Relation of BMI to fat and fat-free mass among children and adolescents

Relation of BMI to fat and fat-free mass among children and adolescents
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DOI:
10.1038/sj.ijo.0802735
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发表时间:
2005-01-01
影响因子:
4.9
通讯作者:
Horlick, M
Horlick, M
中科院分区:
医学2区
文献类型:
--
作者:
Freedman, DS;Wang, J;Horlick, M

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目的:虽然体重指数(BMI,kg/m2)被广泛用作肥胖的替代指标,但它是相对于身高的超重指标,而不是多余的身体脂肪。我们研究了BMI与健康5- 18-year-olds.Methods和Procedures之间的脂肪质量和无脂肪质量水平的关系:双能X射线吸收法被用来测量脂肪和无脂肪质量之间的1196科目。通过计算脂肪质量指数(FMI,fatmass/ht(2))和去脂肪质量指数(FFMI,fat-free mass/ht(2)),将这些测量标准化为身高。结果:FFMI的变异性约为FMI的50%,BMI作为肥胖测量的准确性根据肥胖程度有很大差异。在BMI大于或等于85 th P的儿童中,BMI水平与FMI密切相关(在性别-年龄分类中r=0.85-0.96)。相比之下,在年龄BMI
Objective: Although the body mass index (BMI, kg/m(2)) is widely used as a surrogate measure of adiposity, it is a measure of excess weight, rather than excess body fat, relative to height. We examined the relation of BMI to levels of fat mass and fat-free mass among healthy 5- to 18-y-olds.Methods and Procedures: Dual-energy X-ray absorptiometry was used to measure fat and fat-free mass among 1196 subjects. These measures were standardized for height by calculating the fat mass index (FMI, fat mass/ht(2)) and the fat-free mass index (FFMI, fat-free mass/ht(2)).Results: The variability in FFMI was about 50% of that in FMI, and the accuracy of BMI as a measure of adiposity varied greatly according to the degree of fatness. Among children with a BMI-for-age greater than or equal to85th P, BMI levels were strongly associated with FMI (r=0.85-0.96 across sex-age categories). In contrast, among children with a BMI-for-age