摘要
目的用新体重指数(BMI)标准法和身高标准体重法筛选肥胖儿童并评价肥胖影响肝功能和血脂的情况。方法用1:1病例对照研究,对肥胖儿童和对照儿童进行肝功能、血脂等14项指标测定。结果用身高标准体重法筛选出的280名肥胖儿童,其中仅有125名被新BMI标准判定为肥胖。BMI标准筛选的肥胖儿童7项指标的异常率(10．4％-22．9％)高于对照儿童,BMI标准排除的155名“肥胖”儿童5项指标的异常率(3．23％-13．0%)高于对照儿童。结论新BMI标准比原身高标准体重法标准高,身高标准体重法标准筛选出的肥胖儿童仅不足1／2被新BMI标准判为肥胖。部分被新BMI标准定为超重的儿童也存在肝功能异常和血脂高的现象。
Objective To evaluate the abnormal state of liver function and plasma lipid levels of obese schoolchildren who were screened by weight-for-height criterion and new body mass index criterion respectively. Methods 280 obese children were screened by weight-for-height criterion and 125 obese children were screened by body mass index criterion in a routine school cheek-up program. All of the latter subjects was included in the former one. One obese child and 1 non-obese child were matched for gender and age. 14 items related to liver functions and plasma lipids were measured. Results Of the abnormal items,7 items in 125 obese children screened by new BMI criterion and 5 items in 155 ＂obese children＂ excluded by BMI criterion, were significantly higher than those children among controlled group. The abnormal rates were 10.4 %-22.9 % in the former and 3.2 %-13.0 % in the latter. Conclusions The new BMI criterion seemed to be more stringent than weight-for-height. Less than a half of the obese children screened by weight-for-height were taken on obese children by new BMI criterion. The overweight children who were screened by BMI criterion also had abnormal liver functions and plasma lipids.
出处
《中华流行病学杂志》
CAS
CSCD
北大核心
2006年第5期384-386,共3页
Chinese Journal of Epidemiology
关键词
肥胖标准
体重指数
儿童
肝功能
血脂
Obese criterion
Body mass index
Children
Liver functions
Blood lipids
