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人类测量指数与身体脂肪之间的关联,用于识别小学儿童多余的身体脂肪:基于人口的横截面研究
Kumiko Ohara1,2, Katsuyasu Kouda3, Katsumasa Momoi4
1Department of Epidemiology for Community Health and Medicine, Kyoto Prefectural University of Medicine, 465 Kajii-Cho, Kawaramachi-Hirokoji, Kamigyo, Kyoto, Kyoto, 602-8566, Japan. ohara@koto.kpu-m.ac.jp.
Journal of physiological anthropology
|November 19, 2025
概括
体重指数 (BMI) 和肥胖程度有效地识别儿童的多余体脂,与体脂百分比测量密切结合. 这些发现支持使用BMI和肥胖程度进行准确的儿童肥胖分类.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 公共卫生 公共卫生
- 身体组成分析 身体成分分析
背景情况:
- 儿童肥胖是一个日益关注的问题,增加了成人肥胖相关疾病的风险.
- 准确的儿童肥胖的识别和管理对于长期的健康结果至关重要.
- 这项研究解决了与直接体脂测量相比验证常见肥胖指标的需要.
研究的目的:
- 评估身体质量指数 (BMI),肥胖程度,腰围和腰高比与儿童多余体脂之间的关联.
- 评估这些人体测量方法在识别有高体脂百分比的儿童方面的歧视能力.
- 将不同肥胖指标的分类性能与身体脂肪百分比值进行比较.
主要方法:
- 9-12岁的660名儿童 (349名男孩,311名女孩) 参加了这次活动.
- 使用生物电阻分析测量身体脂肪百分比.
- 接收器操作特征 (ROC) 和精度回忆 (PR) 曲线分析评估了BMI,肥胖程度,腰围和腰与身高比的诊断准确性.
主要成果:
- 体重指数 (BMI) 和肥胖程度显示出高的区分能力 (曲线下的面积>0.9) 在识别百分点的多余体脂肪方面.
- 精度,回忆和F1BMI和肥胖程度的BMI和F1分数在确定85或95百分点的肥胖时超过70%.
- 在第85/90百分位数的BMI和体脂百分比之间发现了实质性的协议,对肥胖程度有中等的协议.
结论:
- 体重指数和肥胖程度与儿童的体脂百分比在各种值 (第85,第90,第95个百分位) 之间有很强的联系.
- 基于BMI和肥胖程度的肥胖分类与从身体脂肪百分比测量得出的分类非常接近.
- 这些发现证实了BMI和肥胖程度的使用,作为确定儿科患者多余体脂肪的可靠指标.
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