Growth Tracking in Severely Obese or Underweight Children
Growth Tracking in Severely Obese or Underweight Children
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DOI：
10.1542/peds.2017-2248
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发表时间：
2017-12-01
期刊：
影响因子：
8
通讯作者：
Sinha, Madhumita
中科院分区：
文献类型：
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作者：
Chambers, Melissa;Tanamas, Stephanie K.;Sinha, Madhumita
目的：说明使用疾病控制和预防中心（CDC）2000年年龄和性别特定BMI百分位数生长图表对严重肥胖或体重不足儿童进行最佳生长监测的困难。我们还旨在研究一个新的修改后的CDC BMI Z评分图表的实用性，以监测正常和极端BMI的儿童的生长，通过使用现实生活中的临床scenaries.METHODS：修改后的BMI Z评分图表创建使用2000年CDC算法。使用标准CDC 2000临床生长图表、改良BMI z评分图表和CDC BMI百分位数图表（修改为包括第95百分位数的百分比）绘制了3例具有极端BMI值和异常生长模式的儿童（% BMIp95）曲线。严重肥胖的儿童不能绘制在标准的CDC BMI百分位数图表上，因为他们的BMI点高于图表的截止值。低BMI儿童（
OBJECTIVES: To illustrate the difficulties in optimal growth monitoring of children with severe obesity or underweight by using the Centers for Disease Control and Prevention (CDC) 2000 age-and sex-specific BMI percentile growth charts. We also aimed to examine the utility of a new modified CDC BMI z score chart to monitor growth in children with normal and extreme BMI percentiles by using real-life clinical scenarios.METHODS: Modified BMI z score charts were created by using the 2000 CDC algorithm. Three cases of children with extreme BMI values and abnormal growth patterns were plotted by using the standard CDC 2000 clinical growth chart, the modified BMI z score chart, and the CDC BMI percentile chart, modified to include the percentage of the 95th percentile (% BMIp95) curves.RESULTS: Children with severe obesity could not be plotted on the standard CDC BMI percentile chart because their BMI points lay above the chart cutoff. Children with a low BMI (