Indices of obesity derived from body weight and height.
Indices of obesity derived from body weight and height.
复制标题
肥胖指数源自体重和身高。
DOI：
10.1136/jech.21.3.122
复制
发表时间：
1967
期刊：
影响因子：
--
通讯作者：
C. Lowe
中科院分区：
文献类型：
--
作者：
T. Khosla;C. Lowe
体重和致命性之间的关系，尤其是从心血管疾病和糖尿病中，已经建立了（精算师协会，1959年； Preston and Clarke，1966）。因此，可靠，可行的且普遍可接受的肥胖指数将具有重要的表演，逻辑，精算和临床应用；但是许多困难阻碍了提供这样的索引。脂肪的密度与肌肉和骨骼的密度截然不同，因此最好的指标之一是通过水位置换量测量的整个身体的比重。但是，要在专业实验室之外进行必要的测量是不切实际的吗？通常将全部沉浸式浸入过度是为了支付生命政策的价格太高了吗？即使在实验室中，由于数量的不同，测量值也不是完全可靠的。空气通道中的气体和胃肠道。在繁忙的临床实践和大规模的流行病学调查中，无论是基于摄影的（Sheldon，Stevens和Tucker，1940年）还是基于解剖学测量值（Parnell，1958年），无论是基于摄影而复杂的“体型”（1958年），也是不可行的从其可靠性和解释的问题中完全分开。 The measurement of skin-fold thickness has its uses but is subject to considerable site and observer variation and has the disadvantage that it demands what in epidemio logical surveys may be an unacceptable amount of undressing (Edwards, Hammond, Healy, Tanner, and Whitehouse, 1955年）。由于这些困难，与高度有关的重量通常被用作指数。基于这两个测量值的指数具有不可避免的劣势，即他们不考虑肌肉或骨骼结构，但是它们具有很大的优点，即可以轻松，快速，准确性地制作测量本身。结合重量（W）和高度（H）的三个指数是：w〜h〜'
The relation between body weight and mortal ity, particularly from cardiovascular disease and diabetes, is well established (Society of Actuaries, 1959; Preston and Clarke, 1966). A reliable, practicable, and generally acceptable index of obesity would therefore have important epidemio logical, actuarial, and clinical applications; but many difficulties stand in the way of providing such an index. Fat has a very different density from muscle and bone, so that one of the best indices is the specific gravity of the whole body, measured by water displacement. It is impracticable, however, to take the necessary measurements outside a specialized laboratory?total immersion would generally be regarded as too high a price to pay for a life policy ?and even in the laboratory the measurements are not altogether reliable because of the varying volumes of gases in the air passages and the gastro intestinal tract. In busy clinical practice and in large-scale epidemiological surveys sophisticated methods of "somatotyping", whether based on photography (Sheldon, Stevens, and Tucker, 1940) or on anatomical measurements (Parnell, 1958), are also impracticable because of the time they take, apart altogether from questions of their reliability and interpretation. The measurement of skin-fold thickness has its uses but is subject to considerable site and observer variation and has the disadvantage that it demands what in epidemio logical surveys may be an unacceptable amount of undressing (Edwards, Hammond, Healy, Tanner, and Whitehouse, 1955). Because of these difficulties, weight in relation to height is commonly used as an index. Indices based on these two measurements have the unavoid able disadvantage that they take no account of muscularity or bone structure, but they have the great merit that the measurements themselves can be made easily, quickly, and with a fair degree of accuracy. The three indices combining weight (W) and height (H) that have most often been used are: w ~H~'