Children and Adolescents Aged From 5 to 19 Years: A Cross Sectional Study
title_full_unstemmed Establishment of Z Score Reference of Growth Parameters for Egyptian School Children and Adolescents Aged From 5 to 19 Years: A Cross Sectional Study
title_short Establishment of Z Score Reference of Growth Parameters for Egyptian School Children and Adolescents Aged From 5 to 19 Years: A Cross Sectional Study
title_sort establishment of z score reference of growth parameters for egyptian school children and adolescents aged from 5 to 19 years a cross sectional study
topic adolescent
Egyptian Z score
growth parameters
nutritional status
school children
url https://www.frontiersin.org/article/10.3389/fped.2020.00368/full
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