Juvenile obesity in terms of various evaluation methods.

Q3 Medicine
Gabriela Chabowska, Marek Czyżewski, Ewa Barg
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引用次数: 1

Abstract

Introduction: Obesity is a civilization disease of the 21st century. The prevalence of obesity and overweight among children and adolescents is constantly increasing. BMI (body mass index) and WHR (waist to hip ratio) are methods of obesity assessment recommended by the WHO. Also, the WtHR (waist to height ratio), which takes into account height, is one of the most popular methods of diagnosing childhood obesity. A more recent diagnostic indicator is the FMI (fat mass index), which considers the percentage of the patient's body fat.

The aim of the study: was to compare the methods of assessing obesity in children and adolescents using the following indicators: BMI, WHR, WtHR, and FMI and to determine the consistency of the results obtained with them.

Material and methods: The study included 195 children aged 11-18 years, from whom the following data were collected: height, weight, waist circumference, and percentage of body fat. The calculated indices (BMI, WHR, WtHR, FMI), expressed in SDS, were compared using the Bland-Altman test, Passing-Bablok regression, and the slope chart.

Results: The fewest diagnoses of obesity were shown by FMI SDS (15.9%) and the highest by WHR SDS (28.7%). WHR SDS showed the least consistent results with BMI SDS. Significant statistical differences were found between BMI SDS and both FMI SDS and WtHR SDS.

Conclusions: BMI, as the most acceptable obesity indicator, can be used as a screening method for assessing obesity. However, patients with boundary BMI values should be examined more precisely, using more than one index. FMI is recommended.

Abstract Image

Abstract Image

Abstract Image

青少年肥胖方面的各种评价方法。
简介:肥胖是21世纪的文明病。儿童和青少年中肥胖和超重的患病率不断增加。BMI(身体质量指数)和WHR(腰臀比)是世界卫生组织推荐的肥胖评估方法。另外,考虑身高的腰高比(WtHR)是诊断儿童肥胖的常用方法之一。最近的一个诊断指标是脂肪质量指数(FMI),它考虑的是病人体内脂肪的百分比。本研究的目的是比较使用以下指标评估儿童和青少年肥胖的方法:BMI, WHR, WtHR和FMI,并确定所获得的结果与它们的一致性。材料与方法:研究对象为195名11-18岁的儿童,收集身高、体重、腰围、体脂率等数据。用SDS表示的计算指标(BMI、WHR、WtHR、FMI)采用Bland-Altman检验、passingbablok回归和斜率图进行比较。结果:FMI SDS诊断肥胖的比例最低(15.9%),WHR SDS诊断肥胖的比例最高(28.7%)。WHR SDS与BMI SDS的结果最不一致。BMI SDS与FMI SDS、WtHR SDS均有统计学差异。结论:BMI是最可接受的肥胖指标,可作为评估肥胖的筛查方法。然而,有BMI边界值的患者应该更精确地检查,使用多个指标。建议使用FMI。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Pediatric Endocrinology, Diabetes and Metabolism
Pediatric Endocrinology, Diabetes and Metabolism Medicine-Pediatrics, Perinatology and Child Health
CiteScore
2.00
自引率
0.00%
发文量
36
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