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Commentary: Methods for calculating growth trajectories and constructing growth centiles

机译:评论:计算增长轨迹和构建增长中心的方法

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摘要

This commentary rounds off a collection of papers focusing on statistical methods for analysing growth data. In two papers, Anderson and colleagues discuss growth trajectory models in early life, using data on height and weight from the HBGDki initiative, while two papers from Ohuma and Altman review methods for centile construction, with data from the INTERGROWTH‐21st project used to provide worked examples of centiles for birthweight and fetal head circumference. Anderson et al focus on four growth trajectory models: quadratic Laird‐Ware, SITAR, brokenstick, and FACE, where the latter two fit better than the former two applied to length data in individuals. On this basis, they recommend brokenstick and FACE for future work. However, they do not discuss the timescale on which the growth models assess growth faltering nor the relevance of this timescale to later health outcome. Models that best detect short‐term fluctuations in growth (brokenstick and FACE) may not necessarily be best at predicting later outcome. It is premature to exclude the quadratic Laird‐Ware or SITAR models, which give a parsimonious summary of growth in individuals over a longer timescale. Ohuma and Altman highlight the poor quality of reporting in fetal centile studies, and they provide recommendations for good practice. Their birthweight centiles example illustrates both the power of the GAMLSS software and its capacity for misuse. The longitudinal fetal head circumference centiles are biased such that 5% of infants are below the 3rd centile and 5% above the 97th.
机译:该评论完善了一系列论文,这些论文侧重于用于分析增长数据的统计方法。在两篇论文中,Anderson及其同事使用HBGDki计划的身高和体重数据讨论了早年的成长轨迹模型,而Ohuma和Altman的两篇论文则对百分位数构建方法进行了综述,并使用了INTERGROWTH-21 项目用于提供出生体重和胎儿头围的百分位数的实际示例。 Anderson等人专注于四个增长轨迹模型:二次LairdWare,SITAR,brokenstick和FACE,其中后两个比对个人长度数据的前两个拟合更好。在此基础上,他们建议使用折线杆和FACE进行后续工作。但是,他们没有讨论增长模型评估增长步履蹒跚的时间表,也没有讨论该时间表与以后的健康结果的相关性。能够最好地检测生长的短期波动(断线和FACE)的模型可能不一定最适合预测以后的结果。排除二次LairdWare或SITAR模型还为时过早,后者对较长时间范围内的个体增长给出了简约的总结。 Ohuma和Altman强调了胎儿百分位数研究报告质量低下,并为良好实践提供了建议。他们的出生体重百分位数示例说明了GAMLSS软件的功能及其滥用能力。胎儿纵向头围的百分位有偏,使得5%的婴儿低于3 百分位,而5%的婴儿高于97

著录项

  • 期刊名称 Wiley-Blackwell Online Open
  • 作者

    T. J. Cole;

  • 作者单位
  • 年(卷),期 -1(38),19
  • 年度 -1
  • 页码 3571–3579
  • 总页数 9
  • 原文格式 PDF
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