Overweight in children: definitions and interpretation

Overweight in children: definitions and interpretation
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DOI:
10.1093/her/cyl128
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发表时间:
2006-12-01
影响因子:
2.4
通讯作者:
Ogden, Cynthia L.
Ogden, Cynthia L.
中科院分区:
医学4区
文献类型:
--
作者:
Flegal, Katherine M.;Tabak, Carolyn J.;Ogden, Cynthia L.

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许多国家的研究表明,近年来儿童超重发生率有所上升。这些增长引起了人们对儿童健康和福祉的关注。这些研究中使用的术语差别很大。然而,无论使用什么术语,这类研究通常是基于体重(以体重指数(BMI)表示,BMI是身高的一种衡量标准,计算方法是体重(公斤)除以身高(米)的平方),而不是身体肥胖本身。有许多不同的BMI参考可以用来定义儿童超重或肥胖。儿童被定义为超重,用于人口监测目的,使用各种BMI切点。BMI是一种筛查工具,而不是诊断工具。BMI超过这些切点的儿童不一定有临床并发症或与过度肥胖相关的健康风险。需要对个别儿童进行更深入的评估,以确定其健康状况。通常使用的超重定义是对一般公共卫生监测、筛查和类似目的有价值的工作定义。
Studies in a variety of countries have shown increases in the prevalence of overweight among children in recent years. These increases have given rise to concern about children's health and well-being. The terminology used in these studies varies considerably. However, whatever the terminology used, such studies are generally based on weight [expressed as body mass index (BMI), a measure of weight for height, calculated as weight in kilograms divided by the square of height in meters] and not on body fatness per se. There are many different BMI references that can be used to define childhood overweight or obesity. Children are defined as overweight for population surveillance purposes using a variety of BMI cut points. BMI is a screening tool, not a diagnostic tool. Children with a BMI over these cut points do not necessarily have clinical complications or health risks related to overfatness. More in-depth assessment of individual children is required to ascertain health status. The definitions of overweight generally used are working definitions that are valuable for general public health surveillance, screening and similar purposes.