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人体测量参数对儿童通过生物电阻抗分析或双能X线吸收法测量的身体成分的影响。

Influence of anthropometric parameters on the body composition measured by bioelectrical impedance analysis or DXA in children.

作者信息

Leppik A, Jürimäe T, Jürimäe J

机构信息

University of Tartu, Tartu, Estonia.

出版信息

Acta Paediatr. 2004 Aug;93(8):1036-41.

Abstract

AIM

To investigate the influence of anthropometric measures (skinfold thicknesses, girths, lengths and breadths/lengths) on (1) the whole body impedance and impedance index and (2) the body fat mass measured by means of DXA in children.

METHODS

Nine skinfolds, 13 girths, eight lengths and eight breadths/lengths were measured in 26 boys and 27 girls, 11-12 y of age. The somatotype components-endomorphy, mesomorphy and ectomorphy--were assessed according to the method of Carter and Heath. Body impedance at 50 kHz was measured (Multiscan 5000, Bodystat Ltd, UK) and impedance index (height2 / impedance) was calculated. Four body components-total body fat mass and separate hands, legs and trunk fat mass--were determined using DXA.

RESULTS

Skinfold thicknesses did not influence body impedance or impedance index according to stepwise multiple regression analysis. Impedance index was influenced more by the girth measures than was body impedance. The leg length measures highly influenced the impedance index (50-81%, R2 x 100). Different breadth/length parameters influenced body impedance and body impedance index (21-49%). Mesomorphy influenced body impedance only in boys (35%). Body fat mass measured by DXA was highly dependent on the measured skinfold thicknesses (59-92%). The influence of lengths and breadths/lengths on the total fat mass was significant (25-49%). Endomorphy characterized total fat mass as 86% and 52% in boys and girls, respectively.

CONCLUSION

Variation in anthropometry highly determined the variance observed in impedance in children, and the girths were the best predictors of impedance. Selected skinfold thicknesses highly predicted fat mass measured by DXA for total body, trunk, arms and legs.

摘要

目的

研究人体测量指标(皮褶厚度、围度、长度和宽/长)对(1)儿童全身阻抗和阻抗指数,以及(2)通过双能X线吸收法(DXA)测量的体脂质量的影响。

方法

对26名11至12岁男孩和27名11至12岁女孩测量了9处皮褶厚度、13处围度、8处长度和8处宽/长。根据卡特和希思的方法评估体型成分——内胚层体型、中胚层体型和外胚层体型。测量50kHz时的人体阻抗(英国Bodystat有限公司的Multiscan 5000)并计算阻抗指数(身高²/阻抗)。使用DXA测定四个身体成分——全身脂肪质量以及单独的手部、腿部和躯干脂肪质量。

结果

根据逐步多元回归分析,皮褶厚度不影响人体阻抗或阻抗指数。围度测量对阻抗指数的影响大于对人体阻抗的影响。腿长测量对阻抗指数有高度影响(50 - 81%,R²×100)。不同的宽/长参数影响人体阻抗和人体阻抗指数(21 - 49%)。中胚层体型仅对男孩的人体阻抗有影响(35%)。通过DXA测量的体脂质量高度依赖于所测量的皮褶厚度(59 - 92%)。长度和宽/长对总脂肪质量的影响显著(25 - 49%)。内胚层体型分别表征男孩和女孩总脂肪质量的86%和52%。

结论

人体测量学的变化高度决定了儿童阻抗中观察到的差异,围度是阻抗的最佳预测指标。选定的皮褶厚度高度预测了通过DXA测量的全身、躯干、手臂和腿部的脂肪质量。

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