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根据儿童生长指标的超重风险 国际生长标准/参考标准的变化
Mariane Helen de Oliveira1, Joana Araújo2,3,4, Milton Severo2,3,5
1School of Social Work, Boston College, Chestnut Hill, MA, USA.
Public health nutrition
|August 21, 2025
概括
儿童体质指数 (BMI) 增长道 (BMI-GC) 的变化预测了未来的超重风险. 监测BMI-GC可以帮助预防青少年超重.
科学领域:
- 儿科内分泌学
- 公共卫生
- 增长的监测
背景情况:
- 准确的体重指数 (BMI) 参考值对于评估儿童的成长和确定超重风险至关重要.
- 国际BMI标准,包括国际肥胖特别工作组 (IOTF),MULT和世界卫生组织 (WHO) 的流行估计有所不同.
- 了解儿童时期的BMI增长道 (BMI-GC) 对于预测青少年体重状况至关重要.
研究的目的:
- 为了比较国际BMI参考 (IOTF,MULT,WHO).
- 分析儿童时期的BMI-GC变化与青春期早期超重的风险之间的联系.
主要方法:
- 使用了来自千年队列研究 (MCS),年轻人生活 (YL) 和第21代 (G21) 队列的参与者数据.
- 通过使用林的一致性相关系数 (CCC) 和加权的卡帕来评估BMI参考的一致性.
- 根据3. 5 - 9岁之间的BMI- GC变化计算了超重的相对风险 (RR),并对共变量进行调整.
主要成果:
- 与MULT和IOTF参考数据相比,世卫组织的参考数据显示,超重的患病率更高,尽管它们之间存在很大的共识.
- 在3. 5至9岁之间,BMI-GC (幅度≥0. 67) 的增加与青春期早期 (9. 5至13. 5岁) 超重的风险显著增加有关.
- 体重过重的相对风险在不同的BMI参考值中为2. 31至2. 49.
结论:
- 在正常体重的儿童中,BMI-GC的变化与青少年超重的风险较高有关.
- 监测儿童的BMI-GC可以作为早期干预和预防超重的宝贵工具.
- 这些发现强调了跟踪BMI轨迹对公共卫生举措的重要性.
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