Iwata Fujihiko, Hara Mitsuhiko, Okada Tomoo, Harada Kensuke, Li Shilian
Department of Pediatrics, Nihon University School of Medicine, Beijing Children's Hospital, affiliated with Capital University of Medical Sciences, Beijing, China.
Pediatr Int. 2003 Apr;45(2):190-2. doi: 10.1046/j.1442-200x.2003.01688.x.
As obesity has been increasing in China, the present study examined the body composition of children to assess their fatness.
A total of 532 healthy schoolchildren who lived in central Beijing were examined. Skinfold thicknesses, hip and waist circumferences, and body fat percentage were measured, as well as height and weight.
The prevalence of overweight (Body Mass Index (BMI) >or= 95% for age and sex of Chinese children) was 27.7% in boys and 14.2% in girls (chi-squared; P = 0.0001). The percentages of body fat (BF%), waist/hip ratios and skinfold thicknesses ratios (subscapular/triceps) in overweight children were significantly higher than those in non-overweight children (Mann-Whitney U-test). The BF% of non-overweight boys was significantly higher than that of non-overweight girls.
Urban Chinese overweight children have high BF% with adverse fat distribution. They may have high risk of atherogeniety. Boys in the non-overweight category may have higher fat accumulation than predicted by BMI. The establishment of an intervention program for childhood obesity is strongly recommended.
鉴于肥胖在中国呈上升趋势,本研究对儿童的身体成分进行检测,以评估其肥胖程度。
对居住在北京中心城区的532名健康学童进行了检查。测量了皮褶厚度、臀围和腰围、体脂百分比以及身高和体重。
超重(体重指数(BMI)大于或等于中国儿童年龄和性别的第95百分位数)的患病率在男孩中为27.7%,在女孩中为14.2%(卡方检验;P = 0.0001)。超重儿童的体脂百分比(BF%)、腰臀比和皮褶厚度比(肩胛下/三头肌)显著高于非超重儿童(曼-惠特尼U检验)。非超重男孩的BF%显著高于非超重女孩。
中国城市超重儿童的BF%较高,脂肪分布不良。他们可能有较高的动脉粥样硬化风险。非超重类别的男孩可能比BMI预测的有更高的脂肪堆积。强烈建议制定儿童肥胖干预计划。