Evidence map›Paper›PMID 35568936›Full record

ArticleBMC pediatrics2022

Syrian national growth references for children and adolescents aged 2-20 years.

Ali Zamlout, Kamal Alwannous, Ali Kahila, Majd Yaseen, Raneem Albadish, Morhaf Aleid, Karina Hamzah, Mahmoud Monther, Oudai Akkari, Amah Hasan and 13 more

Abstract readMulticenter Study
In one paragraph

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.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

23 authors.

Ali ZamloutDepartment of Pediatric Surgery - Faculty of Medicine, Tishreen University, Latakia, Syria.
Kamal AlwannousDepartment of Endocrinology and Metabolism, Al-Baath University, Homs, Syria.
Ali KahilaDepartment of Dermatology and Venereology, Damascus University, 17th Nissan, Damascus, Syria. dr.alikahila@gmail.com.
Majd YaseenFaculty of Medicine, Tishreen University, Latakia, Syria.
Raneem AlbadishFaculty of Medicine, Damascus University, Damascus, Syria.
Morhaf AleidFaculty of Medicine, Damascus University, Damascus, Syria.
Karina HamzahFaculty of Medicine, Damascus University, Damascus, Syria.
Mahmoud MontherFaculty of Medicine, Damascus University, Damascus, Syria.
Oudai AkkariFaculty of Medicine, Al-Baath University, Homs, Syria.
Amah HasanFaculty of Medicine, Al-Baath University, Homs, Syria.
Manal HasanFaculty of Medicine, Al-Baath University, Homs, Syria.
Ammar KhalloufFaculty of Medicine, Al-Baath University, Homs, Syria.
Amjad ObiedFaculty of Medicine, Damascus University, Damascus, Syria.
Amna SchmidtFaculty of Medicine, Damascus University, Damascus, Syria.
Sara DeebFaculty of Medicine, Tishreen University, Latakia, Syria.
Orwa DeebFaculty of Medicine, Aleppo University, Aleppo, Syria.
Judie Jalal EldinFaculty of Medicine, Aleppo University, Aleppo, Syria.
Nour OjailyFaculty of Medicine, Aleppo University, Aleppo, Syria.
Mohammad TaifourFaculty of Medicine, Aleppo University, Aleppo, Syria.
Qusai GhanemFaculty of Medicine, Damascus University, Damascus, Syria.
Younes KabalanDepartment of Endocrinology and Metabolism, Damascus University, Damascus, Syria.
Ali AlrstomDepartment of Infectious Diseases, Damascus University, Damascus, Syria.
Marwan AlhalabiDepartment of Reproductive Medicine, Embryology and Genetics, Damascus University, Damascus, Syria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

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.

Indexed as

Body HeightGrowth ChartsAdolescentBody Mass IndexBody WeightChild, PreschoolCross-Sectional StudiesHumansSyriaBox-Cox Cole and GreenBox-Cox Power ExponentialBox-Cox TGrowth chartsGrowth referencesSyria

Identifiers

PMID35568936
PMCPMC9107173

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.