Comparing US paediatric and adult weight classification at the transition from late teenage to young adulthood.
Comparing US paediatric and adult weight classification at the transition from late teenage to young adulthood.
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DOI：
10.1111/ijpo.274
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发表时间：
2015-10
影响因子：
3.8
通讯作者：
Lo JC
中科院分区：
文献类型：
--
作者：
Maring B;Greenspan LC;Chandra M;Daniels SR;Sinaiko A;Prineas RJ;Parker ED;Adams KF;Daley MF;Sherwood NE;Kharbanda EO;Margolis KL;Magid DJ;O'Connor PJ;Lo JC
虽然建议在20岁之前使用儿童生长图表进行体重评估，但许多青少年更早地过渡到使用绝对BMI的成人护理。本研究探讨了一致性的体重分类，在年龄较大的青少年使用儿童体重和成人阈值。来自23，640名18-19岁美国青少年的BMI使用儿科BMI百分位标准进行分类，包括体重不足（<5），正常（<5），（第5至<85），超重（85 ~<95）、肥胖（≥ 95）和重度肥胖（≥120%×第95百分位数）和成人BMI（kg/m2）体重不足标准（<18.5）、正常（18.5-24.9）、超重（25-29.9）和肥胖：I级（30-34.9）、II级（35-39.9）和III级（≥40）。使用Kappa统计检验一致性。同一次访视的血压（BP）被归类为高血压，BP≥140/90。大多数就诊（72.8%）发生在成人初级保健中。使用儿童/成人标准，分别有3.4%/5.2%体重不足，66.6%/58.8%体重正常，15.7%/21.7%超重，14.3%/14.3%肥胖，4.9%/6.0%重度/II-III级肥胖。儿童和成人体重不足、正常、超重和肥胖的分类一致率为90.3%（加权Kappa 0.87 [95%置信区间，0.87-0.88]）。对于重度肥胖，BMI≥120%×第95百分位数显示与BMI≥35 kg/m2高度一致（Kappa 0.89 [0.88-0.91]）。正常体重的男性和中度肥胖的女性，儿童BMI百分位数标准谁不和谐地分类到较高的成人体重分层有更大的比例与高血压相比较，一致分类的同行。美国儿童BMI百分位数和成人BMI分类之间存在很强的一致性。成人BMI分类可以优化从儿科到成人护理过渡期间的BMI跟踪和风险分层。
Although pediatric growth charts are recommended for weight assessment prior to age 20, many teenagers transition earlier to adult care where absolute BMI is used. This study examines concordance of weight classification in older teenagers using pediatric percentiles and adult thresholds. BMI from 23,640 U.S. teens ages 18–19 years were classified using pediatric BMI percentile criteria for underweight (<5th), normal (5th to <85th), overweight (85th to <95th), obesity (≥95th) and severe obesity (≥120%×95th percentile) and adult BMI (kg/m2) criteria for underweight (<18.5), normal (18.5–24.9), overweight (25–29.9) and obesity: class I (30–34.9), class II (35–39.9) and class III (≥40). Concordance was examined using the Kappa statistic. Blood pressure (BP) from the same visit was classified hypertensive for BP≥140/90. The majority of visits (72.8%) occurred in adult primary care. Using pediatric/adult criteria, 3.4%/5.2% were underweight, 66.6%/58.8% normal weight, 15.7%/21.7% overweight, 14.3%/14.3% obese and 4.9%/6.0% severely/Class II–III obese, respectively. Pediatric and adult classification for underweight, normal, overweight and obesity were concordant for 90.3% (weighted Kappa 0.87 [95% confidence interval, 0.87–0.88]). For severe obesity, BMI≥120%×95th percentile showed high agreement with BMI≥35 kg/m2 (Kappa 0.89 [0.88–0.91]). Normal weight males and moderately obese females by pediatric BMI percentile criteria who were discordantly classified into higher adult weight strata had a greater proportion with hypertensive BP compared to concordantly classified counterparts. Strong agreement exists between U.S. pediatric BMI percentile and adult BMI classification for older teenagers. Adult BMI classification may optimize BMI tracking and risk stratification during transition from pediatric to adult care.
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DOI：
10.1001/jama.2014.732
发表时间：
2014-02-26
期刊：
JAMA
影响因子：
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作者：
Ogden CL;Carroll MD;Kit BK;Flegal KM
通讯作者：
Flegal KM
影响因子：
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作者：
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通讯作者：
Barlow, Sarah E.
影响因子：
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作者：
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通讯作者：
Ogden, Cynthia L.
影响因子：
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Flegal, Katherine M.;Wei, Rong;Curtin, Lester R.
通讯作者：
Curtin, Lester R.
DOI：
10.1016/j.jpeds.2010.01.025
发表时间：
2010-07
期刊：
The Journal of pediatrics
影响因子：
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作者：
Koebnick C;Smith N;Coleman KJ;Getahun D;Reynolds K;Quinn VP;Porter AH;Der-Sarkissian JK;Jacobsen SJ
通讯作者：
Jacobsen SJ