Body index measurements in 1996-7 compared with 1980

Body index measurements in 1996-7 compared with 1980
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DOI:
10.1136/adc.82.2.107
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发表时间:
2000-02-01
影响因子:
5.2
通讯作者:
Verloove-Vanhorick, SP
Verloove-Vanhorick, SP
中科院分区:
医学2区
文献类型:
--
作者:
Fredriks, AM;van Buuren, S;Verloove-Vanhorick, SP

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目的:比较1996 - 1997年荷兰一项全国性代表性研究与1980年的一项研究中体重指数(BMI)的分布情况。方法:收集1996 - 1997年荷兰14500名0-21岁男孩和女孩的身高、体重和人口统计学资料。使用LIMS方法推导BMI参考值。1980年研究的第90、50和10个BMI百分位数用作基线。用方差分析法评估人口统计学变量与BMI-SDS的关系。从3岁起,14-22%的儿童超过1980年的第90百分位数,52-60%超过第50百分位数,92-95%超过第10百分位数。BMI与地区、父母文化程度、家庭规模呈负相关。1996- 1997年的-0.9、+1.1和+2.3 SD线对应于世界卫生组织/欧洲儿童肥胖组推荐的成人临界点20、25和30 kg/m2。因此,预防儿童肥胖的策略应该是儿童公共卫生的优先事项。
Objectives-To compare the distribution of body mass index (BMI) in a national representative study in The Netherlands in 1996-7 with that from a study in 1980.Methods-Cross sectional data on height, weight, and demographics of 14 500 boys and girls of Dutch origin, aged 0-21 years, were collected from 1996 to 1997. BMI references were derived using the LIMS method. The 90th, 50th, and 10th BMI centiles of the 1980 study were used as baseline. Association of demographic variables with BMI-SDS was assessed by ANOVA.Results-BMI age reference charts were constructed. From 3 years of age onwards 14-22% of the children exceeded the 90th centile of 1980, 52-60% the 50th centile, and 92-95% the 10th centile. BMI was related to region, educational level of parents (negatively) and family size (negatively). The -0.9, +1.1, and +2.3 SD lines in 1996-7 corresponded to the adult cut off points of 20, 25, and 30 kg/m(2) recommended by the World Health Organisation/European childhood obesity group.Conclusion-BMI age references have increased in the past 17 years. Therefore, strategies to prevent obesity in childhood should be a priority in child public health.