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Development of LMS and Z Score Growth References for Egyptian Children From Birth Up to 5 Years

Background: The Lambda-Mu-Sigma (LMS) and Z score methods are important for assessment of growth and nutritional status. In Egypt, there is a lack of this tool for monitoring growth in preschool children. Objective: To develop LMS and Z score growth references for assessment of growth and nutritiona...

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Autores principales: El Shafie, Ali M., El-Gendy, Fady M., Allahony, Dalia M., Hegran, Hossam H., Omar, Zein A., Samir, Mohamed A., Kasemy, Zeinab A., El-Bazzar, Ahmed N., Abd El-Fattah, Mohamed A., Abdel Monsef, Amir A., Kairallah, Amir M., Raafet, Hythem M., Baza, Ghada M., Salah, Amany G., Galab, Walaa S., Alkalash, Safa H., Salama, Amal A., Farag, Nagwa A., Bahbah, Wael A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7849193/
https://www.ncbi.nlm.nih.gov/pubmed/33537262
http://dx.doi.org/10.3389/fped.2020.598499
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author El Shafie, Ali M.
El-Gendy, Fady M.
Allahony, Dalia M.
Hegran, Hossam H.
Omar, Zein A.
Samir, Mohamed A.
Kasemy, Zeinab A.
El-Bazzar, Ahmed N.
Abd El-Fattah, Mohamed A.
Abdel Monsef, Amir A.
Kairallah, Amir M.
Raafet, Hythem M.
Baza, Ghada M.
Salah, Amany G.
Galab, Walaa S.
Alkalash, Safa H.
Salama, Amal A.
Farag, Nagwa A.
Bahbah, Wael A.
author_facet El Shafie, Ali M.
El-Gendy, Fady M.
Allahony, Dalia M.
Hegran, Hossam H.
Omar, Zein A.
Samir, Mohamed A.
Kasemy, Zeinab A.
El-Bazzar, Ahmed N.
Abd El-Fattah, Mohamed A.
Abdel Monsef, Amir A.
Kairallah, Amir M.
Raafet, Hythem M.
Baza, Ghada M.
Salah, Amany G.
Galab, Walaa S.
Alkalash, Safa H.
Salama, Amal A.
Farag, Nagwa A.
Bahbah, Wael A.
author_sort El Shafie, Ali M.
collection PubMed
description Background: The Lambda-Mu-Sigma (LMS) and Z score methods are important for assessment of growth and nutritional status. In Egypt, there is a lack of this tool for monitoring growth in preschool children. Objective: To develop LMS and Z score growth references for assessment of growth and nutritional status for Egyptian children from birth up to 5 years. Methods: A total of 27,537 children [13,888 boys (50.4%) and 13,649 girls (49.6%)] from birth up to 5 years were included in a multistage cross sectional randomized study from different Egyptian geographic districts to create LMS and Z score references for weight, length/height, and body mass index corresponding to age in addition to weight for length/height. Healthy term infants and children, exclusive breast feeding for at least 4 months and not suffering from any chronic diseases were included in this study. Children with dysmorphic features, preterm infants, admitted in neonatal or pediatric intensive care units and having any chronic diseases (hematological, cardiac, hepatic, and renal) were excluded. In addition any health condition that affects child growth including nutritional disorders was also excluded. Un-paired t-test was calculated to compare the means of weight for age, length/height for age, weight for length/height, and BMI for-age z scores of the Egyptian and WHO reference values. Results: Through detailed tables and graphs, LMS and Z scores for weight for age, length/height for age, weight for length/height, and BMI for age of both sexes were represented. Our findings showed no statistically significant difference between reference charts of WHO and Egyptian Z score charts (P > 0.05). Conclusion: This study provides the first reference for Egyptian children from birth up to 5 years based on Z score tool for assessment the growth and nutritional status in various clinical conditions and research, also allows comparison with references of other countries.
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spelling pubmed-78491932021-02-02 Development of LMS and Z Score Growth References for Egyptian Children From Birth Up to 5 Years El Shafie, Ali M. El-Gendy, Fady M. Allahony, Dalia M. Hegran, Hossam H. Omar, Zein A. Samir, Mohamed A. Kasemy, Zeinab A. El-Bazzar, Ahmed N. Abd El-Fattah, Mohamed A. Abdel Monsef, Amir A. Kairallah, Amir M. Raafet, Hythem M. Baza, Ghada M. Salah, Amany G. Galab, Walaa S. Alkalash, Safa H. Salama, Amal A. Farag, Nagwa A. Bahbah, Wael A. Front Pediatr Pediatrics Background: The Lambda-Mu-Sigma (LMS) and Z score methods are important for assessment of growth and nutritional status. In Egypt, there is a lack of this tool for monitoring growth in preschool children. Objective: To develop LMS and Z score growth references for assessment of growth and nutritional status for Egyptian children from birth up to 5 years. Methods: A total of 27,537 children [13,888 boys (50.4%) and 13,649 girls (49.6%)] from birth up to 5 years were included in a multistage cross sectional randomized study from different Egyptian geographic districts to create LMS and Z score references for weight, length/height, and body mass index corresponding to age in addition to weight for length/height. Healthy term infants and children, exclusive breast feeding for at least 4 months and not suffering from any chronic diseases were included in this study. Children with dysmorphic features, preterm infants, admitted in neonatal or pediatric intensive care units and having any chronic diseases (hematological, cardiac, hepatic, and renal) were excluded. In addition any health condition that affects child growth including nutritional disorders was also excluded. Un-paired t-test was calculated to compare the means of weight for age, length/height for age, weight for length/height, and BMI for-age z scores of the Egyptian and WHO reference values. Results: Through detailed tables and graphs, LMS and Z scores for weight for age, length/height for age, weight for length/height, and BMI for age of both sexes were represented. Our findings showed no statistically significant difference between reference charts of WHO and Egyptian Z score charts (P > 0.05). Conclusion: This study provides the first reference for Egyptian children from birth up to 5 years based on Z score tool for assessment the growth and nutritional status in various clinical conditions and research, also allows comparison with references of other countries. Frontiers Media S.A. 2021-01-18 /pmc/articles/PMC7849193/ /pubmed/33537262 http://dx.doi.org/10.3389/fped.2020.598499 Text en Copyright © 2021 El Shafie, El-Gendy, Allahony, Hegran, Omar, Samir, Kasemy, El-Bazzar, Abd El-Fattah, Abdel Monsef, Kairallah, Raafet, Baza, Salah, Galab, Alkalash, Salama, Farag and Bahbah. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Pediatrics
El Shafie, Ali M.
El-Gendy, Fady M.
Allahony, Dalia M.
Hegran, Hossam H.
Omar, Zein A.
Samir, Mohamed A.
Kasemy, Zeinab A.
El-Bazzar, Ahmed N.
Abd El-Fattah, Mohamed A.
Abdel Monsef, Amir A.
Kairallah, Amir M.
Raafet, Hythem M.
Baza, Ghada M.
Salah, Amany G.
Galab, Walaa S.
Alkalash, Safa H.
Salama, Amal A.
Farag, Nagwa A.
Bahbah, Wael A.
Development of LMS and Z Score Growth References for Egyptian Children From Birth Up to 5 Years
title Development of LMS and Z Score Growth References for Egyptian Children From Birth Up to 5 Years
title_full Development of LMS and Z Score Growth References for Egyptian Children From Birth Up to 5 Years
title_fullStr Development of LMS and Z Score Growth References for Egyptian Children From Birth Up to 5 Years
title_full_unstemmed Development of LMS and Z Score Growth References for Egyptian Children From Birth Up to 5 Years
title_short Development of LMS and Z Score Growth References for Egyptian Children From Birth Up to 5 Years
title_sort development of lms and z score growth references for egyptian children from birth up to 5 years
topic Pediatrics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7849193/
https://www.ncbi.nlm.nih.gov/pubmed/33537262
http://dx.doi.org/10.3389/fped.2020.598499
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