Is child weight status correctly reported to parents? Cross-sectional analysis of National Child Measurement Programme data using ethnic-specific BMI adjustments.
Is child weight status correctly reported to parents? Cross-sectional analysis of National Child Measurement Programme data using ethnic-specific BMI adjustments.
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DOI：
10.1093/pubmed/fdz188
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发表时间：
2020-11-23
期刊：
影响因子：
--
通讯作者：
Dezateux C
中科院分区：
文献类型：
--
作者：
Firman N;Boomla K;Hudda MT;Robson J;Whincup P;Dezateux C
BMI 分别低估和高估了南亚和黑人儿童的体脂。我们使用了伦敦市中心三个地方当局的 38 270 名儿童的 NCMP 横断面数据 (2015-17)：City & Hackney、Newham 和 Tower Hamlets（41% 南亚裔，18.8% 黑人）：20 439 名 4–5 岁儿童（48.9% 女孩）和 17 831 名 10–11 岁儿童（49.1% 女孩）。我们估计了如果在英国国家儿童测量计划 (NCMP) 中采用了针对种族的 BMI 调整，则获得有关孩子体重状况的不同信息的父母比例，以及地区肥胖率（定义为≥98%）的比例。如果采用针对种族的调整，则 19.7% (3112/15 830) 的南亚背景儿童家长会被告知他们的孩子属于较重体重类别，19.1% (1381/7217) 的黑人背景儿童家长会被告知他们的孩子属于较轻体重类别。针对种族的调整使 4-5 岁儿童的肥胖患病率从 7.9%（95% CI：7.6，8.3）增加到 9.1%（8.7，9.5），10-11 岁儿童的肥胖患病率从 17.5%（16.9，18.1）增加到 18.8%（18.2，19.4）。 NCMP 中针对种族的调整将确保体重状况的公平分类，为家长提供正确的信息，并支持为家庭提供当地服务。
BMI underestimates and overestimates body fat in children from South Asian and Black ethnic groups, respectively. We used cross-sectional NCMP data (2015–17) for 38 270 children in three inner-London local authorities: City & Hackney, Newham and Tower Hamlets (41% South Asian, 18.8% Black): 20 439 4–5 year-olds (48.9% girls) and 17 831 10–11 year-olds (49.1% girls). We estimated the proportion of parents who would have received different information about their child’s weight status, and the area-level prevalence of obesity—defined as ≥98th centile—had ethnic-specific BMI adjustments been employed in the English National Child Measurement Programme (NCMP). Had ethnic-specific adjustment been employed, 19.7% (3112/15 830) of parents of children from South Asian backgrounds would have been informed that their child was in a heavier weight category, and 19.1% (1381/7217) of parents of children from Black backgrounds would have been informed that their child was in a lighter weight category. Ethnic-specific adjustment increased obesity prevalence from 7.9% (95% CI: 7.6, 8.3) to 9.1% (8.7, 9.5) amongst 4–5 year-olds and from 17.5% (16.9, 18.1) to 18.8% (18.2, 19.4) amongst 10–11 year-olds. Ethnic-specific adjustment in the NCMP would ensure equitable categorization of weight status, provide correct information to parents and support local service provision for families.
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影响因子：
16.2
作者：
Nightingale, Claire M.;Sattar, Naveed;Wells, Jonathan C. K.
通讯作者：
Wells, Jonathan C. K.
影响因子：
5.1
作者：
Park, Min Hae;Falconer, Catherine L.;Croker, Helen;Saxena, Sonia;Kessel, Anthony S.;Viner, Russell M.;Kinra, Sanjay
通讯作者：
Kinra, Sanjay
影响因子：
7.7
作者：
Nightingale, Claire M.;Rudnicka, Alicja R.;Whincup, Peter H.
通讯作者：
Whincup, Peter H.
影响因子：
3.7
作者：
Lee SH;Lee SM;Goo JM;Kim KG;Kim YJ;Park CM
通讯作者：
Park CM
DOI：
10.1053/beem.1999.0003
发表时间：
1999-04-01
影响因子：
7.4
作者：
Deurenberg, P;Yap, M
通讯作者：
Yap, M