Abstract:Objective To establish the Quetelet index (QI) of singleton neonates with different gestational age (GA) so as to provide reference data for evaluating enrichment degree of neonates at birth in Shenzhen. Methods A cross-sectional cluster sampling was performed in two hospitals from April 2013 to September 2015. Body weight, body length, crown-rump length, head circumference and chest circumference of 16,887 singleton neonates (including 9,418 boys and 7,469 girls) with different GA at birth were measured on the spot, and then the QI of singleton neonates with different GA was created. Results We plotted the QI mean values and 3rd-97th percentile intrauterine growth curves of singleton neonates withGA of 27-42 weeks and from three groups of male, female, and both sexes in Shenzhen in 2015. Male and female neonates with GA of 27 weeks had the lowest QI value, which gradually increased with the increasing GA and reached the highest at 42 weeks of GA. The value of QI 50th curve at each gestational weekforneonates with GA of 27-42 weeks was higher in males than in females, and the increased values ranged between 1.17 and 1.83 and showed statistically significant differences in 35-41 weeks of GA (t=2.73-8.85, P<0.01-P<0.001). Conclusions The QI values of singleton neonates with GA in Shenzhen are increased with the increasing GA, indicating that the body density and enrichment degree are also increased with the increasing GA. There exists a gender difference in the QI values, showing high values in males than in females.
黄小云, 刘惠龙, 雷敏, 麦慧芬, 连朝辉, 李优聪. 深圳16887例不同胎龄单胎新生儿克托莱指数研究[J]. 实用预防医学, 2018, 25(5): 529-533.
HUANG Xiao-yun, LIU Hui-long, LEI Min, MAI Hui-fen, LIAN Chao-hui, LI You-cong. Study on the Quetelet index in 16,887 singleton neonates with different gestational age in Shenzhen City. , 2018, 25(5): 529-533.
[1] Aryal DR, Gurung R, Misra S, et al. Intrauterine growth curves for singleton live babies in paropakar maternity and women’s hospital in nepal[J]. J Nepal Health Res Counc,2012,10(20):160-166. [2] Kandraju H, Agrawal S, Geetha K, et al. Gestational age-specific centile charts for anhropometry at birth for south Indian infants[J]. Indian Pediatr,2012, 49(3):199-202. [3] Olsen IE, Groveman SA, Lawson ML, et al. New intrauterine growth curves based on United States data[J]. Pediatrics,2010, 125(2):e214-224. [4] Cole TJ, Williams AF, Wright CM. Revised birth centiles for weight, length and head circumference in the UK-WHO growth charts[J]. Ann Hum Biol, 2012, 38(1):7-11. [5] Kurtoglu S, Hatipoglu N, Mazicioglu MM,et al. Body weight, length and head circumference at birth in a cohort of Turkish newborns[J]. J Clin Res Pediatr Endocri,2012, 4(3):132-139. [6] Yunis KA, Khawaja M, Beydoun H, et al. Intrauterine growth standards in a developing country:a study of singleton livebirths at 28-42 weeks gestation[J]. Paediatric Perinat Epidemiol, 2007, 21(5):387-396. [7] 朱丽,张蓉,张淑莲,等.中国不同胎龄新生儿出生体重曲线研制[J].中华儿科杂志,2015, 53(2):97-103. [8] 石淑华,戴耀华.儿童保健学[M].第3版.北京:人民卫生出版社,2014:22-23. [9] 深圳市统计局.深圳统计学年鉴-2016[M]. 北京:中国统计出版社,2016(总第26期):53-55. [10] 黄小云,刘惠龙,雷敏,等.深圳16 887例胎龄27~42周新生儿宫内生长体重、身长、头围、胸围、顶臀长曲线[J].中国当代儿科杂志,2017,19(8):877-886. [11] 儿童体格发育调查研究工作学习班.我国正常儿童青少年体格发育调查研究实施方案[J].中华医学杂志,1976, 56(1):63-64. [12] Cole TJ, Green PJ. Smoothing reference centile curves:the LMS method and penalized likelihood [J]. Stat Med,1992, 11(10):1305-1319.