BODY FATNESS AND RISK FOR ELEVATED BLOOD-PRESSURE, TOTAL CHOLESTEROL, AND SERUM-LIPOPROTEIN RATIOS IN CHILDREN AND ADOLESCENTS
BODY FATNESS AND RISK FOR ELEVATED BLOOD-PRESSURE, TOTAL CHOLESTEROL, AND SERUM-LIPOPROTEIN RATIOS IN CHILDREN AND ADOLESCENTS
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DOI：
10.2105/ajph.82.3.358
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发表时间：
1992-03-01
影响因子：
12.7
通讯作者：
BERENSON, GS
中科院分区：
文献类型：
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作者：
WILLIAMS, DP;GOING, SB;BERENSON, GS
背景。 最近的研究表明，根据皮褶厚度的百分位等级定义为肥胖的儿童和青少年的身体脂肪存在相当大的差异。方法。 我们在 3320 名 5 至 18 岁儿童和青少年的混血儿样本中研究了体脂百分比与血压升高、血清总胆固醇和血清脂蛋白比率之间的关系。 专门为儿童开发的方程使用肩胛下肌 (S) 和三头肌 (T) 皮褶的总和来估计脂肪百分比。 S/T 比率提供了躯干脂肪模式的指数。结果。 即使在调整了年龄、种族、禁食状态和躯干脂肪模式后，心血管疾病 (CVD) 危险因素的最高五分之一 (UQ) 的比例明显过高 (> 20%)，男性脂肪含量为 25% 或以上（UQ 为 32.2% 至 37.3%），女性脂肪含量为 30% 或以上（UQ 为 26.6% 至 45.4%）。结论。 这些数据支持白人和黑人儿童和青少年的身体脂肪标准作为 CVD 危险因素的重要预测因素的概念。 这些肥胖标准的潜在应用包括流行病学调查、儿科健康筛查和青少年健康测试。
Background. Recent studies have shown considerable variation in body fatness among children and adolescents defined as obese by a percentile rank for skinfold thickness.Methods. We examined the relationship between percent body fat and risk for elevated blood pressure, serum total cholesterol, and serum lipoprotein ratios in a biracial sample of 3320 children and adolescents aged 5 to 18 years. Equations developed specifically for children using the sum of subscapular (S) and triceps (T) skin-folds were used to estimate percent fat. The S/T ratio provided an index of trunkal fat patterning.Results. Significant overrepresentation (> 20%) of the uppermost quintile (UQ) for cardiovascular disease (CVD) risk factors was evident at or above 25% fat in males (32.2% to 37.3% in UQ) and at or above 30% fat in females (26.6% to 45.4% in UQ), even after adjusting for age, race, fasting status, and trunkal fat patterning.Conclusions. These data support the concept of body fatness standards in White and Black children and adolescents as significant predictors of CVD risk factors. Potential applications of these obesity standards include epidemiologic surveys, pediatric health screenings, and youth fitness tests.