Waist circumference percentiles in nationally representative samples of African-american, European-American, and Mexican-American children and adolescents

Waist circumference percentiles in nationally representative samples of African-american, European-American, and Mexican-American children and adolescents
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DOI:
10.1016/j.jpeds.2004.06.044
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发表时间:
2004-10-01
影响因子:
5.1
通讯作者:
Allison, DB
Allison, DB
中科院分区:
医学2区
文献类型:
--
作者:
Fernández, JR;Redden, DT;Allison, DB

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目的描述和提供估计的腰围(WC)的分布,根据在非洲,欧洲和墨西哥裔美国儿童的腰围,并测试组差异在不同的fulles.Study设计横断面数据从第三次全国健康和营养检查调查(NHANES III)进行了检查。评价的样本包括9713名年龄在2至15岁之间的非妊娠者,测量了WC值。年龄,性别,和种族特异性weightles估计通过百分位regulation.Results WC测量增加在一个单调的方式跨年龄,但在非恒定的速率和在不同的年龄和性别的方式。在较高的分布范围内,墨西哥裔美国人(MA)和欧洲裔美国人(EA)之间以及非洲裔美国人(AA)和欧洲裔美国人(EA)之间的WC估计值存在差异,并且在某些情况下,早在13岁时就超过了肥胖相关疾病风险的成人截止值。美国儿童和青少年可以使用特定种族的WC量表,并可用作可能影响公共卫生建议的评估工具。结果表明,某些种族群体之间的高WC值的关注。
Objective To describe and provide estimates of the distribution of waist circumference (WC) according to percentiles in African-, European-, and Mexican-American children, and to test for group differences at different percentiles.Study design Cross-sectional data from the Third National Health and Nutrition Examination Survey (NHANES III) were examined. The sample evaluated included 9713 nonpregnant persons 2 to IS years of age with measured values of WCs. Age-, sex-, and ethnicity-specific percentiles were estimated via percentile regression.Results WC measurements increased in a monotonic fashion across ages but at nonconstant rates and in a manner that varied across age and sex. At higher percentiles of the distribution, estimates of WC differ between Mexican-American (MA) and European-American (EA) and between African-American (AA) and European-American (EA), and, in some cases, exceeded the adult cutoff value for obesity-related disease risk at as early as 13 years of age.Conclusion Age-, sex-, and ethnicity-specific WC percentiles are available for US children and adolescents and can be used as an assessment tool that could impact public health recommendations. Results suggest concern with respect to high WC values among certain ethnic groups.