Health-Related Quality of Life across Recent Pediatric Obesity Classification Recommendations.
Health-Related Quality of Life across Recent Pediatric Obesity Classification Recommendations.
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最近儿科肥胖分类建议中的健康相关生活质量。
DOI：
10.3390/children8040303
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发表时间：
2021-04-15
期刊：
影响因子：
--
通讯作者：
Hampl SE
中科院分区：
文献类型：
--
作者：
Black WR;Borner KB;Beauchamp MT;Davis AM;Dreyer Gillette ML;Sweeney B;Hampl SE
极端体重指数 (BMI) 值（即高于第 97 个百分位数且低于第 3 个百分位数）在疾病控制和预防中心的生长曲线上的表示不准确，这可能会限制 BMI 百分位数和 BMI z 分数在捕捉极端体重患者临床结果变化方面的效用。根据体重指数超过第 95 个百分位数 (BMI95pct) 的百分比对儿童肥胖严重程度进行建模已被提议作为一种改进的指标，以更好地捕获生长曲线两端的体重变异性，这可能会增进我们对体重状况与临床结果变化之间关系的理解。然而，很少有研究评估与以前的分类方法相比，BMI95pct 的使用是否会加深我们对临床心理社会结构差异的理解。这项横断面研究根据 BMI95% 评估了儿童肥胖的严重程度，以检查经过验证的、针对肥胖的健康相关生活质量 (HRQoL) 衡量标准中潜在的群体差异。四百六十五名肥胖儿童完成了《Sizing Me Up》，这是一项 HRQoL 的自我报告测量方法。根据BMI95%对儿童进行分类（即I级：≥100%且<120%；II级：≥120%且<140%；III级：≥140%）。结果表明，III 级肥胖儿童的 HRQoL 低于 I 级和 II 级肥胖儿童；然而，II 级和 I 级之间没有差异。在以前的许多文献中，II 级和 III 级肥胖儿童通常根据 BMI 高于第 99 个百分位而被合并到“严重肥胖”类别中。这项研究表明，将不同班级的儿童分组在一起会忽略捕捉 HRQoL 的关键差异。包括严重肥胖儿童在内的未来研究应考虑肥胖类别，以最好地解释功能和临床结果。
Extreme body mass index (BMI) values (i.e., above the 97th and below the 3rd percentiles) are inaccurately represented on the Centers for Disease Control and Prevention’s growth curves, which may limit the utility of BMI percentile and BMI z-score for capturing changes in clinical outcomes for patients at extreme weights. Modeling child obesity severity based upon the percentage of BMI in excess of the 95th percentile (BMI95pct) has been proposed as an improved metric to better capture variability in weight at extreme ends of growth curves, which may improve our understanding of relationships between weight status and changes in clinical outcomes. However, few studies have evaluated whether the use of BMI95pct would refine our understanding of differences in clinical psychosocial constructs compared to previous methods for categorization. This cross-sectional study evaluated child obesity severity based on BMI95pct to examine potential group differences in a validated, obesity-specific measure of Health-Related Quality of Life (HRQoL). Four hundred and sixty-five children with obesity completed Sizing Me Up, a self-report measure of HRQoL. Children were classified into categories based on BMI95pct (i.e., class I: ≥100% and <120%; class II: ≥120% and <140%; class III: ≥140%). The results indicate that children with class III obesity reported lower HRQoL than children with class I and class II obesity; however, there were no differences between Class II and Class I. In much of the previous literature, children with class II and class III obesity are often combined under the category “Severe Obesity” based upon BMI above the 99th percentile. This study suggests that grouping children from various classes together would neglect to capture critical differences in HRQoL. Future research including children with severe obesity should consider obesity classes to best account for functioning and clinical outcomes.
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DOI：
10.1002/oby.21782
发表时间：
2017-04
期刊：
Obesity (Silver Spring, Md.)
影响因子：
--
作者：
Freedman DS;Butte NF;Taveras EM;Lundeen EA;Blanck HM;Goodman AB;Ogden CL
通讯作者：
Ogden CL
影响因子：
158.5
作者：
Skinner, Asheley C.;Perrin, Eliana M.;Skelton, Joseph A.
通讯作者：
Skelton, Joseph A.
影响因子：
2.5
作者：
Davis, Ann M.;Daldalian, Marina C.;Suminski, Richard
通讯作者：
Suminski, Richard
影响因子：
8
作者：
Barlow, Sarah E.
通讯作者：
Barlow, Sarah E.
影响因子：
8
作者：
Freedman, David S.;Berenson, Gerald S.
通讯作者：
Berenson, Gerald S.