ArticleBMC pediatrics2022
Syrian national growth references for children and adolescents aged 2-20 years.
Article in BMC pediatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Developing Growth Reference Curves for Jordanian Children and Adolescents: A Comparative Analysis with WHO Growth Standards and References.Healthcare (Basel, Switzerland) · 2026Article
- Exploring the association between BMI and dental caries in 6-9-year-old children in Damascus, Syria: a cross-sectional study.BDJ open · 2025Article
- A retrospective analysis of real-world height outcomes of growth hormone treatment in Syrian children.BMC endocrine disorders · 2025Article
- Investigating The Impact of Syrian Conflict On Women's Education, Mental Health, and Rights: a Cross-Sectional Study.BMC women's health · 2025Article
- CEP76 impairment at the centrosome-cilium interface contributes to a spectrum of ciliopathies.Science advances · 2025Article
- Post-crisis health reality and wellbeing of children within Syria: a scoping review of research from 2012 to 2024.Conflict and health · 2025Review
- The development of national growth charts for Jordanian children aged 0-2 years.Frontiers in pediatrics · 2025Article
- Anthropometric indices growth references (length, Weight and Head Circumferences) of children aged 0-24 months in North-East of Iran by GAMLSS.BMC pediatrics · 2024Article
- Obesity and its related factors among university medical students in Syria: A cross-sectional study.SAGE open medicine · 2024Article
- Prevalence of childhood obstructive sleep apnoea syndrome and its role in daytime sleepiness in Syria: a large-scale school-based cross-sectional study.Annals of medicine and surgery (2012) · 2023Article
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23 authors.
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Abstract
backgroundDuring the past three decades, growth charts have become one of the principal tools for monitoring anthropometric development in individuals and populations as well. Growth references by the CDC and other countries have been widely used in our hospitals and healthcare units for clinical assessment of children's development. The apparent overestimation and underestimation of many children's anthropometrics indicated the need to construct our own references. The objective of this study is to establish the national growth references for the Syrian population 2-20-year-old.
methodsA multicenter cross-sectional sample of 13,548 subjects, aged 2-20 years, were recruited from various kindergartens, schools, and universities across the Syrian Arab Republic between February and May-2019. Response variables (stature, weight, and BMI) were fitted against age using P-splines and three empirical distributions: Box-Cox T, Box-Cox Power Exponential, and Box-Cox Cole and Green. Residuals diagnostic Q-tests and worm plots were used to check the validity of fitted models.
resultsBox-Cox T provided the best fit for stature-for-age, whereas Box-Cox Power Exponential provided the best fit for weight-for-age and BMI-for-age. Residuals diagnostics revealed adequate models fitting. BMI cutoffs revealed an increased prevalence of obesity (4.5% and 3.66%) and overweight (20.1% and 19.54%), for boys and girls respectively, in our population.
conclusionsGrowth charts are available for use now in our hospitals and healthcare units. For 0-2-year-old children, we recommend using the World Health Organization's standards.
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