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Assessment of Physical Growth and Development of School Children in Relation to WHO Standards in Western Kazakhstan

Gulnara BatyrovaDepartment of Clinical Laboratory Diagnostics, West Kazakhstan Marat Ospanov Medical University, Aktobe, KazakhstanZhenisgul Sh. TlegenovaDepartment of Internal Diseases No. 2, West Kazakhstan Marat Ospanov Medical University, Aktobe, KazakhstanZhamilya Kh. IssanguzhinaDepartment of Children Disease No. 2, West Kazakhstan Marat Ospanov Medical University, Aktobe, KazakhstanGulmira A. UmarovaDepartment of Evidence-Based Medicine and Scientific Management, West Kazakhstan Marat Ospanov Medical University, Aktobe, KazakhstanGulaim Ye. TaskozhinaDepartment of Clinical Laboratory Diagnostics, West Kazakhstan Marat Ospanov Medical University, Aktobe, KazakhstanKhatimya I. KudabayevaDepartment of Internal Diseases No. 1, West Kazakhstan Marat Ospanov Medical University, Aktobe, KazakhstanBakhtiyar U. IriskulovDepartment of Normal and Pathological Physiology, Tashkent Medical Academy, Tashkent, UzbekistanMarina MorenkoDepartment of Children’s Diseases with courses in allergology, immunology, hematology and endocrinology, Astana Medical University, Astana, KazakhstanAidana A. DuisenbayevaDepartment of Internal Diseases No. 1, West Kazakhstan Marat Ospanov Medical University, Aktobe, KazakhstanYerlan BazargaliyevDepartment of Internal Diseases No. 1, West Kazakhstan Marat Ospanov Medical University, Aktobe, KazakhstanYeskendir UmarovDepartment of Natural Sciences, West Kazakhstan Marat Ospanov Medical University, Aktobe, KazakhstanAruzhan SandibekkyzyDepartment of Clinical Laboratory Diagnostics, West Kazakhstan Marat Ospanov Medical University, Aktobe, KazakhstanRoza Ye. NurgaliyevaDepartment of Normal Physiology, West Kazakhstan Marat Ospanov Medical University, Aktobe, Kazakhstan
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Аннотация

The aim of this study is to examine the characteristics of physical growth (PG) in children and adolescents aged 6–17 years residing in urban and rural areas of Western Kazakhstan using anthropometric measurements and standardized indicators: weight-for-age Z-score (WAZ), height-for-age Z-score (HAZ), and body mass index (BMI)-for-age Z-score (BAZ). A cross-sectional study was conducted involving 830 children and adolescents, including 277 urban and 553 rural residents. Data on height, weight, and BMI were collected, from which the standardized indicators WAZ, HAZ, and BAZ were calculated. Urban adolescents aged 15–17 exhibited higher height and weight measurements compared to their rural peers, as reflected in the HAZ values ( P < 0.001). Gender differences in height and weight were observed only in adolescents aged 15–17, whereas standardized indicators WAZ, HAZ, and BAZ did not reveal significant gender differences. Younger school-aged children (6–9 years) from rural areas had a less favorable PG profile according to WAZ, with a high prevalence of both overweight (8.96%) and thinness (3.77%). The most significant issues facing the studied population were overweight and obesity, present in 21.7% of urban and 20.3% of rural children and adolescents. The findings of this study emphasize the importance of considering age, gender, and place of residence when developing preventive measures aimed at improving the physical development of children and adolescents.

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