Appropriateness of US and international BMI-for-age reference curves in defining adiposity among Israeli school children
Appropriateness of US and international BMI-for-age reference curves in defining adiposity among Israeli school children
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美国和国际年龄别体重指数参考曲线在定义以色列学童肥胖方面的适当性
DOI：
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发表时间：
2007
影响因子：
3.6
通讯作者：
H. Bibi
中科院分区：
文献类型：
--
作者：
M. Huerta;M. Gdalevich;Alla Tlashadze;S. Scharf;M. Schlezinger;O. Efrati;H. Bibi
对儿童超重和肥胖趋势的有效监测需要建立有效的截止值，以确定儿童的风险。在以色列，儿童年龄BMI的标准值目前基于美国疾病控制和预防中心发布的生长图表。然而，由于种族、文化和社会经济地位的固有差异，在美国以外的人群中使用美国参考值的适当性值得怀疑。我们记录了1997年和2000年在以色列进行的以学校为基础的健康调查框架内通过随机整群抽样选择的9 988名6-12岁儿童的数据。我们构建了适用于以色列儿童的人群特定百分位数BMI年龄曲线，并将这些曲线与当前标准的美国和国际参考值进行了比较。使用LMS统计曲线平滑方法构建曲线。以色列学龄儿童的数据集产生的参考百分位数与基于美国儿童的参考百分位数有很大不同。以色列的参考值更接近国际肥胖工作组发布的百分位曲线。总之，地方和国家卫生规划人员应认识到在不同人群中使用“标准”参考值定义儿童超重和肥胖的内在局限性。这项基于大规模人群的研究结果强调需要人群特定的年龄BMI参考值，以准确描述儿童超重和肥胖的患病率。
Effective surveillance of trends in paediatric overweight and obesity requires the establishment of valid cutoff values to identify children at risk. In Israel, standard values for childhood BMI-for-age are currently based on growth charts published by the US Centers for Disease Control and Prevention. However, the appropriateness of using US reference values in populations outside the US is questionable, due to inherent differences in ethnicity, culture and socioeconomic status. We recorded data from 9,988 children aged 6–12 selected by random cluster sampling within the framework of school-based health surveys conducted in Israel during the years 1997 and 2000. We constructed population-specific centile BMI-for-age curves valid for Israeli children, and compared these curves to current standard US and international reference values. Curves were constructed using LMS statistical curve smoothing methods. The data set of Israeli schoolchildren produced reference centiles substantially different than those based on US children. Israeli reference values were closer to centile curves published by the International Obesity Task Force. In conclusion, local and national health planners should recognize the intrinsic limitations associated with the use of “standard” reference values in defining paediatric overweight and obesity in dissimilar populations. The results of this large population-based study highlight the need for population-specific BMI-for-age reference values, in order to accurately describe the prevalence of paediatric overweight and obesity.
体重指数作为儿童和青少年肥胖的衡量标准：双能 X 射线吸收测定法与肥胖的关系以及与心血管危险因素的关系。
DOI：
10.1210/jcem.86.9.7760
发表时间：
2001
期刊：
The Journal of clinical endocrinology and metabolism
影响因子：
--
作者：
Lindsay,RS;Hanson,RL;Roumain,J;Ravussin,E;Knowler,WC;Tataranni,PA
通讯作者：
Tataranni,PA
DOI：
10.1038/oby.2005.129
发表时间：
2005-06-01
期刊：
OBESITY RESEARCH
影响因子：
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作者：
Janssen, I;Katzmarzyk, PT;Berenson, GS
通讯作者：
Berenson, GS