Anthropometric reference data for international use: Recommendations from a World Health Organization Expert Committee
Anthropometric reference data for international use: Recommendations from a World Health Organization Expert Committee
复制标题
DOI：
10.1093/ajcn/64.4.650
复制
发表时间：
1996-10-01
影响因子：
7.1
通讯作者：
Habicht, JP
中科院分区：
文献类型：
--
作者：
deOnis, M;Habicht, JP
世界卫生组织（世卫组织）召集了一个专家委员会，重新评估在不同时期使用人体测量法评估健康、营养和社会福祉的情况。委员会的任务包括酌情确定人体测量指数的参考数据，以及如何使用这些数据的准则。对于胎儿生长，委员会建议采用现有的性别特异性多种族参考。鉴于目前国家卫生统计中心（NCHS）的世界卫生组织参考标准存在重大技术缺陷，而且不足以评估母乳喂养婴儿的成长情况，委员会建议制定一个关于婴儿和儿童体重和身长/身高的新参考标准，这将是一项复杂而昂贵的工作。学龄前儿童上臂围的正确解释需要特定年龄的参考数据。为了评价青少年年龄别身高，委员会建议采用目前的国家卫生统计中心/世卫组织参考资料。使用NCHS体重指数（BMI）数据及其上百分位数升高和偏度，不适合设定健康目标;然而，这些数据暂时被推荐用于定义肥胖，其基础是BMI升高和皮下脂肪含量高。NCHS值被暂时推荐作为肩胛下和三头肌皮褶厚度的参考数据。还提供了根据成熟状态调整青少年人体测量比较的指南。目前，不需要成年人的BMI参考数据;解释应基于实用的BMI截止值。最后，委员会注意到，老年人，特别是80岁以上的老年人的标准人体测量数据很少。对这一人群的健康状况、功能和生物学年龄的正确定义仍有待进一步研究。
The World Health Organization (WHO) convened an Expert Committee to reevaluate the use of anthropometry at different ago for assessing health, nutrition, and social well-being. The Committee's task included identifying reference data for anthropometric indexes when appropriate, and guidelines on how the data should be used. For fetal growth, the Committee recommended an existing sex-specific multiracial reference. In view of the significant technical drawbacks of the current National Center for Health Statistics (NCHS)WHO reference and its inadequacy fur assessing the growth of breast-fed infants, the Committee recommended the development of a new reference concerning weight and length/height for infants and children, which will be a complex and costly undertaking. Proper interpretation of midupper arm circumference for preschoolers requires age-specific reference data. To evaluate adolescent height-for-age, the Committee recommended the current NCHS/WHO reference. Use of the NCHS body mass index (BMI) data, with their upper percentile elevations and skewness, is undesirable for setting health goals; however, these data were provisionally recommended for defining obesity based on a combination of elevated BMI and high subcutaneous at. The NCHS values were provisionally recommended as reference data for subscapular and triceps skinfold thicknesses. Guidelines were also provided for adjusting adolescent anthropometric comparisons for maturational status. Currently, there is no need for adult reference data For BMI; interpretation should be based on pragmatic BMI cutoffs. Finally, the Committee noted that few normative anthropometric data exist For the elderly, especially for those > 80 y of age. Proper definitions of health status, function, and biologic age remain to be del eloped for this group.