使用CDC BMI年龄增长图表评估替代体重指数(BMI)指标监测极高BMI儿童和青少年体重状况

Q3 Medicine

Vital and health statistics. Ser. 1: Programs and collection procedures Pub Date : 2022-12-01 DOI:10.15620/cdc:121711

Craig M. Hales, D. Freedman, L. Akinbami, R. Wei, C. Ogden

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引用次数: 14

摘要

在美国，儿童和青少年的肥胖和严重肥胖是使用2000年美国疾病控制与预防中心（CDC）性别特异性体重指数（BMI）的阈值来定义的，BMI是年龄增长图。2000年美国疾病控制与预防中心年龄增长图表中的BMI z分数和百分位数也用于监测儿童随时间的体重状况，并评估肥胖治疗。计算百分位数和相应的z分数（BMIz）的参数是从第3个和第97个之间的选定百分位数导出的。将BMI用于BMI极高的儿童和青少年的年龄增长图需要外推到第97百分位之外，这会导致BMIz值压缩到非常窄的范围内，因此不建议使用。本报告评估了用于监测BMI极高儿童和青少年体重状况的八种替代BMI指标。

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Evaluation of Alternative Body Mass Index (BMI) Metrics to Monitor Weight Status in Children and Adolescents With Extremely High BMI Using CDC BMI-for-age Growth Charts.

In the United States, obesity and severe obesity in children and adolescents are defined using threshold values from the 2000 Centers for Disease Control and Prevention (CDC) sex-specific body mass index (BMI)- for-age growth charts. BMI z-scores and percentiles from the 2000 CDC BMI-for-age growth charts are also used to monitor children's weight status over time and to evaluate obesity treatments. Parameters to calculate percentiles and corresponding z-scores (BMIz) were derived from selected percentiles between the 3rd and 97th. Use of the BMI-for-age growth charts for children and adolescents with extremely high BMI requires extrapolation beyond the 97th percentile, which leads to compression of BMIz values into a very narrow range and is not recommended. This report evaluates eight alternative BMI metrics for monitoring weight status in children and adolescents with extremely high BMI.

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来源期刊

Vital and health statistics. Ser. 1: Programs and collection procedures Medicine-Medicine (all)

CiteScore

2.50

自引率

0.00%

发文量

期刊介绍： Reports describing the general programs of the National Center for Health Statistics and its offices and divisions and the data collection methods used. Series 1 reports also include definitions and other material necessary for understanding the data.