Elizabeth K E, Muraleedharan Manu
Department of Pediatrics, SAT Hospital, Government Medical College, Trivandrum, India.
J Trop Pediatr. 2003 Aug;49(4):224-7. doi: 10.1093/tropej/49.4.224.
The aim of the study was to develop four appropriate three-in-one weight, height and built in body mass index (BMI) charts, for under-fives, 0-5-year-olds, > 5-10-year-olds, > 10-18-year-olds, and adults and to delineate the normal range, underweight, overweight and obesity on the above charts. Four different charts were designed for the various age groups as indicated above. Height was made available on the x-axis, weight on the y-axis, and corresponding BMI values on the right margin. Shading of the normal range to denote the health path and marking of the cut-off curves to denote normal status, overweight, and obesity were done selecting appropriate round figures to suit both sexes in accordance with the International Obesity Task Force (IOTF) recommendations for the various age groups. Field trials were done on appropriate subjects belonging to various age groups. 500 in each group with equal male to female ratio. The field trials showed that all the studied subjects belonging to both sexes came within the purview of the chart and those with normal nutritional status, underweight, overweight, and obesity could easily be identified looking at the chart without doing any further calculation. Early intervention also could be advised as the chart could demonstrate how much weight should be gained or reduced to come within the health path. In conclusion, the charts are applicable to both sexes and are user friendly. These are appropriate for general screening of nutritional status and to determine underweight, overweight, and obesity from birth to adulthood. They give a visual display of the ideal health path with respect to weight, height, and BMI and the adjustment in weight required to reach the normal range.
该研究的目的是为五岁以下儿童、0至5岁儿童、5至10岁儿童、10至18岁青少年以及成年人制定四张合适的三合一体重、身高和体质指数（BMI）图表，并在上述图表上划定正常范围、体重过轻、超重和肥胖的范围。针对上述不同年龄组设计了四张不同的图表。x轴表示身高，y轴表示体重，右侧边缘表示相应的BMI值。根据国际肥胖特别工作组（IOTF）针对不同年龄组的建议，选择合适的整数来表示正常范围的阴影以表示健康路径，并标记截止曲线以表示正常状态、超重和肥胖，以适合男女两性。对属于不同年龄组的合适受试者进行了现场试验。每组500人，男女比例相等。现场试验表明，所有参与研究的男女受试者都在图表范围内，通过查看图表无需进一步计算就能轻松识别出营养状况正常、体重过轻、超重和肥胖的人。由于图表可以显示应增加或减少多少体重才能进入健康路径，因此也可以建议进行早期干预。总之，这些图表适用于男女两性且用户友好。它们适用于营养状况的一般筛查，以及确定从出生到成年的体重过轻、超重和肥胖情况。它们直观展示了关于体重、身高和BMI的理想健康路径以及达到正常范围所需的体重调整。
